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IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 401k Plan overview

Plan NameIRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND
Plan identification number 501

IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES, IRC-FM IN S.C. AND CMM AND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, IRC-FM IN S.C. AND CMM AND
Employer identification number (EIN):237123661
NAIC Classification:337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01
5012021-09-01
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01
5012016-09-01DENISE WAMPLER
5012015-09-01DENISE WAMPLER
5012014-09-01DENISE WAMPLER
5012013-09-01REGINA TAYLOR
5012012-09-01REGINA TAYLOR
5012011-09-01REGINA TAYLOR JOHN SANDBERG2013-06-27
5012010-09-01REGINA TAYLOR
5012010-01-01REGINA TAYLOR
5012009-01-01PATRICK MCGINN JOHN SANDBERG2010-10-15

Plan Statistics for IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND

401k plan membership statisitcs for IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND

Measure Date Value
2022: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-09-0112
Total number of active participants reported on line 7a of the Form 55002022-09-010
Number of retired or separated participants receiving benefits2022-09-010
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-010
Total participants2022-09-010
Number of employers contributing to the scheme2022-09-010
2021: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-09-0112
Total number of active participants reported on line 7a of the Form 55002021-09-0112
Number of retired or separated participants receiving benefits2021-09-010
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-0112
Total participants2021-09-0112
Number of employers contributing to the scheme2021-09-011
2020: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-09-0111
Total number of active participants reported on line 7a of the Form 55002020-09-0112
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-0112
Total participants2020-09-0112
Number of employers contributing to the scheme2020-09-011
2019: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-09-0112
Total number of active participants reported on line 7a of the Form 55002019-09-0111
Total of all active and inactive participants2019-09-0111
Total participants2019-09-0111
Number of employers contributing to the scheme2019-09-011
2018: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-09-0119
Total number of active participants reported on line 7a of the Form 55002018-09-0112
Total of all active and inactive participants2018-09-0112
Total participants2018-09-0112
Number of employers contributing to the scheme2018-09-011
2017: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-09-01148
Total number of active participants reported on line 7a of the Form 55002017-09-0119
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-09-010
Total participants2017-09-0119
Number of participants with account balances2017-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-09-010
Number of employers contributing to the scheme2017-09-011
2016: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-09-01175
Total number of active participants reported on line 7a of the Form 55002016-09-01148
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-09-010
Total participants2016-09-01148
Number of participants with account balances2016-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-09-010
Number of employers contributing to the scheme2016-09-011
2015: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-09-01176
Total number of active participants reported on line 7a of the Form 55002015-09-01175
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01175
Total participants2015-09-01175
Number of employers contributing to the scheme2015-09-011
2014: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-09-01183
Total number of active participants reported on line 7a of the Form 55002014-09-01176
Number of retired or separated participants receiving benefits2014-09-010
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01176
Total participants2014-09-01176
Number of employers contributing to the scheme2014-09-011
2013: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-09-01165
Total number of active participants reported on line 7a of the Form 55002013-09-01183
Number of retired or separated participants receiving benefits2013-09-010
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01183
Total participants2013-09-01183
Number of employers contributing to the scheme2013-09-011
2012: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-09-01169
Total number of active participants reported on line 7a of the Form 55002012-09-01165
Number of retired or separated participants receiving benefits2012-09-010
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-01165
Total participants2012-09-01165
Number of employers contributing to the scheme2012-09-011
2011: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-09-01169
Total number of active participants reported on line 7a of the Form 55002011-09-01168
Number of retired or separated participants receiving benefits2011-09-010
Number of other retired or separated participants entitled to future benefits2011-09-010
Total of all active and inactive participants2011-09-01168
Total participants2011-09-01168
Number of employers contributing to the scheme2011-09-011
2010: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2010 401k membership
Total participants, beginning-of-year2010-09-01164
Total number of active participants reported on line 7a of the Form 55002010-09-01169
Number of retired or separated participants receiving benefits2010-09-010
Number of other retired or separated participants entitled to future benefits2010-09-010
Total of all active and inactive participants2010-09-01169
Total participants2010-09-01169
Number of employers contributing to the scheme2010-09-012
Total participants, beginning-of-year2010-01-01181
Total number of active participants reported on line 7a of the Form 55002010-01-01164
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01164
Total participants2010-01-01164
Number of employers contributing to the scheme2010-01-012
2009: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01314
Total number of active participants reported on line 7a of the Form 55002009-01-01181
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01181
Total participants2009-01-01181
