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TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 401k Plan overview

Plan NameTEAMSTERS LOCAL UNION NO. 422 WELFARE FUND
Plan identification number 501

TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

LOCAL 422 HEALTH & WELFARE FUND LOCAL 422 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:LOCAL 422 HEALTH & WELFARE FUND LOCAL 422 WELFARE FUND
Employer identification number (EIN):341918989
NAIC Classification:423930
NAIC Description:Recyclable Material Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MICHAEL T SALOPEK2023-10-16
5012021-01-01MICHAEL T. SALOPEK2022-10-14
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01ANTHONY SARA - UNION TRUSTEE SCOTT SCHUMANN - EMPLOYER TRUSTEE2018-10-12
5012016-01-01ANTHONY SARA - UNION TRUSTEE SCOTT SCHUMANN - EMPLOYER TRUSTEE2017-10-11
5012015-01-01ANTHONY SARA-UNION TRUSTEE ABIGAIL GREENFIELD-EMPLOYER TRUSTEE2016-10-11
5012014-01-01ANTHONY SARA-UNION TRUSTEE ABIGAIL GREENFIELD-EMPLOYER TRUSTEE2015-10-11
5012013-01-01ANTHONY SARA-UNION TRUSTEE ABIGAIL GREENFIELD-EMPLOYER TRUSTEE2014-10-07
5012012-01-01ANTHONY SARA WILLIAM A. GRODIN2013-10-09
5012011-01-01ANTHONY SARA WILLIAM A. GRODIN2012-10-17
5012010-01-01ANTHONY SARA WILLIAM A. GRODIN2011-10-10
5012009-01-01ANTHONY SARA WILLIAM A. GRODIN2010-10-14

Plan Statistics for TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND

401k plan membership statisitcs for TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND

Measure Date Value
2022: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01162
Total number of active participants reported on line 7a of the Form 55002022-01-0176
Number of retired or separated participants receiving benefits2022-01-0176
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01152
Total participants2022-01-01152
Number of employers contributing to the scheme2022-01-014
2021: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01165
Total number of active participants reported on line 7a of the Form 55002021-01-0175
Number of retired or separated participants receiving benefits2021-01-0187
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01162
Number of employers contributing to the scheme2021-01-014
2020: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01207
Total number of active participants reported on line 7a of the Form 55002020-01-0172
Number of retired or separated participants receiving benefits2020-01-0193
Total of all active and inactive participants2020-01-01165
Number of employers contributing to the scheme2020-01-015
2019: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01217
Total number of active participants reported on line 7a of the Form 55002019-01-01108
Number of retired or separated participants receiving benefits2019-01-0199
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01207
Number of employers contributing to the scheme2019-01-015
2018: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01223
Total number of active participants reported on line 7a of the Form 55002018-01-01110
Number of retired or separated participants receiving benefits2018-01-01107
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01217
Number of employers contributing to the scheme2018-01-016
2017: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01238
Total number of active participants reported on line 7a of the Form 55002017-01-01105
Number of retired or separated participants receiving benefits2017-01-01118
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01223
Number of employers contributing to the scheme2017-01-016
2016: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01273
Total number of active participants reported on line 7a of the Form 55002016-01-01110
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01128
Total of all active and inactive participants2016-01-01238
Number of employers contributing to the scheme2016-01-018
2015: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01138
Total number of active participants reported on line 7a of the Form 55002015-01-01126
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01147
Total of all active and inactive participants2015-01-01273
Number of employers contributing to the scheme2015-01-018
2014: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01150
Total number of active participants reported on line 7a of the Form 55002014-01-01138
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01138
2013: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01151
Total number of active participants reported on line 7a of the Form 55002013-01-01149
Number of retired or separated participants receiving benefits2013-01-011
Total of all active and inactive participants2013-01-01150
2012: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01154
Total number of active participants reported on line 7a of the Form 55002012-01-01151
Number of retired or separated participants receiving benefits2012-01-010
Total of all active and inactive participants2012-01-01151
2011: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01148
Total number of active participants reported on line 7a of the Form 55002011-01-01153
Number of retired or separated participants receiving benefits2011-01-011
Total of all active and inactive participants2011-01-01154
2010: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-01163
Total number of active participants reported on line 7a of the Form 55002010-01-01146
Number of retired or separated participants receiving benefits2010-01-012
Total of all active and inactive participants2010-01-01148
2009: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01192
Total number of active participants reported on line 7a of the Form 55002009-01-01157
Number of retired or separated participants receiving benefits2009-01-016
Total of all active and inactive participants2009-01-01163

