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PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 401k Plan overview

Plan NamePROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES
Plan identification number 507

PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance

401k Sponsoring company profile

HIBBING JOINT VENTURE CLIFFS MINING CO, MANAGING AGENT has sponsored the creation of one or more 401k plans.

Company Name:HIBBING JOINT VENTURE CLIFFS MINING CO, MANAGING AGENT
Employer identification number (EIN):341120353
NAIC Classification:212200
NAIC Description: Metal Ore Mining

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072019-01-01KURT J. HOLLAND2020-07-15
5072018-01-01
5072017-01-01
5072016-01-01
5072015-01-01
5072014-01-01
5072014-01-01
5072013-01-01KURT J. HOLLAND
5072012-01-01KURT J. HOLLAND
5072011-01-01KURT HOLLAND KURT HOLLAND2013-01-23
5072009-01-01K.J.HOLLAND, FOR THE INV. COMMITTEE K.J.HOLLAND, DIRECTOR-BENEFITS2010-10-11

Plan Statistics for PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES

401k plan membership statisitcs for PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES

Measure Date Value
2019: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2019 401k membership
Total participants, beginning-of-year2019-01-01569
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-01514
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01514
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0179
Total participants2019-01-01593
2018: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 401k membership
Total participants, beginning-of-year2018-01-01553
Number of retired or separated participants receiving benefits2018-01-01499
Total of all active and inactive participants2018-01-01499
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0170
Total participants2018-01-01569
2017: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 401k membership
Total participants, beginning-of-year2017-01-01546
Number of retired or separated participants receiving benefits2017-01-01487
Total of all active and inactive participants2017-01-01487
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0166
Total participants2017-01-01553
2016: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 401k membership
Total participants, beginning-of-year2016-01-01544
Number of retired or separated participants receiving benefits2016-01-01481
Total of all active and inactive participants2016-01-01481
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0165
Total participants2016-01-01546
2015: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 401k membership
Total participants, beginning-of-year2015-01-01545
Number of retired or separated participants receiving benefits2015-01-01479
Total of all active and inactive participants2015-01-01479
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-0165
Total participants2015-01-01544
2014: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2014 401k membership
Total participants, beginning-of-year2014-01-01494
Number of retired or separated participants receiving benefits2014-01-01478
Total of all active and inactive participants2014-01-01478
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-0167
Total participants2014-01-01545
2013: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2013 401k membership
Total participants, beginning-of-year2013-01-01476
Number of retired or separated participants receiving benefits2013-01-01427
Total of all active and inactive participants2013-01-01427
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-0167
Total participants2013-01-01494
2012: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2012 401k membership
Total participants, beginning-of-year2012-01-01476
Number of retired or separated participants receiving benefits2012-01-01413
Total of all active and inactive participants2012-01-01413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-0163
Total participants2012-01-01476
2011: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 401k membership
Total participants, beginning-of-year2011-01-01469
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-01413
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-0163
2009: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2009 401k membership
Total participants, beginning-of-year2009-01-01456
Total number of active participants reported on line 7a of the Form 55002009-01-010
Number of retired or separated participants receiving benefits2009-01-01415
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01415
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-0119

