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HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 401k Plan overview

Plan NameHOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST
Plan identification number 501

HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST Benefits

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

401k Sponsoring company profile

HOTEL & RESTAURANT EMPLOYEES HEALTH & WE has sponsored the creation of one or more 401k plans.

Company Name:HOTEL & RESTAURANT EMPLOYEES HEALTH & WE
Employer identification number (EIN):941229312
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01DOUGLAS CORNFORD2022-10-11 TAYLOR HUDSON2022-10-14
5012020-01-01D.N. CORENFORD2021-09-16 LIAN ALAN2021-09-17
5012020-01-01D.N. CORNFORD2022-01-21 LIAN ALAN2022-01-21
5012019-01-01DOUGLAS N CORNFORD2020-10-03 LIAN ALAN2020-10-09
5012019-01-01D.N. CORENFORD2021-03-29 LIAN ALAN2021-04-01
5012018-01-01WEI-LING HUBER2019-10-11
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01WEI-LING HUBER
5012011-01-01WEI-LING HUBER
5012010-01-01WEI-LING HUBER
5012009-01-01WEI-LING HUBER

Plan Statistics for HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST

401k plan membership statisitcs for HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST

Measure Date Value
2022: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01746
Total number of active participants reported on line 7a of the Form 55002022-01-011,046
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,046
Total participants2022-01-011,046
Number of employers contributing to the scheme2022-01-0133
2021: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011,035
Total number of active participants reported on line 7a of the Form 55002021-01-01746
Total of all active and inactive participants2021-01-01746
Number of employers contributing to the scheme2021-01-0129
2020: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011,380
Total number of active participants reported on line 7a of the Form 55002020-01-011,035
Total of all active and inactive participants2020-01-011,035
Number of employers contributing to the scheme2020-01-0127
2019: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,381
Total number of active participants reported on line 7a of the Form 55002019-01-011,380
Total of all active and inactive participants2019-01-011,380
Number of employers contributing to the scheme2019-01-0128
2018: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,423
Total number of active participants reported on line 7a of the Form 55002018-01-011,381
Total of all active and inactive participants2018-01-011,381
Number of employers contributing to the scheme2018-01-0124
2017: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011,426
Total number of active participants reported on line 7a of the Form 55002017-01-011,423
Total of all active and inactive participants2017-01-011,423
Number of employers contributing to the scheme2017-01-0126
2016: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011,748
Total number of active participants reported on line 7a of the Form 55002016-01-011,426
Total of all active and inactive participants2016-01-011,426
Number of employers contributing to the scheme2016-01-0124
2015: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-011,344
Total number of active participants reported on line 7a of the Form 55002015-01-011,748
Total of all active and inactive participants2015-01-011,748
Number of employers contributing to the scheme2015-01-0129
2014: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-011,319
Total number of active participants reported on line 7a of the Form 55002014-01-011,344
Total of all active and inactive participants2014-01-011,344
Number of employers contributing to the scheme2014-01-0139
2013: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011,395
Total number of active participants reported on line 7a of the Form 55002013-01-011,319
Total of all active and inactive participants2013-01-011,319
Number of employers contributing to the scheme2013-01-0141
2012: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011,362
Total number of active participants reported on line 7a of the Form 55002012-01-011,395
Total of all active and inactive participants2012-01-011,395
Number of employers contributing to the scheme2012-01-0143
2011: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,231
Total number of active participants reported on line 7a of the Form 55002011-01-011,362
Total of all active and inactive participants2011-01-011,362
Number of employers contributing to the scheme2011-01-0145
2010: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-011,884
Total number of active participants reported on line 7a of the Form 55002010-01-011,231
Total of all active and inactive participants2010-01-011,231
Number of employers contributing to the scheme2010-01-0131
2009: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011,551
Total number of active participants reported on line 7a of the Form 55002009-01-011,323
Total of all active and inactive participants2009-01-011,323
Number of employers contributing to the scheme2009-01-0120