Number of employers contributing to the scheme2009-01-013

Financial Data on IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND

Measure Date Value
2023 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2023 401k financial data
Total plan liabilities at end of year2023-05-31$0
Total plan liabilities at beginning of year2023-05-31$18,855
Total income from all sources2023-05-31$35,019
Expenses. Total of all expenses incurred2023-05-31$146,808
Benefits paid (including direct rollovers)2023-05-31$42,818
Total plan assets at end of year2023-05-31$0
Total plan assets at beginning of year2023-05-31$130,644
Value of fidelity bond covering the plan2023-05-31$500,000
Total contributions received or receivable from participants2023-05-31$1,875
Expenses. Other expenses not covered elsewhere2023-05-31$30,691
Net income (gross income less expenses)2023-05-31$-111,789
Net plan assets at end of year (total assets less liabilities)2023-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2023-05-31$111,789
Total contributions received or receivable from employer(s)2023-05-31$33,144
Expenses. Administrative service providers (salaries,fees and commissions)2023-05-31$73,299
2022 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2022 401k financial data
Total plan liabilities at end of year2022-08-31$18,855
Total plan liabilities at beginning of year2022-08-31$19,542
Total income from all sources2022-08-31$65,760
Expenses. Total of all expenses incurred2022-08-31$172,315
Benefits paid (including direct rollovers)2022-08-31$85,913
Total plan assets at end of year2022-08-31$130,644
Total plan assets at beginning of year2022-08-31$237,886
Value of fidelity bond covering the plan2022-08-31$500,000
Total contributions received or receivable from participants2022-08-31$3,300
Expenses. Other expenses not covered elsewhere2022-08-31$11,132
Net income (gross income less expenses)2022-08-31$-106,555
Net plan assets at end of year (total assets less liabilities)2022-08-31$111,789
Net plan assets at beginning of year (total assets less liabilities)2022-08-31$218,344
Total contributions received or receivable from employer(s)2022-08-31$62,460
Expenses. Administrative service providers (salaries,fees and commissions)2022-08-31$75,270
2021 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2021 401k financial data
Total plan liabilities at end of year2021-08-31$19,542
Total plan liabilities at beginning of year2021-08-31$24,788
Total income from all sources2021-08-31$54,134
Expenses. Total of all expenses incurred2021-08-31$165,024
Benefits paid (including direct rollovers)2021-08-31$75,141
Total plan assets at end of year2021-08-31$237,886
Total plan assets at beginning of year2021-08-31$354,022
Value of fidelity bond covering the plan2021-08-31$500,000
Total contributions received or receivable from participants2021-08-31$4,100
Expenses. Other expenses not covered elsewhere2021-08-31$13,448
Other income received2021-08-31$54
Net income (gross income less expenses)2021-08-31$-110,890
Net plan assets at end of year (total assets less liabilities)2021-08-31$218,344
Net plan assets at beginning of year (total assets less liabilities)2021-08-31$329,234
Total contributions received or receivable from employer(s)2021-08-31$49,980
Expenses. Administrative service providers (salaries,fees and commissions)2021-08-31$76,435
2020 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2020 401k financial data
Total plan liabilities at end of year2020-08-31$24,788
Total plan liabilities at beginning of year2020-08-31$20,210
Total income from all sources2020-08-31$64,930
Expenses. Total of all expenses incurred2020-08-31$183,752
Benefits paid (including direct rollovers)2020-08-31$85,866
Total plan assets at end of year2020-08-31$354,022
Total plan assets at beginning of year2020-08-31$468,266
Value of fidelity bond covering the plan2020-08-31$500,000
Total contributions received or receivable from participants2020-08-31$3,925
Expenses. Other expenses not covered elsewhere2020-08-31$15,459
Other income received2020-08-31$15,739
Net income (gross income less expenses)2020-08-31$-118,822
Net plan assets at end of year (total assets less liabilities)2020-08-31$329,234
Net plan assets at beginning of year (total assets less liabilities)2020-08-31$448,056
Total contributions received or receivable from employer(s)2020-08-31$45,266
Expenses. Administrative service providers (salaries,fees and commissions)2020-08-31$82,427
2019 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2019 401k financial data
Total plan liabilities at end of year2019-08-31$20,210
Total plan liabilities at beginning of year2019-08-31$79,118
Total income from all sources2019-08-31$82,314
Expenses. Total of all expenses incurred2019-08-31$171,346
Benefits paid (including direct rollovers)2019-08-31$69,968
Total plan assets at end of year2019-08-31$468,266
Total plan assets at beginning of year2019-08-31$616,206
Value of fidelity bond covering the plan2019-08-31$500,000
Total contributions received or receivable from participants2019-08-31$4,300
Other income received2019-08-31$22,534
Net income (gross income less expenses)2019-08-31$-89,032
Net plan assets at end of year (total assets less liabilities)2019-08-31$448,056
Net plan assets at beginning of year (total assets less liabilities)2019-08-31$537,088
Total contributions received or receivable from employer(s)2019-08-31$55,480
Expenses. Administrative service providers (salaries,fees and commissions)2019-08-31$101,378
2018 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$79,118
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$195,733
Total income from all sources (including contributions)2018-08-31$363,508
Total of all expenses incurred2018-08-31$732,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$618,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$364,177
Value of total assets at end of year2018-08-31$616,206
Value of total assets at beginning of year2018-08-31$1,101,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$114,213
Total interest from all sources2018-08-31$1,591
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$8,383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-08-31$8,383
Administrative expenses professional fees incurred2018-08-31$58,629
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$17,575
Participant contributions at end of year2018-08-31$475
Participant contributions at beginning of year2018-08-31$3,700
