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UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 401k Plan overview

Plan NameUFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND
Plan identification number 501

UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND
Employer identification number (EIN):586055205
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01GREG STALLINGS2023-08-11 GREG STALLINGS2023-08-11
5012020-11-01GREG STALLINGS2021-11-15 GREG STALLINGS2021-11-15
5012019-11-01GREG STALLINGS2021-07-06 GREG STALLINGS2021-07-06
5012019-11-01GREG STALLINGS2021-07-06 GREG STALLINGS2021-07-06
5012018-11-01GREG STALLINGS2020-08-06 GREG STALLINGS2020-08-06
5012018-11-01GREG STALLINGS2020-08-06 GREG STALLINGS2020-08-06
5012018-11-01GREG STALLINGS2020-08-06 GREG STALLINGS2020-08-06
5012017-11-01GREG STALLINGS2018-12-18 GREG STALLINGS2018-12-18
5012016-11-01
5012015-11-01
5012014-11-01
5012013-11-01
5012012-11-01GREG STALLINGS GREG STALLINGS2014-08-15
5012011-11-01KATHY MILLER KATHY MILLER2013-08-14
5012010-11-01KATHY MILLER KATHY MILLER2012-08-13
5012009-11-01KATHY MILLER KATHY MILLER2011-08-08
5012009-11-01KATHY MILLER KATHY MILLER2011-08-08
5012008-11-01

Plan Statistics for UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND

401k plan membership statisitcs for UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND

Measure Date Value
2021: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-11-017,296
Total number of active participants reported on line 7a of the Form 55002021-11-016,538
Total of all active and inactive participants2021-11-016,538
Number of employers contributing to the scheme2021-11-012
2020: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-11-017,712
Total number of active participants reported on line 7a of the Form 55002020-11-017,296
Total of all active and inactive participants2020-11-017,296
Number of employers contributing to the scheme2020-11-012
2019: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-11-017,114
Total number of active participants reported on line 7a of the Form 55002019-11-017,712
Total of all active and inactive participants2019-11-017,712
Number of employers contributing to the scheme2019-11-012
2018: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-11-016,870
Total number of active participants reported on line 7a of the Form 55002018-11-017,114
Total of all active and inactive participants2018-11-017,114
Number of employers contributing to the scheme2018-11-012
2017: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-11-016,854
Total number of active participants reported on line 7a of the Form 55002017-11-016,870
Total of all active and inactive participants2017-11-016,870
Number of employers contributing to the scheme2017-11-012
2016: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-11-016,202
Total number of active participants reported on line 7a of the Form 55002016-11-016,854
Total of all active and inactive participants2016-11-016,854
Number of employers contributing to the scheme2016-11-012
2015: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-11-016,055
Total number of active participants reported on line 7a of the Form 55002015-11-016,202
Total of all active and inactive participants2015-11-016,202
Number of employers contributing to the scheme2015-11-012
2014: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-11-016,381
Total number of active participants reported on line 7a of the Form 55002014-11-016,055
Total of all active and inactive participants2014-11-016,055
Number of employers contributing to the scheme2014-11-012
2013: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-11-016,020
Total number of active participants reported on line 7a of the Form 55002013-11-016,381
Total of all active and inactive participants2013-11-016,381
Number of employers contributing to the scheme2013-11-011
2012: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-11-016,390
Total number of active participants reported on line 7a of the Form 55002012-11-016,020
Total of all active and inactive participants2012-11-016,020
Number of employers contributing to the scheme2012-11-011
2011: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-11-016,365
Total number of active participants reported on line 7a of the Form 55002011-11-016,390
Total of all active and inactive participants2011-11-016,390
Number of employers contributing to the scheme2011-11-014
2010: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-11-016,375
Total number of active participants reported on line 7a of the Form 55002010-11-016,365
Total of all active and inactive participants2010-11-016,365
Number of employers contributing to the scheme2010-11-014
2009: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-11-016,103
Total number of active participants reported on line 7a of the Form 55002009-11-016,375
Total of all active and inactive participants2009-11-016,375
Total participants2009-11-010
Number of employers contributing to the scheme2009-11-014

Financial Data on UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND

Measure Date Value
2022 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$1,029,646
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$1,245,846
Total income from all sources (including contributions)2022-10-31$34,599,922
Total of all expenses incurred2022-10-31$34,251,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-31$33,328,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-31$34,589,893
Value of total assets at end of year2022-10-31$1,031,135
Value of total assets at beginning of year2022-10-31$899,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-31$923,462
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-31No
Administrative expenses professional fees incurred2022-10-31$256,236
Was this plan covered by a fidelity bond2022-10-31Yes
Value of fidelity bond cover2022-10-31$1,000,000
If this is an individual account plan, was there a blackout period2022-10-31No
