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INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 401k Plan overview

Plan NameINTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND
Plan identification number 502

INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES OF INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 81 has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 81
Employer identification number (EIN):391252881
NAIC Classification:488300
NAIC Description: Support Activities for Water Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01WESLEY MILLER2023-09-27
5022021-01-01BRIAN LARUE2022-08-22
5022020-01-01DOUG GOLD2021-09-22
5022019-01-01WESLEY MILLER2020-10-14
5022018-01-01WESLEY MILLER2019-09-25 LUKE KVAPIL2019-09-25
5022017-01-01
5022016-01-01
5022015-01-01WESLEY MILLER LUKE KVAPIL2016-07-26
5022014-01-01WESLEY MILLER KEITH FLAGG2015-07-21
5022013-01-01WESLEY MILLER KEITH FLAGG2014-06-09
5022012-01-01WESLEY MILLER BRIAN LARUE2013-05-09
5022011-01-01WESLEY MILLER BRIAN LARUE2012-09-25
5022009-01-01JOE SMITH AL DAY2010-09-23

Plan Statistics for INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND

401k plan membership statisitcs for INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND

Measure Date Value
2022: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-0134
Total number of active participants reported on line 7a of the Form 55002022-01-0137
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 participants2022-01-0137
Number of employers contributing to the scheme2022-01-012
2021: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-0132
Total number of active participants reported on line 7a of the Form 55002021-01-0134
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 participants2021-01-0134
Number of employers contributing to the scheme2021-01-012
2020: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0126
Total number of active participants reported on line 7a of the Form 55002020-01-0131
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0132
Number of employers contributing to the scheme2020-01-012
2019: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0125
Total number of active participants reported on line 7a of the Form 55002019-01-0125
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0126
Number of employers contributing to the scheme2019-01-012
2018: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-0125
Total number of active participants reported on line 7a of the Form 55002018-01-0124
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-0125
Number of employers contributing to the scheme2018-01-013
2017: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-0123
Total number of active participants reported on line 7a of the Form 55002017-01-0125
Total of all active and inactive participants2017-01-0125
Number of employers contributing to the scheme2017-01-012
2016: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-0134
Total number of active participants reported on line 7a of the Form 55002016-01-0123
Total of all active and inactive participants2016-01-0123
Number of employers contributing to the scheme2016-01-011
2015: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-0131
Total number of active participants reported on line 7a of the Form 55002015-01-0134
Total of all active and inactive participants2015-01-0134
Number of employers contributing to the scheme2015-01-011
2014: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-0132
Total number of active participants reported on line 7a of the Form 55002014-01-0131
Total of all active and inactive participants2014-01-0131
Number of employers contributing to the scheme2014-01-011
2013: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-0132
Total number of active participants reported on line 7a of the Form 55002013-01-0132
Total of all active and inactive participants2013-01-0132
Number of employers contributing to the scheme2013-01-012
2012: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-0138
Total number of active participants reported on line 7a of the Form 55002012-01-0132
Total of all active and inactive participants2012-01-0132
Number of employers contributing to the scheme2012-01-012
2011: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-0139
Total number of active participants reported on line 7a of the Form 55002011-01-0138
Total of all active and inactive participants2011-01-0138
Number of employers contributing to the scheme2011-01-011
2009: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-0141
Total number of active participants reported on line 7a of the Form 55002009-01-0139
Number of retired or separated participants receiving benefits2009-01-014
Total of all active and inactive participants2009-01-0143
Number of employers contributing to the scheme2009-01-012