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-08-31$57,337
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$123,676
Administrative expenses (other) incurred2018-08-31$10,809
Liabilities. Value of operating payables at end of year2018-08-31$7,169
Liabilities. Value of operating payables at beginning of year2018-08-31$8,250
Total non interest bearing cash at end of year2018-08-31$86,636
Total non interest bearing cash at beginning of year2018-08-31$332,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$-369,161
Value of net assets at end of year (total assets less liabilities)2018-08-31$537,088
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$906,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-08-31$357,779
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-08-31$460,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-08-31$100,090
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-08-31$99,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-08-31$99,603
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-08-31$1,591
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$487,850
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-08-31$-10,643
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31Yes
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$346,602
Employer contributions (assets) at end of year2018-08-31$10,374
Employer contributions (assets) at beginning of year2018-08-31$78,884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$130,606
Contract administrator fees2018-08-31$44,775
Liabilities. Value of benefit claims payable at end of year2018-08-31$71,949
Liabilities. Value of benefit claims payable at beginning of year2018-08-31$187,483
Assets. Value of buildings and other operty used in plan operation at end of year2018-08-31$3,515
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-08-31$3,763
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-08-31952036255
2017 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$195,733
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$177,687
Total income from all sources (including contributions)2017-08-31$1,284,020
Total of all expenses incurred2017-08-31$1,307,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$1,197,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$1,279,483
Value of total assets at end of year2017-08-31$1,101,982
Value of total assets at beginning of year2017-08-31$1,107,900
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$110,475
Total interest from all sources2017-08-31$692
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$7,278
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-08-31$7,278
Administrative expenses professional fees incurred2017-08-31$43,756
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$56,850
Participant contributions at end of year2017-08-31$3,700
Participant contributions at beginning of year2017-08-31$4,325
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$123,676
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$20
Administrative expenses (other) incurred2017-08-31$15,075
Liabilities. Value of operating payables at end of year2017-08-31$8,250
Liabilities. Value of operating payables at beginning of year2017-08-31$7,043
Total non interest bearing cash at end of year2017-08-31$332,307
Total non interest bearing cash at beginning of year2017-08-31$446,189
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$-23,964
Value of net assets at end of year (total assets less liabilities)2017-08-31$906,249
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$930,213
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-08-31$460,049
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-08-31$456,205
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-08-31$99,603
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-08-31$99,767
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-08-31$99,767
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-08-31$692
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$1,032,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-08-31$-3,433
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31No
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$1,222,633
Employer contributions (assets) at end of year2017-08-31$78,884
Employer contributions (assets) at beginning of year2017-08-31$98,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$165,159
Contract administrator fees2017-08-31$51,644
Liabilities. Value of benefit claims payable at end of year2017-08-31$187,483
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$170,644
Assets. Value of buildings and other operty used in plan operation at end of year2017-08-31$3,763
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-08-31$3,034
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2017-08-31952036255
2016 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$177,687
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$177,090
Total income from all sources (including contributions)2016-08-31$1,175,480
Total of all expenses incurred2016-08-31$1,090,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$977,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$1,168,629
Value of total assets at end of year2016-08-31$1,107,900
Value of total assets at beginning of year2016-08-31$1,022,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$112,963
Total interest from all sources2016-08-31$215
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$8,476
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-08-31$8,476
Administrative expenses professional fees incurred2016-08-31$45,687
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$53,500
Participant contributions at end of year2016-08-31$4,325
Participant contributions at beginning of year2016-08-31$4,600
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$20
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-08-31$5
Administrative expenses (other) incurred2016-08-31$13,400
Liabilities. Value of operating payables at end of year2016-08-31$7,043
Liabilities. Value of operating payables at beginning of year2016-08-31$9,385
Total non interest bearing cash at end of year2016-08-31$446,189
Total non interest bearing cash at beginning of year2016-08-31$375,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$84,702
Value of net assets at end of year (total assets less liabilities)2016-08-31$930,213
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$845,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Investment advisory and management fees2016-08-31$3,097