Financial Data on TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND

Measure Date Value
2022 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$13,277
Total income from all sources (including contributions)2022-12-31$1,046,851
Total of all expenses incurred2022-12-31$1,063,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$988,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,058,496
Value of total assets at end of year2022-12-31$1,130,194
Value of total assets at beginning of year2022-12-31$1,133,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$74,904
Total interest from all sources2022-12-31$5,818
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$4,647
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$4,647
Administrative expenses professional fees incurred2022-12-31$20,079
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$50,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$129,864
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$13,277
Administrative expenses (other) incurred2022-12-31$8,418
Total non interest bearing cash at end of year2022-12-31$379,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-16,154
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,116,917
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,133,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$9,058
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$260,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$277,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$491,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$855,519
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$855,519
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$5,818
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$985,055
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-22,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$928,632
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,046
Contract administrator fees2022-12-31$37,349
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NEITZEL, LUKE & SALOPEK, INC.
Accountancy firm EIN2022-12-31341316056
2021 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,025,899
Total of all expenses incurred2021-12-31$992,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$924,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,028,731
Value of total assets at end of year2021-12-31$1,133,071
Value of total assets at beginning of year2021-12-31$1,099,593
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$67,605
Total interest from all sources2021-12-31$152
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$4,575
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$4,575
Administrative expenses professional fees incurred2021-12-31$15,279
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$135,623
Administrative expenses (other) incurred2021-12-31$7,604
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$33,478
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,133,071
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,099,593
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$5,306
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$277,552
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$280,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$855,519
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$819,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$819,063
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$152
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$916,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-7,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$893,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$8,244
Contract administrator fees2021-12-31$39,416
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NEITZEL, LUKE & SALOPEK, INC.
Accountancy firm EIN2021-12-31341316056
2020 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,253,877
Total of all expenses incurred2020-12-31$1,138,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,077,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,234,240
Value of total assets at end of year2020-12-31$1,099,593
Value of total assets at beginning of year2020-12-31$984,041
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$60,419
Total interest from all sources2020-12-31$2,340
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$7,948
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$7,948
Administrative expenses professional fees incurred2020-12-31$13,191
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$148,710
Other income not declared elsewhere2020-12-31$2,095
Administrative expenses (other) incurred2020-12-31$7,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$115,552
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,099,593
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$984,041
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$643
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$280,530
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$265,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$819,063
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$718,634
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$718,634
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2,340
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,072,858
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$7,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,085,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$5,048
Contract administrator fees2020-12-31$39,122
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CIUNI & PANICHI, INC.
Accountancy firm EIN2020-12-31341322309
2019 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$1,446,637
Total of all expenses incurred2019-12-31$1,227,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,165,824
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,427,839
Value of total assets at end of year2019-12-31$984,041
Value of total assets at beginning of year2019-12-31$765,148
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$61,920
Total interest from all sources2019-12-31$4,273
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$6,095
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$6,095
Administrative expenses professional fees incurred2019-12-31$19,041
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$190,459
Other income not declared elsewhere2019-12-31$103
Administrative expenses (other) incurred2019-12-31$10,811
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$218,893
Value of net assets at end of year (total assets less liabilities)2019-12-31$984,041
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$765,148
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$265
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$265,407
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$250,985
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$718,634
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$514,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$514,163
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$4,273
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,159,504
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$8,327
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
Contributions received in cash from employer2019-12-31$1,237,380
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,320
Contract administrator fees2019-12-31$31,803
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 name2019-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2019-12-31341900872
2018 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,371,776
Total of all expenses incurred2018-12-31$1,269,050
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,190,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,368,560
Value of total assets at end of year2018-12-31$765,148
Value of total assets at beginning of year2018-12-31$662,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$78,536
Total interest from all sources2018-12-31$983
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$5,391
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$5,391
Administrative expenses professional fees incurred2018-12-31$27,068
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$183,456
Administrative expenses (other) incurred2018-12-31$17,186
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$102,726
Value of net assets at end of year (total assets less liabilities)2018-12-31$765,148
