?>
Logo

UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameUFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN
Plan identification number 501

UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

UFCW - HAWAII FOOD EMPLOYERS has sponsored the creation of one or more 401k plans.

Company Name:UFCW - HAWAII FOOD EMPLOYERS
Employer identification number (EIN):010757287
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01MILLER KAPLAN ARASE LLP
5012016-01-01MILLER KAPLAN ARASE LLP
5012015-01-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2016-10-12
5012014-01-01SANDY S GARCIA SANDY S GARCIA2015-10-08
5012013-01-01SANDY S. GARCIA SANDY S. GARCIA2014-10-11
5012012-01-01FRANK JORGENSEN PATRICK LOO2013-10-11
5012011-01-01FRANK JORGENSEN PATRICK LOO2012-10-11
5012010-01-01FRANK JORGENSEN PATRICK LOO2011-08-26
5012009-01-01FRANK JORGENSON PATRICK LOO2010-10-06

Plan Statistics for UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN

Measure Date Value
2022: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,887
Total number of active participants reported on line 7a of the Form 55002022-01-011,863
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,864
Total participants2022-01-011,864
Number of employers contributing to the scheme2022-01-015
2021: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,935
Total number of active participants reported on line 7a of the Form 55002021-01-011,884
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,887
Total participants2021-01-011,887
Number of employers contributing to the scheme2021-01-015
2020: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,693
Total number of active participants reported on line 7a of the Form 55002020-01-011,932
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,935
Total participants2020-01-011,935
Number of employers contributing to the scheme2020-01-016
2019: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,646
Total number of active participants reported on line 7a of the Form 55002019-01-011,690
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,693
Total participants2019-01-011,693
Number of employers contributing to the scheme2019-01-016
2018: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,628
Total number of active participants reported on line 7a of the Form 55002018-01-011,644
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,646
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
Number of employers contributing to the scheme2018-01-016
2017: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,617
Total number of active participants reported on line 7a of the Form 55002017-01-011,621
Number of retired or separated participants receiving benefits2017-01-017
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,628
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,628
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
Number of employers contributing to the scheme2017-01-016
2016: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,621
Total number of active participants reported on line 7a of the Form 55002016-01-011,609
Number of retired or separated participants receiving benefits2016-01-018
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,617
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,617
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
Number of employers contributing to the scheme2016-01-015
2015: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,445
Total number of active participants reported on line 7a of the Form 55002015-01-011,616
Number of retired or separated participants receiving benefits2015-01-015
Total of all active and inactive participants2015-01-011,621
Total participants2015-01-011,621
Number of employers contributing to the scheme2015-01-014
2014: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,518
Total number of active participants reported on line 7a of the Form 55002014-01-011,445
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,445
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,445
Number of participants with account balances2014-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
Number of employers contributing to the scheme2014-01-014
2013: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,530
Total number of active participants reported on line 7a of the Form 55002013-01-011,518
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,518
Total participants2013-01-011,518
Number of employers contributing to the scheme2013-01-014
2012: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,575
Total number of active participants reported on line 7a of the Form 55002012-01-011,394
Number of retired or separated participants receiving benefits2012-01-01136
Total of all active and inactive participants2012-01-011,530
Number of employers contributing to the scheme2012-01-014
2011: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,554
Total number of active participants reported on line 7a of the Form 55002011-01-011,447
Number of retired or separated participants receiving benefits2011-01-01128
Total of all active and inactive participants2011-01-011,575
Number of employers contributing to the scheme2011-01-014
2010: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,565
Total number of active participants reported on line 7a of the Form 55002010-01-011,418
Number of retired or separated participants receiving benefits2010-01-01136
Total of all active and inactive participants2010-01-011,554
Number of employers contributing to the scheme2010-01-013
2009: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,524
Total number of active participants reported on line 7a of the Form 55002009-01-011,438
Number of retired or separated participants receiving benefits2009-01-01127
Total of all active and inactive participants2009-01-011,565
Number of employers contributing to the scheme2009-01-013