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-08-31$456,205
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-08-31$449,829
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-08-31$99,767
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-08-31$99,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-08-31$99,942
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$215
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$884,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-08-31$-1,840
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31Yes
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$1,115,129
Employer contributions (assets) at end of year2016-08-31$98,360
Employer contributions (assets) at beginning of year2016-08-31$92,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$93,623
Contract administrator fees2016-08-31$50,779
Liabilities. Value of benefit claims payable at end of year2016-08-31$170,644
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$167,705
Assets. Value of buildings and other operty used in plan operation at end of year2016-08-31$3,034
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-08-31$306
Did the plan have assets held for investment2016-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Aggregate proceeds on sale of assets2016-08-31$455,374
Aggregate carrying amount (costs) on sale of assets2016-08-31$455,374
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-08-31952036255
2015 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$177,090
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$246,799
Total income from all sources (including contributions)2015-08-31$1,110,769
Total of all expenses incurred2015-08-31$964,222
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$847,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$1,106,070
Value of total assets at end of year2015-08-31$1,022,601
Value of total assets at beginning of year2015-08-31$945,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$117,190
Total interest from all sources2015-08-31$17
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$8,493
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-08-31$8,493
Administrative expenses professional fees incurred2015-08-31$52,957
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$52,475
Participant contributions at end of year2015-08-31$4,600
Participant contributions at beginning of year2015-08-31$9,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-08-31$5
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-08-31$1
Administrative expenses (other) incurred2015-08-31$8,842
Liabilities. Value of operating payables at end of year2015-08-31$9,385
Liabilities. Value of operating payables at beginning of year2015-08-31$9,679
Total non interest bearing cash at end of year2015-08-31$375,919
Total non interest bearing cash at beginning of year2015-08-31$214,074
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$146,547
Value of net assets at end of year (total assets less liabilities)2015-08-31$845,511
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$698,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Investment advisory and management fees2015-08-31$5,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-08-31$449,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-08-31$446,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-08-31$99,942
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-08-31$98,691
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-08-31$98,691
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$17
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$786,499
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-08-31$-3,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31Yes
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$1,053,595
Employer contributions (assets) at end of year2015-08-31$92,000
Employer contributions (assets) at beginning of year2015-08-31$177,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$60,533
Contract administrator fees2015-08-31$50,391
Liabilities. Value of benefit claims payable at end of year2015-08-31$167,705
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$237,120
Assets. Value of buildings and other operty used in plan operation at end of year2015-08-31$306
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-08-31$0
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-08-31952036255
2014 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$246,799
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$376,714
Total income from all sources (including contributions)2014-08-31$1,158,380
Total of all expenses incurred2014-08-31$1,189,317
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$1,057,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$1,138,551
Value of total assets at end of year2014-08-31$945,763
Value of total assets at beginning of year2014-08-31$1,106,615
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$132,215
Total interest from all sources2014-08-31$44
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$11,877
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-08-31$11,877
Administrative expenses professional fees incurred2014-08-31$65,312
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$76,735
Participant contributions at end of year2014-08-31$9,250
Participant contributions at beginning of year2014-08-31$10,800
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-08-31$1
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-08-31$6
Administrative expenses (other) incurred2014-08-31$11,156
Liabilities. Value of operating payables at end of year2014-08-31$9,679
Liabilities. Value of operating payables at beginning of year2014-08-31$63,006
Total non interest bearing cash at end of year2014-08-31$214,074
Total non interest bearing cash at beginning of year2014-08-31$259,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$-30,937
Value of net assets at end of year (total assets less liabilities)2014-08-31$698,964
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$729,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Investment advisory and management fees2014-08-31$5,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-08-31$446,147
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-08-31$438,239
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-08-31$98,691
