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ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 401k Plan overview

Plan NameASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST
Plan identification number 501

ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST Benefits

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

401k Sponsoring company profile

SHEPHERD INSURANCE has sponsored the creation of one or more 401k plans.

Company Name:SHEPHERD INSURANCE
Employer identification number (EIN):467130790

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01STEPHEN P. CHURCH2018-07-23
5012015-12-01JAMES LAVELLE JR2017-06-30
5012014-12-01JAMES LAVELLE JR2017-05-24
5012014-01-01JAMES LAVELLE
5012014-01-01JAMES LAVELLE2017-05-24

Plan Statistics for ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST

401k plan membership statisitcs for ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST

Measure Date Value
2021: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2021 401k membership
Total participants, beginning-of-year2021-12-011,850
Total number of active participants reported on line 7a of the Form 55002021-12-011,070
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-011,070
2020: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2020 401k membership
Total participants, beginning-of-year2020-12-011,054
Total number of active participants reported on line 7a of the Form 55002020-12-011,850
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-011,850
2019: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2019 401k membership
Total participants, beginning-of-year2019-12-011,850
Total number of active participants reported on line 7a of the Form 55002019-12-011,054
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-011,054
2018: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2018 401k membership
Total participants, beginning-of-year2018-12-01846
Total number of active participants reported on line 7a of the Form 55002018-12-011,850
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-011,850
2017: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2017 401k membership
Total participants, beginning-of-year2017-12-01846
Total number of active participants reported on line 7a of the Form 55002017-12-01846
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01846
2016: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2016 401k membership
Total participants, beginning-of-year2016-12-01719
Total number of active participants reported on line 7a of the Form 55002016-12-01846
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01846
2015: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2015 401k membership
Total participants, beginning-of-year2015-12-01696
Total number of active participants reported on line 7a of the Form 55002015-12-01719
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01719
2014: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2014 401k membership
Total participants, beginning-of-year2014-12-01585
Total number of active participants reported on line 7a of the Form 55002014-12-01696
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01696
Total participants2014-12-01696
Total participants, beginning-of-year2014-01-01507
Total number of active participants reported on line 7a of the Form 55002014-01-01585
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 participants2014-01-01585
Total participants2014-01-01585