Were there any nonexempt tranactions with any party-in-interest2022-10-31No
Contributions received from participants2022-10-31$196,547
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-10-31$10,289
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-10-31$140,127
Other income not declared elsewhere2022-10-31$10,029
Administrative expenses (other) incurred2022-10-31$105,567
Liabilities. Value of operating payables at end of year2022-10-31$3,646
Liabilities. Value of operating payables at beginning of year2022-10-31$-83,154
Total non interest bearing cash at end of year2022-10-31$317,763
Total non interest bearing cash at beginning of year2022-10-31$14,654
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Value of net income/loss2022-10-31$348,120
Value of net assets at end of year (total assets less liabilities)2022-10-31$1,489
Value of net assets at beginning of year (total assets less liabilities)2022-10-31$-346,631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-31No
Were any leases to which the plan was party in default or uncollectible2022-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-10-31$2,511,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-31No
Was there a failure to transmit to the plan any participant contributions2022-10-31No
Has the plan failed to provide any benefit when due under the plan2022-10-31No
Contributions received in cash from employer2022-10-31$34,393,346
Employer contributions (assets) at end of year2022-10-31$703,083
Employer contributions (assets) at beginning of year2022-10-31$744,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-31$30,817,141
Contract administrator fees2022-10-31$561,659
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-10-31No
Liabilities. Value of benefit claims payable at end of year2022-10-31$1,026,000
Liabilities. Value of benefit claims payable at beginning of year2022-10-31$1,329,000
Did the plan have assets held for investment2022-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-31No
Opinion of an independent qualified public accountant for this plan2022-10-31Unqualified
Accountancy firm name2022-10-31CALIBRE CPA GROUP PLLC
Accountancy firm EIN2022-10-31470900880
2021 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$1,386,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$2,154,531
Total income from all sources (including contributions)2021-10-31$42,503,925
Total of all expenses incurred2021-10-31$42,310,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$41,146,598
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$42,490,113
Value of total assets at end of year2021-10-31$1,040,266
Value of total assets at beginning of year2021-10-31$1,614,082
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-10-31$1,163,509
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31No
Administrative expenses professional fees incurred2021-10-31$221,639
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Contributions received from participants2021-10-31$125,063
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-10-31$281,178
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-10-31$176,588
Other income not declared elsewhere2021-10-31$13,812
Administrative expenses (other) incurred2021-10-31$109,424
Liabilities. Value of operating payables at end of year2021-10-31$57,897
Liabilities. Value of operating payables at beginning of year2021-10-31$108,925
Total non interest bearing cash at end of year2021-10-31$14,654
Total non interest bearing cash at beginning of year2021-10-31$215,106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$193,818
Value of net assets at end of year (total assets less liabilities)2021-10-31$-346,631
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$-540,449
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-10-31No
Were any leases to which the plan was party in default or uncollectible2021-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-10-31$2,680,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31No
Was there a failure to transmit to the plan any participant contributions2021-10-31No
Has the plan failed to provide any benefit when due under the plan2021-10-31No
Contributions received in cash from employer2021-10-31$42,365,050
Employer contributions (assets) at end of year2021-10-31$744,434
Employer contributions (assets) at beginning of year2021-10-31$1,222,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-10-31$38,465,650
Contract administrator fees2021-10-31$832,446
Liabilities. Value of benefit claims payable at end of year2021-10-31$1,329,000
Liabilities. Value of benefit claims payable at beginning of year2021-10-31$2,045,606
Did the plan have assets held for investment2021-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
Opinion of an independent qualified public accountant for this plan2021-10-31Unqualified
Accountancy firm name2021-10-31DENNIS G. JENKINS,CPA,LLC
Accountancy firm EIN2021-10-31205886120
2020 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$2,154,531
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$1,998,581
Total income from all sources (including contributions)2020-10-31$40,175,907
Total of all expenses incurred2020-10-31$41,626,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$40,664,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$40,175,202
Value of total assets at end of year2020-10-31$1,614,082
Value of total assets at beginning of year2020-10-31$2,909,056
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-10-31$962,243
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Administrative expenses professional fees incurred2020-10-31$248,483
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Contributions received from participants2020-10-31$78,398
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-10-31$232,126
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-10-31$176,588
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-10-31$766,232
