401k Plan data: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES plan

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

Plan Name	PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES
Plan identification number	501

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

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

401k Sponsoring company profile

TILDEN MINING COMPANY L.C. has sponsored the creation of one or more 401k plans.

Company Name: TILDEN MINING COMPANY L.C.

Employer identification number (EIN): 341804848

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 Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 KURT J. HOLLAND 2023-08-29 KURT J. HOLLAND 2023-08-29
501 2021-01-01 KURT J. HOLLAND 2022-09-19 KURT J. HOLLAND 2022-09-19
501 2020-01-01 KURT J. HOLLAND 2021-07-19 KURT J. HOLLAND 2021-07-19
501 2019-01-01 KURT J. HOLLAND 2020-07-15
501 2018-01-01
501 2017-01-01
501 2016-01-01
501 2015-01-01
501 2014-01-01
501 2014-01-01
501 2013-01-01 KURT J. HOLLAND
501 2012-01-01 KURT J. HOLLAND
501 2011-01-01 K.J.HOLLAND, FOR THE INV. COMMITTEE K.J.HOLLAND, DIRECTOR-BENEFITS 2012-10-05
501 2010-01-01 K.J.HOLLAND, FOR THE INV. COMMITTEE K.J.HOLLAND, DIRECTOR-BENEFITS 2011-10-04
501 2009-01-01 K.J.HOLLAND, FOR THE INV. COMMITTEE K.J.HOLLAND, DIRECTOR-BENEFITS 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	KURT J. HOLLAND	2023-08-29	KURT J. HOLLAND	2023-08-29
501	2021-01-01	KURT J. HOLLAND	2022-09-19	KURT J. HOLLAND	2022-09-19
501	2020-01-01	KURT J. HOLLAND	2021-07-19	KURT J. HOLLAND	2021-07-19
501	2019-01-01	KURT J. HOLLAND	2020-07-15
501	2018-01-01
501	2017-01-01
501	2016-01-01
501	2015-01-01
501	2014-01-01
501	2014-01-01
501	2013-01-01	KURT J. HOLLAND
501	2012-01-01	KURT J. HOLLAND
501	2011-01-01	K.J.HOLLAND, FOR THE INV. COMMITTEE		K.J.HOLLAND, DIRECTOR-BENEFITS	2012-10-05
501	2010-01-01	K.J.HOLLAND, FOR THE INV. COMMITTEE		K.J.HOLLAND, DIRECTOR-BENEFITS	2011-10-04
501	2009-01-01	K.J.HOLLAND, FOR THE INV. COMMITTEE		K.J.HOLLAND, DIRECTOR-BENEFITS	2010-10-11

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
2022: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,582
Number of retired or separated participants receiving benefits 2022-01-01 673
Total of all active and inactive participants 2022-01-01 673
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 112
Total participants 2022-01-01 785
2021: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,619
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 1,296
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 1,296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 286
Total participants 2021-01-01 1,582
2020: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,631
Number of retired or separated participants receiving benefits 2020-01-01 1,338
Total of all active and inactive participants 2020-01-01 1,338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 281
Total participants 2020-01-01 1,619
2019: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,658
Number of retired or separated participants receiving benefits 2019-01-01 1,351
Total of all active and inactive participants 2019-01-01 1,351
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 280
Total participants 2019-01-01 1,631
2018: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,688
Number of retired or separated participants receiving benefits 2018-01-01 1,371
Total of all active and inactive participants 2018-01-01 1,371
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 287
Total participants 2018-01-01 1,658
2017: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,696
Number of retired or separated participants receiving benefits 2017-01-01 1,393
Total of all active and inactive participants 2017-01-01 1,393
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 295
Total participants 2017-01-01 1,688
2016: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 401k membership
Total participants, beginning-of-year 2016-01-01 691
Number of retired or separated participants receiving benefits 2016-01-01 1,392
Total of all active and inactive participants 2016-01-01 1,392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 304
Total participants 2016-01-01 1,696
2015: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 401k membership
Total participants, beginning-of-year 2015-01-01 720
Number of retired or separated participants receiving benefits 2015-01-01 599
Total of all active and inactive participants 2015-01-01 599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 92
Total participants 2015-01-01 691
2014: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2014 401k membership
Total participants, beginning-of-year 2014-01-01 681
Number of retired or separated participants receiving benefits 2014-01-01 611
Total of all active and inactive participants 2014-01-01 611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 109
Total participants 2014-01-01 720
2013: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 667
Number of retired or separated participants receiving benefits 2013-01-01 564
Total of all active and inactive participants 2013-01-01 564
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 117
Total participants 2013-01-01 681
2012: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 669
Number of retired or separated participants receiving benefits 2012-01-01 547
Total of all active and inactive participants 2012-01-01 547
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 120
Total participants 2012-01-01 667
2011: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 675
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 548
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 121
2010: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2010 401k membership
Total participants, beginning-of-year 2010-01-01 674
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 557
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 557
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 118
2009: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2009 401k membership
Total participants, beginning-of-year 2009-01-01 643
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 0
Number of retired or separated participants receiving benefits 2009-01-01 561
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 561
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 113

