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HEALTH & WELFARE BENEFIT TRUST 401k Plan overview

Plan NameHEALTH & WELFARE BENEFIT TRUST
Plan identification number 501

HEALTH & WELFARE BENEFIT TRUST Benefits

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

401k Sponsoring company profile

J. J. KELLER & ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name:J. J. KELLER & ASSOCIATES, INC.
Employer identification number (EIN):390957377
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH & WELFARE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DANA GILMAN2023-08-10
5012022-01-01DANA GILMAN2023-09-25
5012021-01-01DANA GILMAN2022-07-07
5012020-01-01
5012020-01-01
5012019-01-01
5012018-01-01JULIE SCHROEDER DANA GILMAN2019-07-18
5012017-01-01STEVE HABERKORN DANA GILMAN2018-07-17
5012016-01-01STEVE HABERKORN DANA GILMAN2017-07-20
5012015-01-01STEVE HABERKORN DANA GILMAN2016-07-21
5012014-01-01STEVE HABERKORN DANA GILMAN2015-07-22
5012013-01-01STEVE HABERKORN DANA GILMAN2014-07-17
5012012-01-01STEVE HABERKORN ROGER PORATH2013-07-11
5012011-01-01STEVE HABERKORN ROGER PORATH2012-07-10
5012010-01-01STEVE HABERKORN ROGER PORATH2011-06-24
5012009-01-01STEVE HABERKORN ROGER PORATH2010-05-27

Plan Statistics for HEALTH & WELFARE BENEFIT TRUST

401k plan membership statisitcs for HEALTH & WELFARE BENEFIT TRUST

Measure Date Value
2022: HEALTH & WELFARE BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-012,828
Total number of active participants reported on line 7a of the Form 55002022-01-012,891
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,891
Number of employers contributing to the scheme2022-01-010
2021: HEALTH & WELFARE BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011,580
Total number of active participants reported on line 7a of the Form 55002021-01-012,828
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,828
Number of employers contributing to the scheme2021-01-010
2020: HEALTH & WELFARE BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011,487
Total number of active participants reported on line 7a of the Form 55002020-01-011,580
Total of all active and inactive participants2020-01-011,580
Total participants2020-01-011,580
2019: HEALTH & WELFARE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,080
Total number of active participants reported on line 7a of the Form 55002019-01-011,487
Total of all active and inactive participants2019-01-011,487
Total participants2019-01-011,487
2018: HEALTH & WELFARE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,088
Total number of active participants reported on line 7a of the Form 55002018-01-011,080
Total of all active and inactive participants2018-01-011,080
Total participants2018-01-011,080
2017: HEALTH & WELFARE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01911
Total number of active participants reported on line 7a of the Form 55002017-01-011,088
Total of all active and inactive participants2017-01-011,088
Total participants2017-01-011,088
2016: HEALTH & WELFARE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01908
Total number of active participants reported on line 7a of the Form 55002016-01-01911
Total of all active and inactive participants2016-01-01911
Total participants2016-01-01911
2015: HEALTH & WELFARE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01862
Total number of active participants reported on line 7a of the Form 55002015-01-01908
Total of all active and inactive participants2015-01-01908
Total participants2015-01-01908
2014: HEALTH & WELFARE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01888
Total number of active participants reported on line 7a of the Form 55002014-01-01862
Total of all active and inactive participants2014-01-01862
Total participants2014-01-01862
2013: HEALTH & WELFARE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01885
Total number of active participants reported on line 7a of the Form 55002013-01-01888
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01888
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01888
Number of participants with account balances2013-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: HEALTH & WELFARE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01851
Total number of active participants reported on line 7a of the Form 55002012-01-01885
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01885
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01885
2011: HEALTH & WELFARE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01836
Total number of active participants reported on line 7a of the Form 55002011-01-01851
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01851
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01851
2010: HEALTH & WELFARE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01814
Total number of active participants reported on line 7a of the Form 55002010-01-01836
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01836
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01836
2009: HEALTH & WELFARE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01922
Total number of active participants reported on line 7a of the Form 55002009-01-01814
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01814

