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SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 401k Plan overview

Plan NameSEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32
Plan identification number 503

SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Severance pay

401k Sponsoring company profile

TRUSTEES SEVERANCE PAY & SUPP LIFE INSUR PLAN OF TEAMSTERS JOINT COUNC has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES SEVERANCE PAY & SUPP LIFE INSUR PLAN OF TEAMSTERS JOINT COUNC
Employer identification number (EIN):411459141
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032021-01-01
5032020-01-01
5032019-01-01
5032018-01-01LAWRENCE YOSWA MARTIN T. LAWRENCE2019-07-16
5032017-01-01LAWRENCE YOSWA MARTIN T. LAWRENCE2018-07-25
5032016-01-01LAWRENCE YOSWA WAYNE PERLEBERG2017-10-04
5032015-01-01GARY DUNHAM LAWRENCE YOSWA2016-07-21
5032014-01-01MARTIN T. LAWRENCE GARY DUNHAM2015-10-09
5032013-01-01PATRICK RADZAK
5032012-01-01PATRICK RADZAK PATRICK RADZAK2013-07-30
5032011-01-01PATRICK RADZAK
5032010-01-01SUSAN MAUREN PATRICK RADZAK2011-10-05
5032009-01-01SUSAN MAUREN PATRICK RADZAK2010-10-07
5032009-01-01SUSAN MAUREN

Plan Statistics for SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32

401k plan membership statisitcs for SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32

Measure Date Value
2022: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2022 401k membership
Total participants, beginning-of-year2022-01-0181
Total number of active participants reported on line 7a of the Form 55002022-01-0176
Number of retired or separated participants receiving benefits2022-01-018
Total of all active and inactive participants2022-01-0184
2021: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2021 401k membership
Total participants, beginning-of-year2021-01-0182
Total number of active participants reported on line 7a of the Form 55002021-01-0175
Number of retired or separated participants receiving benefits2021-01-016
Total of all active and inactive participants2021-01-0181
2020: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2020 401k membership
Total participants, beginning-of-year2020-01-0185
Total number of active participants reported on line 7a of the Form 55002020-01-0178
Number of retired or separated participants receiving benefits2020-01-014
Total of all active and inactive participants2020-01-0182
2019: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2019 401k membership
Total participants, beginning-of-year2019-01-0186
Total number of active participants reported on line 7a of the Form 55002019-01-0177
Number of retired or separated participants receiving benefits2019-01-018
Total of all active and inactive participants2019-01-0185
2018: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2018 401k membership
Total participants, beginning-of-year2018-01-0184
Total number of active participants reported on line 7a of the Form 55002018-01-0180
Number of retired or separated participants receiving benefits2018-01-016
Total of all active and inactive participants2018-01-0186
2017: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2017 401k membership
Total participants, beginning-of-year2017-01-0178
Total number of active participants reported on line 7a of the Form 55002017-01-0179
Number of retired or separated participants receiving benefits2017-01-015
Total of all active and inactive participants2017-01-0184
2016: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2016 401k membership
Total participants, beginning-of-year2016-01-0177
Total number of active participants reported on line 7a of the Form 55002016-01-0177
Number of retired or separated participants receiving benefits2016-01-011
Total of all active and inactive participants2016-01-0178
2015: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2015 401k membership
Total participants, beginning-of-year2015-01-0176
Total number of active participants reported on line 7a of the Form 55002015-01-0177
Number of retired or separated participants receiving benefits2015-01-015
Total of all active and inactive participants2015-01-0182
2014: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2014 401k membership
Total participants, beginning-of-year2014-01-0177
Total number of active participants reported on line 7a of the Form 55002014-01-0176
Number of retired or separated participants receiving benefits2014-01-019
Total of all active and inactive participants2014-01-0185
2013: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2013 401k membership
Total participants, beginning-of-year2013-01-0179
Total number of active participants reported on line 7a of the Form 55002013-01-0177
Total of all active and inactive participants2013-01-0177
2012: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2012 401k membership
Total participants, beginning-of-year2012-01-0183
Total number of active participants reported on line 7a of the Form 55002012-01-0179
Total of all active and inactive participants2012-01-0179
2011: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2011 401k membership
Total participants, beginning-of-year2011-01-01137
Total number of active participants reported on line 7a of the Form 55002011-01-0183
Total of all active and inactive participants2011-01-0183
Total participants2011-01-0183
2010: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2010 401k membership
Total participants, beginning-of-year2010-01-01141
Total number of active participants reported on line 7a of the Form 55002010-01-01137
Total of all active and inactive participants2010-01-01137
2009: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2009 401k membership
Total participants, beginning-of-year2009-01-01142
Total number of active participants reported on line 7a of the Form 55002009-01-01141
Total of all active and inactive participants2009-01-01141

