401k Plan data: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND plan

HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 401k Plan overview

Plan Name	HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND
Plan identification number	501

HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND Benefits

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

401k Sponsoring company profile

INTERNATIONAL ASSOCIATION OF HEAT AND FROST INSULATORS AND ALLIED WOR has sponsored the creation of one or more 401k plans.

Company Name: INTERNATIONAL ASSOCIATION OF HEAT AND FROST INSULATORS AND ALLIED WOR

Employer identification number (EIN): 386058688

NAIC Classification: 238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-01-01
501 2018-01-01
501 2017-01-01 CURT MCGLONE MICHAEL O'CONNELL 2018-09-24
501 2016-01-01 CURT MCGLONE MICHAEL O'CONNELL 2017-09-27
501 2015-01-01 CURT MCGLONE MICHAEL O'CONNELL 2016-10-07
501 2014-01-01 CURT MCGLONE MICHAEL O'CONNELL 2015-09-16
501 2013-01-01 CURT MCGLONE MICHAEL O'CONNELL 2014-09-16
501 2012-01-01 CURT MCGLONE MICHAEL O'CONNELL 2013-09-18
501 2011-01-01 TIM O'CONNELL MICHAEL O'CONNELL 2012-10-03
501 2010-01-01 TIMOTHY O'CONNELL MICHAEL O'CONNELL 2011-10-07
501 2009-01-01 TIMOTHY O'CONNELL MICHAEL O'CONNELL 2010-10-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01
501	2021-01-01
501	2020-01-01
501	2019-01-01
501	2018-01-01
501	2017-01-01	CURT MCGLONE	MICHAEL O'CONNELL	2018-09-24
501	2016-01-01	CURT MCGLONE	MICHAEL O'CONNELL	2017-09-27
501	2015-01-01	CURT MCGLONE	MICHAEL O'CONNELL	2016-10-07
501	2014-01-01	CURT MCGLONE	MICHAEL O'CONNELL	2015-09-16
501	2013-01-01	CURT MCGLONE	MICHAEL O'CONNELL	2014-09-16
501	2012-01-01	CURT MCGLONE	MICHAEL O'CONNELL	2013-09-18
501	2011-01-01	TIM O'CONNELL	MICHAEL O'CONNELL	2012-10-03
501	2010-01-01	TIMOTHY O'CONNELL	MICHAEL O'CONNELL	2011-10-07
501	2009-01-01	TIMOTHY O'CONNELL	MICHAEL O'CONNELL	2010-10-11

Plan Statistics for HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND

401k plan membership statisitcs for HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND

Measure Date Value
2022: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year 2022-01-01 353
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 183
Number of retired or separated participants receiving benefits 2022-01-01 140
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 323
Number of employers contributing to the scheme 2022-01-01 15
2021: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year 2021-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 210
Number of retired or separated participants receiving benefits 2021-01-01 143
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 353
Number of employers contributing to the scheme 2021-01-01 15
2020: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year 2020-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 171
Number of retired or separated participants receiving benefits 2020-01-01 145
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 316
Number of employers contributing to the scheme 2020-01-01 17
2019: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year 2019-01-01 327
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 171
Number of retired or separated participants receiving benefits 2019-01-01 145
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 316
Number of employers contributing to the scheme 2019-01-01 20
2018: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year 2018-01-01 325
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 179
Number of retired or separated participants receiving benefits 2018-01-01 148
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 327
Number of employers contributing to the scheme 2018-01-01 19
2017: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year 2017-01-01 321
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 174
Number of retired or separated participants receiving benefits 2017-01-01 148
Number of other retired or separated participants entitled to future benefits 2017-01-01 3
Total of all active and inactive participants 2017-01-01 325
Number of employers contributing to the scheme 2017-01-01 23
2016: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year 2016-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 162
Number of retired or separated participants receiving benefits 2016-01-01 159
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 321
Number of employers contributing to the scheme 2016-01-01 21
2015: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year 2015-01-01 322
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 157
Number of retired or separated participants receiving benefits 2015-01-01 163
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 320
Number of employers contributing to the scheme 2015-01-01 24
2014: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year 2014-01-01 304
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 171
Number of retired or separated participants receiving benefits 2014-01-01 151
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 322
Number of employers contributing to the scheme 2014-01-01 23
2013: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year 2013-01-01 367
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 178
Number of retired or separated participants receiving benefits 2013-01-01 126
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 304
2012: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year 2012-01-01 329
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 208
Number of retired or separated participants receiving benefits 2012-01-01 159
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 367
Number of employers contributing to the scheme 2012-01-01 29
2011: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year 2011-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 174
Number of retired or separated participants receiving benefits 2011-01-01 155
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 329
Number of employers contributing to the scheme 2011-01-01 29
2010: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year 2010-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 169
Number of retired or separated participants receiving benefits 2010-01-01 163
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 332
Number of employers contributing to the scheme 2010-01-01 32
2009: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year 2009-01-01 374
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 195
Number of retired or separated participants receiving benefits 2009-01-01 154
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 349