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$227,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$227,250
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-08-31$44
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$915,738
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-08-31$7,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31Yes
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$1,061,816
Employer contributions (assets) at end of year2014-08-31$177,600
Employer contributions (assets) at beginning of year2014-08-31$171,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$141,364
Contract administrator fees2014-08-31$50,747
Liabilities. Value of benefit claims payable at end of year2014-08-31$237,120
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$313,708
Assets. Value of buildings and other operty used in plan operation at end of year2014-08-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-08-31$139
Did the plan have assets held for investment2014-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-08-31952036255
2013 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$376,714
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$266,081
Total income from all sources (including contributions)2013-08-31$1,182,829
Total of all expenses incurred2013-08-31$1,240,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$1,125,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$1,181,061
Value of total assets at end of year2013-08-31$1,106,615
Value of total assets at beginning of year2013-08-31$1,053,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$114,282
Total interest from all sources2013-08-31$44
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$25,495
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-08-31$25,495
Administrative expenses professional fees incurred2013-08-31$48,467
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$65,490
Participant contributions at end of year2013-08-31$10,800
Participant contributions at beginning of year2013-08-31$5,010
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-08-31$6
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-08-31$3
Administrative expenses (other) incurred2013-08-31$9,235
Liabilities. Value of operating payables at end of year2013-08-31$63,006
Liabilities. Value of operating payables at beginning of year2013-08-31$10,579
Total non interest bearing cash at end of year2013-08-31$259,181
Total non interest bearing cash at beginning of year2013-08-31$227,849
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$-57,368
Value of net assets at end of year (total assets less liabilities)2013-08-31$729,901
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$787,269
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Investment advisory and management fees2013-08-31$5,833
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-08-31$438,239
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-08-31$542,010
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$227,250
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-08-31$202,896
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-08-31$202,896
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-08-31$44
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$1,011,141
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-08-31$-23,771
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31Yes
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$1,115,571
Employer contributions (assets) at end of year2013-08-31$171,000
Employer contributions (assets) at beginning of year2013-08-31$75,150
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$114,774
Contract administrator fees2013-08-31$50,747
Liabilities. Value of benefit claims payable at end of year2013-08-31$313,708
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$255,502
Assets. Value of buildings and other operty used in plan operation at end of year2013-08-31$139
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-08-31$432
Did the plan have assets held for investment2013-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2013-08-31952036255
2012 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$266,081
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$244,756
Total income from all sources (including contributions)2012-08-31$1,048,290
Total of all expenses incurred2012-08-31$1,214,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$1,098,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$1,007,566
Value of total assets at end of year2012-08-31$1,053,350
Value of total assets at beginning of year2012-08-31$1,197,744
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$115,666
Total interest from all sources2012-08-31$39
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$27,146
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-08-31$27,146
Administrative expenses professional fees incurred2012-08-31$51,682
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$70,169
Participant contributions at end of year2012-08-31$5,010
Participant contributions at beginning of year2012-08-31$11,989
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-08-31$3
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-08-31$3
Administrative expenses (other) incurred2012-08-31$9,444
Liabilities. Value of operating payables at end of year2012-08-31$10,579
Liabilities. Value of operating payables at beginning of year2012-08-31$10,264
Total non interest bearing cash at end of year2012-08-31$227,849
Total non interest bearing cash at beginning of year2012-08-31$219,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$-165,719
Value of net assets at end of year (total assets less liabilities)2012-08-31$787,269
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$952,988
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Investment advisory and management fees2012-08-31$5,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-08-31$542,010
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-08-31$698,471
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-08-31$202,896
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-08-31$176,130
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-08-31$176,130
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-08-31$39
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$963,444
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-08-31$13,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31Yes