Financial Data on HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST

Measure Date Value
2022 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,952,695
Total unrealized appreciation/depreciation of assets2022-12-31$-1,952,695
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,465,256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,360,098
Total income from all sources (including contributions)2022-12-31$19,729,354
Total loss/gain on sale of assets2022-12-31$-96,872
Total of all expenses incurred2022-12-31$18,642,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$18,166,171
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$21,485,658
Value of total assets at end of year2022-12-31$15,505,292
Value of total assets at beginning of year2022-12-31$14,313,429
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$476,478
Total interest from all sources2022-12-31$284,655
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$8,608
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$8,608
Administrative expenses professional fees incurred2022-12-31$209,636
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$8,960
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$2,637
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$86,672
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$730,018
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$3,412,755
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$3,334,047
Administrative expenses (other) incurred2022-12-31$31,598
Liabilities. Value of operating payables at end of year2022-12-31$52,501
Liabilities. Value of operating payables at beginning of year2022-12-31$26,051
Total non interest bearing cash at end of year2022-12-31$6,275,170
Total non interest bearing cash at beginning of year2022-12-31$5,207,153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$1,086,705
Value of net assets at end of year (total assets less liabilities)2022-12-31$12,040,036
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,953,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$31,709
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$316,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$100,400
Income. Interest from corporate debt instruments2022-12-31$284,655
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$390,471
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$390,471
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$18,153,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$21,476,698
Employer contributions (assets) at end of year2022-12-31$1,718,325
Employer contributions (assets) at beginning of year2022-12-31$668,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$12,500
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$7,109,066
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$7,214,620
Contract administrator fees2022-12-31$203,535
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$3,762,757
Aggregate carrying amount (costs) on sale of assets2022-12-31$3,859,629
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-12-31952036255
2021 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-547,803
Total unrealized appreciation/depreciation of assets2021-12-31$-547,803
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,561,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,022,901
Total income from all sources (including contributions)2021-12-31$14,243,633
Total loss/gain on sale of assets2021-12-31$260,810
Total of all expenses incurred2021-12-31$13,673,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$13,260,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$14,268,157
Value of total assets at end of year2021-12-31$14,313,429
Value of total assets at beginning of year2021-12-31$13,204,491
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$413,320
Total interest from all sources2021-12-31$260,216
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,695
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$2,695
Administrative expenses professional fees incurred2021-12-31$233,984
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$100,085
Participant contributions at end of year2021-12-31$2,637
Participant contributions at beginning of year2021-12-31$12,642
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,429,569
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$730,018
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$86,608
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$2,535,577
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$1,972,339
Administrative expenses (other) incurred2021-12-31$26,875
Liabilities. Value of operating payables at end of year2021-12-31$26,051
Liabilities. Value of operating payables at beginning of year2021-12-31$50,562
Total non interest bearing cash at end of year2021-12-31$5,207,153
Total non interest bearing cash at beginning of year2021-12-31$2,642,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$570,211
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,751,801
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$11,181,590
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$4,718
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$100,400
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$100,842
Income. Interest from corporate debt instruments2021-12-31$260,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$390,471
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,599,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,599,871
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$13,222,602
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-442
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$12,738,503
Employer contributions (assets) at end of year2021-12-31$668,130
Employer contributions (assets) at beginning of year2021-12-31$532,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$37,500
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$7,214,620
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$8,229,317
Contract administrator fees2021-12-31$147,743
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$4,440,505
Aggregate carrying amount (costs) on sale of assets2021-12-31$4,179,695
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EIDE BAILLY, LLP
Accountancy firm EIN2021-12-31450250958
2020 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$276,810
Total unrealized appreciation/depreciation of assets2020-12-31$276,810
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,022,901
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,963,099
Total income from all sources (including contributions)2020-12-31$14,377,700
Total loss/gain on sale of assets2020-12-31$583,611
Total of all expenses incurred2020-12-31$19,599,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$19,100,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$12,294,944
Value of total assets at end of year2020-12-31$13,204,491
Value of total assets at beginning of year2020-12-31$21,366,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$499,654
Total interest from all sources2020-12-31$399,860
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,546
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,546
Administrative expenses professional fees incurred2020-12-31$266,597
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$37,162
Participant contributions at end of year2020-12-31$12,642
Participant contributions at beginning of year2020-12-31$823
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$86,608
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$659,926
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,972,339
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$4,941,771
Other income not declared elsewhere2020-12-31$821,090
Administrative expenses (other) incurred2020-12-31$50,256
Liabilities. Value of operating payables at end of year2020-12-31$50,562
Liabilities. Value of operating payables at beginning of year2020-12-31$21,328
Total non interest bearing cash at end of year2020-12-31$2,642,713
Total non interest bearing cash at beginning of year2020-12-31$8,196,872
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-5,222,039