Measure	Date	Value
2022: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year	2022-01-01	353
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	183
Number of retired or separated participants receiving benefits	2022-01-01	140
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	323
Number of employers contributing to the scheme	2022-01-01	15
2021: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year	2021-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	210
Number of retired or separated participants receiving benefits	2021-01-01	143
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	353
Number of employers contributing to the scheme	2021-01-01	15
2020: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year	2020-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	171
Number of retired or separated participants receiving benefits	2020-01-01	145
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	316
Number of employers contributing to the scheme	2020-01-01	17
2019: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year	2019-01-01	327
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	171
Number of retired or separated participants receiving benefits	2019-01-01	145
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	316
Number of employers contributing to the scheme	2019-01-01	20
2018: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year	2018-01-01	325
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	179
Number of retired or separated participants receiving benefits	2018-01-01	148
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	327
Number of employers contributing to the scheme	2018-01-01	19
2017: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year	2017-01-01	321
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	174
Number of retired or separated participants receiving benefits	2017-01-01	148
Number of other retired or separated participants entitled to future benefits	2017-01-01	3
Total of all active and inactive participants	2017-01-01	325
Number of employers contributing to the scheme	2017-01-01	23
2016: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year	2016-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	162
Number of retired or separated participants receiving benefits	2016-01-01	159
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	321
Number of employers contributing to the scheme	2016-01-01	21
2015: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year	2015-01-01	322
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	157
Number of retired or separated participants receiving benefits	2015-01-01	163
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	320
Number of employers contributing to the scheme	2015-01-01	24
2014: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year	2014-01-01	304
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	171
Number of retired or separated participants receiving benefits	2014-01-01	151
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	322
Number of employers contributing to the scheme	2014-01-01	23
2013: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year	2013-01-01	367
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	178
Number of retired or separated participants receiving benefits	2013-01-01	126
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	304
2012: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year	2012-01-01	329
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	208
Number of retired or separated participants receiving benefits	2012-01-01	159
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	367
Number of employers contributing to the scheme	2012-01-01	29
2011: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year	2011-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	174
Number of retired or separated participants receiving benefits	2011-01-01	155
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	329
Number of employers contributing to the scheme	2011-01-01	29
2010: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year	2010-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	169
Number of retired or separated participants receiving benefits	2010-01-01	163
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	332
Number of employers contributing to the scheme	2010-01-01	32
2009: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year	2009-01-01	374
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	195
Number of retired or separated participants receiving benefits	2009-01-01	154
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	349

