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GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameGRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN
Plan identification number 501

GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

GRAPHIC COMMUNICATIONS CONFERENCE OF THE INTERNATIONAL BROTHERHOOD has sponsored the creation of one or more 401k plans.

Company Name:GRAPHIC COMMUNICATIONS CONFERENCE OF THE INTERNATIONAL BROTHERHOOD
Employer identification number (EIN):431499628
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01DAVID PHILLIPS DAVID PHILLIPS2018-07-02
5012016-01-01DAVID PHILLIPS DAVID PHILLIPS2017-10-11
5012015-01-01JOSEPH LOWRY JOSEPH LOWRY2016-06-20
5012014-01-01JOSEPH LOWRY JOSEPH LOWRY2015-07-10
5012013-01-01JOSEPH LOWRY JOSEPH LOWRY2014-08-03
5012012-01-01JOE LOWRY JOE LOWRY2013-09-29
5012011-01-01JOE LOWRY JOE LOWRY2012-09-24
5012010-01-01JOE LOWRY, PLAN ADMINISTRATOR
5012009-01-01JOE LOWRY, PLAN ADMINISTRATOR

Plan Statistics for GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN

Measure Date Value
2021: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01228
Total number of active participants reported on line 7a of the Form 55002021-01-01189
Number of retired or separated participants receiving benefits2021-01-019
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01198
Number of employers contributing to the scheme2021-01-014
2020: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01184
Total number of active participants reported on line 7a of the Form 55002020-01-01219
Number of retired or separated participants receiving benefits2020-01-019
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01228
Number of employers contributing to the scheme2020-01-014
2019: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01186
Total number of active participants reported on line 7a of the Form 55002019-01-01175
Number of retired or separated participants receiving benefits2019-01-019
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01184
Number of employers contributing to the scheme2019-01-014
2018: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01179
Total number of active participants reported on line 7a of the Form 55002018-01-01179
Number of retired or separated participants receiving benefits2018-01-017
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01186
2017: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01180
Total number of active participants reported on line 7a of the Form 55002017-01-01165
Number of retired or separated participants receiving benefits2017-01-0114
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01179
2016: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01193
Total number of active participants reported on line 7a of the Form 55002016-01-01180
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01180
2015: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01185
Total number of active participants reported on line 7a of the Form 55002015-01-01193
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01193
2014: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01195
Total number of active participants reported on line 7a of the Form 55002014-01-01185
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01185
2013: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01196
Total number of active participants reported on line 7a of the Form 55002013-01-01195
Total of all active and inactive participants2013-01-01195
2012: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01277
Total number of active participants reported on line 7a of the Form 55002012-01-01196
Total of all active and inactive participants2012-01-01196
2011: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01277
Total number of active participants reported on line 7a of the Form 55002011-01-01277
Total of all active and inactive participants2011-01-01277
2010: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01318
Total number of active participants reported on line 7a of the Form 55002010-01-01277
Total of all active and inactive participants2010-01-01277
2009: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01324
Total number of active participants reported on line 7a of the Form 55002009-01-01318
Total of all active and inactive participants2009-01-01318