Measure	Date	Value
2022: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,582
Number of retired or separated participants receiving benefits	2022-01-01	673
Total of all active and inactive participants	2022-01-01	673
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	112
Total participants	2022-01-01	785
2021: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,619
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	1,296
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1,296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	286
Total participants	2021-01-01	1,582
2020: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,631
Number of retired or separated participants receiving benefits	2020-01-01	1,338
Total of all active and inactive participants	2020-01-01	1,338
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	281
Total participants	2020-01-01	1,619
2019: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,658
Number of retired or separated participants receiving benefits	2019-01-01	1,351
Total of all active and inactive participants	2019-01-01	1,351
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	280
Total participants	2019-01-01	1,631
2018: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,688
Number of retired or separated participants receiving benefits	2018-01-01	1,371
Total of all active and inactive participants	2018-01-01	1,371
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	287
Total participants	2018-01-01	1,658
2017: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,696
Number of retired or separated participants receiving benefits	2017-01-01	1,393
Total of all active and inactive participants	2017-01-01	1,393
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	295
Total participants	2017-01-01	1,688
2016: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 401k membership
Total participants, beginning-of-year	2016-01-01	691
Number of retired or separated participants receiving benefits	2016-01-01	1,392
Total of all active and inactive participants	2016-01-01	1,392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	304
Total participants	2016-01-01	1,696
2015: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 401k membership
Total participants, beginning-of-year	2015-01-01	720
Number of retired or separated participants receiving benefits	2015-01-01	599
Total of all active and inactive participants	2015-01-01	599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	92
Total participants	2015-01-01	691
2014: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2014 401k membership
Total participants, beginning-of-year	2014-01-01	681
Number of retired or separated participants receiving benefits	2014-01-01	611
Total of all active and inactive participants	2014-01-01	611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	109
Total participants	2014-01-01	720
2013: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	667
Number of retired or separated participants receiving benefits	2013-01-01	564
Total of all active and inactive participants	2013-01-01	564
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	117
Total participants	2013-01-01	681
2012: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	669
Number of retired or separated participants receiving benefits	2012-01-01	547
Total of all active and inactive participants	2012-01-01	547
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	120
Total participants	2012-01-01	667
2011: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	675
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	548
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	548
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	121
2010: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2010 401k membership
Total participants, beginning-of-year	2010-01-01	674
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	557
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	557
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	118
2009: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2009 401k membership
Total participants, beginning-of-year	2009-01-01	643
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	0
Number of retired or separated participants receiving benefits	2009-01-01	561
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	561
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	113