Other income not declared elsewhere2020-10-31$705
Administrative expenses (other) incurred2020-10-31$94,834
Liabilities. Value of operating payables at end of year2020-10-31$108,925
Liabilities. Value of operating payables at beginning of year2020-10-31$233,744
Total non interest bearing cash at end of year2020-10-31$215,106
Total non interest bearing cash at beginning of year2020-10-31$804,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Value of net income/loss2020-10-31$-1,450,924
Value of net assets at end of year (total assets less liabilities)2020-10-31$-540,449
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$910,475
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-10-31No
Were any leases to which the plan was party in default or uncollectible2020-10-31No
Investment advisory and management fees2020-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-10-31$2,710,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31No
Was there a failure to transmit to the plan any participant contributions2020-10-31No
Has the plan failed to provide any benefit when due under the plan2020-10-31No
Contributions received in cash from employer2020-10-31$40,096,804
Employer contributions (assets) at end of year2020-10-31$1,222,388
Employer contributions (assets) at beginning of year2020-10-31$1,337,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-10-31$37,722,053
Contract administrator fees2020-10-31$618,926
Liabilities. Value of benefit claims payable at end of year2020-10-31$2,045,606
Liabilities. Value of benefit claims payable at beginning of year2020-10-31$1,764,837
Did the plan have assets held for investment2020-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-10-31No
Opinion of an independent qualified public accountant for this plan2020-10-31Unqualified
Accountancy firm name2020-10-31DENNIS G. JENKINS,CPA,LLC
Accountancy firm EIN2020-10-31205886120
2019 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$1,998,581
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$1,428,545
Total income from all sources (including contributions)2019-10-31$48,321,799
Total of all expenses incurred2019-10-31$47,388,208
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$46,080,074
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$48,320,582
Value of total assets at end of year2019-10-31$2,909,056
Value of total assets at beginning of year2019-10-31$1,405,429
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-31$1,308,134
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Administrative expenses professional fees incurred2019-10-31$278,015
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$95,665
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-10-31$2,108,333
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-10-31$766,232
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-10-31$283,252
Other income not declared elsewhere2019-10-31$1,217
Administrative expenses (other) incurred2019-10-31$130,193
Liabilities. Value of operating payables at end of year2019-10-31$233,744
Liabilities. Value of operating payables at beginning of year2019-10-31$246,545
Total non interest bearing cash at end of year2019-10-31$804,929
Total non interest bearing cash at beginning of year2019-10-31$288,630
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Value of net income/loss2019-10-31$933,591
Value of net assets at end of year (total assets less liabilities)2019-10-31$910,475
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$-23,116
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-31No
Were any leases to which the plan was party in default or uncollectible2019-10-31No
Investment advisory and management fees2019-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-31$872,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31No
Was there a failure to transmit to the plan any participant contributions2019-10-31No
Has the plan failed to provide any benefit when due under the plan2019-10-31No
Assets. Invements in employer securities at beginning of year2019-10-31$0
Contributions received in cash from employer2019-10-31$48,224,917
Employer contributions (assets) at end of year2019-10-31$1,337,895
Employer contributions (assets) at beginning of year2019-10-31$833,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-31$43,099,513
Contract administrator fees2019-10-31$899,926
Liabilities. Value of benefit claims payable at end of year2019-10-31$1,764,837
Liabilities. Value of benefit claims payable at beginning of year2019-10-31$1,182,000
Did the plan have assets held for investment2019-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-31No
Opinion of an independent qualified public accountant for this plan2019-10-31Unqualified
Accountancy firm name2019-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2019-10-31205886120
2018 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$1,428,545
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$1,413,017
Total income from all sources (including contributions)2018-10-31$43,002,749
Total of all expenses incurred2018-10-31$42,805,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$41,883,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$43,002,003
Value of total assets at end of year2018-10-31$1,405,429
Value of total assets at beginning of year2018-10-31$1,193,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$922,731
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Administrative expenses professional fees incurred2018-10-31$271,296
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$147,279
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$283,252
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-10-31$242,134
Other income not declared elsewhere2018-10-31$746
Administrative expenses (other) incurred2018-10-31$134,060
Liabilities. Value of operating payables at end of year2018-10-31$246,545
Liabilities. Value of operating payables at beginning of year2018-10-31$158,017
