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PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 401k Plan overview

Plan NamePAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN
Plan identification number 501

PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN JOINT BRD OF TRUSTEES has sponsored the creation of one or more 401k plans.

Company Name:PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN JOINT BRD OF TRUSTEES
Employer identification number (EIN):470738490
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-09-01MIKE ANDERSEN2024-01-24
5012021-09-01MIKE ANDERSEN2023-01-30
5012020-09-01MIKE ANDERSEN2022-01-26
5012019-09-01DAVID BOULAY2021-01-27
5012018-09-01DAVID BOULAY2020-01-30
5012018-09-01DAVID BOULAY2020-02-27
5012017-09-01
5012016-09-01
5012015-09-01
5012014-09-01
5012013-09-01DAVID BOULAY
5012012-09-01DAVID BOULAY
5012011-09-01DAVID BOULAY
5012009-09-01DAVID BOULAY
5012009-09-01DAVID BOULAY

Plan Statistics for PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN

401k plan membership statisitcs for PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN

Measure Date Value
2022: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-0198
Total number of active participants reported on line 7a of the Form 55002022-09-01100
Total of all active and inactive participants2022-09-01100
Total participants2022-09-01100
Number of employers contributing to the scheme2022-09-018
2021: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-0194
Total number of active participants reported on line 7a of the Form 55002021-09-0198
Total of all active and inactive participants2021-09-0198
Total participants2021-09-0198
Number of employers contributing to the scheme2021-09-018
2020: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-0192
Total number of active participants reported on line 7a of the Form 55002020-09-0194
Total of all active and inactive participants2020-09-0194
Total participants2020-09-0194
Number of employers contributing to the scheme2020-09-0112
2019: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-0198
Total number of active participants reported on line 7a of the Form 55002019-09-0192
Total of all active and inactive participants2019-09-0192
Total participants2019-09-0192
Number of employers contributing to the scheme2019-09-0110
2018: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-0182
Total number of active participants reported on line 7a of the Form 55002018-09-0192
Number of retired or separated participants receiving benefits2018-09-016
Total of all active and inactive participants2018-09-0198
Total participants2018-09-0198
Number of employers contributing to the scheme2018-09-0110
2017: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-0182
Total number of active participants reported on line 7a of the Form 55002017-09-0175
Number of retired or separated participants receiving benefits2017-09-017
Total of all active and inactive participants2017-09-0182
Total participants2017-09-0182
Number of employers contributing to the scheme2017-09-0111
2016: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-0175
Total number of active participants reported on line 7a of the Form 55002016-09-0181
Number of retired or separated participants receiving benefits2016-09-011
Total of all active and inactive participants2016-09-0182
Total participants2016-09-0182
Number of employers contributing to the scheme2016-09-0118
2015: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-0177
Total number of active participants reported on line 7a of the Form 55002015-09-0175
Number of retired or separated participants receiving benefits2015-09-012
Total of all active and inactive participants2015-09-0177
Total participants2015-09-0177
Number of employers contributing to the scheme2015-09-0119
2014: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-0177
Total number of active participants reported on line 7a of the Form 55002014-09-0177
Total of all active and inactive participants2014-09-0177
Total participants2014-09-0177
Number of employers contributing to the scheme2014-09-0116
2013: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-0185
Total number of active participants reported on line 7a of the Form 55002013-09-0164
Number of retired or separated participants receiving benefits2013-09-0113
Total of all active and inactive participants2013-09-0177
Total participants2013-09-0177
Number of employers contributing to the scheme2013-09-0116
2012: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-0151
Total number of active participants reported on line 7a of the Form 55002012-09-0183
Number of retired or separated participants receiving benefits2012-09-012
Total of all active and inactive participants2012-09-0185
Total participants2012-09-0185
Number of employers contributing to the scheme2012-09-0113
2011: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-0168
Total number of active participants reported on line 7a of the Form 55002011-09-0150
Number of retired or separated participants receiving benefits2011-09-011
Total of all active and inactive participants2011-09-0151
Total participants2011-09-0151
Number of employers contributing to the scheme2011-09-0116
2009: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01112
Total number of active participants reported on line 7a of the Form 55002009-09-0188
Number of retired or separated participants receiving benefits2009-09-012
Total of all active and inactive participants2009-09-0190
Total participants2009-09-0190
Number of employers contributing to the scheme2009-09-0119