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

Measure	Date	Value
2022 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2022 401k financial data
Total income from all sources (including contributions)	2022-12-31	$-36,784,938
Total of all expenses incurred	2022-12-31	$14,128,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$12,491,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$4,585,652
Value of total assets at end of year	2022-12-31	$193,728,412
Value of total assets at beginning of year	2022-12-31	$244,641,916
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$1,636,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$4,585,652
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-50,913,504
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$193,728,412
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$244,641,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$570,829
Value of interest in master investment trust accounts at end of year	2022-12-31	$193,728,412
Value of interest in master investment trust accounts at beginning of year	2022-12-31	$244,641,916
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$12,491,998
Contract administrator fees	2022-12-31	$1,065,739
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MEADEN & MOORE LTD.
Accountancy firm EIN	2022-12-31	341818258
2021 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2021 401k financial data
Total income from all sources (including contributions)	2021-12-31	$9,011,714
Total of all expenses incurred	2021-12-31	$15,025,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$13,342,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$4,463,385
Value of total assets at end of year	2021-12-31	$244,641,916
Value of total assets at beginning of year	2021-12-31	$250,655,826
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,682,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$4,463,385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$-6,013,910
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$244,641,916
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$250,655,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$543,188
Value of interest in master investment trust accounts at end of year	2021-12-31	$244,641,916
Value of interest in master investment trust accounts at beginning of year	2021-12-31	$250,655,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$13,342,978
Contract administrator fees	2021-12-31	$1,139,458
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MEADEN & MOORE
Accountancy firm EIN	2021-12-31	341818258
2020 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$34,633,898
Total of all expenses incurred	2020-12-31	$15,120,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$13,580,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,170,745
Value of total assets at end of year	2020-12-31	$250,655,826
Value of total assets at beginning of year	2020-12-31	$231,141,962
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,539,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$4,170,745
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$19,513,864
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$250,655,826
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$231,141,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$618,931
Value of interest in master investment trust accounts at end of year	2020-12-31	$250,655,826
Value of interest in master investment trust accounts at beginning of year	2020-12-31	$231,141,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$13,580,485
Contract administrator fees	2020-12-31	$920,618
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MEADEN & MOORE
Accountancy firm EIN	2020-12-31	341818258
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	$35,883,164
Total of all expenses incurred	2019-12-31	$17,464,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$15,902,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,133,081
Value of total assets at end of year	2019-12-31	$231,141,962
Value of total assets at beginning of year	2019-12-31	$212,723,284
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,562,149
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$4,133,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$18,418,678
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$231,141,962
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$212,723,284
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$667,405
Value of interest in master investment trust accounts at end of year	2019-12-31	$231,141,962
Value of interest in master investment trust accounts at beginning of year	2019-12-31	$212,723,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$15,902,337
Contract administrator fees	2019-12-31	$894,744
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MEADEN & MOORE
Accountancy firm EIN	2019-12-31	341818258
2018 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 401k financial data
Total income from all sources (including contributions)	2018-12-31	$-2,377,038
Total of all expenses incurred	2018-12-31	$16,655,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$15,150,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,229,721
Value of total assets at end of year	2018-12-31	$212,723,284
Value of total assets at beginning of year	2018-12-31	$231,755,889
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$1,504,871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$4,229,721
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-19,032,605
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$212,723,284
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$231,755,889
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$606,526
Value of interest in master investment trust accounts at end of year	2018-12-31	$212,723,284
Value of interest in master investment trust accounts at beginning of year	2018-12-31	$231,755,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$15,150,696
Contract administrator fees	2018-12-31	$898,345
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MEADEN & MOORE
Accountancy firm EIN	2018-12-31	341818258
2017 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$25,495,615
Total of all expenses incurred	2017-12-31	$17,213,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$15,514,116
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,519,284
Value of total assets at end of year	2017-12-31	$231,755,889
Value of total assets at beginning of year	2017-12-31	$223,474,099
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,699,709
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$3,519,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$8,281,790
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$231,755,889
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$223,474,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$523,605
Value of interest in master investment trust accounts at end of year	2017-12-31	$231,755,889
Value of interest in master investment trust accounts at beginning of year	2017-12-31	$223,474,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$15,514,116
Contract administrator fees	2017-12-31	$1,176,104
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MEADEN & MOORE LTD.
Accountancy firm EIN	2017-12-31	341818258
2016 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 401k financial data
Total transfer of assets to this plan	2016-12-31	$131,005,045
Total income from all sources (including contributions)	2016-12-31	$4,911,806
Total of all expenses incurred	2016-12-31	$15,253,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$14,380,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,557,509
Value of total assets at end of year	2016-12-31	$223,474,099
Value of total assets at beginning of year	2016-12-31	$102,810,773
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$873,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$2,557,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-10,341,719
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$223,474,099
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$102,810,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$393,781
Value of interest in master investment trust accounts at end of year	2016-12-31	$223,474,099