Total non interest bearing cash at end of year2018-10-31$288,630
Total non interest bearing cash at beginning of year2018-10-31$8,416
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$196,837
Value of net assets at end of year (total assets less liabilities)2018-10-31$-23,116
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$-219,953
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Investment advisory and management fees2018-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$2,603,123
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$42,854,724
Employer contributions (assets) at end of year2018-10-31$833,547
Employer contributions (assets) at beginning of year2018-10-31$942,514
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$39,280,058
Contract administrator fees2018-10-31$517,375
Liabilities. Value of benefit claims payable at end of year2018-10-31$1,182,000
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$1,255,000
Did the plan have assets held for investment2018-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2018-10-31205886120
2017 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$1,383,506
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$1,621,219
Total income from all sources (including contributions)2017-10-31$42,516,381
Total of all expenses incurred2017-10-31$42,792,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$41,788,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$42,513,356
Value of total assets at end of year2017-10-31$1,193,064
Value of total assets at beginning of year2017-10-31$1,706,988
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$1,004,471
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Administrative expenses professional fees incurred2017-10-31$219,172
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$197,242
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-10-31$242,134
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-10-31$209,162
Other income not declared elsewhere2017-10-31$3,025
Administrative expenses (other) incurred2017-10-31$162,223
Liabilities. Value of operating payables at end of year2017-10-31$128,506
Liabilities. Value of operating payables at beginning of year2017-10-31$197,018
Total non interest bearing cash at end of year2017-10-31$8,416
Total non interest bearing cash at beginning of year2017-10-31$396,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$-276,211
Value of net assets at end of year (total assets less liabilities)2017-10-31$-190,442
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$85,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$3,028,032
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$42,316,114
Employer contributions (assets) at end of year2017-10-31$942,514
Employer contributions (assets) at beginning of year2017-10-31$1,101,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$38,760,089
Contract administrator fees2017-10-31$623,076
Liabilities. Value of benefit claims payable at end of year2017-10-31$1,255,000
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$1,424,201
Did the plan have assets held for investment2017-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2017-10-31205886120
2016 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$1,621,219
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$1,995,211
Total income from all sources (including contributions)2016-10-31$37,522,952
Total of all expenses incurred2016-10-31$36,549,590
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$35,499,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$37,522,952
Value of total assets at end of year2016-10-31$1,706,988
Value of total assets at beginning of year2016-10-31$1,107,618
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$1,049,956
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Administrative expenses professional fees incurred2016-10-31$197,439
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$200,141
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-10-31$209,162
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-10-31$226,784
Administrative expenses (other) incurred2016-10-31$288,313
Liabilities. Value of operating payables at end of year2016-10-31$197,018
Liabilities. Value of operating payables at beginning of year2016-10-31$406,836
Total non interest bearing cash at end of year2016-10-31$396,480
Total non interest bearing cash at beginning of year2016-10-31$355,730
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$973,362
Value of net assets at end of year (total assets less liabilities)2016-10-31$85,769
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$-887,593
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$37,322,811
Employer contributions (assets) at end of year2016-10-31$1,101,346
Employer contributions (assets) at beginning of year2016-10-31$525,104
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$35,499,634
Contract administrator fees2016-10-31$564,204
Liabilities. Value of benefit claims payable at end of year2016-10-31$1,424,201
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$1,588,375
Did the plan have assets held for investment2016-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2016-10-31205886120
2015 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$1,995,211
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$1,314,880
Total income from all sources (including contributions)2015-10-31$36,811,073
Total of all expenses incurred2015-10-31$38,075,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$36,953,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$36,811,043
Value of total assets at end of year2015-10-31$1,107,618
Value of total assets at beginning of year2015-10-31$1,691,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$1,121,938
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Administrative expenses professional fees incurred2015-10-31$278,884
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$163,883