Financial Data on SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32

Measure Date Value
2022 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2022 401k financial data
Total plan liabilities at end of year2022-12-31$202,161
Total plan liabilities at beginning of year2022-12-31$137,281
Total income from all sources2022-12-31$82,973
Expenses. Total of all expenses incurred2022-12-31$484,237
Benefits paid (including direct rollovers)2022-12-31$448,002
Total plan assets at end of year2022-12-31$1,994,590
Total plan assets at beginning of year2022-12-31$2,330,974
Value of fidelity bond covering the plan2022-12-31$275,000
Total contributions received or receivable from participants2022-12-31$15,744
Expenses. Other expenses not covered elsewhere2022-12-31$2,985
Other income received2022-12-31$-246,891
Net income (gross income less expenses)2022-12-31$-401,264
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,792,429
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,193,693
Total contributions received or receivable from employer(s)2022-12-31$314,120
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$33,250
2021 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2021 401k financial data
Total plan liabilities at end of year2021-12-31$137,281
Total plan liabilities at beginning of year2021-12-31$70,830
Total income from all sources2021-12-31$575,120
Expenses. Total of all expenses incurred2021-12-31$361,341
Benefits paid (including direct rollovers)2021-12-31$325,260
Total plan assets at end of year2021-12-31$2,330,974
Total plan assets at beginning of year2021-12-31$2,050,744
Value of fidelity bond covering the plan2021-12-31$200,000
Total contributions received or receivable from participants2021-12-31$12,672
Expenses. Other expenses not covered elsewhere2021-12-31$2,768
Other income received2021-12-31$237,874
Net income (gross income less expenses)2021-12-31$213,779
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,193,693
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,979,914
Total contributions received or receivable from employer(s)2021-12-31$324,574
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$33,313
2020 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2020 401k financial data
Total plan liabilities at end of year2020-12-31$70,830
Total plan liabilities at beginning of year2020-12-31$124,945
Total income from all sources2020-12-31$528,788
Expenses. Total of all expenses incurred2020-12-31$234,791
Benefits paid (including direct rollovers)2020-12-31$203,485
Total plan assets at end of year2020-12-31$2,050,744
Total plan assets at beginning of year2020-12-31$1,810,862
Value of fidelity bond covering the plan2020-12-31$200,000
Total contributions received or receivable from participants2020-12-31$16,288
Expenses. Other expenses not covered elsewhere2020-12-31$2,669
Other income received2020-12-31$188,389
Net income (gross income less expenses)2020-12-31$293,997
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,979,914
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,685,917
Total contributions received or receivable from employer(s)2020-12-31$324,111
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$28,637
2019 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2019 401k financial data
Total plan liabilities at end of year2019-12-31$124,945
Total plan liabilities at beginning of year2019-12-31$164,055
Total income from all sources2019-12-31$591,810
Expenses. Total of all expenses incurred2019-12-31$348,298
Benefits paid (including direct rollovers)2019-12-31$320,127
Total plan assets at end of year2019-12-31$1,810,862
Total plan assets at beginning of year2019-12-31$1,606,460
Value of fidelity bond covering the plan2019-12-31$200,000
Total contributions received or receivable from participants2019-12-31$16,800
Expenses. Other expenses not covered elsewhere2019-12-31$4,120
Other income received2019-12-31$232,990
Net income (gross income less expenses)2019-12-31$243,512
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,685,917
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,442,405
Total contributions received or receivable from employer(s)2019-12-31$342,020
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$24,051
2018 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2018 401k financial data
Total plan liabilities at end of year2018-12-31$164,055
Total plan liabilities at beginning of year2018-12-31$66,965
Total income from all sources2018-12-31$286,550
Expenses. Total of all expenses incurred2018-12-31$422,630
Benefits paid (including direct rollovers)2018-12-31$394,430
Total plan assets at end of year2018-12-31$1,606,460
Total plan assets at beginning of year2018-12-31$1,645,450
Value of fidelity bond covering the plan2018-12-31$200,000
Total contributions received or receivable from participants2018-12-31$18,656
Expenses. Other expenses not covered elsewhere2018-12-31$3,749
Other income received2018-12-31$-88,926
Net income (gross income less expenses)2018-12-31$-136,080
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,442,405
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,578,485
Total contributions received or receivable from employer(s)2018-12-31$356,820
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$24,451
2017 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2017 401k financial data
Total plan liabilities at end of year2017-12-31$66,965
Total plan liabilities at beginning of year2017-12-31$33,410
Total income from all sources2017-12-31$441,269
Expenses. Total of all expenses incurred2017-12-31$214,006
Benefits paid (including direct rollovers)2017-12-31$182,717
Total plan assets at end of year2017-12-31$1,645,450
Total plan assets at beginning of year2017-12-31$1,384,632
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$19,200
Expenses. Other expenses not covered elsewhere2017-12-31$3,824
Other income received2017-12-31$153,881
Net income (gross income less expenses)2017-12-31$227,263
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,578,485
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,351,222
Total contributions received or receivable from employer(s)2017-12-31$268,188
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$27,465
2016 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2016 401k financial data
Total plan liabilities at end of year2016-12-31$33,410
Total plan liabilities at beginning of year2016-12-31$99,407
Total income from all sources2016-12-31$369,056
Expenses. Total of all expenses incurred2016-12-31$154,503
Benefits paid (including direct rollovers)2016-12-31$129,631
Total plan assets at end of year2016-12-31$1,384,632