Financial Data on HEALTH & WELFARE BENEFIT TRUST

Measure Date Value
2022 : HEALTH & WELFARE BENEFIT TRUST 2022 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$20,347,088
Total of all expenses incurred2022-12-31$20,738,685
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$19,560,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$20,327,840
Value of total assets at end of year2022-12-31$1,997,169
Value of total assets at beginning of year2022-12-31$2,388,766
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,178,632
Total interest from all sources2022-12-31$19,248
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$1,178,632
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$5,187,787
Assets. Other investments not covered elsewhere at end of year2022-12-31$4,421
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$34
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$308,307
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$350,457
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$7,018
Total non interest bearing cash at beginning of year2022-12-31$19,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-391,597
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,997,169
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,388,766
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,677,423
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$2,018,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$2,018,844
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$19,248
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,038,268
Asset value of US Government securities at beginning of year2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$15,140,053
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$17,521,785
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GRANT THORNTON LLP
Accountancy firm EIN2022-12-31366055558
2021 : HEALTH & WELFARE BENEFIT TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$1,310
Total unrealized appreciation/depreciation of assets2021-12-31$1,310
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$299,735
Total income from all sources (including contributions)2021-12-31$17,198,301
Total of all expenses incurred2021-12-31$17,739,425
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$16,729,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$17,194,041
Value of total assets at end of year2021-12-31$2,388,766
Value of total assets at beginning of year2021-12-31$3,229,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,010,102
Total interest from all sources2021-12-31$2,950
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,936,901
Assets. Other investments not covered elsewhere at end of year2021-12-31$34
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$350,457
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$299,735
Total non interest bearing cash at end of year2021-12-31$19,431
Total non interest bearing cash at beginning of year2021-12-31$21,964
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-541,124
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,388,766
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,929,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,018,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,906,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,906,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2,950
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,880,902
Asset value of US Government securities at end of year2021-12-31$0
Asset value of US Government securities at beginning of year2021-12-31$1,301,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$12,257,140
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$14,848,421
Contract administrator fees2021-12-31$1,009,202
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GRANT THORNTON LLP
Accountancy firm EIN2021-12-31366055558
2020 : HEALTH & WELFARE BENEFIT TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$-1,310
Total unrealized appreciation/depreciation of assets2020-12-31$-1,310
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$299,735
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$25,935
Total income from all sources (including contributions)2020-12-31$16,955,013
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$16,233,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$15,300,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$16,950,120
Value of total assets at end of year2020-12-31$3,229,625
Value of total assets at beginning of year2020-12-31$2,234,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$933,115
Total interest from all sources2020-12-31$6,203
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,810,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$299,735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$25,935
Total non interest bearing cash at end of year2020-12-31$21,964
Total non interest bearing cash at beginning of year2020-12-31$20,245
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$721,184
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,929,890
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,208,706
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,906,438
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$2,214,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$2,214,396
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$6,203
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,758,696
Asset value of US Government securities at end of year2020-12-31$1,301,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$12,139,176
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$13,542,018
Contract administrator fees2020-12-31$932,215
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GRANT THORNTON LLP
Accountancy firm EIN2020-12-31366055558
2019 : HEALTH & WELFARE BENEFIT TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$25,935
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$15,057,421
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$14,784,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$13,886,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$15,019,176
Value of total assets at end of year2019-12-31$2,234,641
Value of total assets at beginning of year2019-12-31$1,936,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$898,018
Total interest from all sources2019-12-31$38,245
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$4,005,224
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$25,935
Total non interest bearing cash at end of year2019-12-31$20,245
Total non interest bearing cash at beginning of year2019-12-31$154,207
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$272,598
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,208,706
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,936,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$2,214,396
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,781,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,781,901
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$38,245
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,295,441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$11,013,952
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$12,591,364
Contract administrator fees2019-12-31$897,118
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GRANT THORNTON LLP
Accountancy firm EIN2019-12-31366055558
2018 : HEALTH & WELFARE BENEFIT TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$12,125,960
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$12,258,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$11,835,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$12,083,456
Value of total assets at end of year2018-12-31$1,936,108
Value of total assets at beginning of year2018-12-31$2,068,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$422,692
Total interest from all sources2018-12-31$42,504
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$15,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$3,625,204
Total non interest bearing cash at end of year2018-12-31$154,207
Total non interest bearing cash at beginning of year2018-12-31$263,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-132,343
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,936,108
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,068,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,781,901
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,805,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,805,351
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$42,504
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,267,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$8,458,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,568,490
Contract administrator fees2018-12-31$421,792
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31GRANT THORNTON LLP
Accountancy firm EIN2018-12-31366055558
2017 : HEALTH & WELFARE BENEFIT TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$12,891,795
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$13,203,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$12,493,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$12,875,570
Value of total assets at end of year2017-12-31$2,068,451
Value of total assets at beginning of year2017-12-31$2,380,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$710,064
Total interest from all sources2017-12-31$16,225
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$15,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$3,458,120
Total non interest bearing cash at end of year2017-12-31$263,100
Total non interest bearing cash at beginning of year2017-12-31$260,741
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-311,562
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,068,451
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,380,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,805,351
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,119,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,119,272
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$16,225
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,306,357
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$9,417,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$11,186,936
Contract administrator fees2017-12-31$709,164
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31GRANT THORNTON
Accountancy firm EIN2017-12-31366055558
2016 : HEALTH & WELFARE BENEFIT TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$10,608,588
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$11,449,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,871,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$10,596,640