Financial Data on ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST

Measure Date Value
2022 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2022 401k financial data
Total transfer of assets to this plan2022-11-30$107,305
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$229,777
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$116,198
Total income from all sources (including contributions)2022-11-30$11,061,571
Total of all expenses incurred2022-11-30$11,070,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$10,798,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$11,061,571
Value of total assets at end of year2022-11-30$448,081
Value of total assets at beginning of year2022-11-30$236,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$272,315
Administrative expenses professional fees incurred2022-11-30$12,565
Was this plan covered by a fidelity bond2022-11-30Yes
Value of fidelity bond cover2022-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Contributions received from participants2022-11-30$11,011,499
Participant contributions at end of year2022-11-30$3,554
Participant contributions at beginning of year2022-11-30$6,907
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-11-30$1,143
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-11-30$466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-11-30$151,950
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-11-30$25,757
Administrative expenses (other) incurred2022-11-30$192,664
Liabilities. Value of operating payables at end of year2022-11-30$77,827
Liabilities. Value of operating payables at beginning of year2022-11-30$90,441
Total non interest bearing cash at end of year2022-11-30$430,739
Total non interest bearing cash at beginning of year2022-11-30$208,995
Value of net income/loss2022-11-30$-9,243
Value of net assets at end of year (total assets less liabilities)2022-11-30$218,304
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$120,242
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2022-11-30$10,798,499
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30No
Contributions received in cash from employer2022-11-30$50,072
Employer contributions (assets) at end of year2022-11-30$12,645
Employer contributions (assets) at beginning of year2022-11-30$20,072
Contract administrator fees2022-11-30$67,086
Did the plan have assets held for investment2022-11-30No
Opinion of an independent qualified public accountant for this plan2022-11-30Unqualified
Accountancy firm name2022-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2022-11-30205520612
2021 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$116,198
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$58,208
Total income from all sources (including contributions)2021-11-30$11,005,674
Total of all expenses incurred2021-11-30$11,031,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$10,743,439
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$11,005,674
Value of total assets at end of year2021-11-30$236,440
Value of total assets at beginning of year2021-11-30$203,835
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$287,620
Administrative expenses professional fees incurred2021-11-30$12,200
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$39,142
Participant contributions at end of year2021-11-30$6,907
Participant contributions at beginning of year2021-11-30$2,196
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-11-30$466
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-11-30$10,732
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-11-30$25,757
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-11-30$2,417
Administrative expenses (other) incurred2021-11-30$210,354
Liabilities. Value of operating payables at end of year2021-11-30$90,441
Liabilities. Value of operating payables at beginning of year2021-11-30$55,791
Total non interest bearing cash at end of year2021-11-30$208,995
Total non interest bearing cash at beginning of year2021-11-30$146,920
Value of net income/loss2021-11-30$-25,385
Value of net assets at end of year (total assets less liabilities)2021-11-30$120,242
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$145,627
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$10,743,439
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30No
Contributions received in cash from employer2021-11-30$10,966,532
Employer contributions (assets) at end of year2021-11-30$20,072
Employer contributions (assets) at beginning of year2021-11-30$43,987
Contract administrator fees2021-11-30$65,066
Did the plan have assets held for investment2021-11-30No
Opinion of an independent qualified public accountant for this plan2021-11-30Unqualified
Accountancy firm name2021-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2021-11-30205520612
2020 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$58,208
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$951,347
Total income from all sources (including contributions)2020-11-30$9,882,944
Total of all expenses incurred2020-11-30$9,832,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$9,634,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$9,882,944
Value of total assets at end of year2020-11-30$203,835
Value of total assets at beginning of year2020-11-30$1,046,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$198,161
Administrative expenses professional fees incurred2020-11-30$14,200
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Participant contributions at end of year2020-11-30$2,196
Participant contributions at beginning of year2020-11-30$5,541
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-11-30$10,732
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-11-30$23,144
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-11-30$2,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-11-30$120,246
Administrative expenses (other) incurred2020-11-30$123,755
Liabilities. Value of operating payables at end of year2020-11-30$55,791
Liabilities. Value of operating payables at beginning of year2020-11-30$831,101
Total non interest bearing cash at end of year2020-11-30$146,920
Total non interest bearing cash at beginning of year2020-11-30$975,788
Value of net income/loss2020-11-30$50,124
Value of net assets at end of year (total assets less liabilities)2020-11-30$145,627
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$95,503
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2020-11-30$9,634,659
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30No
Contributions received in cash from employer2020-11-30$9,882,944
Employer contributions (assets) at end of year2020-11-30$43,987
Employer contributions (assets) at beginning of year2020-11-30$42,377
Contract administrator fees2020-11-30$60,206
Did the plan have assets held for investment2020-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-11-30No
Opinion of an independent qualified public accountant for this plan2020-11-30Unqualified
Accountancy firm name2020-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2020-11-30205520612
2019 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$951,347
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$240,697
Total income from all sources (including contributions)2019-11-30$9,506,301
Total of all expenses incurred2019-11-30$9,502,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$9,309,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$9,506,301
Value of total assets at end of year2019-11-30$1,046,850
Value of total assets at beginning of year2019-11-30$332,589
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$193,684
Administrative expenses professional fees incurred2019-11-30$11,200
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Participant contributions at end of year2019-11-30$5,541
Participant contributions at beginning of year2019-11-30$4,074
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-11-30$23,144
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-11-30$815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-11-30$120,246
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-11-30$164,445
Administrative expenses (other) incurred2019-11-30$119,946
Liabilities. Value of operating payables at end of year2019-11-30$831,101
Liabilities. Value of operating payables at beginning of year2019-11-30$76,252
Total non interest bearing cash at end of year2019-11-30$975,788
Total non interest bearing cash at beginning of year2019-11-30$303,504
Value of net income/loss2019-11-30$3,611
Value of net assets at end of year (total assets less liabilities)2019-11-30$95,503
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$91,892
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2019-11-30$9,309,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Contributions received in cash from employer2019-11-30$9,506,301
Employer contributions (assets) at end of year2019-11-30$42,377
Employer contributions (assets) at beginning of year2019-11-30$24,196
Contract administrator fees2019-11-30$62,538
Did the plan have assets held for investment2019-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30No
Opinion of an independent qualified public accountant for this plan2019-11-30Unqualified
Accountancy firm name2019-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2019-11-30205520612
2018 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$240,697
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$77,335
Total income from all sources (including contributions)2018-11-30$10,667,225
Total of all expenses incurred2018-11-30$10,650,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$10,441,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$10,667,225
Value of total assets at end of year2018-11-30$332,589
Value of total assets at beginning of year2018-11-30$152,871
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$209,104
Administrative expenses professional fees incurred2018-11-30$11,200
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Participant contributions at end of year2018-11-30$4,074
Participant contributions at beginning of year2018-11-30$2,342
