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UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 401k Plan overview

Plan NameUFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES
Plan identification number 501

UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES Benefits

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

401k Sponsoring company profile

UNITED FOOD AND COMMERCIAL WORKERS INTERNATIONAL UNION has sponsored the creation of one or more 401k plans.

Company Name:UNITED FOOD AND COMMERCIAL WORKERS INTERNATIONAL UNION
Employer identification number (EIN):530220586
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-03-01
5012014-03-01
5012013-03-01
5012012-03-01ANTHONY M. PERRONE, INT'L SEC-TREAS
5012011-03-01ANTHONY M. PERRONE, INT'L SEC-TREAS
5012009-03-01ANTHONY M. PERRONE, INT'L SEC-TREAS

Plan Statistics for UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES

401k plan membership statisitcs for UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES

Measure Date Value
2015: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-03-01767
Total number of active participants reported on line 7a of the Form 55002015-03-01765
Total of all active and inactive participants2015-03-01765
2014: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-03-01793
Total number of active participants reported on line 7a of the Form 55002014-03-01767
Total of all active and inactive participants2014-03-01767
2013: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-03-01837
Total number of active participants reported on line 7a of the Form 55002013-03-01793
Total of all active and inactive participants2013-03-01793
2012: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-03-01783
Total number of active participants reported on line 7a of the Form 55002012-03-01837
Total of all active and inactive participants2012-03-01837
2011: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-03-01755
Total number of active participants reported on line 7a of the Form 55002011-03-01783
Total of all active and inactive participants2011-03-01783
2009: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-03-01678
Total number of active participants reported on line 7a of the Form 55002009-03-01758
Total of all active and inactive participants2009-03-01758

Financial Data on UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES

Measure Date Value
2016 : UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2016 401k financial data
Total income from all sources (including contributions)2016-02-29$1,931,700
Total of all expenses incurred2016-02-29$1,621,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$1,461,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$1,931,700
Value of total assets at end of year2016-02-29$309,925
Value of total assets at beginning of year2016-02-29$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$160,228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$2,000,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Administrative expenses (other) incurred2016-02-29$160,228
Total non interest bearing cash at end of year2016-02-29$309,925
Total non interest bearing cash at beginning of year2016-02-29$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$309,925
Value of net assets at end of year (total assets less liabilities)2016-02-29$309,925
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$1,461,547
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29No
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$1,931,700
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-02-29No
Did the plan have assets held for investment2016-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29CALIBRE CPA GROUP PLLC
Accountancy firm EIN2016-02-29470900880

Form 5500 Responses for UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES

2015: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2015-03-01Plan benefit arrangement – General assets of the sponsorYes
2014: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – General assets of the sponsorYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – General assets of the sponsorYes
2013: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – General assets of the sponsorYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – General assets of the sponsorYes
2012: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – General assets of the sponsorYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – General assets of the sponsorYes
2011: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – General assets of the sponsorYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – General assets of the sponsorYes
2009: UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01This submission is the final filingNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – General assets of the sponsorYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberGA/CA 8176
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number131246
Policy instance 5
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10041
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603353
Policy instance 3
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number4501
Policy instance 2
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberGA/CA 8176
Policy instance 2
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number4501
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603353
Policy instance 4
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10041
Policy instance 5
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG/C 8176
Policy instance 1
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG/C 8176
Policy instance 1
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number603353
Policy instance 4
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberGA/CA 8176
Policy instance 2
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number4501
Policy instance 3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10041
Policy instance 5
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10041
Policy instance 5
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG/C 8176
Policy instance 1
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberGA/CA 8176
Policy instance 2
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number4501-13
Policy instance 3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number131246
Policy instance 4
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number131246
Policy instance 4
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number4501-13
Policy instance 3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberGA/CA 8176
Policy instance 2
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG/C 8176
Policy instance 1
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10041
Policy instance 5
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10041
Policy instance 5
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number131246
Policy instance 4
KAISER FOUNDATION HEALTH PLANS OF MID-ATLANTIC (National Association of Insurance Commissioners NAIC id number: 95639 )
Policy contract number4501-13
Policy instance 3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberGA/CA 8176
Policy instance 2
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG/C 8176
Policy instance 1

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