GCIU LOCAL 471M HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND
401k plan membership statisitcs for GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND
| Measure | Date | Value |
|---|
| 2017: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 0 |
| Number of employers contributing to the scheme | 2017-01-01 | 1 |
| 2016: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 6 |
| Total of all active and inactive participants | 2016-01-01 | 6 |
| Total participants | 2016-01-01 | 6 |
| Number of employers contributing to the scheme | 2016-01-01 | 1 |
| 2015: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 10 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 10 |
| Total of all active and inactive participants | 2015-01-01 | 10 |
| Total participants | 2015-01-01 | 10 |
| 2014: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 10 |
| Total of all active and inactive participants | 2014-01-01 | 10 |
| Total participants | 2014-01-01 | 10 |
| 2013: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 9 |
| Total of all active and inactive participants | 2013-01-01 | 9 |
| Total participants | 2013-01-01 | 9 |
| 2012: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 8 |
| Total of all active and inactive participants | 2012-01-01 | 8 |
| Total participants | 2012-01-01 | 8 |
| 2011: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 8 |
| Total of all active and inactive participants | 2011-01-01 | 8 |
| Total participants | 2011-01-01 | 8 |
| 2009: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 20 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 13 |
| Total of all active and inactive participants | 2009-01-01 | 13 |
| Total participants | 2009-01-01 | 13 |
| Measure | Date | Value |
|---|
| 2017 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2017 401k financial data |
|---|
| Transfers to/from the plan | 2017-12-31 | $0 |
| Total plan liabilities at end of year | 2017-12-31 | $0 |
| Total plan liabilities at beginning of year | 2017-12-31 | $2,226 |
| Total income from all sources | 2017-12-31 | $34,348 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $39,446 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $35,345 |
| Total plan assets at end of year | 2017-12-31 | $0 |
| Total plan assets at beginning of year | 2017-12-31 | $7,324 |
| Assets. Value of tangible personal property | 2017-12-31 | $0 |
| Total contributions received or receivable from participants | 2017-12-31 | $7,639 |
| Net income (gross income less expenses) | 2017-12-31 | $-5,098 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $5,098 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $26,709 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $4,101 |
| 2016 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-12-31 | $2,226 |
| Total plan liabilities at beginning of year | 2016-12-31 | $2,010 |
| Total income from all sources | 2016-12-31 | $49,745 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $53,139 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $51,032 |
| Total plan assets at end of year | 2016-12-31 | $7,324 |
| Total plan assets at beginning of year | 2016-12-31 | $10,502 |
| Value of fidelity bond covering the plan | 2016-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2016-12-31 | $25 |
| Total contributions received or receivable from participants | 2016-12-31 | $25,629 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $2,107 |
| Net income (gross income less expenses) | 2016-12-31 | $-3,394 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $5,098 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $8,492 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $24,116 |
| 2015 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $2,010 |
| Total plan liabilities at beginning of year | 2015-12-31 | $1,756 |
| Total income from all sources | 2015-12-31 | $60,590 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $65,336 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $63,007 |
| Total plan assets at end of year | 2015-12-31 | $10,502 |
| Total plan assets at beginning of year | 2015-12-31 | $14,994 |
| Value of fidelity bond covering the plan | 2015-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2015-12-31 | $25 |
| Total contributions received or receivable from participants | 2015-12-31 | $39,517 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $2,329 |
| Other income received | 2015-12-31 | $2 |
| Net income (gross income less expenses) | 2015-12-31 | $-4,746 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $8,492 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $13,238 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $21,071 |
| 2014 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-12-31 | $1,756 |
| Total plan liabilities at beginning of year | 2014-12-31 | $1,616 |
| Total income from all sources | 2014-12-31 | $64,290 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $64,708 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $62,381 |
| Total plan assets at end of year | 2014-12-31 | $14,994 |
| Total plan assets at beginning of year | 2014-12-31 | $15,272 |
| Value of fidelity bond covering the plan | 2014-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2014-12-31 | $25 |
| Total contributions received or receivable from participants | 2014-12-31 | $44,944 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $2,327 |
| Other income received | 2014-12-31 | $6 |
| Net income (gross income less expenses) | 2014-12-31 | $-418 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $13,238 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $13,656 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $19,340 |
| 2013 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-12-31 | $1,616 |
| Total plan liabilities at beginning of year | 2013-12-31 | $2,255 |
| Total income from all sources | 2013-12-31 | $63,690 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $64,489 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $61,379 |
| Total plan assets at end of year | 2013-12-31 | $15,272 |
| Total plan assets at beginning of year | 2013-12-31 | $16,710 |
| Value of fidelity bond covering the plan | 2013-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2013-12-31 | $35 |
| Total contributions received or receivable from participants | 2013-12-31 | $36,624 |
| Expenses. Other expenses not covered elsewhere | 2013-12-31 | $3,110 |