Financial Data on GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN

Measure Date Value
2021 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$56,010
Total unrealized appreciation/depreciation of assets2021-12-31$56,010
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$273,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$23,072
Total income from all sources (including contributions)2021-12-31$3,268,280
Total of all expenses incurred2021-12-31$3,260,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,165,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,177,598
Value of total assets at end of year2021-12-31$2,815,014
Value of total assets at beginning of year2021-12-31$2,556,636
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$94,142
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$34,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$34,672
Administrative expenses professional fees incurred2021-12-31$13,563
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$7,742
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,346
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2,346
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$270,936
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$20,892
Administrative expenses (other) incurred2021-12-31$72,179
Liabilities. Value of operating payables at end of year2021-12-31$2,282
Liabilities. Value of operating payables at beginning of year2021-12-31$2,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$8,232
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,541,796
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,533,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$499,443
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$408,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,313,225
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$2,144,036
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$2,144,036
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$3,034,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,169,856
Employer contributions (assets) at beginning of year2021-12-31$1,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$131,032
Contract administrator fees2021-12-31$8,400
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK BIRKS, PC
Accountancy firm EIN2021-12-31431122456
2020 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$57,372
Total unrealized appreciation/depreciation of assets2020-12-31$57,372
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$23,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$128,838
Total income from all sources (including contributions)2020-12-31$3,224,144
Total of all expenses incurred2020-12-31$2,833,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,735,778
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,144,153
Value of total assets at end of year2020-12-31$2,556,636
Value of total assets at beginning of year2020-12-31$2,271,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$97,343
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$22,619
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$22,619
Administrative expenses professional fees incurred2020-12-31$16,920
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$3,873
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2,346
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$5,076
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$20,892
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$126,780
Administrative expenses (other) incurred2020-12-31$72,423
Liabilities. Value of operating payables at end of year2020-12-31$2,180
Liabilities. Value of operating payables at beginning of year2020-12-31$2,058
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$391,023
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,533,564
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,142,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$408,942
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$332,924
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$2,144,036
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,925,657
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,925,657
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,635,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,140,280
Employer contributions (assets) at end of year2020-12-31$1,312
Employer contributions (assets) at beginning of year2020-12-31$7,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$100,403
Contract administrator fees2020-12-31$8,000
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31NOVAK BIRKS, PC
Accountancy firm EIN2020-12-31431122456
2019 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$72,007
Total unrealized appreciation/depreciation of assets2019-12-31$72,007
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$128,838
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,883
Total income from all sources (including contributions)2019-12-31$2,954,378
Total of all expenses incurred2019-12-31$2,672,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,581,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,850,689
Value of total assets at end of year2019-12-31$2,271,379
Value of total assets at beginning of year2019-12-31$1,862,120
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$90,872
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$31,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$31,682
Administrative expenses professional fees incurred2019-12-31$9,501
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$12,854
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$5,076
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,334
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$126,780
Administrative expenses (other) incurred2019-12-31$74,171
Liabilities. Value of operating payables at end of year2019-12-31$2,058
Liabilities. Value of operating payables at beginning of year2019-12-31$1,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$282,304
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,142,541
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,860,237
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$332,924
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$254,110
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,925,657
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,596,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,596,618
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,468,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,837,835
Employer contributions (assets) at end of year2019-12-31$7,722
Employer contributions (assets) at beginning of year2019-12-31$9,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$112,787
Contract administrator fees2019-12-31$7,200
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NOVAK BIRKS, PC
Accountancy firm EIN2019-12-31431122456
2018 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-27,167
Total unrealized appreciation/depreciation of assets2018-12-31$-27,167
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,883
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$10,722
Total income from all sources (including contributions)2018-12-31$2,841,301
Total of all expenses incurred2018-12-31$2,372,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,283,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,818,425
Value of total assets at end of year2018-12-31$1,862,120
Value of total assets at beginning of year2018-12-31$1,402,171
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$88,651
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$50,043
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$50,043
Administrative expenses professional fees incurred2018-12-31$9,503
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$28,209
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2,334
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$3,615
Administrative expenses (other) incurred2018-12-31$71,948
Liabilities. Value of operating payables at end of year2018-12-31$1,883
Liabilities. Value of operating payables at beginning of year2018-12-31$10,722
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$468,788
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,860,237
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,391,449
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$254,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$247,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,596,618
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,151,065
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,151,065
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,216,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,790,216
Employer contributions (assets) at end of year2018-12-31$9,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$67,210
Contract administrator fees2018-12-31$7,200
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31NOVAK BIRKS, PC
Accountancy firm EIN2018-12-31431122456
2017 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$40,082
Total unrealized appreciation/depreciation of assets2017-12-31$40,082