Value of net assets at end of year (total assets less liabilities)2020-12-31$11,181,590
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$16,403,629
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$4,949
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,599,871
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$287,720
Income. Interest from corporate debt instruments2020-12-31$392,145
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$100,842
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$101,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$101,003
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$7,715
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$19,100,085
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$-161
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$12,257,782
Employer contributions (assets) at end of year2020-12-31$532,498
Employer contributions (assets) at beginning of year2020-12-31$2,078,271
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$8,229,317
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$10,042,113
Contract administrator fees2020-12-31$177,852
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$15,138,950
Aggregate carrying amount (costs) on sale of assets2020-12-31$14,555,339
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31EIDE BAILLY LLP
Accountancy firm EIN2020-12-31450250958
2019 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,623,641
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,623,641
Total unrealized appreciation/depreciation of assets2019-12-31$1,623,641
Total unrealized appreciation/depreciation of assets2019-12-31$1,623,641
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,308,401
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,308,401
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,036,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,036,330
Total income from all sources (including contributions)2019-12-31$27,648,440
Total income from all sources (including contributions)2019-12-31$27,648,440
Total loss/gain on sale of assets2019-12-31$-319,557
Total loss/gain on sale of assets2019-12-31$-319,557
Total of all expenses incurred2019-12-31$26,514,979
Total of all expenses incurred2019-12-31$26,514,979
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$26,010,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$26,010,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$25,780,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$25,780,888
Value of total assets at end of year2019-12-31$21,679,151
Value of total assets at end of year2019-12-31$21,679,151
Value of total assets at beginning of year2019-12-31$18,273,619
Value of total assets at beginning of year2019-12-31$18,273,619
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$504,232
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$504,232
Total interest from all sources2019-12-31$489,508
Total interest from all sources2019-12-31$489,508
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,714
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,714
Administrative expenses professional fees incurred2019-12-31$225,215
Administrative expenses professional fees incurred2019-12-31$225,215
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$27,181
Contributions received from participants2019-12-31$27,181
Participant contributions at end of year2019-12-31$823
Participant contributions at end of year2019-12-31$823
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Assets. Other investments not covered elsewhere at end of year2019-12-31$287,720
Assets. Other investments not covered elsewhere at end of year2019-12-31$287,720
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$100,198
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$100,198
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$105,477
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$105,477
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,647,989
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,647,989
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$4,287,073
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$4,287,073
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,005,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,005,810
Other income not declared elsewhere2019-12-31$73,960
Other income not declared elsewhere2019-12-31$73,960
Administrative expenses (other) incurred2019-12-31$30,910
Administrative expenses (other) incurred2019-12-31$30,910
Liabilities. Value of operating payables at end of year2019-12-31$21,328
Liabilities. Value of operating payables at end of year2019-12-31$21,328
Liabilities. Value of operating payables at beginning of year2019-12-31$30,520
Liabilities. Value of operating payables at beginning of year2019-12-31$30,520
Total non interest bearing cash at end of year2019-12-31$3,466,929
Total non interest bearing cash at end of year2019-12-31$3,466,929
Total non interest bearing cash at beginning of year2019-12-31$6,133,510
Total non interest bearing cash at beginning of year2019-12-31$6,133,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,133,461
Value of net income/loss2019-12-31$1,133,461
Value of net assets at end of year (total assets less liabilities)2019-12-31$17,370,750
Value of net assets at end of year (total assets less liabilities)2019-12-31$17,370,750
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,237,289
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,237,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$46,136
Investment advisory and management fees2019-12-31$46,136
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$287,720
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$100,198
Interest earned on other investments2019-12-31$2,714
Income. Interest from corporate debt instruments2019-12-31$461,096
Income. Interest from corporate debt instruments2019-12-31$461,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$4,830,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$4,830,946
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$836,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$836,199
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$836,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$836,199
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$25,698
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$25,698
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$26,010,747
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$26,010,747
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$804
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$25,753,707
Contributions received in cash from employer2019-12-31$25,753,707
Employer contributions (assets) at end of year2019-12-31$2,945,143
Employer contributions (assets) at end of year2019-12-31$2,945,143
Employer contributions (assets) at beginning of year2019-12-31$1,331,539
Employer contributions (assets) at beginning of year2019-12-31$1,331,539
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$10,042,113
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$10,042,113
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$8,224,184
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$8,224,184
Contract administrator fees2019-12-31$201,971
Contract administrator fees2019-12-31$201,971
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$9,605,900
Aggregate proceeds on sale of assets2019-12-31$9,605,900
Aggregate carrying amount (costs) on sale of assets2019-12-31$9,925,457
Aggregate carrying amount (costs) on sale of assets2019-12-31$9,925,457
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm EIN2019-12-31450250958
Accountancy firm EIN2019-12-31450250958
2018 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-1,048,860
Total unrealized appreciation/depreciation of assets2018-12-31$-1,048,860
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,036,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,465,648
Total income from all sources (including contributions)2018-12-31$23,177,743
Total loss/gain on sale of assets2018-12-31$768