Financial Data on UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN

Measure Date Value
2022 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-339,375
Total unrealized appreciation/depreciation of assets2022-12-31$-339,375
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,756,359
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,695,032
Total income from all sources (including contributions)2022-12-31$18,674,211
Total loss/gain on sale of assets2022-12-31$-3,955
Total of all expenses incurred2022-12-31$18,450,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$17,337,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$18,935,003
Value of total assets at end of year2022-12-31$14,901,054
Value of total assets at beginning of year2022-12-31$13,616,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,112,988
Total interest from all sources2022-12-31$90,675
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$103,948
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$103,948
Administrative expenses professional fees incurred2022-12-31$298,427
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$289,233
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$633,281
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$316,806
Administrative expenses (other) incurred2022-12-31$154,587
Liabilities. Value of operating payables at end of year2022-12-31$73,412
Liabilities. Value of operating payables at beginning of year2022-12-31$55,170
Total non interest bearing cash at end of year2022-12-31$-470
Total non interest bearing cash at beginning of year2022-12-31$-87,163
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$223,636
Value of net assets at end of year (total assets less liabilities)2022-12-31$10,144,695
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,921,059
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$14,534
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,072,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$574,340
Interest earned on other investments2022-12-31$10,618
Income. Interest from US Government securities2022-12-31$62,947
Income. Interest from corporate debt instruments2022-12-31$16,792
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$4,854,747
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$6,896,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$6,896,766
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$318
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$5,569,245
Asset value of US Government securities at end of year2022-12-31$5,072,564
Asset value of US Government securities at beginning of year2022-12-31$3,052,671
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-112,085
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$18,645,770
Employer contributions (assets) at end of year2022-12-31$1,778,550
Employer contributions (assets) at beginning of year2022-12-31$1,508,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$11,768,342
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$947,403
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$835,140
Contract administrator fees2022-12-31$645,440
Liabilities. Value of benefit claims payable at end of year2022-12-31$4,682,947
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$3,639,862
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$542,621
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$519,211
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$452,698
Aggregate carrying amount (costs) on sale of assets2022-12-31$456,653
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-12-31952036255
2021 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-59,226
Total unrealized appreciation/depreciation of assets2021-12-31$-59,226
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,695,032
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,275,989
Total income from all sources (including contributions)2021-12-31$18,622,861
Total loss/gain on sale of assets2021-12-31$-6,890
Total of all expenses incurred2021-12-31$14,423,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$13,481,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$18,619,189
Value of total assets at end of year2021-12-31$13,616,091
Value of total assets at beginning of year2021-12-31$9,997,754
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$941,739
Total interest from all sources2021-12-31$57,636
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$21,047
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$21,047
Administrative expenses professional fees incurred2021-12-31$134,820
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$275,687
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$316,806
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$422,168
Administrative expenses (other) incurred2021-12-31$119,103
Liabilities. Value of operating payables at end of year2021-12-31$55,170
Liabilities. Value of operating payables at beginning of year2021-12-31$56,096
Total non interest bearing cash at end of year2021-12-31$-87,163
Total non interest bearing cash at beginning of year2021-12-31$19,594
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$4,199,294
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,921,059
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,721,765
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$11,710
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$574,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$502,501
Interest earned on other investments2021-12-31$12,664
Income. Interest from US Government securities2021-12-31$27,549
Income. Interest from corporate debt instruments2021-12-31$16,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$6,896,766
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$4,603,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$4,603,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$780
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$4,322,176
Asset value of US Government securities at end of year2021-12-31$3,052,671
Asset value of US Government securities at beginning of year2021-12-31$1,428,311
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-8,895
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$18,343,502
Employer contributions (assets) at end of year2021-12-31$1,508,320
Employer contributions (assets) at beginning of year2021-12-31$1,535,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,159,652
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$835,140
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$980,193
Contract administrator fees2021-12-31$676,106
Liabilities. Value of benefit claims payable at end of year2021-12-31$3,639,862
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$4,219,893
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$519,211
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$506,547
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$993,130
Aggregate carrying amount (costs) on sale of assets2021-12-31$1,000,020
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2021-12-31952036255
2020 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$46,978
Total unrealized appreciation/depreciation of assets2020-12-31$46,978
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,275,989
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,868,352
Total income from all sources (including contributions)2020-12-31$18,012,591
Total loss/gain on sale of assets2020-12-31$564
Total of all expenses incurred2020-12-31$14,231,655
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$13,351,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$17,884,952
Value of total assets at end of year2020-12-31$9,997,754
Value of total assets at beginning of year2020-12-31$6,809,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$880,241
Total interest from all sources2020-12-31$61,128
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$18,828
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$18,828
Administrative expenses professional fees incurred2020-12-31$133,371
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$265,253
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$422,168