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,722
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,052
Total income from all sources (including contributions)2017-12-31$2,588,106
Total of all expenses incurred2017-12-31$2,516,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,432,813
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,531,939
Value of total assets at end of year2017-12-31$1,402,171
Value of total assets at beginning of year2017-12-31$1,321,811
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$83,603
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$16,085
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$16,085
Administrative expenses professional fees incurred2017-12-31$8,502
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$20,441
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$3,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$3,533
Administrative expenses (other) incurred2017-12-31$67,901
Liabilities. Value of operating payables at end of year2017-12-31$10,722
Liabilities. Value of operating payables at beginning of year2017-12-31$2,052
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$71,690
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,391,449
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,319,759
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$247,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$195,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,151,065
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,120,954
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,120,954
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,352,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,511,498
Employer contributions (assets) at beginning of year2017-12-31$2,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$79,871
Contract administrator fees2017-12-31$7,200
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31NOVAK BIRKS, PC
Accountancy firm EIN2017-12-31431122456
2016 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$18,971
Total unrealized appreciation/depreciation of assets2016-12-31$18,971
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,052
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$356,518
Total income from all sources (including contributions)2016-12-31$2,401,685
Total of all expenses incurred2016-12-31$2,330,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,245,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,378,021
Value of total assets at end of year2016-12-31$1,321,811
Value of total assets at beginning of year2016-12-31$1,605,102
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$84,879
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$4,693
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$4,693
Administrative expenses professional fees incurred2016-12-31$8,500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$13,821
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$3,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$3,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$354,473
Administrative expenses (other) incurred2016-12-31$69,179
Liabilities. Value of operating payables at end of year2016-12-31$2,052
Liabilities. Value of operating payables at beginning of year2016-12-31$2,045
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$71,175
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,319,759
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,248,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$195,074
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$172,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,120,954
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,419,690
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,419,690
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,151,428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,364,200
Employer contributions (assets) at end of year2016-12-31$2,250
Employer contributions (assets) at beginning of year2016-12-31$9,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$94,203
Contract administrator fees2016-12-31$7,200
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31NOVAK BIRKS, PC
Accountancy firm EIN2016-12-31431122456
2015 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-11,436
Total unrealized appreciation/depreciation of assets2015-12-31$-11,436
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$356,518
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$202,129
Total income from all sources (including contributions)2015-12-31$2,298,576
Total of all expenses incurred2015-12-31$2,311,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,229,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,309,903
Value of total assets at end of year2015-12-31$1,605,102
Value of total assets at beginning of year2015-12-31$1,464,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$82,321
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$109
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$109
Administrative expenses professional fees incurred2015-12-31$8,500
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$30,843
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$3,434
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$354,473
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$200,631
Administrative expenses (other) incurred2015-12-31$66,621
Liabilities. Value of operating payables at end of year2015-12-31$2,045
Liabilities. Value of operating payables at beginning of year2015-12-31$1,498
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-13,380
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,248,584
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,261,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$172,618
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$184,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,419,690
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,257,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,257,538
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,113,567
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,279,060
Employer contributions (assets) at end of year2015-12-31$9,360
Employer contributions (assets) at beginning of year2015-12-31$19,280
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$116,068
Contract administrator fees2015-12-31$7,200
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31NOVAK BIRKS, PC
Accountancy firm EIN2015-12-31431122456
2014 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$26,438
Total unrealized appreciation/depreciation of assets2014-12-31$26,438
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$202,129
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$293,575
Total income from all sources (including contributions)2014-12-31$2,160,027
Total of all expenses incurred2014-12-31$2,169,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,094,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,131,624
Value of total assets at end of year2014-12-31$1,464,093
Value of total assets at beginning of year2014-12-31$1,565,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$75,867
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,965
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,965
Administrative expenses professional fees incurred2014-12-31$8,500
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$44,714
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3,221
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$200,631
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$291,838
Administrative expenses (other) incurred2014-12-31$60,167
Liabilities. Value of operating payables at end of year2014-12-31$1,498
Liabilities. Value of operating payables at beginning of year2014-12-31$1,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-9,851
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,261,964
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,271,815
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$184,054
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$155,746
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,257,538
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,370,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,370,632
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,987,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,086,910
Employer contributions (assets) at end of year2014-12-31$19,280
Employer contributions (assets) at beginning of year2014-12-31$35,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$106,179
Contract administrator fees2014-12-31$7,200
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31NOVAK BIRKS, PC
Accountancy firm EIN2014-12-31431122456
2013 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$26,397
Total unrealized appreciation/depreciation of assets2013-12-31$26,397
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$293,575
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$277,572
Total income from all sources (including contributions)2013-12-31$1,916,892
Total of all expenses incurred2013-12-31$1,979,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,898,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,887,682