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$662,422
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$273
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$250,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$248,752
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$514,163
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$413,670
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$413,670
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$983
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,186,059
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-3,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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
Contributions received in cash from employer2018-12-31$1,185,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$4,455
Contract administrator fees2018-12-31$34,009
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 name2018-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2018-12-31341900872
2017 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,288,201
Total of all expenses incurred2017-12-31$1,230,997
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,155,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,282,190
Value of total assets at end of year2017-12-31$662,422
Value of total assets at beginning of year2017-12-31$605,218
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$75,849
Total interest from all sources2017-12-31$367
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$4,778
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$4,778
Administrative expenses professional fees incurred2017-12-31$30,102
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$158,891
Other income not declared elsewhere2017-12-31$500
Administrative expenses (other) incurred2017-12-31$13,255
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$57,204
Value of net assets at end of year (total assets less liabilities)2017-12-31$662,422
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$605,218
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$165
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$248,752
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$243,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$413,670
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$361,403
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$361,403
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$367
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,149,690
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$366
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
Contributions received in cash from employer2017-12-31$1,123,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,458
Contract administrator fees2017-12-31$32,327
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 name2017-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2017-12-31341900872
2016 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,409,508
Total of all expenses incurred2016-12-31$1,539,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,441,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,396,788
Value of total assets at end of year2016-12-31$605,218
Value of total assets at beginning of year2016-12-31$734,789
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$97,875
Total interest from all sources2016-12-31$298
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$6,134
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$6,134
Administrative expenses professional fees incurred2016-12-31$58,910
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$165,437
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$156
Other income not declared elsewhere2016-12-31$1,482
Administrative expenses (other) incurred2016-12-31$12,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-129,571
Value of net assets at end of year (total assets less liabilities)2016-12-31$605,218
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$734,789
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$341
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$243,815
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$484,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$361,403
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$249,762
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$249,762
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$298
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,428,149
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$4,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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
Contributions received in cash from employer2016-12-31$1,231,351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$13,055
Contract administrator fees2016-12-31$26,595
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 name2016-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2016-12-31341900872
2015 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$1,408,248
Total of all expenses incurred2015-12-31$2,018,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,951,803
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,398,133
Value of total assets at end of year2015-12-31$734,789
Value of total assets at beginning of year2015-12-31$1,344,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$66,479
Total interest from all sources2015-12-31$203
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$13,191
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$13,191
Administrative expenses professional fees incurred2015-12-31$36,326
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$158,792
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$156
Administrative expenses (other) incurred2015-12-31$9,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-610,034
Value of net assets at end of year (total assets less liabilities)2015-12-31$734,789
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,344,823
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$8,739
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$484,871
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,014,963
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$249,762
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$329,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$329,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$203
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,940,169
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-3,279
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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
Contributions received in cash from employer2015-12-31$1,239,341
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$11,634
Contract administrator fees2015-12-31$11,741
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 name2015-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2015-12-31341900872
2014 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,606,860
Total of all expenses incurred2014-12-31$2,372,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,263,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,535,973
Value of total assets at end of year2014-12-31$1,344,823
Value of total assets at beginning of year2014-12-31$2,110,358
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$108,538
Total interest from all sources2014-12-31$234
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$37,077
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$37,077
Administrative expenses professional fees incurred2014-12-31$51,292
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$169,375
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$156
Other income not declared elsewhere2014-12-31$250
Administrative expenses (other) incurred2014-12-31$17,424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-765,535
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,344,823
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,110,358
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$11,523
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,014,963
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,852,267
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$329,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$257,935
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$257,935
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$234
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,252,856
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$33,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