| Other income received | 2013-12-31 | $6 |
| Net income (gross income less expenses) | 2013-12-31 | $-799 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $13,656 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $14,455 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $27,060 |
| 2012 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-12-31 | $2,255 |
| Total plan liabilities at beginning of year | 2012-12-31 | $2,305 |
| Total income from all sources | 2012-12-31 | $96,573 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $101,657 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $97,744 |
| Total plan assets at end of year | 2012-12-31 | $16,710 |
| Total plan assets at beginning of year | 2012-12-31 | $21,844 |
| Value of fidelity bond covering the plan | 2012-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2012-12-31 | $50 |
| Total contributions received or receivable from participants | 2012-12-31 | $68,908 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $3,913 |
| Other income received | 2012-12-31 | $7 |
| Net income (gross income less expenses) | 2012-12-31 | $-5,084 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $14,455 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $19,539 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $27,658 |
| 2011 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-12-31 | $2,305 |
| Total plan liabilities at beginning of year | 2011-12-31 | $2,167 |
| Total income from all sources | 2011-12-31 | $97,894 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $104,651 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $101,283 |
| Total plan assets at end of year | 2011-12-31 | $21,844 |
| Total plan assets at beginning of year | 2011-12-31 | $28,463 |
| Value of fidelity bond covering the plan | 2011-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2011-12-31 | $50 |
| Total contributions received or receivable from participants | 2011-12-31 | $71,711 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $3,368 |
| Other income received | 2011-12-31 | $36 |
| Net income (gross income less expenses) | 2011-12-31 | $-6,757 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $19,539 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $26,296 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $26,147 |
| 2010 : GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2010 401k financial data |
|---|
| Total plan liabilities at end of year | 2010-12-31 | $2,167 |
| Total plan liabilities at beginning of year | 2010-12-31 | $2,649 |
| Total income from all sources | 2010-12-31 | $103,818 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $112,363 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $108,426 |
| Total plan assets at end of year | 2010-12-31 | $28,463 |
| Total plan assets at beginning of year | 2010-12-31 | $37,490 |
| Value of fidelity bond covering the plan | 2010-12-31 | $15,000 |
| Assets. Value of tangible personal property | 2010-12-31 | $50 |
| Total contributions received or receivable from participants | 2010-12-31 | $80,385 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $3,937 |
| Other income received | 2010-12-31 | $43 |
| Net income (gross income less expenses) | 2010-12-31 | $-8,545 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $26,296 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $34,841 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $23,390 |
| 2017: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Multi-employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Multi-employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Multi-employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Multi-employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Multi-employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Multi-employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Multi-employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GRAPHIC COMMUNICATIONS UNION LOCAL 471M HEALTH & WELFARE FUND 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Multi-employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
| Policy contract number | 120645380002 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380002 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 0 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,976 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
| Policy contract number | 120645380002 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380002 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $759 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 10 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $60,677 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 10 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $61,517 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
| Policy contract number | 120645380002 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380002 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $729 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
| Policy contract number | 120645380002 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380002 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $729 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $60,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
| Policy contract number | 120645380002 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380002 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $822 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 8 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $96,922 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 8 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $100,537 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 120645380001 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380001 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GRAPHIC COMMUNICATIONS NATIONAL HEALTH & WELFARE FUND (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | 02000471M |
| Policy instance | 1 |
| Insurance contract or identification number | 02000471M | | Number of Individuals Covered | 9 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $107,518 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 120645380001 |
| Policy instance | 2 |
| Insurance contract or identification number | 120645380001 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $908 |
|