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$937,397
Employer contributions (assets) at end of year2012-08-31$75,150
Employer contributions (assets) at beginning of year2012-08-31$91,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$134,899
Contract administrator fees2012-08-31$49,540
Liabilities. Value of benefit claims payable at end of year2012-08-31$255,502
Liabilities. Value of benefit claims payable at beginning of year2012-08-31$234,492
Assets. Value of buildings and other operty used in plan operation at end of year2012-08-31$432
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-08-31$595
Did the plan have assets held for investment2012-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Unqualified
Accountancy firm name2012-08-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2012-08-31952036255
2011 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$244,756
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$219,248
Total income from all sources (including contributions)2011-08-31$1,235,344
Total of all expenses incurred2011-08-31$1,247,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$1,127,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$1,193,712
Value of total assets at end of year2011-08-31$1,197,744
Value of total assets at beginning of year2011-08-31$1,184,744
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$120,692
Total interest from all sources2011-08-31$63
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$54,082
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-08-31$54,082
Administrative expenses professional fees incurred2011-08-31$60,148
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$140,065
Participant contributions at end of year2011-08-31$11,989
Participant contributions at beginning of year2011-08-31$13,773
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$3
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$2,350
Other income not declared elsewhere2011-08-31$7,776
Administrative expenses (other) incurred2011-08-31$11,225
Liabilities. Value of operating payables at end of year2011-08-31$10,264
Liabilities. Value of operating payables at beginning of year2011-08-31$27,030
Total non interest bearing cash at end of year2011-08-31$219,530
Total non interest bearing cash at beginning of year2011-08-31$114,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$-12,508
Value of net assets at end of year (total assets less liabilities)2011-08-31$952,988
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$965,496
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-08-31$698,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-08-31$853,760
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-08-31$176,130
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-08-31$112,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-08-31$112,262
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$63
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$1,008,755
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-08-31$-20,289
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31Yes
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$1,053,647
Employer contributions (assets) at end of year2011-08-31$91,026
Employer contributions (assets) at beginning of year2011-08-31$85,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$118,405
Contract administrator fees2011-08-31$49,319
Liabilities. Value of benefit claims payable at end of year2011-08-31$234,492
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$192,218
Assets. Value of buildings and other operty used in plan operation at end of year2011-08-31$595
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-08-31$2,924
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2011-08-31952036255
2010 : IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-08-31$219,248
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-08-31$263,418
Total income from all sources (including contributions)2010-08-31$865,144
Total of all expenses incurred2010-08-31$855,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-08-31$738,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-08-31$796,091
Value of total assets at end of year2010-08-31$1,184,744
Value of total assets at beginning of year2010-08-31$1,219,097
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-08-31$116,828
Total interest from all sources2010-08-31$214
Total dividends received (eg from common stock, registered investment company shares)2010-08-31$16,114
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-08-31$16,114
Administrative expenses professional fees incurred2010-08-31$64,877
Was this plan covered by a fidelity bond2010-08-31Yes
Value of fidelity bond cover2010-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-08-31No
Contributions received from participants2010-08-31$100,237
Participant contributions at end of year2010-08-31$13,773
Participant contributions at beginning of year2010-08-31$12,058
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-08-31$2,350
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-08-31$10,878
Other income not declared elsewhere2010-08-31$3,200
Administrative expenses (other) incurred2010-08-31$19,380
Liabilities. Value of operating payables at end of year2010-08-31$27,030
Liabilities. Value of operating payables at beginning of year2010-08-31$26,649
Total non interest bearing cash at end of year2010-08-31$114,101
Total non interest bearing cash at beginning of year2010-08-31$127,866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-08-31No
Value of net income/loss2010-08-31$9,817
Value of net assets at end of year (total assets less liabilities)2010-08-31$965,496
Value of net assets at beginning of year (total assets less liabilities)2010-08-31$955,679
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-08-31No
Were any leases to which the plan was party in default or uncollectible2010-08-31No
Investment advisory and management fees2010-08-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-08-31$853,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-08-31$879,236
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-08-31$112,262
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-08-31$96,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-08-31$96,396
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-08-31$214
Expenses. Payments to insurance carriers foe the provision of benefits2010-08-31$657,682