Financial Data on INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND

Measure Date Value
2022 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2022 401k financial data
Total income from all sources2022-12-31$223,179
Expenses. Total of all expenses incurred2022-12-31$59,215
Benefits paid (including direct rollovers)2022-12-31$30,661
Total plan assets at end of year2022-12-31$1,306,287
Total plan assets at beginning of year2022-12-31$1,142,323
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$9,232
Expenses. Other expenses not covered elsewhere2022-12-31$18,724
Other income received2022-12-31$2,916
Net income (gross income less expenses)2022-12-31$163,964
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,306,287
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,142,323
Total contributions received or receivable from employer(s)2022-12-31$211,031
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$9,830
2021 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2021 401k financial data
Total income from all sources2021-12-31$213,800
Expenses. Total of all expenses incurred2021-12-31$89,022
Benefits paid (including direct rollovers)2021-12-31$58,774
Total plan assets at end of year2021-12-31$1,142,323
Total plan assets at beginning of year2021-12-31$1,017,545
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$4,563
Expenses. Other expenses not covered elsewhere2021-12-31$18,187
Other income received2021-12-31$74
Net income (gross income less expenses)2021-12-31$124,778
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,142,323
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,017,545
Total contributions received or receivable from employer(s)2021-12-31$209,163
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$12,061
2020 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2020 401k financial data
Total income from all sources2020-12-31$142,366
Expenses. Total of all expenses incurred2020-12-31$113,822
Benefits paid (including direct rollovers)2020-12-31$78,963
Total plan assets at end of year2020-12-31$1,017,545
Total plan assets at beginning of year2020-12-31$989,001
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$3,845
Expenses. Other expenses not covered elsewhere2020-12-31$25,295
Contributions received from other sources (not participants or employers)2020-12-31$2,756
Other income received2020-12-31$482
Net income (gross income less expenses)2020-12-31$28,544
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,017,545
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$989,001
Total contributions received or receivable from employer(s)2020-12-31$135,283
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$9,564
2019 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2019 401k financial data
Total income from all sources2019-12-31$228,353
Expenses. Total of all expenses incurred2019-12-31$102,721
Benefits paid (including direct rollovers)2019-12-31$61,080
Total plan assets at end of year2019-12-31$989,001
Total plan assets at beginning of year2019-12-31$863,369
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$4,218
Expenses. Other expenses not covered elsewhere2019-12-31$29,350
Contributions received from other sources (not participants or employers)2019-12-31$1,291
Other income received2019-12-31$1,596
Net income (gross income less expenses)2019-12-31$125,632
Net plan assets at end of year (total assets less liabilities)2019-12-31$989,001
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$863,369
Total contributions received or receivable from employer(s)2019-12-31$221,248
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$12,291
2018 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2018 401k financial data
Total income from all sources2018-12-31$277,698
Expenses. Total of all expenses incurred2018-12-31$80,192
Benefits paid (including direct rollovers)2018-12-31$51,021
Total plan assets at end of year2018-12-31$863,369
Total plan assets at beginning of year2018-12-31$665,863
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$4,414
Expenses. Other expenses not covered elsewhere2018-12-31$19,121
Contributions received from other sources (not participants or employers)2018-12-31$2,048
Other income received2018-12-31$2
Net income (gross income less expenses)2018-12-31$197,506
Net plan assets at end of year (total assets less liabilities)2018-12-31$863,369
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$665,863
Total contributions received or receivable from employer(s)2018-12-31$271,234
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$10,050
2017 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2017 401k financial data
Total income from all sources2017-12-31$227,618
Expenses. Total of all expenses incurred2017-12-31$87,962
Benefits paid (including direct rollovers)2017-12-31$63,289
Total plan assets at end of year2017-12-31$665,863
Total plan assets at beginning of year2017-12-31$526,207
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$4,316
Expenses. Other expenses not covered elsewhere2017-12-31$20,096
Contributions received from other sources (not participants or employers)2017-12-31$6,575
Net income (gross income less expenses)2017-12-31$139,656
Net plan assets at end of year (total assets less liabilities)2017-12-31$665,863
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$526,207
Total contributions received or receivable from employer(s)2017-12-31$216,727
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$4,577
2016 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2016 401k financial data
Total income from all sources2016-12-31$117,364
Expenses. Total of all expenses incurred2016-12-31$94,936
Benefits paid (including direct rollovers)2016-12-31$70,915
Total plan assets at end of year2016-12-31$526,207
Total plan assets at beginning of year2016-12-31$503,779
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$3,548
Expenses. Other expenses not covered elsewhere2016-12-31$10,701
Net income (gross income less expenses)2016-12-31$22,428
Net plan assets at end of year (total assets less liabilities)2016-12-31$526,207
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$503,779
Total contributions received or receivable from employer(s)2016-12-31$113,816
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$13,320
2015 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2015 401k financial data
Total income from all sources2015-12-31$159,961
Expenses. Total of all expenses incurred2015-12-31$138,691
Benefits paid (including direct rollovers)2015-12-31$118,104
Total plan assets at end of year2015-12-31$503,779
Total plan assets at beginning of year2015-12-31$482,509
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$4,027
Expenses. Other expenses not covered elsewhere2015-12-31$8,492
Net income (gross income less expenses)2015-12-31$21,270
Net plan assets at end of year (total assets less liabilities)2015-12-31$503,779
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$482,509
Total contributions received or receivable from employer(s)2015-12-31$155,934
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$12,095
2014 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2014 401k financial data
Total income from all sources2014-12-31$211,950
Expenses. Total of all expenses incurred2014-12-31$133,348
Benefits paid (including direct rollovers)2014-12-31$119,214
Total plan assets at end of year2014-12-31$482,509
Total plan assets at beginning of year2014-12-31$403,907
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$3,288
Expenses. Other expenses not covered elsewhere2014-12-31$3,331
Net income (gross income less expenses)2014-12-31$78,602
Net plan assets at end of year (total assets less liabilities)2014-12-31$482,509
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$403,907
Total contributions received or receivable from employer(s)2014-12-31$208,662
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$10,803
2013 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2013 401k financial data
Total income from all sources2013-12-31$186,167
Expenses. Total of all expenses incurred2013-12-31$164,350
Benefits paid (including direct rollovers)2013-12-31$150,388
Total plan assets at end of year2013-12-31$403,907
Total plan assets at beginning of year2013-12-31$382,090
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$4,257
Expenses. Other expenses not covered elsewhere2013-12-31$3,048
Net income (gross income less expenses)2013-12-31$21,817
Net plan assets at end of year (total assets less liabilities)2013-12-31$403,907
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$382,090
Total contributions received or receivable from employer(s)2013-12-31$181,910
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$10,914
2012 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2012 401k financial data
Total income from all sources2012-12-31$216,598
Expenses. Total of all expenses incurred2012-12-31$171,070
Benefits paid (including direct rollovers)2012-12-31$145,722
Total plan assets at end of year2012-12-31$382,090
Total plan assets at beginning of year2012-12-31$336,562
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$4,344
Expenses. Other expenses not covered elsewhere2012-12-31$13,440
Net income (gross income less expenses)2012-12-31$45,528
Net plan assets at end of year (total assets less liabilities)2012-12-31$382,090
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$336,562
Total contributions received or receivable from employer(s)2012-12-31$212,254
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$11,908
2011 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2011 401k financial data
Total income from all sources2011-12-31$142,785
Expenses. Total of all expenses incurred2011-12-31$176,402
Benefits paid (including direct rollovers)2011-12-31$153,853
Total plan assets at end of year2011-12-31$336,562
Total plan assets at beginning of year2011-12-31$370,179
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$5,916
Other income received2011-12-31$1,041
Net income (gross income less expenses)2011-12-31$-33,617
Net plan assets at end of year (total assets less liabilities)2011-12-31$336,562
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$370,179
Total contributions received or receivable from employer(s)2011-12-31$135,828
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$22,549
2010 : INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2010 401k financial data
Total income from all sources2010-12-31$171,455
Expenses. Total of all expenses incurred2010-12-31$218,128
Benefits paid (including direct rollovers)2010-12-31$195,093
Total plan assets at end of year2010-12-31$370,179
Total plan assets at beginning of year2010-12-31$416,852
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$12,599
Other income received2010-12-31$2,154
Net income (gross income less expenses)2010-12-31$-46,673
Net plan assets at end of year (total assets less liabilities)2010-12-31$370,179
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$416,852
Total contributions received or receivable from employer(s)2010-12-31$156,702
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$23,035

