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PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 401k Plan overview

Plan NamePLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND
Plan identification number 501

PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND Benefits

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

401k Sponsoring company profile

PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND has sponsored the creation of one or more 401k plans.

Company Name:PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND
Employer identification number (EIN):316171908
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01MARK TERRILL2023-04-14
5012020-07-01MARK TERRILL2022-04-15
5012019-07-01MARK TERRILL2021-04-15
5012018-07-01MARK TERRILL2020-04-16
5012017-07-01MARK TERRILL2019-04-15
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01R. DEAN BRILL ROBERT POPE2015-04-14
5012012-07-01R. DEAN BRILL ROBERT POPE2014-04-15
5012011-07-01R. DEAN BRILL ROBERT POPE2013-04-15
5012010-07-01R. DEAN BRILL MARK A. KELLER2012-04-14
5012009-07-01R. DEAN BRILL MARK A. KELLER2011-03-15

Plan Statistics for PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND

401k plan membership statisitcs for PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND

Measure Date Value
2021: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2021 401k membership
Total participants, beginning-of-year2021-07-01535
Total number of active participants reported on line 7a of the Form 55002021-07-01363
Number of retired or separated participants receiving benefits2021-07-01128
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01491
Number of employers contributing to the scheme2021-07-0158
2020: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2020 401k membership
Total participants, beginning-of-year2020-07-01559
Total number of active participants reported on line 7a of the Form 55002020-07-01382
Number of retired or separated participants receiving benefits2020-07-01153
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01535
Number of employers contributing to the scheme2020-07-0168
2019: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2019 401k membership
Total participants, beginning-of-year2019-07-01553
Total number of active participants reported on line 7a of the Form 55002019-07-01416
Number of retired or separated participants receiving benefits2019-07-01143
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01559
Number of employers contributing to the scheme2019-07-0145
2018: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2018 401k membership
Total participants, beginning-of-year2018-07-01495
Total number of active participants reported on line 7a of the Form 55002018-07-01424
Number of retired or separated participants receiving benefits2018-07-01129
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01553
Number of employers contributing to the scheme2018-07-0139
2017: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2017 401k membership
Total participants, beginning-of-year2017-07-01443
Total number of active participants reported on line 7a of the Form 55002017-07-01336
Number of retired or separated participants receiving benefits2017-07-01159
Total of all active and inactive participants2017-07-01495
Number of employers contributing to the scheme2017-07-0158
2016: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2016 401k membership
Total participants, beginning-of-year2016-07-01443
Total number of active participants reported on line 7a of the Form 55002016-07-01331
Number of retired or separated participants receiving benefits2016-07-01112
Total of all active and inactive participants2016-07-01443
2015: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2015 401k membership
Total participants, beginning-of-year2015-07-01361
Total number of active participants reported on line 7a of the Form 55002015-07-01331
Number of retired or separated participants receiving benefits2015-07-01112
Total of all active and inactive participants2015-07-01443
2014: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2014 401k membership
Total participants, beginning-of-year2014-07-01389
Total number of active participants reported on line 7a of the Form 55002014-07-01317
Number of retired or separated participants receiving benefits2014-07-0144
Total of all active and inactive participants2014-07-01361
Number of employers contributing to the scheme2014-07-0138
2013: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01431
Total number of active participants reported on line 7a of the Form 55002013-07-01336
Number of retired or separated participants receiving benefits2013-07-0153
Total of all active and inactive participants2013-07-01389
Number of employers contributing to the scheme2013-07-0144
2012: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2012 401k membership
Total participants, beginning-of-year2012-07-01606
Total number of active participants reported on line 7a of the Form 55002012-07-01336
Number of retired or separated participants receiving benefits2012-07-0195
Total of all active and inactive participants2012-07-01431
Number of employers contributing to the scheme2012-07-0140
2011: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2011 401k membership
Total participants, beginning-of-year2011-07-01606
Total number of active participants reported on line 7a of the Form 55002011-07-01377
Number of retired or separated participants receiving benefits2011-07-01229
Total of all active and inactive participants2011-07-01606
Number of employers contributing to the scheme2011-07-0137
2010: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2010 401k membership
Total participants, beginning-of-year2010-07-01757
Total number of active participants reported on line 7a of the Form 55002010-07-01377
Number of retired or separated participants receiving benefits2010-07-01374
Total of all active and inactive participants2010-07-01751
Number of employers contributing to the scheme2010-07-0142
2009: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2009 401k membership
Total participants, beginning-of-year2009-07-01757
Total number of active participants reported on line 7a of the Form 55002009-07-01364
Number of retired or separated participants receiving benefits2009-07-01393
Total of all active and inactive participants2009-07-01757