Total of all expenses incurred2018-12-31$21,589,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$21,091,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$23,505,747
Value of total assets at end of year2018-12-31$18,273,619
Value of total assets at beginning of year2018-12-31$18,114,267
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$497,860
Total interest from all sources2018-12-31$496,793
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$207,163
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$20,461
Assets. Other investments not covered elsewhere at end of year2018-12-31$100,198
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,647,989
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$160,367
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$2,005,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$3,417,835
Other income not declared elsewhere2018-12-31$223,295
Administrative expenses (other) incurred2018-12-31$42,315
Liabilities. Value of operating payables at end of year2018-12-31$30,520
Liabilities. Value of operating payables at beginning of year2018-12-31$47,813
Total non interest bearing cash at end of year2018-12-31$6,133,510
Total non interest bearing cash at beginning of year2018-12-31$5,047,632
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,588,670
Value of net assets at end of year (total assets less liabilities)2018-12-31$16,237,289
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$14,648,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$56,098
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$701,179
Interest earned on other investments2018-12-31$8,386
Income. Interest from corporate debt instruments2018-12-31$478,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$836,199
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,725,771
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,725,771
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$9,785
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$21,091,213
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$23,485,286
Employer contributions (assets) at end of year2018-12-31$1,331,539
Employer contributions (assets) at beginning of year2018-12-31$1,400,000
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$8,224,184
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$9,079,318
Contract administrator fees2018-12-31$192,284
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$2,195,267
Aggregate carrying amount (costs) on sale of assets2018-12-31$2,194,499
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31EIDE BAILLY LLP
Accountancy firm EIN2018-12-31450250958
2017 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$669,334
Total unrealized appreciation/depreciation of assets2017-12-31$669,334
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,465,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,399,128
Total income from all sources (including contributions)2017-12-31$23,831,623
Total loss/gain on sale of assets2017-12-31$-20,005
Total of all expenses incurred2017-12-31$18,617,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$18,069,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$22,745,185
Value of total assets at end of year2017-12-31$18,114,267
Value of total assets at beginning of year2017-12-31$12,833,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$547,336
Total interest from all sources2017-12-31$427,379
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$226,186
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$18,860
Participant contributions at beginning of year2017-12-31$5,146
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$160,367
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$133,546
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$3,417,835
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$3,332,527
Other income not declared elsewhere2017-12-31$9,730
Administrative expenses (other) incurred2017-12-31$53,905
Liabilities. Value of operating payables at end of year2017-12-31$47,813
Liabilities. Value of operating payables at beginning of year2017-12-31$66,601
Total non interest bearing cash at end of year2017-12-31$5,047,632
Total non interest bearing cash at beginning of year2017-12-31$2,531,462
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$5,214,341
Value of net assets at end of year (total assets less liabilities)2017-12-31$14,648,619
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,434,278
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$42,313
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$701,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$702,018
Interest earned on other investments2017-12-31$10,668
Income. Interest from corporate debt instruments2017-12-31$414,855
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,725,771
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$391,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$391,225
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,856
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$18,069,946
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$22,726,325
Employer contributions (assets) at end of year2017-12-31$1,400,000
Employer contributions (assets) at beginning of year2017-12-31$2,019,727
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$9,079,318
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$7,050,282
Contract administrator fees2017-12-31$224,932
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$2,734,252
Aggregate carrying amount (costs) on sale of assets2017-12-31$2,754,257
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31VAVRINEK TRINE DAY & CO., LLP
Accountancy firm EIN2017-12-31952648289
2016 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$53,202
Total unrealized appreciation/depreciation of assets2016-12-31$53,202
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,399,128
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,157,721
Total income from all sources (including contributions)2016-12-31$22,545,905
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$18,894,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$18,424,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$22,073,675
Value of total assets at end of year2016-12-31$12,833,406
Value of total assets at beginning of year2016-12-31$8,940,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$470,308
Total interest from all sources2016-12-31$303,220
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$192,447
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$47,839
Participant contributions at end of year2016-12-31$5,146
Participant contributions at beginning of year2016-12-31$1,262
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$2,923,984
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$133,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$2,776
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$3,332,527
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$3,139,023
Other income not declared elsewhere2016-12-31$115,808
Administrative expenses (other) incurred2016-12-31$58,065
Liabilities. Value of operating payables at end of year2016-12-31$66,601
Liabilities. Value of operating payables at beginning of year2016-12-31$18,698
Total non interest bearing cash at end of year2016-12-31$2,531,462
Total non interest bearing cash at beginning of year2016-12-31$249,162
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$3,651,316
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,434,278
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,782,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$34,814
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$702,018
Interest earned on other investments2016-12-31$7,487
Income. Interest from corporate debt instruments2016-12-31$295,240
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$391,225
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$4,168,069
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$4,168,069
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$493
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$18,424,281