Financial Data on PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN

Measure Date Value
2023 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2023 401k financial data
Total plan liabilities at end of year2023-08-31$31,301
Total plan liabilities at beginning of year2023-08-31$36,524
Total income from all sources2023-08-31$1,324,357
Expenses. Total of all expenses incurred2023-08-31$1,325,540
Benefits paid (including direct rollovers)2023-08-31$1,213,714
Total plan assets at end of year2023-08-31$298,776
Total plan assets at beginning of year2023-08-31$305,182
Value of fidelity bond covering the plan2023-08-31$1,000,000
Total contributions received or receivable from participants2023-08-31$4,486
Other income received2023-08-31$694
Net income (gross income less expenses)2023-08-31$-1,183
Net plan assets at end of year (total assets less liabilities)2023-08-31$267,475
Net plan assets at beginning of year (total assets less liabilities)2023-08-31$268,658
Total contributions received or receivable from employer(s)2023-08-31$1,319,177
Expenses. Administrative service providers (salaries,fees and commissions)2023-08-31$111,826
2022 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-08-31$36,524
Total plan liabilities at beginning of year2022-08-31$46,184
Total income from all sources2022-08-31$1,131,600
Expenses. Total of all expenses incurred2022-08-31$1,138,730
Benefits paid (including direct rollovers)2022-08-31$1,041,385
Total plan assets at end of year2022-08-31$305,182
Total plan assets at beginning of year2022-08-31$321,972
Value of fidelity bond covering the plan2022-08-31$1,000,000
Total contributions received or receivable from participants2022-08-31$22,658
Other income received2022-08-31$954
Net income (gross income less expenses)2022-08-31$-7,130
Net plan assets at end of year (total assets less liabilities)2022-08-31$268,658
Net plan assets at beginning of year (total assets less liabilities)2022-08-31$275,788
Total contributions received or receivable from employer(s)2022-08-31$1,107,988
Expenses. Administrative service providers (salaries,fees and commissions)2022-08-31$97,345
2021 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-08-31$46,184
Total plan liabilities at beginning of year2021-08-31$53,526
Total income from all sources2021-08-31$1,189,861
Expenses. Total of all expenses incurred2021-08-31$1,165,632
Benefits paid (including direct rollovers)2021-08-31$1,047,932
Total plan assets at end of year2021-08-31$321,972
Total plan assets at beginning of year2021-08-31$305,085
Value of fidelity bond covering the plan2021-08-31$1,000,000
Total contributions received or receivable from participants2021-08-31$9,511
Other income received2021-08-31$5,570
Net income (gross income less expenses)2021-08-31$24,229
Net plan assets at end of year (total assets less liabilities)2021-08-31$275,788
Net plan assets at beginning of year (total assets less liabilities)2021-08-31$251,559
Total contributions received or receivable from employer(s)2021-08-31$1,174,780
Expenses. Administrative service providers (salaries,fees and commissions)2021-08-31$117,700
2020 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2020 401k financial data
Total plan liabilities at end of year2020-08-31$53,526
Total plan liabilities at beginning of year2020-08-31$70,654
Total income from all sources2020-08-31$1,129,933
Expenses. Total of all expenses incurred2020-08-31$977,746
Benefits paid (including direct rollovers)2020-08-31$870,287
Total plan assets at end of year2020-08-31$305,085
Total plan assets at beginning of year2020-08-31$170,026
Value of fidelity bond covering the plan2020-08-31$1,000,000
Total contributions received or receivable from participants2020-08-31$9,737
Expenses. Other expenses not covered elsewhere2020-08-31$1,080
Net income (gross income less expenses)2020-08-31$152,187
Net plan assets at end of year (total assets less liabilities)2020-08-31$251,559
Net plan assets at beginning of year (total assets less liabilities)2020-08-31$99,372
Total contributions received or receivable from employer(s)2020-08-31$1,120,196
Expenses. Administrative service providers (salaries,fees and commissions)2020-08-31$106,379
2019 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2019 401k financial data
Total plan liabilities at end of year2019-08-31$70,654
Total plan liabilities at beginning of year2019-08-31$62,328
Total income from all sources2019-08-31$959,771
Expenses. Total of all expenses incurred2019-08-31$968,166