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-10-31$226,784
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-10-31$187,930
Other income not declared elsewhere2015-10-31$30
Administrative expenses (other) incurred2015-10-31$843,054
Liabilities. Value of operating payables at end of year2015-10-31$406,836
Liabilities. Value of operating payables at beginning of year2015-10-31$484,880
Total non interest bearing cash at end of year2015-10-31$355,730
Total non interest bearing cash at beginning of year2015-10-31$514,906
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$-1,264,614
Value of net assets at end of year (total assets less liabilities)2015-10-31$-887,593
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$377,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Investment advisory and management fees2015-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$881,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$36,647,160
Employer contributions (assets) at end of year2015-10-31$525,104
Employer contributions (assets) at beginning of year2015-10-31$989,065
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$36,072,030
Liabilities. Value of benefit claims payable at end of year2015-10-31$1,588,375
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$830,000
Did the plan have assets held for investment2015-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2015-10-31205886120
2014 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$933,569
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$986,712
Total income from all sources (including contributions)2014-10-31$31,660,548
Total of all expenses incurred2014-10-31$31,992,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$31,111,018
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$31,046,007
Value of total assets at end of year2014-10-31$1,691,901
Value of total assets at beginning of year2014-10-31$2,076,638
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$881,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Administrative expenses professional fees incurred2014-10-31$277,415
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$330,588
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-10-31$17,342
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-10-31$187,930
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-10-31$296,644
Other income not declared elsewhere2014-10-31$614,541
Administrative expenses (other) incurred2014-10-31$603,709
Liabilities. Value of operating payables at end of year2014-10-31$103,569
Liabilities. Value of operating payables at beginning of year2014-10-31$122,712
Total non interest bearing cash at end of year2014-10-31$514,906
Total non interest bearing cash at beginning of year2014-10-31$369,215
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$-331,594
Value of net assets at end of year (total assets less liabilities)2014-10-31$758,332
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$1,089,926
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$936,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$30,715,419
Employer contributions (assets) at end of year2014-10-31$989,065
Employer contributions (assets) at beginning of year2014-10-31$1,410,779
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$30,174,801
Liabilities. Value of benefit claims payable at end of year2014-10-31$830,000
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$864,000
Did the plan have assets held for investment2014-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Liabilities. Value of acquisition indebtedness at beginning of year2014-10-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2014-10-31205886120
2013 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$986,712
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$1,227,599
Total income from all sources (including contributions)2013-10-31$33,935,605
Total of all expenses incurred2013-10-31$38,366,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$37,404,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$33,848,655
Value of total assets at end of year2013-10-31$2,076,638
Value of total assets at beginning of year2013-10-31$6,748,722
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$962,466
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Administrative expenses professional fees incurred2013-10-31$274,118
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$778,845
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$2,533,268
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-10-31$296,644
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-10-31$369,043
Other income not declared elsewhere2013-10-31$86,950
Administrative expenses (other) incurred2013-10-31$688,348
Liabilities. Value of operating payables at end of year2013-10-31$122,712
Liabilities. Value of operating payables at beginning of year2013-10-31$53,599
Total non interest bearing cash at end of year2013-10-31$369,215
Total non interest bearing cash at beginning of year2013-10-31$3,278,706
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$-4,431,197
Value of net assets at end of year (total assets less liabilities)2013-10-31$1,089,926
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$5,521,123
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$954,519
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$33,069,810
Employer contributions (assets) at end of year2013-10-31$1,410,779
Employer contributions (assets) at beginning of year2013-10-31$3,100,973
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$33,916,549
Contract administrator fees2013-10-31$0
Liabilities. Value of benefit claims payable at end of year2013-10-31$864,000
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$1,174,000
Did the plan have assets held for investment2013-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2013-10-31205886120