Financial Data on HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND

Measure	Date	Value
2022 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2022-12-31	$-21,334
Total unrealized appreciation/depreciation of assets	2022-12-31	$-21,334
Total transfer of assets to this plan	2022-12-31	$0
Total transfer of assets from this plan	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$335,563
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$472,011
Total income from all sources (including contributions)	2022-12-31	$3,958,777
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$3,918,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$3,698,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$5,096,130
Value of total assets at end of year	2022-12-31	$10,260,097
Value of total assets at beginning of year	2022-12-31	$10,356,072
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$219,946
Total interest from all sources	2022-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$189,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$189,508
Administrative expenses professional fees incurred	2022-12-31	$103,890
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$635,910
Assets. Other investments not covered elsewhere at end of year	2022-12-31	$466,166
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$13,598
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$64,323
Administrative expenses (other) incurred	2022-12-31	$35,001
Liabilities. Value of operating payables at end of year	2022-12-31	$117,470
Liabilities. Value of operating payables at beginning of year	2022-12-31	$246,368
Total non interest bearing cash at end of year	2022-12-31	$1,404,140
Total non interest bearing cash at beginning of year	2022-12-31	$1,383,149
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$40,473
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$9,924,534
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$9,884,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$12,943
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$7,976,495
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$8,371,101
Value of interest in common/collective trusts at beginning of year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$90,495
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$90,495
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$757,302
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-1,305,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$4,460,220
Employer contributions (assets) at end of year	2022-12-31	$398,907
Employer contributions (assets) at beginning of year	2022-12-31	$446,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$2,941,056
Contract administrator fees	2022-12-31	$68,112
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$218,093
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$225,643
Assets. Value of buildings and other operty used in plan operation at end of year	2022-12-31	$791
Assets. Value of buildings and other operty used in plan operation at beginning of year	2022-12-31	$982
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2022-12-31	382574238
2021 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total transfer of assets to this plan	2021-12-31	$0
Total transfer of assets from this plan	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$472,011
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$479,757
Total income from all sources (including contributions)	2021-12-31	$6,318,662
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$4,057,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$3,834,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$5,774,052
Value of total assets at end of year	2021-12-31	$10,356,072
Value of total assets at beginning of year	2021-12-31	$8,102,846
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$222,940
Total interest from all sources	2021-12-31	$90
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$159,947
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$159,947
Administrative expenses professional fees incurred	2021-12-31	$116,901
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$668,261
Participant contributions at beginning of year	2021-12-31	$3,336
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$64,323
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$24,995
Administrative expenses (other) incurred	2021-12-31	$24,582
Liabilities. Value of operating payables at end of year	2021-12-31	$246,368
Liabilities. Value of operating payables at beginning of year	2021-12-31	$122,896
Total non interest bearing cash at end of year	2021-12-31	$1,383,149
Total non interest bearing cash at beginning of year	2021-12-31	$1,147,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$2,260,972
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$9,884,061
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$7,623,089
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$13,345
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$8,371,101
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$4,954,428
Value of interest in common/collective trusts at end of year	2021-12-31	$0
Value of interest in common/collective trusts at beginning of year	2021-12-31	$1,226,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$90,495
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$370,698
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$370,698
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$90
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$796,424
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$82,898
Net investment gain or loss from common/collective trusts	2021-12-31	$301,675
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$5,105,791
Employer contributions (assets) at end of year	2021-12-31	$446,022
Employer contributions (assets) at beginning of year	2021-12-31	$373,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$3,038,326
Contract administrator fees	2021-12-31	$68,112
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$225,643
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$356,861
Assets. Value of buildings and other operty used in plan operation at end of year	2021-12-31	$982
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-12-31	$1,304
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2021-12-31	382574238
2020 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$479,757
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$476,994
Total income from all sources (including contributions)	2020-12-31	$4,697,061
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$3,891,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$3,713,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,175,679
Value of total assets at end of year	2020-12-31	$8,102,846
Value of total assets at beginning of year	2020-12-31	$7,294,818
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$177,837
Total interest from all sources	2020-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$301,525
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$301,525
Administrative expenses professional fees incurred	2020-12-31	$69,576
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$668,764
Participant contributions at end of year	2020-12-31	$3,336
Participant contributions at beginning of year	2020-12-31	$2,502
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$24,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$200,048
Administrative expenses (other) incurred	2020-12-31	$27,548
Liabilities. Value of operating payables at end of year	2020-12-31	$122,896
Liabilities. Value of operating payables at beginning of year	2020-12-31	$27,618
Total non interest bearing cash at end of year	2020-12-31	$1,147,101
Total non interest bearing cash at beginning of year	2020-12-31	$1,365,303
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$805,265
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$7,623,089
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$6,817,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$11,627
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$4,954,428
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,174,778
Value of interest in common/collective trusts at end of year	2020-12-31	$1,226,994
Value of interest in common/collective trusts at beginning of year	2020-12-31	$870,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$370,698
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$244,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$244,863
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$1,049,257
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$144,827