Value of total assets at end of year2013-12-31$1,565,390
Value of total assets at beginning of year2013-12-31$1,612,034
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$80,645
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$2,813
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$2,813
Administrative expenses professional fees incurred2013-12-31$11,087
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$69,937
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,088
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$3,053
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$291,838
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$275,434
Administrative expenses (other) incurred2013-12-31$62,358
Liabilities. Value of operating payables at end of year2013-12-31$1,737
Liabilities. Value of operating payables at beginning of year2013-12-31$2,138
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-62,647
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,271,815
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,334,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$155,746
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$126,646
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,370,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,464,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,464,623
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,772,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,817,745
Employer contributions (assets) at end of year2013-12-31$35,924
Employer contributions (assets) at beginning of year2013-12-31$17,712
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$126,536
Contract administrator fees2013-12-31$7,200
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31NOVAK BIRKS, PC
Accountancy firm EIN2013-12-31431122456
2012 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$8,716
Total unrealized appreciation/depreciation of assets2012-12-31$8,716
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$277,572
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$278,038
Total income from all sources (including contributions)2012-12-31$1,779,531
Total of all expenses incurred2012-12-31$1,886,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,808,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,768,762
Value of total assets at end of year2012-12-31$1,612,034
Value of total assets at beginning of year2012-12-31$1,719,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$77,651
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$2,053
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$2,053
Administrative expenses professional fees incurred2012-12-31$14,580
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
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$55,730
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$3,053
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$3,202
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$275,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$275,822
Administrative expenses (other) incurred2012-12-31$55,871
Liabilities. Value of operating payables at end of year2012-12-31$2,138
Liabilities. Value of operating payables at beginning of year2012-12-31$2,216
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-106,972
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,334,462
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,441,434
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$126,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$115,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,464,623
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,592,541
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,592,541
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,678,986
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
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$1,713,032
Employer contributions (assets) at end of year2012-12-31$17,712
Employer contributions (assets) at beginning of year2012-12-31$7,733
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$129,866
Contract administrator fees2012-12-31$7,200
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
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 name2012-12-31NOVAK BIRKS, PC
Accountancy firm EIN2012-12-31431122456
2011 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$4,959
Total unrealized appreciation/depreciation of assets2011-12-31$4,959
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$278,038
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$183,797
Total income from all sources (including contributions)2011-12-31$1,893,955
Total of all expenses incurred2011-12-31$2,024,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,941,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,880,290
Value of total assets at end of year2011-12-31$1,719,472
Value of total assets at beginning of year2011-12-31$1,756,218
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$82,975
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,831
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$19,592
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
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$102,453
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$3,202
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$4,370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$275,822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$183,127
Other income not declared elsewhere2011-12-31$6,875
Administrative expenses (other) incurred2011-12-31$56,183
Liabilities. Value of operating payables at end of year2011-12-31$2,216
Liabilities. Value of operating payables at beginning of year2011-12-31$670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-130,987
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,441,434
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,572,421
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$115,996
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$109,333
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,592,541
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,612,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,612,292
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,815,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$1,777,837
Employer contributions (assets) at end of year2011-12-31$7,733
Employer contributions (assets) at beginning of year2011-12-31$30,223
Income. Dividends from common stock2011-12-31$1,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$126,104
Contract administrator fees2011-12-31$7,200
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31NOVAK BIRKS, PC
Accountancy firm EIN2011-12-31431122456
2010 : GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$12,545
Total unrealized appreciation/depreciation of assets2010-12-31$12,545
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$183,797
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$344,169
Total income from all sources (including contributions)2010-12-31$2,285,988
Total of all expenses incurred2010-12-31$2,324,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,252,192
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,257,461
Value of total assets at end of year2010-12-31$1,756,218
Value of total assets at beginning of year2010-12-31$1,954,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$71,900
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$1,826
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$8,774
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
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$77,031
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$4,370
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$5,327
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$183,127
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$343,524
Other income not declared elsewhere2010-12-31$14,156
Administrative expenses (other) incurred2010-12-31$55,926
Liabilities. Value of operating payables at end of year2010-12-31$670
Liabilities. Value of operating payables at beginning of year2010-12-31$645
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-38,104
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,572,421
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,610,525
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$109,333
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$95,099
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,612,292
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,817,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,817,417
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,080,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$2,180,430
Employer contributions (assets) at end of year2010-12-31$30,223
Employer contributions (assets) at beginning of year2010-12-31$36,851
Income. Dividends from common stock2010-12-31$1,826
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$171,230
Contract administrator fees2010-12-31$7,200
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31NOVAK BIRKS, PC
Accountancy firm EIN2010-12-31431122456