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-08-31$49,525
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-08-31Yes
Was there a failure to transmit to the plan any participant contributions2010-08-31No
Has the plan failed to provide any benefit when due under the plan2010-08-31No
Contributions received in cash from employer2010-08-31$695,854
Employer contributions (assets) at end of year2010-08-31$85,574
Employer contributions (assets) at beginning of year2010-08-31$90,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-08-31$80,817
Contract administrator fees2010-08-31$32,571
Liabilities. Value of benefit claims payable at end of year2010-08-31$192,218
Liabilities. Value of benefit claims payable at beginning of year2010-08-31$236,769
Assets. Value of buildings and other operty used in plan operation at end of year2010-08-31$2,924
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-08-31$2,505
Did the plan have assets held for investment2010-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-08-31No
Opinion of an independent qualified public accountant for this plan2010-08-31Unqualified
Accountancy firm name2010-08-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2010-08-31952036255

Form 5500 Responses for IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND

2022: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2022 form 5500 responses
2022-09-01Type of plan entityMulti-employer plan
2022-09-01This submission is the final filingYes
2022-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-09-01Plan is a collectively bargained planYes
2022-09-01Plan funding arrangement – TrustYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement - TrustYes
2021: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2015 form 5500 responses
2015-09-01Type of plan entityMulti-employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2014 form 5500 responses
2014-09-01Type of plan entityMulti-employer plan
2014-09-01Plan is a collectively bargained planYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2013 form 5500 responses
2013-09-01Type of plan entityMulti-employer plan
2013-09-01Plan is a collectively bargained planYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2012 form 5500 responses
2012-09-01Type of plan entityMulti-employer plan
2012-09-01Plan is a collectively bargained planYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2011 form 5500 responses
2011-09-01Type of plan entityMulti-employer plan
2011-09-01Plan is a collectively bargained planYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2010: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2010 form 5500 responses
2010-09-01Type of plan entityMulti-employer plan
2010-09-01Plan is a collectively bargained planYes
2010-09-01Plan funding arrangement – TrustYes
2010-09-01Plan benefit arrangement – InsuranceYes
2010-09-01Plan benefit arrangement - TrustYes
2010-01-01Type of plan entityMulti-employer plan
2010-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: IRC-FM IN S.C. AND CMM AND IC LOC 721 H&W T/F HEALTH AND WELFARE TRUST FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM200083
Policy instance 3
Insurance contract or identification numberSGM200083
Number of Individuals Covered0
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number355912
Policy instance 2
Insurance contract or identification number355912
Number of Individuals Covered0
Insurance policy start date2022-09-01
Insurance policy end date2023-05-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740285-000
Policy instance 1
Insurance contract or identification number740285-000
Number of Individuals Covered0
Insurance policy start date2022-09-01
Insurance policy end date2023-05-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM200083
Policy instance 3
Insurance contract or identification numberSGM200083
Number of Individuals Covered12
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number355912
Policy instance 2
Insurance contract or identification number355912
Number of Individuals Covered12
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740285-000
Policy instance 1
Insurance contract or identification number740285-000
Number of Individuals Covered12
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number355912
Policy instance 2
Insurance contract or identification number355912
Number of Individuals Covered12
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740285-000
Policy instance 1
Insurance contract or identification number740285-000
Number of Individuals Covered12
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM200083
Policy instance 3
Insurance contract or identification numberSGM200083
Number of Individuals Covered11
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number355912
Policy instance 3
Insurance contract or identification number355912
Number of Individuals Covered14
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740285-000
Policy instance 2
Insurance contract or identification number740285-000
Number of Individuals Covered13
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM200083
Policy instance 1
Insurance contract or identification numberSGM200083
Number of Individuals Covered14
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM200083
Policy instance 3
Insurance contract or identification numberSGM200083
Number of Individuals Covered13
Insurance policy start date2018-05-01
Insurance policy end date2019-05-01
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number355912
Policy instance 2
Insurance contract or identification number355912
Number of Individuals Covered12
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740285-000
Policy instance 1
Insurance contract or identification number740285-000
Number of Individuals Covered20
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number355912
Policy instance 3
Insurance contract or identification number355912
Number of Individuals Covered85
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $579,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740285-000
Policy instance 2
Insurance contract or identification number740285-000
Number of Individuals Covered167
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM200083
Policy instance 1
Insurance contract or identification numberSGM200083
Number of Individuals Covered85
Insurance policy start date2017-05-01
Insurance policy end date2018-05-01
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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