Financial Data on PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES

Measure Date Value
2019 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$11,503,854
Total of all expenses incurred2019-12-31$7,766,345
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$7,250,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,677,675
Value of total assets at end of year2019-12-31$70,925,154
Value of total assets at beginning of year2019-12-31$67,187,645
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$515,763
Total interest from all sources2019-12-31$2,934
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,613,686
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$1,613,686
Administrative expenses professional fees incurred2019-12-31$9,900
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,677,675
Assets. Other investments not covered elsewhere at end of year2019-12-31$6,178,074
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$10,904,469
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$90
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$201
Other income not declared elsewhere2019-12-31$1,803,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,737,509
Value of net assets at end of year (total assets less liabilities)2019-12-31$70,925,154
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$67,187,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$227,751
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$52,866,111
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$45,748,517
Income. Interest from US Government securities2019-12-31$2,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$7,633
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$115,306
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$115,306
Asset value of US Government securities at end of year2019-12-31$11,873,246
Asset value of US Government securities at beginning of year2019-12-31$10,419,152
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$6,406,058
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$7,250,582
Contract administrator fees2019-12-31$278,112
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2019-12-31341818258
2018 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$131,776
Total income from all sources (including contributions)2018-12-31$-541,942
Total of all expenses incurred2018-12-31$8,190,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$7,626,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,496,626
Value of total assets at end of year2018-12-31$67,187,645
Value of total assets at beginning of year2018-12-31$76,052,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$563,967
Total interest from all sources2018-12-31$1,049
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,691,178
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,691,178
Administrative expenses professional fees incurred2018-12-31$9,500
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,496,626
Assets. Other investments not covered elsewhere at end of year2018-12-31$10,904,469
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$10,819,504
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$131,837
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$131,776
Other income not declared elsewhere2018-12-31$395,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-8,732,791
Value of net assets at end of year (total assets less liabilities)2018-12-31$67,187,645
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$75,920,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$220,767
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$45,748,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$53,411,377
Income. Interest from US Government securities2018-12-31$1,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$115,306
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$96,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$96,903
Asset value of US Government securities at end of year2018-12-31$10,419,152
Asset value of US Government securities at beginning of year2018-12-31$11,592,591
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-4,126,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$7,626,882
Contract administrator fees2018-12-31$333,700
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2018-12-31341818258
2017 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$131,776
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$144,504
Total income from all sources (including contributions)2017-12-31$8,649,444
Total of all expenses incurred2017-12-31$7,347,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$6,752,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,408,342
Value of total assets at end of year2017-12-31$76,052,212
Value of total assets at beginning of year2017-12-31$74,762,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$595,012
Total interest from all sources2017-12-31$2,632
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,712,255
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,712,255
Administrative expenses professional fees incurred2017-12-31$9,500
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,408,342
Assets. Other investments not covered elsewhere at end of year2017-12-31$10,819,504
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$10,408,437
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$131,837
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$144,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$131,776
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$144,504
Other income not declared elsewhere2017-12-31$1,937,653
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,302,271
Value of net assets at end of year (total assets less liabilities)2017-12-31$75,920,436
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$74,618,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$172,242
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$53,411,377
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$53,594,023
Income. Interest from US Government securities2017-12-31$2,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$96,903
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$57,982
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$57,982
Asset value of US Government securities at end of year2017-12-31$11,592,591
Asset value of US Government securities at beginning of year2017-12-31$10,557,647
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$3,588,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$6,752,161
Contract administrator fees2017-12-31$413,270
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2017-12-31341818258
2016 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$144,504
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$145,263
Total income from all sources (including contributions)2016-12-31$6,149,876
Total of all expenses incurred2016-12-31$5,799,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,216,575
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,456,043
Value of total assets at end of year2016-12-31$74,762,669
Value of total assets at beginning of year2016-12-31$74,413,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$583,215
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,806,188
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,806,188
Administrative expenses professional fees incurred2016-12-31$9,500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,456,043
Assets. Other investments not covered elsewhere at end of year2016-12-31$10,408,437
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$10,347,795
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$144,580
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$145,281
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$144,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$145,263
Other income not declared elsewhere2016-12-31$877,371
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$350,086
Value of net assets at end of year (total assets less liabilities)2016-12-31$74,618,165
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$74,268,079
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$253,861
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$53,594,023
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$52,751,294
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$57,982
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$40,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$40,863
Asset value of US Government securities at end of year2016-12-31$10,557,647
Asset value of US Government securities at beginning of year2016-12-31$11,128,109
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,010,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,216,575
Contract administrator fees2016-12-31$319,854
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2016-12-31341818258
2015 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$145,263
Total income from all sources (including contributions)2015-12-31$384,112
Total of all expenses incurred2015-12-31$6,120,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,616,248
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,114,214
Value of total assets at end of year2015-12-31$74,413,342
Value of total assets at beginning of year2015-12-31$80,004,855
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$504,640
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,829,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,829,636
Administrative expenses professional fees incurred2015-12-31$9,500
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,114,214
Assets. Other investments not covered elsewhere at end of year2015-12-31$10,347,795
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$10,480,659
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$145,281
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$145,263
Other income not declared elsewhere2015-12-31$59,723
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-5,736,776
Value of net assets at end of year (total assets less liabilities)2015-12-31$74,268,079
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$80,004,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$186,739
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$52,751,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$58,019,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$40,863
Asset value of US Government securities at end of year2015-12-31$11,128,109
Asset value of US Government securities at beginning of year2015-12-31$11,504,612
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-2,619,461
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,616,248
Contract administrator fees2015-12-31$308,401
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2015-12-31341818258
2014 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$11,067,217
Total of all expenses incurred2014-12-31$5,891,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,382,094
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,125,891
Value of total assets at end of year2014-12-31$80,004,855
Value of total assets at beginning of year2014-12-31$74,828,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$509,109