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
Contributions received in cash from employer2014-12-31$1,366,598
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$11,001
Contract administrator fees2014-12-31$28,299
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 name2014-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2014-12-31341900872
2013 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,521,017
Total of all expenses incurred2013-12-31$2,057,713
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,997,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,460,751
Value of total assets at end of year2013-12-31$2,110,358
Value of total assets at beginning of year2013-12-31$2,647,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$60,519
Total interest from all sources2013-12-31$335
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$55,042
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$55,042
Administrative expenses professional fees incurred2013-12-31$33,634
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$133,454
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$156
Other income not declared elsewhere2013-12-31$3,910
Administrative expenses (other) incurred2013-12-31$15,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-536,696
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,110,358
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,647,054
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$11,835
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,852,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,396,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$257,935
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$250,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$250,652
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$335
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,990,516
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$979
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$1,327,297
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$6,678
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 name2013-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2013-12-31341900872
2012 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$1,585,485
Total of all expenses incurred2012-12-31$2,101,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,038,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,410,704
Value of total assets at end of year2012-12-31$2,647,054
Value of total assets at beginning of year2012-12-31$3,162,905
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$62,791
Total interest from all sources2012-12-31$276
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$80,839
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$80,839
Administrative expenses professional fees incurred2012-12-31$14,320
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$115,059
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$156
Administrative expenses (other) incurred2012-12-31$14,672
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-515,851
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,647,054
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,162,905
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$16,025
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$2,396,246
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$2,971,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$250,652
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$191,007
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$191,007
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$276
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,027,979
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$93,666
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$1,295,645
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$10,566
Contract administrator fees2012-12-31$17,774
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 name2012-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2012-12-31341900872
2011 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$1,450,539
Total of all expenses incurred2011-12-31$1,998,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,929,977
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,237,477
Value of total assets at end of year2011-12-31$3,162,905
Value of total assets at beginning of year2011-12-31$3,710,795
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$68,452
Total interest from all sources2011-12-31$160
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$112,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$112,299
Administrative expenses professional fees incurred2011-12-31$38,139
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$104,386
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$156
Other income not declared elsewhere2011-12-31$1,050
Administrative expenses (other) incurred2011-12-31$10,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-547,890
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,162,905
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,710,795
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$11,862
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$2,971,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,509,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$191,007
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$200,749
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$200,749
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$160
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,917,810
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$99,553
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$1,133,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$12,167
Contract administrator fees2011-12-31$8,159
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31GARY M. TIBONI, CPA
Accountancy firm EIN2011-12-31341900872
2010 : TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-62,116
Total unrealized appreciation/depreciation of assets2010-12-31$-62,116
Total income from all sources (including contributions)2010-12-31$1,523,640
Total loss/gain on sale of assets2010-12-31$153,525
Total of all expenses incurred2010-12-31$1,786,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,704,495
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,246,133
Value of total assets at end of year2010-12-31$3,710,795
Value of total assets at beginning of year2010-12-31$3,973,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$81,975
Total interest from all sources2010-12-31$116,249
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$33,559
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$33,559
Administrative expenses professional fees incurred2010-12-31$36,151
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$104,218
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$156
Other income not declared elsewhere2010-12-31$11,984
Administrative expenses (other) incurred2010-12-31$16,276
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-262,830
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,710,795
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,973,625
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$16,624
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,509,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$927,792
Income. Interest from US Government securities2010-12-31$43,861
Income. Interest from corporate debt instruments2010-12-31$72,367
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$200,749
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$304,389
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$304,389
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$21
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,689,319
Asset value of US Government securities at beginning of year2010-12-31$1,779,252
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$24,306
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$1,141,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$15,176
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$962,036
Contract administrator fees2010-12-31$12,924
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
Aggregate proceeds on sale of assets2010-12-31$10,848,898
Aggregate carrying amount (costs) on sale of assets2010-12-31$10,695,373
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 name2010-12-31MAYOR CPA GROUP, LLC
Accountancy firm EIN2010-12-31341971860