Value of total assets at end of year2016-12-31$2,380,013
Value of total assets at beginning of year2016-12-31$3,220,933
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$577,724
Total interest from all sources2016-12-31$11,948
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$12,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$3,580,140
Total non interest bearing cash at end of year2016-12-31$260,741
Total non interest bearing cash at beginning of year2016-12-31$274,791
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-840,920
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,380,013
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,220,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,119,272
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,946,142
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,946,142
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$11,948
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,315,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$7,016,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$9,556,289
Contract administrator fees2016-12-31$576,824
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31GRANT THORNTON LLP
Accountancy firm EIN2016-12-31366055558
2015 : HEALTH & WELFARE BENEFIT TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$12,476,677
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$10,658,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$10,148,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$12,475,374
Value of total assets at end of year2015-12-31$3,220,933
Value of total assets at beginning of year2015-12-31$1,402,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$510,075
Total interest from all sources2015-12-31$1,303
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$12,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$4,291,048
Total non interest bearing cash at end of year2015-12-31$274,791
Total non interest bearing cash at beginning of year2015-12-31$267,767
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,818,273
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,220,933
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,402,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,946,142
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,134,893
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,134,893
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,303
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,126,126
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$8,184,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,022,203
Contract administrator fees2015-12-31$509,175
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31GRANT THORNTON LLP
Accountancy firm EIN2015-12-31366055558
2014 : HEALTH & WELFARE BENEFIT TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$12,289,291
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$10,921,978
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$10,492,288
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$12,289,058
Value of total assets at end of year2014-12-31$1,402,660
Value of total assets at beginning of year2014-12-31$35,347
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$429,690
Total interest from all sources2014-12-31$233
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$15,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$4,064,396
Total non interest bearing cash at end of year2014-12-31$267,767
Total non interest bearing cash at beginning of year2014-12-31$24,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,367,313
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,402,660
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$35,347
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,134,893
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$11,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$11,138
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$233
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,057,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$8,224,662
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$9,435,249
Contract administrator fees2014-12-31$428,790
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31GRANT THORNTON LLP
Accountancy firm EIN2014-12-31366055558
2013 : HEALTH & WELFARE BENEFIT TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$12,221,961
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$12,789,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$12,079,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$12,221,560
Value of total assets at end of year2013-12-31$35,347
Value of total assets at beginning of year2013-12-31$602,932
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$710,063
Total interest from all sources2013-12-31$401
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$334,160
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$4,013,864
Total non interest bearing cash at end of year2013-12-31$24,209
Total non interest bearing cash at beginning of year2013-12-31$18,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-567,585
Value of net assets at end of year (total assets less liabilities)2013-12-31$35,347
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$602,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$11,138
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$584,049
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$584,049
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$401
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,251,746
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$8,207,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$10,827,737
Contract administrator fees2013-12-31$375,003
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31GRANT THORNTON LLP
Accountancy firm EIN2013-12-31366055558
2012 : HEALTH & WELFARE BENEFIT TRUST 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$10,874,901
Total of all expenses incurred2012-12-31$12,340,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$11,840,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$10,872,940
Value of total assets at end of year2012-12-31$602,932
Value of total assets at beginning of year2012-12-31$2,068,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$500,001
Total interest from all sources2012-12-31$1,961
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$239,895
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,609,165
Administrative expenses (other) incurred2012-12-31$2,754
Total non interest bearing cash at end of year2012-12-31$18,883
Total non interest bearing cash at beginning of year2012-12-31$15,543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-1,465,129
Value of net assets at end of year (total assets less liabilities)2012-12-31$602,932
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,068,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$584,049
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,052,518
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,052,518
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$1,961
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$903,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$7,263,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$10,936,795
Contract administrator fees2012-12-31$256,452
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31GRANT THORNTON LLP
Accountancy firm EIN2012-12-31366055558
2011 : HEALTH & WELFARE BENEFIT TRUST 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$9,807,595
Total of all expenses incurred2011-12-31$10,274,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$9,901,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,805,463
Value of total assets at end of year2011-12-31$2,068,061
Value of total assets at beginning of year2011-12-31$2,535,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$373,489
Total interest from all sources2011-12-31$2,132
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,084,992
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$40,051
Administrative expenses (other) incurred2011-12-31$2,515
Total non interest bearing cash at end of year2011-12-31$15,543
Total non interest bearing cash at beginning of year2011-12-31$1,621
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-467,177
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,068,061
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,535,239
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,052,518
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,533,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,533,618
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$2,132
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$760,296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$6,720,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$9,100,936
Contract administrator fees2011-12-31$370,074
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31GRANT THORNTON LLP
Accountancy firm EIN2011-12-31366055558
2010 : HEALTH & WELFARE BENEFIT TRUST 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$8,959,866
Total of all expenses incurred2010-12-31$8,339,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$8,128,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,955,994
Value of total assets at end of year2010-12-31$2,535,239
Value of total assets at beginning of year2010-12-31$1,915,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$211,769
Total interest from all sources2010-12-31$3,872
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,834,455
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$31,594
Administrative expenses (other) incurred2010-12-31$1,833
Total non interest bearing cash at end of year2010-12-31$1,621
Total non interest bearing cash at beginning of year2010-12-31$5,733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$620,014
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,535,239
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,915,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,533,618
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,909,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,909,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$3,872
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$600,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$6,121,539
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$7,495,841
Contract administrator fees2010-12-31$209,036
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31GRANT THORNTON LLP
Accountancy firm EIN2010-12-31366055558