Financial Data on PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND

Measure Date Value
2022 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,010,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$727,000
Total income from all sources (including contributions)2022-06-30$7,920,137
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$8,329,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$7,917,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$8,602,985
Value of total assets at end of year2022-06-30$7,536,248
Value of total assets at beginning of year2022-06-30$7,662,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$411,585
Total interest from all sources2022-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$161,109
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$161,109
Administrative expenses professional fees incurred2022-06-30$122,342
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$3,000,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$257,150
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$1,757
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$1,587
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$49
Administrative expenses (other) incurred2022-06-30$35,162
Total non interest bearing cash at end of year2022-06-30$1,243,484
Total non interest bearing cash at beginning of year2022-06-30$1,036,794
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-409,441
Value of net assets at end of year (total assets less liabilities)2022-06-30$6,526,248
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$6,935,689
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$17,126
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$6,190,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$6,529,872
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$100,807
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$95,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$95,974
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$659,377
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-843,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$8,344,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$7,258,616
Contract administrator fees2022-06-30$236,955
Liabilities. Value of benefit claims payable at end of year2022-06-30$1,010,000
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$727,000
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Disclaimer
Accountancy firm name2022-06-30BLUE & CO., LLC
Accountancy firm EIN2022-06-30351178661
2021 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$727,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$931,000
Total income from all sources (including contributions)2021-06-30$8,474,394
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$6,472,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$6,072,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$7,733,733
Value of total assets at end of year2021-06-30$7,662,689
Value of total assets at beginning of year2021-06-30$5,865,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$400,235
Total interest from all sources2021-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$151,296
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$151,296
Administrative expenses professional fees incurred2021-06-30$97,293
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$3,000,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$298,096
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$32,920
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$49
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$1,584
Administrative expenses (other) incurred2021-06-30$21,569
Total non interest bearing cash at end of year2021-06-30$1,036,794
Total non interest bearing cash at beginning of year2021-06-30$576,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$2,001,568
Value of net assets at end of year (total assets less liabilities)2021-06-30$6,935,689
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$4,934,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$16,502
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$6,529,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$5,189,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$95,974
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$97,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$97,441
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$633,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$589,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$7,402,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$5,439,329
Contract administrator fees2021-06-30$264,871
Liabilities. Value of benefit claims payable at end of year2021-06-30$727,000
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$931,000
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30BLUE & CO., LLC
Accountancy firm EIN2021-06-30351178661
2020 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$931,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$687,000
Total income from all sources (including contributions)2020-06-30$7,666,088
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$8,031,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$7,777,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$7,350,725
Value of total assets at end of year2020-06-30$5,865,121
Value of total assets at beginning of year2020-06-30$5,986,133
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$253,989
Total interest from all sources2020-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$136,872
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$136,872
Administrative expenses professional fees incurred2020-06-30$120,819
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$3,000,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$7,132,060
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$218,665
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$1,584
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$3,516
Administrative expenses (other) incurred2020-06-30$100,983
Total non interest bearing cash at end of year2020-06-30$576,850
Total non interest bearing cash at beginning of year2020-06-30$809,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-365,012
Value of net assets at end of year (total assets less liabilities)2020-06-30$4,934,121
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$5,299,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$17,387
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$5,189,246
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$5,075,304
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$97,441
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$97,813
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$97,813
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$580,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$178,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$7,196,756
Contract administrator fees2020-06-30$14,800
Liabilities. Value of benefit claims payable at end of year2020-06-30$931,000
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$687,000
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30BLUE & CO., LLC
Accountancy firm EIN2020-06-30351178661
2019 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$687,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$670,100
Total income from all sources (including contributions)2019-06-30$6,911,592
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$7,599,910
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$7,166,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$6,493,469
Value of total assets at end of year2019-06-30$5,986,133
Value of total assets at beginning of year2019-06-30$6,657,551
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$432,925
Total interest from all sources2019-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$158,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$158,369
Administrative expenses professional fees incurred2019-06-30$103,263
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$10,000,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$179,965
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$3,516
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$3,275
Administrative expenses (other) incurred2019-06-30$102,944
Total non interest bearing cash at end of year2019-06-30$809,500
Total non interest bearing cash at beginning of year2019-06-30$333,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-688,318
Value of net assets at end of year (total assets less liabilities)2019-06-30$5,299,133
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$5,987,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$16,755
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$5,075,304
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$6,224,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$97,813
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$97,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$97,091
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$510,754
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$259,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$6,313,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$6,656,231
Contract administrator fees2019-06-30$209,963
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$687,000
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$670,100
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30BLUE & CO., LLC
Accountancy firm EIN2019-06-30351178661
2018 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$670,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$355,200
Total income from all sources (including contributions)2018-06-30$5,646,979