Net investment gain or loss from common/collective trusts	2020-12-31	$75,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$3,506,915
Employer contributions (assets) at end of year	2020-12-31	$373,990
Employer contributions (assets) at beginning of year	2020-12-31	$395,454
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$2,664,702
Contract administrator fees	2020-12-31	$69,086
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$356,861
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$449,376
Assets. Value of buildings and other operty used in plan operation at end of year	2020-12-31	$1,304
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-12-31	$41,485
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	WRUBEL, WESLEY & CO CPAS
Accountancy firm EIN	2020-12-31	382574238
2019 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$0
Total transfer of assets from this plan	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$476,994
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$335,090
Total income from all sources (including contributions)	2019-12-31	$5,261,213
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$3,939,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,751,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,722,822
Value of total assets at end of year	2019-12-31	$7,294,818
Value of total assets at beginning of year	2019-12-31	$5,831,262
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$188,257
Total interest from all sources	2019-12-31	$5,554
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$300,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$300,991
Assets. Real estate other than employer real property at beginning of year	2019-12-31	$0
Administrative expenses professional fees incurred	2019-12-31	$77,300
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$664,604
Participant contributions at end of year	2019-12-31	$2,502
Participant contributions at beginning of year	2019-12-31	$1,442
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$200,048
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$311,098
Administrative expenses (other) incurred	2019-12-31	$28,568
Liabilities. Value of operating payables at end of year	2019-12-31	$27,618
Liabilities. Value of operating payables at beginning of year	2019-12-31	$16,356
Total non interest bearing cash at end of year	2019-12-31	$1,365,303
Total non interest bearing cash at beginning of year	2019-12-31	$820,362
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,321,652
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$6,817,824
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$5,496,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$11,333
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$4,174,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$3,386,458
Value of interest in common/collective trusts at end of year	2019-12-31	$870,385
Value of interest in common/collective trusts at beginning of year	2019-12-31	$685,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$244,863
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$250,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$250,429
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$5,554
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$883,518
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$200,260
Net investment gain or loss from common/collective trusts	2019-12-31	$31,586
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$4,058,218
Employer contributions (assets) at end of year	2019-12-31	$395,454
Employer contributions (assets) at beginning of year	2019-12-31	$333,543
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$2,867,786
Contract administrator fees	2019-12-31	$71,056
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$449,376
Liabilities. Value of benefit claims payable at beginning of year	2019-12-31	$318,734
Assets. Value of buildings and other operty used in plan operation at end of year	2019-12-31	$41,485
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-12-31	$42,776
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	No
Opinion of an independent qualified public accountant for this plan	2019-12-31	Unqualified
Accountancy firm name	2019-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2019-12-31	382574238
2018 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total transfer of assets to this plan	2018-12-31	$0
Total transfer of assets from this plan	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$335,090
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$398,268
Total income from all sources (including contributions)	2018-12-31	$4,484,795
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$3,771,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$3,602,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$4,617,769
Value of total assets at end of year	2018-12-31	$5,831,262
Value of total assets at beginning of year	2018-12-31	$5,181,634
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$169,162
Total interest from all sources	2018-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$82,346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$82,346
Assets. Real estate other than employer real property at end of year	2018-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2018-12-31	$214,860
Administrative expenses professional fees incurred	2018-12-31	$55,985
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$661,360
Participant contributions at end of year	2018-12-31	$1,442
Participant contributions at beginning of year	2018-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$311,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$180,942
Administrative expenses (other) incurred	2018-12-31	$30,174
Liabilities. Value of operating payables at end of year	2018-12-31	$16,356
Liabilities. Value of operating payables at beginning of year	2018-12-31	$22,462
Total non interest bearing cash at end of year	2018-12-31	$820,362
Total non interest bearing cash at beginning of year	2018-12-31	$795,648
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$712,806
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$5,496,172
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,783,366
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$11,896
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$3,386,458
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$2,688,340
Value of interest in common/collective trusts at end of year	2018-12-31	$685,154
Value of interest in common/collective trusts at beginning of year	2018-12-31	$723,109
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$250,429
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2018-12-31	$145,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2018-12-31	$145,903
Expenses. Payments to insurance carriers foe the provision of benefits	2018-12-31	$1,043,389
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-172,200
Net investment gain or loss from common/collective trusts	2018-12-31	$-43,120
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$3,956,409
Employer contributions (assets) at end of year	2018-12-31	$333,543
Employer contributions (assets) at beginning of year	2018-12-31	$378,101
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$2,559,438
Contract administrator fees	2018-12-31	$71,107
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$318,734
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$375,806
Assets. Value of buildings and other operty used in plan operation at end of year	2018-12-31	$42,776
Assets. Value of buildings and other operty used in plan operation at beginning of year	2018-12-31	$54,731
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	No
Opinion of an independent qualified public accountant for this plan	2018-12-31	Unqualified
Accountancy firm name	2018-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2018-12-31	382574238
2017 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2017-12-31	$-69,992
Total unrealized appreciation/depreciation of assets	2017-12-31	$-69,992
Total transfer of assets to this plan	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$398,268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$308,805
Total income from all sources (including contributions)	2017-12-31	$5,065,430
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$4,119,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$3,916,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$4,740,297
Value of total assets at end of year	2017-12-31	$5,181,634
Value of total assets at beginning of year	2017-12-31	$4,145,803
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$202,507