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,851,722
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,851,722
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,125,891
Assets. Other investments not covered elsewhere at end of year2014-12-31$10,480,659
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$18,911,275
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$4
Other income not declared elsewhere2014-12-31$4,128,979
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$5,176,014
Value of net assets at end of year (total assets less liabilities)2014-12-31$80,004,855
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$74,828,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$240,349
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$58,019,581
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$45,885,985
Asset value of US Government securities at end of year2014-12-31$11,504,612
Asset value of US Government securities at beginning of year2014-12-31$10,031,577
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,960,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,382,094
Contract administrator fees2014-12-31$268,760
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2014-12-31341818258
2013 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$5,628,545
Total of all expenses incurred2013-12-31$6,217,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$5,719,068
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,995,603
Value of total assets at end of year2013-12-31$74,828,841
Value of total assets at beginning of year2013-12-31$75,417,356
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$497,992
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$1,493,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$1,493,840
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,077,890
Assets. Other investments not covered elsewhere at end of year2013-12-31$18,911,275
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$19,330,126
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$4
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$65,409
Other income not declared elsewhere2013-12-31$502,455
Administrative expenses (other) incurred2013-12-31$6,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-588,515
Value of net assets at end of year (total assets less liabilities)2013-12-31$74,828,841
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$75,417,356
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$244,948
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$45,885,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$56,021,821
Asset value of US Government securities at end of year2013-12-31$10,031,577
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,636,647
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$917,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$5,719,068
Contract administrator fees2013-12-31$246,317
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2013-12-31341818258
2012 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$13,037,950
Total of all expenses incurred2012-12-31$4,766,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,336,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,565,146
Value of total assets at end of year2012-12-31$75,417,356
Value of total assets at beginning of year2012-12-31$67,146,027
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$429,683
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,637,949
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,637,949
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$877,054
Assets. Other investments not covered elsewhere at end of year2012-12-31$15,348,113
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$65,409
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$69,400
Other income not declared elsewhere2012-12-31$899,669
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$8,271,329
Value of net assets at end of year (total assets less liabilities)2012-12-31$75,417,356
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$67,146,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$201,476
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$56,021,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$62,576,627
Value of interest in common/collective trusts at end of year2012-12-31$3,982,013
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$5,478,174
Net investment gain or loss from common/collective trusts2012-12-31$457,012
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$3,688,092
Employer contributions (assets) at beginning of year2012-12-31$4,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$4,336,938
Contract administrator fees2012-12-31$228,207
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2012-12-31341818258
2011 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$9,964,726
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,680,745
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,325,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,043,732
Value of total assets at end of year2011-12-31$67,146,027
Value of total assets at beginning of year2011-12-31$61,862,046
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$355,001
Total interest from all sources2011-12-31$1,779,678
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$877,236
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$69,400
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$74,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$5,283,981
Value of net assets at end of year (total assets less liabilities)2011-12-31$67,146,027
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$61,862,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$137,012
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$62,576,627
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$57,287,443
Interest earned on other investments2011-12-31$1,779,678
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-858,684
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$8,166,496
Employer contributions (assets) at end of year2011-12-31$4,500,000
Employer contributions (assets) at beginning of year2011-12-31$4,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,325,744
Contract administrator fees2011-12-31$217,989
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MEADEN & MOORE LTD.
Accountancy firm EIN2011-12-31341818258
2010 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$16,352
Total income from all sources (including contributions)2010-12-31$14,859,597
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,784,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,502,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,206,146
Value of total assets at end of year2010-12-31$61,862,046
Value of total assets at beginning of year2010-12-31$50,802,965
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$281,467
Total interest from all sources2010-12-31$1,478,779
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$806,009
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$74,603
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$79,859
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$16,352
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$11,075,433
Value of net assets at end of year (total assets less liabilities)2010-12-31$61,862,046
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$50,786,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$187,097
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$57,287,443
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$46,223,106
Interest earned on other investments2010-12-31$1,478,779
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$5,174,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$7,400,137
Employer contributions (assets) at end of year2010-12-31$4,500,000
Employer contributions (assets) at beginning of year2010-12-31$4,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,502,697
Contract administrator fees2010-12-31$94,370
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MEADEN & MOORE, LTD.
Accountancy firm EIN2010-12-31341818258

Form 5500 Responses for PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES

2019: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered464
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,034
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 number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered477
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 providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $176,680
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 number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered486
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $178,314
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 number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered482
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $234,832
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 number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered464
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,501
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $209,458
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3501
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION - LIFE SUPPLEMENTAL COMPENSATION - AD&D
Insurance broker organization code?3
Insurance broker nameFST ASSOCIATION, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered432
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $230,465
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 number148444-35-01
Policy instance 1
Insurance contract or identification number148444-35-01
Number of Individuals Covered415
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $228,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELVIE FKA GRAPHIC SURGERY LLC (National Association of Insurance Commissioners NAIC id number: 54140 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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
Other welfare benefits providedSURGICAL CONSULTING
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 $8,128
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 number14092-35-01
Policy instance 2
Insurance contract or identification number14092-35-01
Number of Individuals Covered413
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 providedAD&D
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number14092-36-01
Policy instance 1
Insurance contract or identification number14092-36-01
Number of Individuals Covered412
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
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
WELVIE FKA GRAPHIC SURGERY LLC (National Association of Insurance Commissioners NAIC id number: 54140 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered469
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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
Other welfare benefits providedSURGICAL CONSULTING
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 $96,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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