Total of all expenses incurred2018-06-30$6,701,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$6,197,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$5,364,029
Value of total assets at end of year2018-06-30$6,657,551
Value of total assets at beginning of year2018-06-30$7,397,008
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$504,014
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$147,989
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$147,989
Administrative expenses professional fees incurred2018-06-30$161,338
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$10,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$242,763
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$3,275
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$8,146
Administrative expenses (other) incurred2018-06-30$126,784
Total non interest bearing cash at end of year2018-06-30$333,007
Total non interest bearing cash at beginning of year2018-06-30$71,192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-1,054,357
Value of net assets at end of year (total assets less liabilities)2018-06-30$5,987,451
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$7,041,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$17,687
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$6,224,178
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$7,135,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$97,091
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$182,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$182,225
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$519,077
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$134,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$5,121,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$5,678,245
Contract administrator fees2018-06-30$198,205
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Liabilities. Value of benefit claims payable at end of year2018-06-30$670,100
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$355,200
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30BLUE & CO., LLC
Accountancy firm EIN2018-06-30351178661
2017 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$355,200
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$361,000
Total income from all sources (including contributions)2017-06-30$5,352,805
Total of all expenses incurred2017-06-30$5,362,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$4,900,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$5,001,259
Value of total assets at end of year2017-06-30$7,397,008
Value of total assets at beginning of year2017-06-30$7,412,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$461,792
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$173,162
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$173,162
Administrative expenses professional fees incurred2017-06-30$182,057
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$10,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$207,290
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$8,146
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$22,451
Administrative expenses (other) incurred2017-06-30$95,192
Total non interest bearing cash at end of year2017-06-30$71,192
Total non interest bearing cash at beginning of year2017-06-30$53,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-9,965
Value of net assets at end of year (total assets less liabilities)2017-06-30$7,041,808
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$7,051,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$21,916
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$7,135,445
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$6,784,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$182,225
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$552,490
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$552,490
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$318,163
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$178,384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$4,793,969
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$4,582,815
Contract administrator fees2017-06-30$162,627
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Liabilities. Value of benefit claims payable at end of year2017-06-30$355,200
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$361,000
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30BLUE & CO., LLC
Accountancy firm EIN2017-06-30351178661
2016 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$361,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$287,700
Total income from all sources (including contributions)2016-06-30$5,012,867
Total of all expenses incurred2016-06-30$5,346,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$4,676,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$4,780,303
Value of total assets at end of year2016-06-30$7,412,773
Value of total assets at beginning of year2016-06-30$7,672,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$669,426
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$157,975
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$157,975
Administrative expenses professional fees incurred2016-06-30$276,557
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$10,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$284,333
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$22,451
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$8,111
Administrative expenses (other) incurred2016-06-30$75,254
Total non interest bearing cash at end of year2016-06-30$53,305
Total non interest bearing cash at beginning of year2016-06-30$47,852
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-333,426
Value of net assets at end of year (total assets less liabilities)2016-06-30$7,051,773
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$7,385,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$18,052
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$6,784,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$7,376,757
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$552,490
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$240,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$240,179
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$416,407
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$74,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$4,495,970
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$4,260,460
Contract administrator fees2016-06-30$299,563
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$361,000
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$287,700
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30BLUE & CO., LLC
Accountancy firm EIN2016-06-30351178661
2015 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2015 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$4,396
Total income from all sources (including contributions)2015-06-30$4,692,430
Total loss/gain on sale of assets2015-06-30$7,272
Total of all expenses incurred2015-06-30$5,435,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$4,907,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$4,472,138
Value of total assets at end of year2015-06-30$7,672,899
Value of total assets at beginning of year2015-06-30$8,420,320
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$528,003
Total interest from all sources2015-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$156,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$156,968
Administrative expenses professional fees incurred2015-06-30$176,941
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$3,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$357,672
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$8,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$8,720
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$4,396
Administrative expenses (other) incurred2015-06-30$78,355
Total non interest bearing cash at end of year2015-06-30$47,852
Total non interest bearing cash at beginning of year2015-06-30$11,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-743,025
Value of net assets at end of year (total assets less liabilities)2015-06-30$7,672,899
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$8,415,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$18,264
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$7,376,757
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$7,856,637
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$240,179
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$543,861
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$543,861
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$485,856
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$56,052
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$4,114,466
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$4,421,596
Contract administrator fees2015-06-30$254,443
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$700,725
Aggregate carrying amount (costs) on sale of assets2015-06-30$693,453
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30BLUE & CO., LLC
Accountancy firm EIN2015-06-30351178661
2014 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$4,396
Total income from all sources (including contributions)2014-06-30$4,305,057
Total loss/gain on sale of assets2014-06-30$409,747
Total of all expenses incurred2014-06-30$4,676,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$4,172,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$3,615,403
Value of total assets at end of year2014-06-30$8,420,320
Value of total assets at beginning of year2014-06-30$8,786,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$503,960
Total interest from all sources2014-06-30$22
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$183,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$183,124
Administrative expenses professional fees incurred2014-06-30$140,875