Total interest from all sources	2017-12-31	$1
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$114,872
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$114,872
Assets. Real estate other than employer real property at end of year	2017-12-31	$214,860
Administrative expenses professional fees incurred	2017-12-31	$65,455
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$683,101
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$1,316
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$222,687
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$180,942
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$29,709
Administrative expenses (other) incurred	2017-12-31	$49,389
Liabilities. Value of operating payables at end of year	2017-12-31	$22,462
Liabilities. Value of operating payables at beginning of year	2017-12-31	$15,586
Total non interest bearing cash at end of year	2017-12-31	$795,648
Total non interest bearing cash at beginning of year	2017-12-31	$700,724
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$946,368
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,783,366
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,836,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$11,684
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$2,688,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$2,289,510
Value of interest in common/collective trusts at end of year	2017-12-31	$723,109
Value of interest in common/collective trusts at beginning of year	2017-12-31	$490,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$145,903
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$909
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$909
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$1
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$1,041,952
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$155,080
Net investment gain or loss from common/collective trusts	2017-12-31	$125,172
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$4,057,196
Employer contributions (assets) at end of year	2017-12-31	$378,101
Employer contributions (assets) at beginning of year	2017-12-31	$350,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$2,874,603
Contract administrator fees	2017-12-31	$75,979
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$375,806
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$293,219
Assets. Value of buildings and other operty used in plan operation at end of year	2017-12-31	$54,731
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-12-31	$60,232
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2017-12-31	382574238
2016 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$22,886
Total unrealized appreciation/depreciation of assets	2016-12-31	$22,886
Total transfer of assets to this plan	2016-12-31	$0
Total transfer of assets from this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$308,805
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$441,851
Total income from all sources (including contributions)	2016-12-31	$4,445,528
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$4,039,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,836,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$4,235,685
Value of total assets at end of year	2016-12-31	$4,145,803
Value of total assets at beginning of year	2016-12-31	$3,872,990
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$202,820
Total interest from all sources	2016-12-31	$131
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$59,467
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$59,467
Administrative expenses professional fees incurred	2016-12-31	$82,616
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$714,031
Participant contributions at end of year	2016-12-31	$1,316
Participant contributions at beginning of year	2016-12-31	$1,826
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$222,687
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$197,448
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$29,709
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$19,972
Administrative expenses (other) incurred	2016-12-31	$40,102
Liabilities. Value of operating payables at end of year	2016-12-31	$15,586
Liabilities. Value of operating payables at beginning of year	2016-12-31	$33,178
Total non interest bearing cash at end of year	2016-12-31	$700,724
Total non interest bearing cash at beginning of year	2016-12-31	$549,610
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$405,859
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,836,998
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,431,139
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$2,570
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$2,289,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,157,294
Value of interest in common/collective trusts at end of year	2016-12-31	$490,286
Value of interest in common/collective trusts at beginning of year	2016-12-31	$480,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$909
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$46,069
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$46,069
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$131
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$1,024,100
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$69,230
Net investment gain or loss from common/collective trusts	2016-12-31	$58,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$3,521,654
Employer contributions (assets) at end of year	2016-12-31	$350,430
Employer contributions (assets) at beginning of year	2016-12-31	$419,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,812,749
Contract administrator fees	2016-12-31	$77,532
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$293,219
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$408,673
Assets. Value of buildings and other operty used in plan operation at end of year	2016-12-31	$60,232
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-12-31	$989
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2016-12-31	382574238
2015 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-8,006
Total unrealized appreciation/depreciation of assets	2015-12-31	$-8,006
Total transfer of assets to this plan	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$441,851
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$684,258
Total income from all sources (including contributions)	2015-12-31	$4,314,223
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$4,231,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$4,029,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,369,913
Value of total assets at end of year	2015-12-31	$3,872,990
Value of total assets at beginning of year	2015-12-31	$4,032,522
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$201,421
Total interest from all sources	2015-12-31	$40
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$27,129
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$27,129
Administrative expenses professional fees incurred	2015-12-31	$72,430
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$707,940
Participant contributions at end of year	2015-12-31	$1,826
Participant contributions at beginning of year	2015-12-31	$1,285
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$197,448
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$210,887
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$44,142
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$19,972
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$52,019
Other income not declared elsewhere	2015-12-31	$1,286
Administrative expenses (other) incurred	2015-12-31	$38,397
Liabilities. Value of operating payables at end of year	2015-12-31	$33,178
Liabilities. Value of operating payables at beginning of year	2015-12-31	$34,812
Total non interest bearing cash at end of year	2015-12-31	$549,610
Total non interest bearing cash at beginning of year	2015-12-31	$732,986
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$82,875
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,431,139
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,348,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$12,546
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,157,294
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,050,037
Value of interest in common/collective trusts at end of year	2015-12-31	$480,456
Value of interest in common/collective trusts at beginning of year	2015-12-31	$493,393
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$46,069
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$155,045
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$155,045