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$379,995
Administrative expenses (other) incurred2020-12-31$123,397
Liabilities. Value of operating payables at end of year2020-12-31$56,096
Liabilities. Value of operating payables at beginning of year2020-12-31$32,233
Total non interest bearing cash at end of year2020-12-31$19,594
Total non interest bearing cash at beginning of year2020-12-31$64,889
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$3,780,936
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,721,765
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,940,829
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$7,946
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$502,501
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$455,731
Interest earned on other investments2020-12-31$12,552
Income. Interest from US Government securities2020-12-31$21,169
Income. Interest from corporate debt instruments2020-12-31$22,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$4,603,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,574,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,574,013
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$4,834
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,413,903
Asset value of US Government securities at end of year2020-12-31$1,428,311
Asset value of US Government securities at beginning of year2020-12-31$1,333,233
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$141
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$17,619,699
Employer contributions (assets) at end of year2020-12-31$1,535,171
Employer contributions (assets) at beginning of year2020-12-31$1,414,221
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$8,937,511
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$980,193
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$1,085,010
Contract administrator fees2020-12-31$615,527
Liabilities. Value of benefit claims payable at end of year2020-12-31$4,219,893
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$4,836,119
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$506,547
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$502,089
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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$740,421
Aggregate carrying amount (costs) on sale of assets2020-12-31$739,857
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2020-12-31952036255
2019 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$44,060
Total unrealized appreciation/depreciation of assets2019-12-31$44,060
Total unrealized appreciation/depreciation of assets2019-12-31$44,060
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,868,352
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,868,352
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,377,981
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,377,981
Total income from all sources (including contributions)2019-12-31$16,349,486
Total income from all sources (including contributions)2019-12-31$16,349,486
Total loss/gain on sale of assets2019-12-31$5,203
Total loss/gain on sale of assets2019-12-31$5,203
Total of all expenses incurred2019-12-31$16,685,875
Total of all expenses incurred2019-12-31$16,685,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,863,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,863,112
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,172,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,172,402
Value of total assets at end of year2019-12-31$6,809,181
Value of total assets at end of year2019-12-31$6,809,181
Value of total assets at beginning of year2019-12-31$6,655,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$822,763
Total interest from all sources2019-12-31$93,940
Total interest from all sources2019-12-31$93,940
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$25,417
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$25,417
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$25,417
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$25,417
Administrative expenses professional fees incurred2019-12-31$133,526
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
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$174,182
Contributions received from participants2019-12-31$174,182
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$379,995
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$379,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$434,709
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$434,709
Administrative expenses (other) incurred2019-12-31$107,110
Administrative expenses (other) incurred2019-12-31$107,110
Liabilities. Value of operating payables at end of year2019-12-31$32,233
Liabilities. Value of operating payables at end of year2019-12-31$32,233
Liabilities. Value of operating payables at beginning of year2019-12-31$43,897
Liabilities. Value of operating payables at beginning of year2019-12-31$43,897
Total non interest bearing cash at end of year2019-12-31$64,889
Total non interest bearing cash at end of year2019-12-31$64,889
Total non interest bearing cash at beginning of year2019-12-31$65,752
Total non interest bearing cash at beginning of year2019-12-31$65,752
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-336,389
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,940,829
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,277,218
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,277,218
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 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$6,784
Investment advisory and management fees2019-12-31$6,784
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$455,731
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$455,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$419,356
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$419,356
Interest earned on other investments2019-12-31$12,518
Interest earned on other investments2019-12-31$12,518
Income. Interest from US Government securities2019-12-31$20,075
Income. Interest from US Government securities2019-12-31$20,075
Income. Interest from corporate debt instruments2019-12-31$26,675
Income. Interest from corporate debt instruments2019-12-31$26,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,574,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,574,013
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,686,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,686,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,686,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,686,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$34,672
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$34,672
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,700,699
Asset value of US Government securities at end of year2019-12-31$1,333,233
Asset value of US Government securities at end of year2019-12-31$1,333,233
Asset value of US Government securities at beginning of year2019-12-31$869,861
Asset value of US Government securities at beginning of year2019-12-31$869,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$8,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$8,464
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$15,998,220
Contributions received in cash from employer2019-12-31$15,998,220
Employer contributions (assets) at end of year2019-12-31$1,414,221
Employer contributions (assets) at end of year2019-12-31$1,414,221
Employer contributions (assets) at beginning of year2019-12-31$1,337,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$13,162,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$13,162,413
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$1,085,010
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$1,085,010
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$1,399,578
Contract administrator fees2019-12-31$575,343
Contract administrator fees2019-12-31$575,343
Liabilities. Value of benefit claims payable at end of year2019-12-31$4,836,119
Liabilities. Value of benefit claims payable at end of year2019-12-31$4,836,119
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,334,084
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,334,084