Total plan assets at beginning of year2016-12-31$1,236,076
Value of fidelity bond covering the plan2016-12-31$200,000
Total contributions received or receivable from participants2016-12-31$19,968
Expenses. Other expenses not covered elsewhere2016-12-31$3,462
Other income received2016-12-31$74,869
Net income (gross income less expenses)2016-12-31$214,553
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,351,222
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,136,669
Total contributions received or receivable from employer(s)2016-12-31$274,219
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$21,410
2015 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2015 401k financial data
Total plan liabilities at end of year2015-12-31$99,407
Total plan liabilities at beginning of year2015-12-31$175,875
Total income from all sources2015-12-31$247,381
Expenses. Total of all expenses incurred2015-12-31$297,650
Benefits paid (including direct rollovers)2015-12-31$269,566
Total plan assets at end of year2015-12-31$1,236,076
Total plan assets at beginning of year2015-12-31$1,362,813
Value of fidelity bond covering the plan2015-12-31$200,000
Total contributions received or receivable from participants2015-12-31$18,976
Expenses. Other expenses not covered elsewhere2015-12-31$3,790
Other income received2015-12-31$-41,491
Net income (gross income less expenses)2015-12-31$-50,269
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,136,669
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,186,938
Total contributions received or receivable from employer(s)2015-12-31$269,896
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$24,294
2014 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2014 401k financial data
Total plan liabilities at end of year2014-12-31$175,875
Total plan liabilities at beginning of year2014-12-31$167,563
Total income from all sources2014-12-31$273,348
Expenses. Total of all expenses incurred2014-12-31$459,264
Benefits paid (including direct rollovers)2014-12-31$418,030
Total plan assets at end of year2014-12-31$1,362,813
Total plan assets at beginning of year2014-12-31$1,540,417
Value of fidelity bond covering the plan2014-12-31$220,000
Total contributions received or receivable from participants2014-12-31$20,736
Expenses. Other expenses not covered elsewhere2014-12-31$6,923
Other income received2014-12-31$-5,837
Net income (gross income less expenses)2014-12-31$-185,916
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,186,938
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,372,854
Total contributions received or receivable from employer(s)2014-12-31$258,449
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$34,311
2013 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2013 401k financial data
Total plan liabilities at end of year2013-12-31$167,563
Total plan liabilities at beginning of year2013-12-31$189,072
Total income from all sources2013-12-31$432,406
Expenses. Total of all expenses incurred2013-12-31$337,618
Benefits paid (including direct rollovers)2013-12-31$306,994
Total plan assets at end of year2013-12-31$1,540,417
Total plan assets at beginning of year2013-12-31$1,467,138
Value of fidelity bond covering the plan2013-12-31$220,000
Total contributions received or receivable from participants2013-12-31$23,616
Expenses. Other expenses not covered elsewhere2013-12-31$2,653
Other income received2013-12-31$146,951
Net income (gross income less expenses)2013-12-31$94,788
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,372,854
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,278,066
Total contributions received or receivable from employer(s)2013-12-31$261,839
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$27,971
2012 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$41,350
Total unrealized appreciation/depreciation of assets2012-12-31$41,350
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$189,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$152,155
Total income from all sources (including contributions)2012-12-31$365,932
Total loss/gain on sale of assets2012-12-31$4,893
Total of all expenses incurred2012-12-31$396,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$363,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$287,876
Value of total assets at end of year2012-12-31$1,467,138
Value of total assets at beginning of year2012-12-31$1,460,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$33,082
Total interest from all sources2012-12-31$16,034
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$15,779
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$21,308
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$220,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$20,768
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$5,612
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$4,709
Administrative expenses (other) incurred2012-12-31$3,900
Liabilities. Value of operating payables at end of year2012-12-31$287
Liabilities. Value of operating payables at beginning of year2012-12-31$525
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-30,179
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,278,066
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,308,245
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$7,874
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$295,380
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$208,400
Income. Interest from US Government securities2012-12-31$11,735
Income. Interest from corporate debt instruments2012-12-31$3,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$252,005
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$281,657
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$281,657
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$318
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$53,363
Asset value of US Government securities at end of year2012-12-31$286,753
Asset value of US Government securities at beginning of year2012-12-31$369,391
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$267,108
Employer contributions (assets) at end of year2012-12-31$21,230
Employer contributions (assets) at beginning of year2012-12-31$19,170
Income. Dividends from common stock2012-12-31$15,779
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$309,666
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$82,672
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$83,996
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$523,486
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$493,077
Liabilities. Value of benefit claims payable at end of year2012-12-31$188,785