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$40
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$43,636
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-82,413
Net investment gain or loss from common/collective trusts	2015-12-31	$6,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$3,661,973
Employer contributions (assets) at end of year	2015-12-31	$419,326
Employer contributions (assets) at beginning of year	2015-12-31	$335,812
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$3,942,149
Contract administrator fees	2015-12-31	$78,048
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$408,673
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$649,446
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$989
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$1,058
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2015-12-31	382574238
2014 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$11,499
Total unrealized appreciation/depreciation of assets	2014-12-31	$11,499
Total transfer of assets to this plan	2014-12-31	$0
Total transfer of assets from this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$684,258
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$87,884
Total income from all sources (including contributions)	2014-12-31	$3,981,815
Total loss/gain on sale of assets	2014-12-31	$-2,060
Total of all expenses incurred	2014-12-31	$5,102,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$4,891,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$3,984,292
Value of total assets at end of year	2014-12-31	$4,032,522
Value of total assets at beginning of year	2014-12-31	$4,556,636
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$211,264
Total interest from all sources	2014-12-31	$40,968
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$43,471
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$43,471
Administrative expenses professional fees incurred	2014-12-31	$88,588
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$660,621
Participant contributions at end of year	2014-12-31	$1,285
Participant contributions at beginning of year	2014-12-31	$5,935
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$210,887
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$257,627
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$52,019
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$487,405
Other income not declared elsewhere	2014-12-31	$6,792
Administrative expenses (other) incurred	2014-12-31	$38,689
Liabilities. Value of operating payables at end of year	2014-12-31	$34,812
Liabilities. Value of operating payables at beginning of year	2014-12-31	$27,198
Total non interest bearing cash at end of year	2014-12-31	$732,986
Total non interest bearing cash at beginning of year	2014-12-31	$1,135,082
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-1,120,488
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,348,264
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,468,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$9,417
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,050,037
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$1,926,591
Interest earned on other investments	2014-12-31	$40,927
Value of interest in common/collective trusts at end of year	2014-12-31	$493,393
Value of interest in common/collective trusts at beginning of year	2014-12-31	$297,977
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$155,045
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$137,369
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$137,369
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$41
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$44,422
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$-108,421
Net investment gain or loss from common/collective trusts	2014-12-31	$5,274
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$3,323,671
Employer contributions (assets) at end of year	2014-12-31	$335,812
Employer contributions (assets) at beginning of year	2014-12-31	$308,170
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$4,846,617
Contract administrator fees	2014-12-31	$74,570
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$649,446
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$60,686
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$1,058
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$480
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$3,221,116
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$3,223,176
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2014-12-31	382574238
2013 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$783
Total unrealized appreciation/depreciation of assets	2013-12-31	$783
Total transfer of assets to this plan	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$87,884
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$92,995
Total income from all sources (including contributions)	2013-12-31	$4,237,643
Total loss/gain on sale of assets	2013-12-31	$-55
Total of all expenses incurred	2013-12-31	$4,259,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$4,044,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$4,163,342
Value of total assets at end of year	2013-12-31	$4,556,636
Value of total assets at beginning of year	2013-12-31	$4,583,992
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$215,379
Total interest from all sources	2013-12-31	$781
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$15,470
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$15,470
Administrative expenses professional fees incurred	2013-12-31	$100,682
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$675,261
Participant contributions at end of year	2013-12-31	$5,935
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$257,627
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$56,356
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$487,405
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$254,588
Other income not declared elsewhere	2013-12-31	$1,294
Administrative expenses (other) incurred	2013-12-31	$33,947
Liabilities. Value of operating payables at end of year	2013-12-31	$27,198
Liabilities. Value of operating payables at beginning of year	2013-12-31	$29,198
Total non interest bearing cash at end of year	2013-12-31	$1,135,082
Total non interest bearing cash at beginning of year	2013-12-31	$613,887
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-22,245
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,468,752
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,490,997
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$1,926,591
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$297,977
Value of interest in common/collective trusts at beginning of year	2013-12-31	$75,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$137,369
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$2,940,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$2,940,830
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$781
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$3,449,399
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$22,150
Net investment gain or loss from common/collective trusts	2013-12-31	$33,878
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$3,488,081
Employer contributions (assets) at end of year	2013-12-31	$308,170
Employer contributions (assets) at beginning of year	2013-12-31	$320,096
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$595,110
Contract administrator fees	2013-12-31	$72,750
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$60,686
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$63,797
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$480
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$322,637
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$5,705,259
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$5,705,314
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2013-12-31	382574238
2012 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$897
Total unrealized appreciation/depreciation of assets	2012-12-31	$897
Total transfer of assets to this plan	2012-12-31	$0
Total transfer of assets from this plan	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$92,995
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$42,718
Total income from all sources (including contributions)	2012-12-31	$6,078,077
Total loss/gain on sale of assets	2012-12-31	$-198
Total of all expenses incurred	2012-12-31	$4,293,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$4,114,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$6,065,837
Value of total assets at end of year	2012-12-31	$4,583,992