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-11-30$815
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-11-30$4,550
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-11-30$164,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-11-30$34,918
Administrative expenses (other) incurred2018-11-30$128,238
Liabilities. Value of operating payables at end of year2018-11-30$76,252
Liabilities. Value of operating payables at beginning of year2018-11-30$42,417
Total non interest bearing cash at end of year2018-11-30$303,504
Total non interest bearing cash at beginning of year2018-11-30$112,585
Value of net income/loss2018-11-30$16,356
Value of net assets at end of year (total assets less liabilities)2018-11-30$91,892
Value of net assets at beginning of year (total assets less liabilities)2018-11-30$75,536
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2018-11-30$10,441,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30No
Contributions received in cash from employer2018-11-30$10,667,225
Employer contributions (assets) at end of year2018-11-30$24,196
Employer contributions (assets) at beginning of year2018-11-30$33,394
Contract administrator fees2018-11-30$69,666
Did the plan have assets held for investment2018-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30No
Opinion of an independent qualified public accountant for this plan2018-11-30Unqualified
Accountancy firm name2018-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2018-11-30205520612
2017 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$77,335
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$181,224
Total income from all sources (including contributions)2017-11-30$8,095,335
Total of all expenses incurred2017-11-30$8,078,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$7,911,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$8,095,060
Value of total assets at end of year2017-11-30$152,871
Value of total assets at beginning of year2017-11-30$240,415
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$167,081
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Administrative expenses professional fees incurred2017-11-30$15,257
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$500,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Participant contributions at end of year2017-11-30$2,342
Participant contributions at beginning of year2017-11-30$2,369
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-11-30$4,550
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-11-30$31,986
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-11-30$34,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-11-30$164,261
Other income not declared elsewhere2017-11-30$275
Administrative expenses (other) incurred2017-11-30$91,069
Liabilities. Value of operating payables at end of year2017-11-30$42,417
Liabilities. Value of operating payables at beginning of year2017-11-30$16,963
Total non interest bearing cash at end of year2017-11-30$112,585
Total non interest bearing cash at beginning of year2017-11-30$196,756
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$16,345
Value of net assets at end of year (total assets less liabilities)2017-11-30$75,536
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$59,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$7,911,909
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$8,095,060
Employer contributions (assets) at end of year2017-11-30$33,394
Employer contributions (assets) at beginning of year2017-11-30$9,304
Contract administrator fees2017-11-30$60,755
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-11-30No
Did the plan have assets held for investment2017-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2017-11-30205520612
2016 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$181,224
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$197,275
Total income from all sources (including contributions)2016-11-30$6,444,035
Total of all expenses incurred2016-11-30$6,435,389
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$6,285,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$6,444,023
Value of total assets at end of year2016-11-30$240,415
Value of total assets at beginning of year2016-11-30$247,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$149,909
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Administrative expenses professional fees incurred2016-11-30$9,303
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$100,000
If this is an individual account plan, was there a blackout period2016-11-30No
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Participant contributions at end of year2016-11-30$2,369
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-11-30$31,986
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-11-30$33,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-11-30$164,261
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-11-30$103,570
Other income not declared elsewhere2016-11-30$12
Administrative expenses (other) incurred2016-11-30$87,525
Liabilities. Value of operating payables at end of year2016-11-30$16,963
Liabilities. Value of operating payables at beginning of year2016-11-30$2,420
Total non interest bearing cash at end of year2016-11-30$196,756
Total non interest bearing cash at beginning of year2016-11-30$123,114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$8,646
Value of net assets at end of year (total assets less liabilities)2016-11-30$59,191
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$50,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$6,285,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$6,444,023
Employer contributions (assets) at end of year2016-11-30$9,304
Employer contributions (assets) at beginning of year2016-11-30$91,582
Contract administrator fees2016-11-30$53,081
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-11-30No
Liabilities. Value of benefit claims payable at beginning of year2016-11-30$91,285
Did the plan have assets held for investment2016-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30L.M. HENDERSON & COMPANY, LLP
Accountancy firm EIN2016-11-30205520612
2015 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$197,275
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$77,143
Total income from all sources (including contributions)2015-11-30$5,982,490
Total of all expenses incurred2015-11-30$5,941,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$5,791,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$5,982,490
Value of total assets at end of year2015-11-30$247,820
Value of total assets at beginning of year2015-11-30$86,632
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-11-30$149,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Administrative expenses professional fees incurred2015-11-30$6,423
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$100,000
If this is an individual account plan, was there a blackout period2015-11-30No
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-11-30$33,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-11-30$103,570
Administrative expenses (other) incurred2015-11-30$56,151
Liabilities. Value of operating payables at end of year2015-11-30$2,420
Total non interest bearing cash at end of year2015-11-30$123,114
Total non interest bearing cash at beginning of year2015-11-30$84,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net income/loss2015-11-30$41,056
Value of net assets at end of year (total assets less liabilities)2015-11-30$50,545
Value of net assets at beginning of year (total assets less liabilities)2015-11-30$9,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Expenses. Payments to insurance carriers foe the provision of benefits2015-11-30$5,791,604
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30No
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$5,982,490
Employer contributions (assets) at end of year2015-11-30$91,582
Employer contributions (assets) at beginning of year2015-11-30$2,562
Contract administrator fees2015-11-30$87,256
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-11-30No
Liabilities. Value of benefit claims payable at end of year2015-11-30$91,285
Liabilities. Value of benefit claims payable at beginning of year2015-11-30$77,143
Did the plan have assets held for investment2015-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30No
Opinion of an independent qualified public accountant for this plan2015-11-30Unqualified
Accountancy firm name2015-11-30HIRTH NORRIS AND GARRISON
Accountancy firm EIN2015-11-30311158488
2014 : ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$77,143
Total income from all sources (including contributions)2014-11-30$2,476,735
Total of all expenses incurred2014-11-30$2,467,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$2,423,068
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$2,476,735
Value of total assets at end of year2014-11-30$86,632
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-11-30$44,178
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$100,000
If this is an individual account plan, was there a blackout period2014-11-30No
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Administrative expenses (other) incurred2014-11-30$13,142
Total non interest bearing cash at end of year2014-11-30$84,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$9,489
Value of net assets at end of year (total assets less liabilities)2014-11-30$9,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30No
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$2,476,735
Employer contributions (assets) at end of year2014-11-30$2,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$2,423,068
Contract administrator fees2014-11-30$31,036
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-11-30No
Liabilities. Value of benefit claims payable at end of year2014-11-30$77,143
Did the plan have assets held for investment2014-11-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30No
Opinion of an independent qualified public accountant for this plan2014-11-30Unqualified
Accountancy firm name2014-11-30HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2014-11-30311158488