2012 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$1,227,599
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$1,349,913
Total income from all sources (including contributions)2012-10-31$42,680,590
Total of all expenses incurred2012-10-31$41,860,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$41,089,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$42,267,176
Value of total assets at end of year2012-10-31$6,748,722
Value of total assets at beginning of year2012-10-31$6,051,349
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$771,703
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Administrative expenses professional fees incurred2012-10-31$263,941
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$2,111,667
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-10-31$2,871,317
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-10-31$369,043
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-10-31$359,772
Other income not declared elsewhere2012-10-31$413,414
Administrative expenses (other) incurred2012-10-31$507,762
Liabilities. Value of operating payables at end of year2012-10-31$53,599
Liabilities. Value of operating payables at beginning of year2012-10-31$61,913
Total non interest bearing cash at end of year2012-10-31$3,278,706
Total non interest bearing cash at beginning of year2012-10-31$2,708,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$819,687
Value of net assets at end of year (total assets less liabilities)2012-10-31$5,521,123
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$4,701,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$850,244
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$40,155,509
Employer contributions (assets) at end of year2012-10-31$3,100,973
Employer contributions (assets) at beginning of year2012-10-31$2,982,885
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$37,367,639
Contract administrator fees2012-10-31$0
Liabilities. Value of benefit claims payable at end of year2012-10-31$1,174,000
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$1,288,000
Did the plan have assets held for investment2012-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31DENNIS G. JENKINS, CPA, LLC
Accountancy firm EIN2012-10-31205886120
2011 : UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$1,328,652
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$983,870
Total income from all sources (including contributions)2011-10-31$41,266,132
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$41,128,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$40,481,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$41,022,893
Value of total assets at end of year2011-10-31$6,129,302
Value of total assets at beginning of year2011-10-31$5,646,503
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$646,578
Total interest from all sources2011-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Administrative expenses professional fees incurred2011-10-31$208,964
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$1,840,038
Participant contributions at end of year2011-10-31$0
Participant contributions at beginning of year2011-10-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-31$2,896,317
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-31$437,725
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$341,168
Other income not declared elsewhere2011-10-31$243,239
Administrative expenses (other) incurred2011-10-31$437,614
Liabilities. Value of operating payables at end of year2011-10-31$40,652
Liabilities. Value of operating payables at beginning of year2011-10-31$53,870
Total non interest bearing cash at end of year2011-10-31$2,708,692
Total non interest bearing cash at beginning of year2011-10-31$2,353,104
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$138,017
Value of net assets at end of year (total assets less liabilities)2011-10-31$4,800,650
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$4,662,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Assets. partnership/joint venture interests at end of year2011-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$777,795
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$39,182,855
Employer contributions (assets) at end of year2011-10-31$2,982,885
Employer contributions (assets) at beginning of year2011-10-31$2,952,231
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$36,807,425
Liabilities. Value of benefit claims payable at end of year2011-10-31$1,288,000
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$930,000
Did the plan have assets held for investment2011-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31DENNIS G. JENKINS, CPA,LLC
Accountancy firm EIN2011-10-31205886120

Form 5500 Responses for UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND

2021: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2021 form 5500 responses
2021-11-01Type of plan entityMulti-employer plan
2021-11-01Plan is a collectively bargained planYes
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2020 form 5500 responses
2020-11-01Type of plan entityMulti-employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planYes
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2019 form 5500 responses
2019-11-01Type of plan entityMulti-employer plan
2019-11-01Submission has been amendedYes
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2018 form 5500 responses
2018-11-01Type of plan entityMulti-employer plan
2018-11-01Submission has been amendedYes
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planYes
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2017 form 5500 responses
2017-11-01Type of plan entityMulti-employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planYes
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2016 form 5500 responses
2016-11-01Type of plan entityMulti-employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planYes
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2015 form 5500 responses