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$151,630
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$213,000
Aggregate carrying amount (costs) on sale of assets2012-12-31$208,107
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31LEGACY PROFESSIONALS LLP
Accountancy firm EIN2012-12-31320043599
2011 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$14,522
Total unrealized appreciation/depreciation of assets2011-12-31$14,522
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$152,155
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$249,369
Total income from all sources (including contributions)2011-12-31$320,179
Total loss/gain on sale of assets2011-12-31$-15,993
Total of all expenses incurred2011-12-31$403,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$376,887
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$286,497
Value of total assets at end of year2011-12-31$1,460,400
Value of total assets at beginning of year2011-12-31$1,640,690
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$26,368
Total interest from all sources2011-12-31$21,278
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$13,875
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$14,097
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$220,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$20,975
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$4,709
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$5,307
Administrative expenses (other) incurred2011-12-31$4,001
Liabilities. Value of operating payables at end of year2011-12-31$525
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-83,076
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,308,245
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,391,321
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$8,270
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$208,400
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$0
Income. Interest from US Government securities2011-12-31$15,172
Income. Interest from corporate debt instruments2011-12-31$5,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$281,657
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$513,359
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$513,359
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$636
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$54,017
Asset value of US Government securities at end of year2011-12-31$369,391
Asset value of US Government securities at beginning of year2011-12-31$414,280
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$265,522
Employer contributions (assets) at end of year2011-12-31$19,170
Employer contributions (assets) at beginning of year2011-12-31$22,834
Income. Dividends from common stock2011-12-31$13,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$322,870
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$83,996
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$159,981
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$493,077
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$524,929
Liabilities. Value of benefit claims payable at end of year2011-12-31$151,630
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$249,369
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
Aggregate proceeds on sale of assets2011-12-31$334,539
Aggregate carrying amount (costs) on sale of assets2011-12-31$350,532
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31LEGACY PROFESSIONALS LLP
Accountancy firm EIN2011-12-31320043599
2010 : SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$77,683
Total unrealized appreciation/depreciation of assets2010-12-31$77,683
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$249,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$93,583
Total income from all sources (including contributions)2010-12-31$417,782
Total loss/gain on sale of assets2010-12-31$3,462
Total of all expenses incurred2010-12-31$593,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$569,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$297,605
Value of total assets at end of year2010-12-31$1,640,690
Value of total assets at beginning of year2010-12-31$1,660,726
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$23,901
Total interest from all sources2010-12-31$26,449
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$12,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$12,881
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$220,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$23,210
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$5,307
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$11,391
Administrative expenses (other) incurred2010-12-31$3,070
Liabilities. Value of operating payables at end of year2010-12-31$0
Liabilities. Value of operating payables at beginning of year2010-12-31$1,095
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-175,822
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,391,321
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,567,143
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$7,950
Income. Interest from US Government securities2010-12-31$16,423
Income. Interest from corporate debt instruments2010-12-31$7,383
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$513,359
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$440,608
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$440,608
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$2,643
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$45,897
Asset value of US Government securities at end of year2010-12-31$414,280
Asset value of US Government securities at beginning of year2010-12-31$580,109
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$274,395
Employer contributions (assets) at end of year2010-12-31$22,834
Employer contributions (assets) at beginning of year2010-12-31$22,574
Income. Dividends from common stock2010-12-31$12,583
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$523,806
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$159,981
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$180,323
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$524,929
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$425,721
Liabilities. Value of benefit claims payable at end of year2010-12-31$249,369
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$92,488
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$390,388
Aggregate carrying amount (costs) on sale of assets2010-12-31$386,926
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LEGACY PROFESSIONALS LLP
Accountancy firm EIN2010-12-31320043599