Form 5500 Responses for TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND

2022: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS LOCAL UNION NO. 422 WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3337
Policy instance 2
Insurance contract or identification numberG3337
Number of Individuals Covered81
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $202
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $202
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342847
Policy instance 1
Insurance contract or identification number3342847
Number of Individuals Covered76
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3337
Policy instance 2
Insurance contract or identification numberG3337
Number of Individuals Covered78
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $225
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $225
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342847
Policy instance 1
Insurance contract or identification number3342847
Number of Individuals Covered79
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $921,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3342847
Policy instance 1
Insurance contract or identification number3342847
Number of Individuals Covered95
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,214,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229
Policy instance 2
Insurance contract or identification numberG3229
Number of Individuals Covered96
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $673
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,457
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $673
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 95828 )
Policy contract number
Policy instance 2
Number of Individuals Covered114
Insurance policy start date2018-06-01
Insurance policy end date2019-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,185,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229/C4499
Policy instance 1
Insurance contract or identification numberG3229/C4499
Number of Individuals Covered103
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $730
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $730
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 95828 )
Policy contract number
Policy instance 3
Number of Individuals Covered115
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 95828 )
Policy contract number
Policy instance 3
Number of Individuals Covered107
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 95828 )
Policy contract number
Policy instance 2
Number of Individuals Covered107
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,168,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229/C4499
Policy instance 1
Insurance contract or identification numberG3229/C4499
Number of Individuals Covered112
Insurance policy start date2017-05-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $567
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $567
Insurance broker organization code?3
CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 )
Policy contract number
Policy instance 3
Number of Individuals Covered105
Insurance policy start date2016-06-01
Insurance policy end date2017-05-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,009
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance 2
Number of Individuals Covered105
Insurance policy start date2016-06-01
Insurance policy end date2017-05-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,166,630
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229/C4499
Policy instance 1
Insurance contract or identification numberG3229/C4499
Number of Individuals Covered124
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $621
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $621
Insurance broker organization code?3
Insurance broker nameM.R. INSURANCE PARTNERS AGENCY
CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 )
Policy contract number
Policy instance 3
Number of Individuals Covered123
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229/C4499
Policy instance 1
Insurance contract or identification numberG3229/C4499
Number of Individuals Covered147
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $590
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $590
Insurance broker organization code?3
Insurance broker nameM.R. INSURANCE PARTNERS AGENCY
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance 2
Number of Individuals Covered128
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,923,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberG1400
Policy instance 4
Insurance contract or identification numberG1400
Number of Individuals Covered138
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number
Policy instance 3
Number of Individuals Covered345
Insurance policy start date2014-01-01
Insurance policy end date2014-06-01
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,869
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberG1728
Policy instance 2
Insurance contract or identification numberG1728
Number of Individuals Covered135
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,062,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229/C4499
Policy instance 1
Insurance contract or identification numberG3229/C4499
Number of Individuals Covered152
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $530
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,078
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $530
Insurance broker organization code?3
Insurance broker nameM.R. INSURANCE PARTNERS AGENCY
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3229/C4499
Policy instance 4
Insurance contract or identification numberG3229/C4499
Number of Individuals Covered159
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $554
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $10,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $554
Insurance broker nameM.R. INSURANCE PARTNERS AGENCY
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance 2
Number of Individuals Covered154
Insurance policy start date2013-01-01
Insurance policy end date2013-05-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $664,069
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 number0118249
Policy instance 1
Insurance contract or identification number0118249
Number of Individuals Covered153
Insurance policy start date2013-01-01
Insurance policy end date2013-05-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005888
Policy instance 3
Insurance contract or identification number0005888
Number of Individuals Covered395
Insurance policy start date2013-01-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $33
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118249
Policy instance 1
Insurance contract or identification number0118249
Number of Individuals Covered153
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005888
Policy instance 3
Insurance contract or identification number0005888
Number of Individuals Covered395
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $393
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $393
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance 2
Number of Individuals Covered148
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,939,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005888
Policy instance 3
Insurance contract or identification number0005888
Number of Individuals Covered372
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $387
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance 2
Number of Individuals Covered147
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,835,612
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 number0118249
Policy instance 1
Insurance contract or identification number0118249
Number of Individuals Covered150
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0005888
Policy instance 3
Insurance contract or identification number0005888
Number of Individuals Covered361
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $428
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $428
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number
Policy instance 2
Number of Individuals Covered154
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,600,508
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 number0118249
Policy instance 1
Insurance contract or identification number0118249
Number of Individuals Covered150
Insurance policy start date2009-03-01
Insurance policy end date2010-02-28
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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