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$22,025,836
Employer contributions (assets) at end of year2016-12-31$2,019,727
Employer contributions (assets) at beginning of year2016-12-31$1,595,430
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$7,050,282
Contract administrator fees2016-12-31$184,982
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$7,880,886
Aggregate carrying amount (costs) on sale of assets2016-12-31$7,880,886
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-12-31300702322
2015 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,157,721
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,185,276
Total income from all sources (including contributions)2015-12-31$21,393,900
Total of all expenses incurred2015-12-31$18,269,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$17,844,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$21,324,098
Value of total assets at end of year2015-12-31$8,940,683
Value of total assets at beginning of year2015-12-31$5,843,785
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$424,864
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$87,193
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$87,193
Administrative expenses professional fees incurred2015-12-31$214,621
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$19,004
Participant contributions at end of year2015-12-31$1,262
Participant contributions at beginning of year2015-12-31$3,734
Assets. Other investments not covered elsewhere at end of year2015-12-31$2,923,984
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$2,776
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$2,917
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$3,139,023
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$3,158,405
Other income not declared elsewhere2015-12-31$42,789
Administrative expenses (other) incurred2015-12-31$26,259
Liabilities. Value of operating payables at end of year2015-12-31$18,698
Liabilities. Value of operating payables at beginning of year2015-12-31$26,871
Total non interest bearing cash at end of year2015-12-31$249,162
Total non interest bearing cash at beginning of year2015-12-31$263,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,124,453
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,782,962
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,658,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$3,168
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,098,923
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$4,168,069
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,016,132
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,016,132
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$17,844,583
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-60,180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$21,305,094
Employer contributions (assets) at end of year2015-12-31$1,595,430
Employer contributions (assets) at beginning of year2015-12-31$1,458,433
Contract administrator fees2015-12-31$180,816
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2015-12-31300702322
2014 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,185,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,950,707
Total income from all sources (including contributions)2014-12-31$17,484,517
Total of all expenses incurred2014-12-31$18,082,131
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$17,710,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$17,297,016
Value of total assets at end of year2014-12-31$5,843,785
Value of total assets at beginning of year2014-12-31$6,206,830
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$371,312
Total interest from all sources2014-12-31$226
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$128,578
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$128,578
Administrative expenses professional fees incurred2014-12-31$162,666
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$21,026
Participant contributions at end of year2014-12-31$3,734
Participant contributions at beginning of year2014-12-31$3,066
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$2,917
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$3,158,405
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,921,513
Other income not declared elsewhere2014-12-31$38,638
Administrative expenses (other) incurred2014-12-31$28,512
Liabilities. Value of operating payables at end of year2014-12-31$26,871
Liabilities. Value of operating payables at beginning of year2014-12-31$29,194
Total non interest bearing cash at end of year2014-12-31$263,646
Total non interest bearing cash at beginning of year2014-12-31$393,968
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-597,614
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,658,509
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,256,123
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,098,923
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,500,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,016,132
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,015,936
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,015,936
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$226
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$17,710,819
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$20,059
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$17,275,990
Employer contributions (assets) at end of year2014-12-31$1,458,433
Employer contributions (assets) at beginning of year2014-12-31$1,290,525
Contract administrator fees2014-12-31$177,134
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-12-31300702322
2013 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,950,707
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,656,987
Total income from all sources (including contributions)2013-12-31$15,827,090
Total of all expenses incurred2013-12-31$16,907,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$16,569,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$15,893,429
Value of total assets at end of year2013-12-31$6,206,830
Value of total assets at beginning of year2013-12-31$6,993,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$338,002
Total interest from all sources2013-12-31$355
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$95,144
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$95,144
Administrative expenses professional fees incurred2013-12-31$134,326
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$93,667
Participant contributions at end of year2013-12-31$3,066
Participant contributions at beginning of year2013-12-31$8,061
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$2,688
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,921,513
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$2,646,345
Other income not declared elsewhere2013-12-31$12,044
Administrative expenses (other) incurred2013-12-31$23,129
Liabilities. Value of operating payables at end of year2013-12-31$29,194
Liabilities. Value of operating payables at beginning of year2013-12-31$10,642
Total non interest bearing cash at end of year2013-12-31$393,968
Total non interest bearing cash at beginning of year2013-12-31$689,262
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,080,844
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,256,123
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,336,967
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,500,286
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,279,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,015,936
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$815,641
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$815,641
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$355
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$16,569,932
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-173,882
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$15,799,762
Employer contributions (assets) at end of year2013-12-31$1,290,525
Employer contributions (assets) at beginning of year2013-12-31$1,199,279
Contract administrator fees2013-12-31$177,547