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$3,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$404,846
Assets. Other investments not covered elsewhere at beginning of year2014-06-30$46,870
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$8,720
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$36,321
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$4,396
Administrative expenses (other) incurred2014-06-30$84,332
Total non interest bearing cash at end of year2014-06-30$11,102
Total non interest bearing cash at beginning of year2014-06-30$15,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-371,059
Value of net assets at end of year (total assets less liabilities)2014-06-30$8,415,924
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$8,786,983
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$22,727
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$7,856,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$8,116,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$543,861
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$572,034
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$572,034
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$22
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$457,484
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$96,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$3,210,557
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$3,714,672
Contract administrator fees2014-06-30$256,026
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$3,588,470
Aggregate carrying amount (costs) on sale of assets2014-06-30$3,178,723
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30OSSEGE COMBS & MANN, LTD.
Accountancy firm EIN2014-06-30311432639
2013 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2013 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$34,563
Total income from all sources (including contributions)2013-06-30$4,831,271
Total loss/gain on sale of assets2013-06-30$-30,227
Total of all expenses incurred2013-06-30$5,093,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$4,557,441
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$4,384,484
Value of total assets at end of year2013-06-30$8,786,983
Value of total assets at beginning of year2013-06-30$9,083,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$536,158
Total interest from all sources2013-06-30$15
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$339,057
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$339,057
Administrative expenses professional fees incurred2013-06-30$149,338
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$3,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$463,750
Assets. Other investments not covered elsewhere at end of year2013-06-30$46,870
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$36,321
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$16,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$28,384
Administrative expenses (other) incurred2013-06-30$104,773
Liabilities. Value of operating payables at beginning of year2013-06-30$6,179
Total non interest bearing cash at end of year2013-06-30$15,014
Total non interest bearing cash at beginning of year2013-06-30$24,475
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-262,328
Value of net assets at end of year (total assets less liabilities)2013-06-30$8,786,983
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$9,049,311
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$20,182
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$8,116,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$8,561,019
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$572,034
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$482,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$482,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$15
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$501,713
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$137,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$3,920,734
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$4,055,728
Contract administrator fees2013-06-30$261,865
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$3,701,255
Aggregate carrying amount (costs) on sale of assets2013-06-30$3,731,482
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30OSSEGE COMBS & MANN, LTD.
Accountancy firm EIN2013-06-30311432639
2012 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$34,563
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$28,005
Total income from all sources (including contributions)2012-06-30$5,095,610
Total loss/gain on sale of assets2012-06-30$118,731
Total of all expenses incurred2012-06-30$5,005,873
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$4,434,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$4,594,484
Value of total assets at end of year2012-06-30$9,083,874
Value of total assets at beginning of year2012-06-30$8,987,579
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$571,169
Total interest from all sources2012-06-30$19
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$299,500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$299,500
Administrative expenses professional fees incurred2012-06-30$137,571
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$3,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$414,898
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$16,136
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$16,312
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$28,384
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$19,805
Administrative expenses (other) incurred2012-06-30$131,113
Liabilities. Value of operating payables at end of year2012-06-30$6,179
Liabilities. Value of operating payables at beginning of year2012-06-30$8,200
Total non interest bearing cash at end of year2012-06-30$24,475
Total non interest bearing cash at beginning of year2012-06-30$89,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$89,737
Value of net assets at end of year (total assets less liabilities)2012-06-30$9,049,311
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$8,959,574
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$20,702
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$8,561,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$8,459,735
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$482,244
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$422,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$422,457
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$19
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$418,498
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$82,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$4,179,586
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$4,016,206
Contract administrator fees2012-06-30$281,783
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$605,417
Aggregate carrying amount (costs) on sale of assets2012-06-30$486,686
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30OSSEGE COMBS & MANN, LTD.
Accountancy firm EIN2012-06-30311432639
2011 : PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$28,005
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$9,165
Total income from all sources (including contributions)2011-06-30$5,895,155
Total loss/gain on sale of assets2011-06-30$114
Total of all expenses incurred2011-06-30$4,914,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$4,290,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$5,073,909
Value of total assets at end of year2011-06-30$8,987,579
Value of total assets at beginning of year2011-06-30$7,988,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$624,067
Total interest from all sources2011-06-30$71
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$363,256
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$363,256
Administrative expenses professional fees incurred2011-06-30$142,293
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$3,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$470,417
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$16,312
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$13,281
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$19,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$5,507
Administrative expenses (other) incurred2011-06-30$192,027
Liabilities. Value of operating payables at end of year2011-06-30$8,200
Liabilities. Value of operating payables at beginning of year2011-06-30$3,658
Total non interest bearing cash at end of year2011-06-30$89,075
Total non interest bearing cash at beginning of year2011-06-30$83,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$980,583
Value of net assets at end of year (total assets less liabilities)2011-06-30$8,959,574
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$7,978,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$27,771
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$8,459,735
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$6,841,702
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$422,457
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,049,718
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,049,718
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$71
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$381,680
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$457,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$4,603,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$3,908,825
Contract administrator fees2011-06-30$261,976
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$380
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$114
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30OSSEGE COMBS & MANN, LTD.
Accountancy firm EIN2011-06-30311432639