Form 5500 Responses for HEALTH & WELFARE BENEFIT TRUST

2022: HEALTH & WELFARE BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HEALTH & WELFARE BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: HEALTH & WELFARE BENEFIT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HEALTH & WELFARE BENEFIT TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HEALTH & WELFARE BENEFIT TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HEALTH & WELFARE BENEFIT TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HEALTH & WELFARE BENEFIT TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HEALTH & WELFARE BENEFIT TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HEALTH & WELFARE BENEFIT TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HEALTH & WELFARE BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HEALTH & WELFARE BENEFIT TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HEALTH & WELFARE BENEFIT TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HEALTH & WELFARE BENEFIT TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HEALTH & WELFARE BENEFIT TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered2891
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,273,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered2828
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered2617
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $561
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered2442
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $533
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $533
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered2000
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,882
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $1,882
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered2279
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,164
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $3,164
Insurance broker nameDELTA DENTAL
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered908
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,064
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $3,064
Insurance broker nameDELTA DENTAL
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755673
Policy instance 1
Insurance contract or identification number755673
Number of Individuals Covered862
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,172
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $3,172
Insurance broker organization code?5
Insurance broker nameDELTA DENTAL
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67628-4
Policy instance 1
Insurance contract or identification number67628-4
Number of Individuals Covered888
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,101
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $3,101
Insurance broker organization code?5
Insurance broker nameDELTA DENTAL OF WI
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract numberJ934
Policy instance 1
Insurance contract or identification numberJ934
Number of Individuals Covered885
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,756
Insurance broker organization code?5
Insurance broker nameDELTA DENTAL OF WI
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract numberJ934
Policy instance 1
Insurance contract or identification numberJ934
Number of Individuals Covered851
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $42,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract numberJ934
Policy instance 1
Insurance contract or identification numberJ934
Number of Individuals Covered836
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $33,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,594
Insurance broker organization code?5
Insurance broker nameDELTA DENTAL OF WI

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