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$102,810,773
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$14,380,099
Contract administrator fees	2016-12-31	$479,645
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2016-12-31	341818258
2015 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$-44,318
Total of all expenses incurred	2015-12-31	$6,717,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$6,138,497
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,415,431
Value of total assets at end of year	2015-12-31	$102,810,773
Value of total assets at beginning of year	2015-12-31	$109,572,791
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$579,203
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,415,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-6,762,018
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$102,810,773
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$109,572,791
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$240,680
Value of interest in master investment trust accounts at end of year	2015-12-31	$102,810,773
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$109,572,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$6,138,497
Contract administrator fees	2015-12-31	$338,523
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2015-12-31	341818258
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	$15,134,906
Total of all expenses incurred	2014-12-31	$6,953,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$6,315,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,744,270
Value of total assets at end of year	2014-12-31	$109,572,791
Value of total assets at beginning of year	2014-12-31	$101,391,412
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$638,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,744,270
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$8,181,379
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$109,572,791
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$101,391,412
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$304,086
Value of interest in master investment trust accounts at end of year	2014-12-31	$109,572,791
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$101,391,412
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$6,315,346
Contract administrator fees	2014-12-31	$334,095
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2014-12-31	341818258
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	$6,939,001
Total of all expenses incurred	2013-12-31	$6,529,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$5,908,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,565,812
Value of total assets at end of year	2013-12-31	$101,391,412
Value of total assets at beginning of year	2013-12-31	$100,982,134
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$621,236
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,523,874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$409,278
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$101,391,412
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$100,982,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$291,231
Value of interest in master investment trust accounts at end of year	2013-12-31	$101,391,412
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$93,982,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,041,938
Employer contributions (assets) at beginning of year	2013-12-31	$7,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$5,908,487
Contract administrator fees	2013-12-31	$330,005
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2013-12-31	341818258
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	$23,461,194
Total of all expenses incurred	2012-12-31	$6,114,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$5,568,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$12,885,757
Value of total assets at end of year	2012-12-31	$100,982,134
Value of total assets at beginning of year	2012-12-31	$83,635,440
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$545,952
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,061,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$17,346,694
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$100,982,134
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$83,635,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$228,743
Value of interest in master investment trust accounts at end of year	2012-12-31	$93,982,134
Value of interest in master investment trust accounts at beginning of year	2012-12-31	$76,635,440
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$11,824,294
Employer contributions (assets) at end of year	2012-12-31	$7,000,000
Employer contributions (assets) at beginning of year	2012-12-31	$7,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$5,568,548
Contract administrator fees	2012-12-31	$317,209
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2012-12-31	341818258
2011 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$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	$14,800,168
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$7,006,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$6,543,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$13,848,199
Value of total assets at end of year	2011-12-31	$83,635,440
Value of total assets at beginning of year	2011-12-31	$75,842,056
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$463,717
Total interest from all sources	2011-12-31	$2,166,934
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 year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,046,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$7,793,384
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$83,635,440
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$75,842,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$158,585
Interest earned on other investments	2011-12-31	$2,166,934
Value of interest in master investment trust accounts at end of year	2011-12-31	$76,635,440
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$68,842,056
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$12,802,165
Employer contributions (assets) at end of year	2011-12-31	$7,000,000
Employer contributions (assets) at beginning of year	2011-12-31	$7,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$6,543,067
Contract administrator fees	2011-12-31	$305,132
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MEADEN & MOORE, LTD.
Accountancy firm EIN	2011-12-31	341818258
2010 : PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$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	$0
Total income from all sources (including contributions)	2010-12-31	$22,008,476
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$7,037,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$6,629,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$13,941,888
Value of total assets at end of year	2010-12-31	$75,842,056
Value of total assets at beginning of year	2010-12-31	$60,871,032
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$408,163
Total interest from all sources	2010-12-31	$1,829,235
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 year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$10,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$987,251
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$14,971,024
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$75,842,056
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$60,871,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$104,870
Interest earned on other investments	2010-12-31	$1,829,235
Value of interest in master investment trust accounts at end of year	2010-12-31	$68,842,056
Value of interest in master investment trust accounts at beginning of year	2010-12-31	$53,871,032
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$12,954,637
Employer contributions (assets) at end of year	2010-12-31	$7,000,000
Employer contributions (assets) at beginning of year	2010-12-31	$7,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$6,629,289
Contract administrator fees	2010-12-31	$303,293
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	MEADEN & MOORE LTD.
Accountancy firm EIN	2010-12-31	341818258