Form 5500 Responses for INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND

2022: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-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 planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: INTERNATIONAL LONGSHOREMEN'S ASSOCIATION LOCAL 815 WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered37
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
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
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
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract numberNOT PROVIDED
Policy instance 2
Insurance contract or identification numberNOT PROVIDED
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
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
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
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
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
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
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitYes
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
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
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract numberNOT PROVIDED
Policy instance 2
Insurance contract or identification numberNOT PROVIDED
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitYes
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
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered34
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitYes
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
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
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract numberNOT PROVIDED
Policy instance 2
Insurance contract or identification numberNOT PROVIDED
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitYes
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
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitYes
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered32
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitYes
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered25
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
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
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract numberNOT PROVIDED
Policy instance 2
Insurance contract or identification numberNOT PROVIDED
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
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
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitYes
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
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered24
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered22
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered29
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered4
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 3
Insurance contract or identification number000010179408
Number of Individuals Covered31
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 2
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered3
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 3
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberGRH851302
Policy instance 2
Insurance contract or identification numberGRH851302
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010179408
Policy instance 4
Insurance contract or identification number000010179408
Number of Individuals Covered31
Insurance policy start date2013-08-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 3
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberGRH851302
Policy instance 2
Insurance contract or identification numberGRH851302
Number of Individuals Covered34
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberGRH851302
Policy instance 2
Insurance contract or identification numberGRH851302
Number of Individuals Covered38
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 3
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number
Policy instance 3
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberGRH851302
Policy instance 2
Insurance contract or identification numberGRH851302
Number of Individuals Covered38
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT LAKES DISTRICT COUNCIL HEALTH FUND (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number456380612
Policy instance 1
Insurance contract or identification number456380612
Number of Individuals Covered4
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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