Form 5500 Responses for PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND

2021: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2010 form 5500 responses
2010-07-01Type of plan entityMulti-employer plan
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: PLUMBERS & PIPEFITTERS LOCAL 162 HEALTH & INSURANCE FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberW51019
Policy instance 4
Insurance contract or identification numberW51019
Number of Individuals Covered2
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 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 $105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered596
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 AND 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 $55,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1101
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $793
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees793
Additional information about fees paid to insurance brokerAGGREGATE AMOUNT OF FEES AND COMMISSIONS
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10539
Policy instance 3
Insurance contract or identification numberSL10539
Number of Individuals Covered392
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 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 $461,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number004009949
Policy instance 3
Insurance contract or identification number004009949
Number of Individuals Covered1126
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 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 $418,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered613
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 AND 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 $57,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1117
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $580
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 $0
Amount paid for insurance broker fees580
Additional information about fees paid to insurance brokerAFFREGATE FESS AND OTHER COMMISIONS
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1223
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number004009949
Policy instance 3
Insurance contract or identification number004009949
Number of Individuals Covered1238
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 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 $389,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered613
Insurance policy start date2020-01-01
Insurance policy end date2020-06-30
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 AND 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 $57,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered648
Insurance policy start date2019-01-01
Insurance policy end date2019-06-30
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 AND 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 $58,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1166
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number004009949
Policy instance 3
Insurance contract or identification number004009949
Number of Individuals Covered1193
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 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 $383,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number004009949
Policy instance 3
Insurance contract or identification number004009949
Number of Individuals Covered1166
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $290,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1063
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered629
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered409
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $49,908
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 numberSL10220
Policy instance 3
Insurance contract or identification numberSL10220
Number of Individuals Covered386
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $195,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1307
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 2
Insurance contract or identification number170
Number of Individuals Covered1293
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental 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 numberSL10220
Policy instance 3
Insurance contract or identification numberSL10220
Number of Individuals Covered381
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $165,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0705872
Policy instance 4
Insurance contract or identification number0705872
Number of Individuals Covered416
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $33,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered380
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $62,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0705872
Policy instance 2
Insurance contract or identification number0705872
Number of Individuals Covered416
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Welfare Benefit Premiums Paid to CarrierUSD $250,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 3
Insurance contract or identification number170
Number of Individuals Covered1215
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered340
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $45,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered590
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $67,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 3
Insurance contract or identification number170
Number of Individuals Covered1203
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $528
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $528
Insurance broker nameDELAWARE VALLEY HEALTH C
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0705872
Policy instance 2
Insurance contract or identification number0705872
Number of Individuals Covered416
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Welfare Benefit Premiums Paid to CarrierUSD $255,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 3
Insurance contract or identification number170
Number of Individuals Covered1172
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $731
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered590
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $61,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0705872
Policy instance 2
Insurance contract or identification number0705872
Number of Individuals Covered416
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Welfare Benefit Premiums Paid to CarrierUSD $211,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number170
Policy instance 3
Insurance contract or identification number170
Number of Individuals Covered1187
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0705872
Policy instance 2
Insurance contract or identification number0705872
Number of Individuals Covered448
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Welfare Benefit Premiums Paid to CarrierUSD $176,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0092592
Policy instance 1
Insurance contract or identification number0092592
Number of Individuals Covered601
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $54,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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