Form 5500 Responses for GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN

2021: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 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 – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GRAPHIC COMMUNICATIONS UNION LOCALS 16-C AND 235-M AND EMPLOYERS HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number20010051
Policy instance 3
Insurance contract or identification number20010051
Number of Individuals Covered440
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,623
Total amount of fees paid to insurance companyUSD $90
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,623
Amount paid for insurance broker fees90
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered193
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $587
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $367
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered477
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $31,008
Total amount of fees paid to insurance companyUSD $89,878
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,008
Amount paid for insurance broker fees89878
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered510
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $37,456
Total amount of fees paid to insurance companyUSD $24,460
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,456
Amount paid for insurance broker fees24460
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered219
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $584
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $365
Insurance broker organization code?3
ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )
Policy contract number20010051
Policy instance 3
Insurance contract or identification number20010051
Number of Individuals Covered514
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,117
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,117
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered180
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $523
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $327
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered422
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $34,805
Total amount of fees paid to insurance companyUSD $22,240
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,805
Amount paid for insurance broker fees22240
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered205
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $520
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $325
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered437
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $34,698
Total amount of fees paid to insurance companyUSD $21,990
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,698
Amount paid for insurance broker fees21990
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered166
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $490
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $306
Insurance broker organization code?3
Insurance broker nameBLUE CROSS BLUE SHIELD OF KC
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered425
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $33,606
Total amount of fees paid to insurance companyUSD $24,464
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,606
Amount paid for insurance broker fees24464
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
Insurance broker nameMARSH AND MCLENNAN
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered191
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $529
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $331
Insurance broker organization code?3
Insurance broker nameBLUE CROSS BLUE SHIELD OF KC
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered514
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $28,592
Total amount of fees paid to insurance companyUSD $26,485
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,592
Amount paid for insurance broker fees26485
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
Insurance broker nameMARSH AND MCLENNAN
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered185
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $458
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $286
Insurance broker organization code?3
Insurance broker nameBLUE CROSS BLUE SHIELD OF KC
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered510
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $26,400
Total amount of fees paid to insurance companyUSD $26,731
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,400
Amount paid for insurance broker fees26731
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
Insurance broker nameMARSH AND MCLENNAN
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered533
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $26,400
Total amount of fees paid to insurance companyUSD $31,552
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,400
Amount paid for insurance broker fees31552
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
Insurance broker nameHAAKE COMPANIES
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered187
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $465
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $290
Insurance broker organization code?3
Insurance broker nameBLUE CROSS BLUE SHIELD OF KC
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered193
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $488
Total amount of fees paid to insurance companyUSD $61
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $305
Insurance broker organization code?3
Amount paid for insurance broker fees61
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker nameBLUE CROSS BLUE SHIELD OF KANSAS CI
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered553
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $26,400
Total amount of fees paid to insurance companyUSD $30,116
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,400
Amount paid for insurance broker fees30116
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker organization code?3
Insurance broker nameHAAKE COMPANIES
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number29689000
Policy instance 1
Insurance contract or identification number29689000
Number of Individuals Covered588
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,400
Total amount of fees paid to insurance companyUSD $32,995
Health Insurance Welfare BenefitYes
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 number50002238
Policy instance 2
Insurance contract or identification number50002238
Number of Individuals Covered260
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $539
Total amount of fees paid to insurance companyUSD $67
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )
Policy contract number
Policy instance 1
Number of Individuals Covered740
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $27,490
Total amount of fees paid to insurance companyUSD $40,468
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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