2015-11-01Type of plan entityMulti-employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planYes
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2014 form 5500 responses
2014-11-01Type of plan entityMulti-employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planYes
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2013 form 5500 responses
2013-11-01Type of plan entityMulti-employer plan
2013-11-01Submission has been amendedYes
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planYes
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2012 form 5500 responses
2012-11-01Type of plan entityMulti-employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planYes
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2011 form 5500 responses
2011-11-01Type of plan entityMulti-employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planYes
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2010: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2010 form 5500 responses
2010-11-01Type of plan entityMulti-employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planYes
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement – InsuranceYes
2010-11-01Plan benefit arrangement - TrustYes
2009: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2009 form 5500 responses
2009-11-01Type of plan entityMulti-employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: UFCW LOCAL 1995 & EMPLOYER HEALTH & WELFARE FUND 2008 form 5500 responses
2008-11-01Type of plan entityMulti-employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 2
Insurance contract or identification number88742
Number of Individuals Covered6549
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $436,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-018189-00
Policy instance 1
Insurance contract or identification number01-018189-00
Number of Individuals Covered6676
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $351,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-018189-00
Policy instance 1
Insurance contract or identification number01-018189-00
Number of Individuals Covered6830
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $365,526
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 2
Insurance contract or identification number88742
Number of Individuals Covered6936
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 3
Insurance contract or identification number88742
Number of Individuals Covered7251
Insurance policy start date2020-09-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 4
Insurance contract or identification number88742
Number of Individuals Covered7193
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $431,478
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number678147G
Policy instance 5
Insurance contract or identification number678147G
Number of Individuals Covered7155
Insurance policy start date2019-09-01
Insurance policy end date2019-12-31
Other welfare benefits providedADD-BAS
Welfare Benefit Premiums Paid to CarrierUSD $11,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 4
Insurance contract or identification number88742
Number of Individuals Covered7503
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $433,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 3
Insurance contract or identification number88742
Number of Individuals Covered7533
Insurance policy start date2019-09-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 2
Insurance contract or identification number88742
Number of Individuals Covered7289
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
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 number678147G
Policy instance 1
Insurance contract or identification number678147G
Number of Individuals Covered7155
Insurance policy start date2019-09-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 1
Insurance contract or identification number88742
Number of Individuals Covered7980
Insurance policy start date2018-09-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number678147G
Policy instance 2
Insurance contract or identification number678147G
Number of Individuals Covered7053
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedADD - BAS
Welfare Benefit Premiums Paid to CarrierUSD $41,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 3
Insurance contract or identification number88742
Number of Individuals Covered5378
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $236,133
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 number678147G
Policy instance 4
Insurance contract or identification number678147G
Number of Individuals Covered7053
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,306
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $403,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1306
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 5
Insurance contract or identification number88742
Number of Individuals Covered8150
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
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 number678147G
Policy instance 4
Insurance contract or identification number678147G
Number of Individuals Covered6860
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,108
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 3
Insurance contract or identification number88742
Number of Individuals Covered5660
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $244,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number88742
Policy instance 1
Insurance contract or identification number88742
Number of Individuals Covered7926
Insurance policy start date2017-09-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number678147G
Policy instance 2
Insurance contract or identification number678147G
Number of Individuals Covered6860
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedADD - BAS
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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