Benefits paid (including direct rollovers)2019-08-31$858,849
Total plan assets at end of year2019-08-31$170,026
Total plan assets at beginning of year2019-08-31$170,095
Value of fidelity bond covering the plan2019-08-31$200,000
Total contributions received or receivable from participants2019-08-31$11,019
Other income received2019-08-31$201
Net income (gross income less expenses)2019-08-31$-8,395
Net plan assets at end of year (total assets less liabilities)2019-08-31$99,372
Net plan assets at beginning of year (total assets less liabilities)2019-08-31$107,767
Total contributions received or receivable from employer(s)2019-08-31$948,551
Expenses. Administrative service providers (salaries,fees and commissions)2019-08-31$109,317
2018 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2018 401k financial data
Total plan liabilities at end of year2018-08-31$62,328
Total plan liabilities at beginning of year2018-08-31$78,784
Total income from all sources2018-08-31$822,641
Expenses. Total of all expenses incurred2018-08-31$1,126,504
Benefits paid (including direct rollovers)2018-08-31$1,011,242
Total plan assets at end of year2018-08-31$170,095
Total plan assets at beginning of year2018-08-31$490,414
Value of fidelity bond covering the plan2018-08-31$200,000
Total contributions received or receivable from participants2018-08-31$2,184
Other income received2018-08-31$717
Net income (gross income less expenses)2018-08-31$-303,863
Net plan assets at end of year (total assets less liabilities)2018-08-31$107,767
Net plan assets at beginning of year (total assets less liabilities)2018-08-31$411,630
Total contributions received or receivable from employer(s)2018-08-31$819,740
Expenses. Administrative service providers (salaries,fees and commissions)2018-08-31$115,262
2017 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-08-31$78,784
Total plan liabilities at beginning of year2017-08-31$82,583
Total income from all sources2017-08-31$712,843
Expenses. Total of all expenses incurred2017-08-31$822,870
Benefits paid (including direct rollovers)2017-08-31$682,877
Total plan assets at end of year2017-08-31$490,414
Total plan assets at beginning of year2017-08-31$604,240
Value of fidelity bond covering the plan2017-08-31$200,000
Total contributions received or receivable from participants2017-08-31$10,860
Other income received2017-08-31$1,908
Net income (gross income less expenses)2017-08-31$-110,027
Net plan assets at end of year (total assets less liabilities)2017-08-31$411,630
Net plan assets at beginning of year (total assets less liabilities)2017-08-31$521,657
Total contributions received or receivable from employer(s)2017-08-31$700,075
Expenses. Administrative service providers (salaries,fees and commissions)2017-08-31$139,993
2016 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2016 401k financial data
Total plan liabilities at end of year2016-08-31$82,583
Total plan liabilities at beginning of year2016-08-31$123,060
Total income from all sources2016-08-31$693,586
Expenses. Total of all expenses incurred2016-08-31$827,464
Benefits paid (including direct rollovers)2016-08-31$692,125
Total plan assets at end of year2016-08-31$604,240
Total plan assets at beginning of year2016-08-31$778,595
Value of fidelity bond covering the plan2016-08-31$200,000
Total contributions received or receivable from participants2016-08-31$10,854
Other income received2016-08-31$207
Net income (gross income less expenses)2016-08-31$-133,878
Net plan assets at end of year (total assets less liabilities)2016-08-31$521,657
Net plan assets at beginning of year (total assets less liabilities)2016-08-31$655,535
Total contributions received or receivable from employer(s)2016-08-31$682,525
Expenses. Administrative service providers (salaries,fees and commissions)2016-08-31$135,339
2015 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2015 401k financial data
Total plan liabilities at end of year2015-08-31$123,060
Total plan liabilities at beginning of year2015-08-31$48,007
Total income from all sources2015-08-31$547,005
Expenses. Total of all expenses incurred2015-08-31$644,270
Benefits paid (including direct rollovers)2015-08-31$560,582
Total plan assets at end of year2015-08-31$778,595
Total plan assets at beginning of year2015-08-31$800,807
Value of fidelity bond covering the plan2015-08-31$200,000
Other income received2015-08-31$1,018
Net income (gross income less expenses)2015-08-31$-97,265