Form 5500 Responses for SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32

2022: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2022 form 5500 responses
2022-01-01Type of plan entityMulitple 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 planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2021 form 5500 responses
2021-01-01Type of plan entityMulitple 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 planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2020 form 5500 responses
2020-01-01Type of plan entityMulitple 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 – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2019 form 5500 responses
2019-01-01Type of plan entityMulitple 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 – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2018 form 5500 responses
2018-01-01Type of plan entityMulitple 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 – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2017 form 5500 responses
2017-01-01Type of plan entityMulitple 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2016 form 5500 responses
2016-01-01Type of plan entityMulitple 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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2015 form 5500 responses
2015-01-01Type of plan entityMulitple 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 – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2013 form 5500 responses
2013-01-01Type of plan entityMulitple 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 – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2011 form 5500 responses
2011-01-01Type of plan entityMulitple 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 – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
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: SEVERANCE PAY & SUPP LIFE INSURANCE PLAN OF TEAMSTERS JOINT COUNCIL NO 32 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
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

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered117
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $47,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered118
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $41,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered122
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $51,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered126
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $44,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered128
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered128
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $49,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered128
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered132
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
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
Welfare Benefit Premiums Paid to CarrierUSD $54,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered132
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
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
Welfare Benefit Premiums Paid to CarrierUSD $47,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334901
Policy instance 1
Insurance contract or identification number101334901
Number of Individuals Covered139
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
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
Welfare Benefit Premiums Paid to CarrierUSD $53,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number101334801
Policy instance 1
Insurance contract or identification number101334801
Number of Individuals Covered96
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $46,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number3348
Policy instance 1
Insurance contract or identification number3348
Number of Individuals Covered100
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
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
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $34,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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