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

2022: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PROGRAM OF HOSPITAL AND MEDICAL BENEFITS FOR ELIGIBLE PENSIONERS AND SURVIVING SPOUSES 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

148444-36-03

Policy instance

Insurance contract or identification number	148444-36-03
Number of Individuals Covered	0
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
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 number

148444-36-01

Policy instance

Insurance contract or identification number	148444-36-01
Number of Individuals Covered	617
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $243,259
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	676
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $385,598
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 number

148444-36-03

Policy instance

Insurance contract or identification number	148444-36-03
Number of Individuals Covered	1
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $15
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 number

148444-36-01

Policy instance

Insurance contract or identification number	148444-36-01
Number of Individuals Covered	646
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $148,101
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	671
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $206,305
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	397
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $161,163
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 number

148444-36-01

Policy instance

Insurance contract or identification number	148444-36-01
Number of Individuals Covered	958
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $214,842
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 number

148444-36-03

Policy instance

Insurance contract or identification number	148444-36-03
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
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 number

148444-36-01

Policy instance

Insurance contract or identification number	148444-36-01
Number of Individuals Covered	1006
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $233,715
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	317
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $175,663
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 number

148444-36-03

Policy instance

Insurance contract or identification number	148444-36-03
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
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 number

148444-36-01

Policy instance

Insurance contract or identification number	148444-36-01
Number of Individuals Covered	1066
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $280,698
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	327
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $179,059
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 number

148444-36-03

Policy instance

Insurance contract or identification number	148444-36-03
Number of Individuals Covered	8
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $674
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 number

148444-36-01

Policy instance

Insurance contract or identification number	148444-36-01
Number of Individuals Covered	1119
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $285,009
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	368
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $176,432
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	622
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $265,131
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	623
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $4,662
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $278,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	4662
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION - LIFE SUPPLEMENTAL COMPENSATION - AD&D
Insurance broker organization code?	3
Insurance broker name	FST ASSOCIATION, INC.

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	639
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $325,124
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 number

148444-36-02

Policy instance

Insurance contract or identification number	148444-36-02
Number of Individuals Covered	579
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $349,589
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 number

14092-36-02

Policy instance

Insurance contract or identification number	14092-36-02
Number of Individuals Covered	548
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No

WELVIE FKA GRAPHIC SURGERY LLC (National Association of Insurance Commissioners NAIC id number: 54140 )

Policy contract number

N/A

Policy instance

Insurance contract or identification number	N/A
Number of Individuals Covered	0
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	SURGICAL 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 Carrier	USD $8,128

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

14092-36-02

Policy instance

Insurance contract or identification number	14092-36-02
Number of Individuals Covered	557
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	Yes
Were dividends or retroactive rate refunds paid as a credit?	No

WELVIE FKA GRAPHIC SURGERY LLC (National Association of Insurance Commissioners NAIC id number: 54140 )

Policy contract number

N/A

Policy instance

Insurance contract or identification number	N/A
Number of Individuals Covered	557
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	SURGICAL 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 Carrier	USD $96,940

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Company Name:	TILDEN MINING COMPANY L.C.
Employer identification number (EIN):	341804848
NAIC Classification:	212200
NAIC Description:	Metal Ore Mining