Net plan assets at end of year (total assets less liabilities)2015-08-31$655,535
Net plan assets at beginning of year (total assets less liabilities)2015-08-31$752,800
Total contributions received or receivable from employer(s)2015-08-31$545,987
Expenses. Administrative service providers (salaries,fees and commissions)2015-08-31$83,688
2014 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2014 401k financial data
Total plan liabilities at end of year2014-08-31$48,007
Total plan liabilities at beginning of year2014-08-31$46,026
Total income from all sources2014-08-31$704,885
Expenses. Total of all expenses incurred2014-08-31$702,682
Benefits paid (including direct rollovers)2014-08-31$627,005
Total plan assets at end of year2014-08-31$800,807
Total plan assets at beginning of year2014-08-31$796,623
Value of fidelity bond covering the plan2014-08-31$200,000
Expenses. Other expenses not covered elsewhere2014-08-31$12,822
Other income received2014-08-31$3,753
Net income (gross income less expenses)2014-08-31$2,203
Net plan assets at end of year (total assets less liabilities)2014-08-31$752,800
Net plan assets at beginning of year (total assets less liabilities)2014-08-31$750,597
Total contributions received or receivable from employer(s)2014-08-31$701,132
Expenses. Administrative service providers (salaries,fees and commissions)2014-08-31$62,855
2013 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-08-31$46,026
Total plan liabilities at beginning of year2013-08-31$47,434
Total income from all sources2013-08-31$572,039
Expenses. Total of all expenses incurred2013-08-31$558,531
Benefits paid (including direct rollovers)2013-08-31$452,763
Total plan assets at end of year2013-08-31$796,623
Total plan assets at beginning of year2013-08-31$784,523
Value of fidelity bond covering the plan2013-08-31$200,000
Expenses. Other expenses not covered elsewhere2013-08-31$21,692
Other income received2013-08-31$4,957
Net income (gross income less expenses)2013-08-31$13,508
Net plan assets at end of year (total assets less liabilities)2013-08-31$750,597
Net plan assets at beginning of year (total assets less liabilities)2013-08-31$737,089
Total contributions received or receivable from employer(s)2013-08-31$567,082
Expenses. Administrative service providers (salaries,fees and commissions)2013-08-31$84,076
2012 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-08-31$47,434
Total plan liabilities at beginning of year2012-08-31$48,720
Total income from all sources2012-08-31$400,212
Expenses. Total of all expenses incurred2012-08-31$613,742
Benefits paid (including direct rollovers)2012-08-31$515,580
Total plan assets at end of year2012-08-31$784,523
Total plan assets at beginning of year2012-08-31$999,339
Value of fidelity bond covering the plan2012-08-31$200,000
Expenses. Other expenses not covered elsewhere2012-08-31$23,784
Contributions received from other sources (not participants or employers)2012-08-31$29,860
Other income received2012-08-31$3,905
Net income (gross income less expenses)2012-08-31$-213,530
Net plan assets at end of year (total assets less liabilities)2012-08-31$737,089
Net plan assets at beginning of year (total assets less liabilities)2012-08-31$950,619
Total contributions received or receivable from employer(s)2012-08-31$366,447
Expenses. Administrative service providers (salaries,fees and commissions)2012-08-31$74,378
2011 : PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2011 401k financial data
Total plan liabilities at end of year2011-08-31$48,720
Total plan liabilities at beginning of year2011-08-31$56,001
Total income from all sources2011-08-31$640,419
Expenses. Total of all expenses incurred2011-08-31$743,109
Benefits paid (including direct rollovers)2011-08-31$613,310
Total plan assets at end of year2011-08-31$999,339
Total plan assets at beginning of year2011-08-31$1,109,310
Value of fidelity bond covering the plan2011-08-31$1,000,000
Expenses. Other expenses not covered elsewhere2011-08-31$90,803
Contributions received from other sources (not participants or employers)2011-08-31$3,387
Other income received2011-08-31$5,119
Net income (gross income less expenses)2011-08-31$-102,690
Net plan assets at end of year (total assets less liabilities)2011-08-31$950,619
Net plan assets at beginning of year (total assets less liabilities)2011-08-31$1,053,309
Total contributions received or receivable from employer(s)2011-08-31$631,913
Expenses. Administrative service providers (salaries,fees and commissions)2011-08-31$38,996