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2013-12-31300702322
2012 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,656,987
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,349,357
Total income from all sources (including contributions)2012-12-31$15,190,880
Total of all expenses incurred2012-12-31$15,390,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$15,058,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$14,648,247
Value of total assets at end of year2012-12-31$6,993,954
Value of total assets at beginning of year2012-12-31$6,885,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$331,899
Total interest from all sources2012-12-31$289
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$284,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$284,562
Administrative expenses professional fees incurred2012-12-31$141,403
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$88,725
Participant contributions at end of year2012-12-31$8,061
Participant contributions at beginning of year2012-12-31$3,199
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$2,688
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$2,646,345
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$2,340,697
Other income not declared elsewhere2012-12-31$94,892
Administrative expenses (other) incurred2012-12-31$19,146
Liabilities. Value of operating payables at end of year2012-12-31$10,642
Liabilities. Value of operating payables at beginning of year2012-12-31$8,660
Total non interest bearing cash at end of year2012-12-31$689,262
Total non interest bearing cash at beginning of year2012-12-31$119,816
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-199,365
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,336,967
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,536,332
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$4,279,023
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$4,631,572
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$815,641
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,015,472
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,015,472
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$289
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$15,058,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$162,890
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$14,559,522
Employer contributions (assets) at end of year2012-12-31$1,199,279
Employer contributions (assets) at beginning of year2012-12-31$1,113,770
Contract administrator fees2012-12-31$168,350
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2012-12-31300702322
2011 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,349,357
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,168,623
Total income from all sources (including contributions)2011-12-31$13,515,772
Total of all expenses incurred2011-12-31$13,982,208
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$13,664,463
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$13,243,007
Value of total assets at end of year2011-12-31$6,885,689
Value of total assets at beginning of year2011-12-31$7,171,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$317,745
Total interest from all sources2011-12-31$291
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$189,316
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$189,316
Administrative expenses professional fees incurred2011-12-31$134,107
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$109,784
Participant contributions at end of year2011-12-31$3,199
Participant contributions at beginning of year2011-12-31$10,190
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$83,563
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,860
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$44,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$2,340,697
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$2,155,726
Other income not declared elsewhere2011-12-31$72,961
Administrative expenses (other) incurred2011-12-31$18,477
Liabilities. Value of operating payables at end of year2011-12-31$8,660
Liabilities. Value of operating payables at beginning of year2011-12-31$12,897
Total non interest bearing cash at end of year2011-12-31$119,816
Total non interest bearing cash at beginning of year2011-12-31$318,974
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-466,436
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,536,332
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,002,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$4,631,572
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$4,932,058
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,015,472
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$915,256
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$915,256
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$291
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$13,664,463
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$10,197
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$13,049,660
Employer contributions (assets) at end of year2011-12-31$1,113,770
Employer contributions (assets) at beginning of year2011-12-31$949,915
Contract administrator fees2011-12-31$162,161
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2011-12-31300702322
2010 : HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,168,623
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,004,547
Total income from all sources (including contributions)2010-12-31$12,913,236
Total of all expenses incurred2010-12-31$12,515,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$12,221,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$12,474,781
Value of total assets at end of year2010-12-31$7,171,391
Value of total assets at beginning of year2010-12-31$6,609,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$293,958
Total interest from all sources2010-12-31$4,115
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$139,606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$139,606
Administrative expenses professional fees incurred2010-12-31$138,964
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$118,899
Participant contributions at end of year2010-12-31$10,190
Participant contributions at beginning of year2010-12-31$5,479
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$152,216
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$44,998
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$28,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$2,155,726
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$1,829,822
Other income not declared elsewhere2010-12-31$77,749
Administrative expenses (other) incurred2010-12-31$37,686
Liabilities. Value of operating payables at end of year2010-12-31$12,897
Liabilities. Value of operating payables at beginning of year2010-12-31$25,167
Total non interest bearing cash at end of year2010-12-31$318,974
Total non interest bearing cash at beginning of year2010-12-31$960,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$398,120
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,002,768
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,604,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$3,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$4,932,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,075,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$915,256
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,372,695
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,372,695
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,115
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$11,741,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$216,985
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$12,203,666
Employer contributions (assets) at end of year2010-12-31$949,915
Employer contributions (assets) at beginning of year2010-12-31$1,165,922
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$479,250
Contract administrator fees2010-12-31$114,308
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$149,558
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2010-12-31942723629