Value of total assets at beginning of year	2012-12-31	$2,748,743
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$178,732
Total interest from all sources	2012-12-31	$228
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$73,457
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$648,158
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$56,356
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$55,685
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$254,588
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$105,120
Other income not declared elsewhere	2012-12-31	$148
Administrative expenses (other) incurred	2012-12-31	$33,255
Liabilities. Value of operating payables at end of year	2012-12-31	$29,198
Liabilities. Value of operating payables at beginning of year	2012-12-31	$18,128
Total non interest bearing cash at end of year	2012-12-31	$613,887
Total non interest bearing cash at beginning of year	2012-12-31	$407,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,784,972
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$4,490,997
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,706,025
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$0
Value of interest in common/collective trusts at end of year	2012-12-31	$75,598
Value of interest in common/collective trusts at beginning of year	2012-12-31	$70,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$2,940,830
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$1,486,825
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$1,486,825
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$3,542,280
Net investment gain or loss from common/collective trusts	2012-12-31	$11,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$5,417,679
Employer contributions (assets) at end of year	2012-12-31	$320,096
Employer contributions (assets) at beginning of year	2012-12-31	$342,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$572,093
Contract administrator fees	2012-12-31	$72,020
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$63,797
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$24,590
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$322,637
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$280,780
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$4,560,656
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$4,560,854
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	WRUBEL,WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN	2012-12-31	382574238
2011 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets	2011-12-31	$-3,964
Total unrealized appreciation/depreciation of assets	2011-12-31	$-3,964
Total transfer of assets to this plan	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$42,718
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$116,165
Total income from all sources (including contributions)	2011-12-31	$3,850,281
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$4,105,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$3,936,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$3,848,882
Value of total assets at end of year	2011-12-31	$2,748,743
Value of total assets at beginning of year	2011-12-31	$3,077,162
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$168,751
Total interest from all sources	2011-12-31	$1,248
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$62,698
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$665,894
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$55,685
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$59,649
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$105,120
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$121,908
Other income not declared elsewhere	2011-12-31	$2,439
Administrative expenses (other) incurred	2011-12-31	$30,341
Liabilities. Value of operating payables at end of year	2011-12-31	$18,128
Liabilities. Value of operating payables at beginning of year	2011-12-31	$16,146
Total non interest bearing cash at end of year	2011-12-31	$407,184
Total non interest bearing cash at beginning of year	2011-12-31	$131,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-254,972
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,706,025
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,960,997
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$145
Value of interest in common/collective trusts at end of year	2011-12-31	$70,856
Value of interest in common/collective trusts at beginning of year	2011-12-31	$76,072
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$1,486,825
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$2,102,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$2,102,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$1,248
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$3,770,652
Net investment gain or loss from common/collective trusts	2011-12-31	$1,676
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$3,182,988
Employer contributions (assets) at end of year	2011-12-31	$342,293
Employer contributions (assets) at beginning of year	2011-12-31	$383,905
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$165,850
Contract administrator fees	2011-12-31	$75,567
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$24,590
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$100,019
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$280,780
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$201,819
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	WRUBEL, WESLEY & COMPANY C.P.A.'S
Accountancy firm EIN	2011-12-31	382574238
2010 : HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$2,526
Total unrealized appreciation/depreciation of assets	2010-12-31	$2,526
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$116,165
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$148,325
Total income from all sources (including contributions)	2010-12-31	$3,758,023
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$3,899,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,744,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,742,741
Value of total assets at end of year	2010-12-31	$3,077,162
Value of total assets at beginning of year	2010-12-31	$3,250,740
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$155,398
Total interest from all sources	2010-12-31	$1,892
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$60,989
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$742,238
Participant contributions at end of year	2010-12-31	$0
Participant contributions at beginning of year	2010-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$59,649
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$57,123
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$121,908
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$257,880
Other income not declared elsewhere	2010-12-31	$699
Administrative expenses (other) incurred	2010-12-31	$20,981
Liabilities. Value of operating payables at end of year	2010-12-31	$16,146
Liabilities. Value of operating payables at beginning of year	2010-12-31	$58,158
Total non interest bearing cash at end of year	2010-12-31	$131,307
Total non interest bearing cash at beginning of year	2010-12-31	$109,210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-141,418
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,960,997
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$3,102,415
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$132
Value of interest in common/collective trusts at end of year	2010-12-31	$76,072
Value of interest in common/collective trusts at beginning of year	2010-12-31	$71,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$2,102,502
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$2,306,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$2,306,475
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$1,892
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$3,517,361
Net investment gain or loss from common/collective trusts	2010-12-31	$10,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$3,000,503
Employer contributions (assets) at end of year	2010-12-31	$383,905
Employer contributions (assets) at beginning of year	2010-12-31	$237,989
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$226,682
Contract administrator fees	2010-12-31	$73,296
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$100,019
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$90,167
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$201,819
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$210,791
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	WRUBEL, WESLEY & COMPANY C.P.A.'S
Accountancy firm EIN	2010-12-31	382574238