Form 5500 Responses for PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN

2022: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-09-01Type of plan entityMulti-employer plan
2022-09-01Plan is a collectively bargained planYes
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – TrustYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement - TrustYes
2021: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Submission has been amendedYes
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-09-01Type of plan entityMulti-employer plan
2015-09-01Plan is a collectively bargained planYes
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-09-01Type of plan entityMulti-employer plan
2014-09-01Plan is a collectively bargained planYes
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-09-01Type of plan entityMulti-employer plan
2013-09-01Plan is a collectively bargained planYes
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-09-01Type of plan entityMulti-employer plan
2012-09-01Plan is a collectively bargained planYes
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-09-01Type of plan entityMulti-employer plan
2011-09-01Plan is a collectively bargained planYes
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2009: PAINTERS LOCAL NO. 109 HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-09-01Type of plan entityMulti-employer plan
2009-09-01Submission has been amendedYes
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925465
Policy instance 2
Insurance contract or identification number925465
Number of Individuals Covered101
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of fees paid to insurance companyUSD $6,372
Welfare Benefit Premiums Paid to CarrierUSD $250,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6372
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867872G
Policy instance 1
Insurance contract or identification number867872G
Number of Individuals Covered91
Insurance policy start date2022-09-01
Insurance policy end date2023-08-31
Total amount of commissions paid to insurance brokerUSD $3,648
Total amount of fees paid to insurance companyUSD $999
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees999
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $3,648
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925465
Policy instance 2
Insurance contract or identification number925465
Number of Individuals Covered96
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of fees paid to insurance companyUSD $6,483
Welfare Benefit Premiums Paid to CarrierUSD $221,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6483
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867872G
Policy instance 1
Insurance contract or identification number867872G
Number of Individuals Covered79
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $3,154
Total amount of fees paid to insurance companyUSD $947
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,154
Insurance broker organization code?3
Amount paid for insurance broker fees947
Additional information about fees paid to insurance brokerBONUSES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925465
Policy instance 2
Insurance contract or identification number925465
Number of Individuals Covered196
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $222,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867872G
Policy instance 1
Insurance contract or identification number867872G
Number of Individuals Covered99
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $3,643
Total amount of fees paid to insurance companyUSD $718
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,643
Insurance broker organization code?3
Amount paid for insurance broker fees718
Additional information about fees paid to insurance brokerBONUSES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925465
Policy instance 2
Insurance contract or identification number925465
Number of Individuals Covered87
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $209,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867872G
Policy instance 1
Insurance contract or identification number867872G
Number of Individuals Covered90
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $3,482
Total amount of fees paid to insurance companyUSD $422
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,482
Amount paid for insurance broker fees422
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number925465
Policy instance 3
Insurance contract or identification number925465
Number of Individuals Covered91
Insurance policy start date2019-02-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $6,842
Welfare Benefit Premiums Paid to CarrierUSD $117,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,842
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL32087
Policy instance 2
Insurance contract or identification numberHCL32087
Number of Individuals Covered78
Insurance policy start date2018-09-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $2,052
Welfare Benefit Premiums Paid to CarrierUSD $89,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,052
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867872G
Policy instance 1
Insurance contract or identification number867872G
Number of Individuals Covered95
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $3,394
Total amount of fees paid to insurance companyUSD $351
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,394
Amount paid for insurance broker fees351
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL32087
Policy instance 2
Insurance contract or identification numberHCL32087
Number of Individuals Covered79
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $5,103
Welfare Benefit Premiums Paid to CarrierUSD $204,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867872G
Policy instance 1
Insurance contract or identification number867872G
Number of Individuals Covered87
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $3,334
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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