Form 5500 Responses for ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST

2021: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2021 form 5500 responses
2021-12-01Type of plan entityDFE (Diect Filing Entity)
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan benefit arrangement – InsuranceYes
2020: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2020 form 5500 responses
2020-12-01Type of plan entityDFE (Diect Filing Entity)
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2019 form 5500 responses
2019-12-01Type of plan entityDFE (Diect Filing Entity)
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2018 form 5500 responses
2018-12-01Type of plan entityDFE (Diect Filing Entity)
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2017 form 5500 responses
2017-12-01Type of plan entityDFE (Diect Filing Entity)
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2016 form 5500 responses
2016-12-01Type of plan entityDFE (Diect Filing Entity)
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2015 form 5500 responses
2015-12-01Type of plan entityDFE (Diect Filing Entity)
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes
2014: ASSOCIATION HEALTH AND WELFARE VEBA MASTER TRUST 2014 form 5500 responses
2014-12-01Type of plan entityDFE (Diect Filing Entity)
2014-12-01Submission has been amendedYes
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-01-01Type of plan entityDFE (Diect Filing Entity)
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedYes
2014-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number1007143
Policy instance 1
Insurance contract or identification number1007143
Number of Individuals Covered1709
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $325,850
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,573,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $322,177
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number244093
Policy instance 2
Insurance contract or identification number244093
Number of Individuals Covered8
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number1007143
Policy instance 1
Insurance contract or identification number1007143
Number of Individuals Covered1955
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $317,767
Total amount of fees paid to insurance companyUSD $230
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,742,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $177,805
Insurance broker organization code?3
Amount paid for insurance broker fees230
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number1007143
Policy instance 3
Insurance contract or identification number1007143
Number of Individuals Covered1666
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $29,700
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $-31,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number1007143
Policy instance 2
Insurance contract or identification number1007143
Number of Individuals Covered1947
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $273,182
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,842,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00005752
Policy instance 1
Insurance contract or identification numberAL00005752
Number of Individuals Covered599
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $2,858
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006046
Policy instance 2
Insurance contract or identification numberAL00006046
Number of Individuals Covered233
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,882
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,310
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00005752
Policy instance 3
Insurance contract or identification numberAL00005752
Number of Individuals Covered646
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $2,158
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,547
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00244093
Policy instance 1
Insurance contract or identification number00244093
Number of Individuals Covered263
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $40,872
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,325,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,787
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number2744062
Policy instance 5
Insurance contract or identification number2744062
Number of Individuals Covered166
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $9,759
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $97,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00005752
Policy instance 4
Insurance contract or identification numberAL00005752
Number of Individuals Covered795
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,719
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberAL00006046
Policy instance 3
Insurance contract or identification numberAL00006046
Number of Individuals Covered182
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,982
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number1007143
Policy instance 2
Insurance contract or identification number1007143
Number of Individuals Covered1989
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $320,920
Total amount of fees paid to insurance companyUSD $73
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,301,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number00244093
Policy instance 1
Insurance contract or identification number00244093
Number of Individuals Covered280
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $40,878
Total amount of fees paid to insurance companyUSD $37
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,204,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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