Form 5500 Responses for HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND

2022: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2022 form 5500 responses
2022-01-01	Type of plan entity	Multi-employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2021 form 5500 responses
2021-01-01	Type of plan entity	Multi-employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2020 form 5500 responses
2020-01-01	Type of plan entity	Multi-employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2019 form 5500 responses
2019-01-01	Type of plan entity	Multi-employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2018 form 5500 responses
2018-01-01	Type of plan entity	Multi-employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	No
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	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 WELFARE FUND 2010 form 5500 responses
2010-01-01	Type of plan entity	Multi-employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: HEAT AND FROST INSULATORS AND ALLIED WORKERS LOCAL 25 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	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	530
Insurance policy start date	2022-06-01
Insurance policy end date	2023-05-31
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $44,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )

Policy contract number

AF15-0355-22

Policy instance

Insurance contract or identification number	AF15-0355-22
Number of Individuals Covered	236
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $10,667
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	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 $304,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,667
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10265651001

Policy instance

Insurance contract or identification number	10265651001
Number of Individuals Covered	735
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $9,700
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 $35,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,700
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

67561-600

Policy instance

Insurance contract or identification number	67561-600
Number of Individuals Covered	147
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $14,583
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $405,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,583
Insurance broker organization code?	3

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	316
Insurance policy start date	2021-06-01
Insurance policy end date	2022-05-31
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $44,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	171
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $11,615
Total amount of fees paid to insurance company	USD $32,083
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	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 $331,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,615
Amount paid for insurance broker fees	32083
Additional information about fees paid to insurance broker	AGENT FEES
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

67561-600

Policy instance

Insurance contract or identification number	67561-600
Number of Individuals Covered	152
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $15,200
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $425,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,200
Insurance broker organization code?	3

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10265651001

Policy instance

Insurance contract or identification number	10265651001
Number of Individuals Covered	764
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $525
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 $32,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $525
Insurance broker organization code?	3

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	269
Insurance policy start date	2020-06-01
Insurance policy end date	2021-05-31
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $42,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

10265651001

Policy instance

Insurance contract or identification number	10265651001
Number of Individuals Covered	751
Insurance policy start date	2020-06-01
Insurance policy end date	2021-05-31
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 $34,811
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

67561-600

Policy instance

Insurance contract or identification number	67561-600
Number of Individuals Covered	155
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $30,328
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $349,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,328
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	225
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $17,422
Total amount of fees paid to insurance company	USD $35,000
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	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 $496,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,422
Amount paid for insurance broker fees	35000
Additional information about fees paid to insurance broker	AGENT FEES
Insurance broker organization code?	3

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	278
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $43,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

67561-600

Policy instance

Insurance contract or identification number	67561-600
Number of Individuals Covered	162
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $495,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	316
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $12,011
Total amount of fees paid to insurance company	USD $35,000
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	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 $342,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,011
Amount paid for insurance broker fees	35000
Additional information about fees paid to insurance broker	AGENT FEES
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	385
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $12,804
Total amount of fees paid to insurance company	USD $36,300
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	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 $362,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,804
Amount paid for insurance broker fees	36300
Additional information about fees paid to insurance broker	AGENT FEES
Insurance broker organization code?	3

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

67561-600

Policy instance

Insurance contract or identification number	67561-600
Number of Individuals Covered	170
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	283
Insurance policy start date	2018-06-01
Insurance policy end date	2019-05-31
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $43,920
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 number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	277
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $42,718

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

67561-600

Policy instance

Insurance contract or identification number	67561-600
Number of Individuals Covered	172
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $629,471

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	400
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $12,493
Total amount of fees paid to insurance company	USD $35,000
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	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 $356,933
Commission paid to Insurance Broker	USD $12,493
Amount paid for insurance broker fees	35000
Additional information about fees paid to insurance broker	AGENT FEES
Insurance broker organization code?	3
Insurance broker name	MICHAEL G. BUCK

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	855
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $35,000
Total amount of fees paid to insurance company	USD $8,545
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $291,270
Commission paid to Insurance Broker	USD $35,000
Insurance broker organization code?	3
Amount paid for insurance broker fees	8545
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker name	ASSOCIATED BENEFITS CO

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	413
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $45,303

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	870
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $19,946
Total amount of fees paid to insurance company	USD $35,000
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 $281,923
Commission paid to Insurance Broker	USD $13,710
Amount paid for insurance broker fees	35000
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3
Insurance broker name	ASSOCIATED BENEFITS CO

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	244
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $45,303

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	291
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $47,926

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	882
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-01
Total amount of commissions paid to insurance broker	USD $33,780
Total amount of fees paid to insurance company	USD $3,809
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	Yes
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $33,780
Amount paid for insurance broker fees	2696
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3
Insurance broker name	ASSOCIATED BENEFITS CO

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	289
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $43,605

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	882
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-01
Total amount of commissions paid to insurance broker	USD $33,780
Total amount of fees paid to insurance company	USD $3,809
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	Yes
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $33,780
Amount paid for insurance broker fees	3809
Additional information about fees paid to insurance broker	INCENTIVES
Insurance broker organization code?	3
Insurance broker name	MICHAEL G. BUCK

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	821
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-09
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	Yes
Were dividends or retroactive rate refunds paid as a credit?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	279
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $42,117

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

G-3056 C-4337

Policy instance

Insurance contract or identification number	G-3056 C-4337
Number of Individuals Covered	448
Insurance policy start date	2009-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $43,722

BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )

Policy contract number

18867

Policy instance

Insurance contract or identification number	18867
Number of Individuals Covered	785
Insurance policy start date	2009-03-01
Insurance policy end date	2010-02-28
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	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	Yes
Were dividends or retroactive rate refunds paid as a credit?	No

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Company Name:	INTERNATIONAL ASSOCIATION OF HEAT AND FROST INSULATORS AND ALLIED WOR
Employer identification number (EIN):	386058688
NAIC Classification:	238300