Form 5500 Responses for HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST

2022: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HOTEL & RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number04014
Policy instance 4
Insurance contract or identification number04014
Number of Individuals Covered1399
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72204
Policy instance 3
Insurance contract or identification number72204
Number of Individuals Covered698
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00404500
Policy instance 2
Insurance contract or identification number00404500
Number of Individuals Covered928
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number399
Policy instance 1
Insurance contract or identification number399
Number of Individuals Covered2031
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Welfare Benefit Premiums Paid to CarrierUSD $16,596,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72204
Policy instance 3
Insurance contract or identification number72204
Number of Individuals Covered602
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number399
Policy instance 1
Insurance contract or identification number399
Number of Individuals Covered1425
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $15,423,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00404500
Policy instance 2
Insurance contract or identification number00404500
Number of Individuals Covered696
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number04014
Policy instance 4
Insurance contract or identification number04014
Number of Individuals Covered1054
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
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number04014
Policy instance 4
Insurance contract or identification number04014
Number of Individuals Covered1416
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
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26CA01
Policy instance 5
Insurance contract or identification number26CA01
Number of Individuals Covered465
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
Welfare Benefit Premiums Paid to CarrierUSD $30,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00404500
Policy instance 2
Insurance contract or identification number00404500
Number of Individuals Covered965
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $131,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number399
Policy instance 1
Insurance contract or identification number399
Number of Individuals Covered2223
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $22,870,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72204
Policy instance 3
Insurance contract or identification number72204
Number of Individuals Covered831
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number04014
Policy instance 4
Insurance contract or identification number04014
Number of Individuals Covered1797
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $736,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72204
Policy instance 3
Insurance contract or identification number72204
Number of Individuals Covered1147
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00404500
Policy instance 2
Insurance contract or identification number00404500
Number of Individuals Covered1282
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number399
Policy instance 1
Insurance contract or identification number399
Number of Individuals Covered2928
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $20,163,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26CA01
Policy instance 5
Insurance contract or identification number26CA01
Number of Individuals Covered1360
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26CA01
Policy instance 5
Insurance contract or identification number26CA01
Number of Individuals Covered13405
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number04014
Policy instance 4
Insurance contract or identification number04014
Number of Individuals Covered1770
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $607,134
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72204
Policy instance 3
Insurance contract or identification number72204
Number of Individuals Covered1381
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $272,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00404500
Policy instance 2
Insurance contract or identification number00404500
Number of Individuals Covered1287
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 $155,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number399
Policy instance 1
Insurance contract or identification number399
Number of Individuals Covered3055
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $20,819,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00404500
Policy instance 2
Insurance contract or identification number00404500
Number of Individuals Covered1342
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 $156,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number72204
Policy instance 3
Insurance contract or identification number72204
Number of Individuals Covered1460
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $293,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number04014
Policy instance 4
Insurance contract or identification number04014
Number of Individuals Covered1615
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $532,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26CA01
Policy instance 5
Insurance contract or identification number26CA01
Number of Individuals Covered1347
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
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 $55,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number399
Policy instance 1
Insurance contract or identification number399
Number of Individuals Covered3069
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $16,427,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE

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