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$502,089
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$502,089
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$442,422
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$442,422
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
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$1,118,321
Aggregate proceeds on sale of assets2019-12-31$1,118,321
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,113,118
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,113,118
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-12-31952036255
2018 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-2,587
Total unrealized appreciation/depreciation of assets2018-12-31$-2,587
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,377,981
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,692,854
Total income from all sources (including contributions)2018-12-31$14,633,566
Total loss/gain on sale of assets2018-12-31$1,049
Total of all expenses incurred2018-12-31$15,399,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,599,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$14,568,972
Value of total assets at end of year2018-12-31$6,655,199
Value of total assets at beginning of year2018-12-31$7,736,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$800,075
Total interest from all sources2018-12-31$72,529
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$41,634
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$41,634
Administrative expenses professional fees incurred2018-12-31$116,594
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$36,669
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$434,709
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$139,911
Administrative expenses (other) incurred2018-12-31$112,796
Liabilities. Value of operating payables at end of year2018-12-31$43,897
Liabilities. Value of operating payables at beginning of year2018-12-31$31,936
Total non interest bearing cash at end of year2018-12-31$65,752
Total non interest bearing cash at beginning of year2018-12-31$65,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-766,368
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,277,218
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,043,586
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$8,464
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$419,356
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$944,634
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,686,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$979,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$979,022
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$72,529
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,986,639
Asset value of US Government securities at end of year2018-12-31$869,861
Asset value of US Government securities at beginning of year2018-12-31$2,234,277
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-48,031
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$14,532,303
Employer contributions (assets) at end of year2018-12-31$1,337,130
Employer contributions (assets) at beginning of year2018-12-31$1,218,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$11,613,220
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$1,399,578
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$1,723,035
Contract administrator fees2018-12-31$562,221
Liabilities. Value of benefit claims payable at end of year2018-12-31$4,334,084
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$4,660,918
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$442,422
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$431,632
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$1,497,908
Aggregate carrying amount (costs) on sale of assets2018-12-31$1,496,859
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-12-31952036255
2017 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-17,094
Total unrealized appreciation/depreciation of assets2017-12-31$-17,094
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,692,854
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,299,220
Total income from all sources (including contributions)2017-12-31$13,317,813
Total loss/gain on sale of assets2017-12-31$-477
Total of all expenses incurred2017-12-31$15,245,524
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$14,426,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$13,209,552
Value of total assets at end of year2017-12-31$7,736,440
Value of total assets at beginning of year2017-12-31$9,270,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$819,141
Total interest from all sources2017-12-31$85,044
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$41,027
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$41,027
Administrative expenses professional fees incurred2017-12-31$145,574
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$57,724
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$139,911
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$159,230
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$426,302
Administrative expenses (other) incurred2017-12-31$99,843
Liabilities. Value of operating payables at end of year2017-12-31$31,936
Liabilities. Value of operating payables at beginning of year2017-12-31$35,703
Total non interest bearing cash at end of year2017-12-31$65,431
Total non interest bearing cash at beginning of year2017-12-31$66,778
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-1,927,711
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,043,586
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,971,297
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$13,290
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$944,634
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$895,824
Interest earned on other investments2017-12-31$10,746
Income. Interest from US Government securities2017-12-31$31,575
Income. Interest from corporate debt instruments2017-12-31$36,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$979,022
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,220,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,220,480
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$6,585
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,652,380
Asset value of US Government securities at end of year2017-12-31$2,234,277
Asset value of US Government securities at beginning of year2017-12-31$3,468,132
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$-239
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$13,151,828
Employer contributions (assets) at end of year2017-12-31$1,218,498
Employer contributions (assets) at beginning of year2017-12-31$1,099,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$11,774,003
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$1,723,035
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$1,949,470
Contract administrator fees2017-12-31$560,434
Liabilities. Value of benefit claims payable at end of year2017-12-31$4,660,918
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,837,215
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$431,632
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$411,275
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$2,521,749
Aggregate carrying amount (costs) on sale of assets2017-12-31$2,522,226
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2017-12-31952036255
2016 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-5,884
Total unrealized appreciation/depreciation of assets2016-12-31$-5,884
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,299,220
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,555,920
Total income from all sources (including contributions)2016-12-31$12,572,027
Total loss/gain on sale of assets2016-12-31$3,853
Total of all expenses incurred2016-12-31$12,822,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$11,946,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$12,408,815
Value of total assets at end of year2016-12-31$9,270,517
Value of total assets at beginning of year2016-12-31$8,777,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$875,743
Total interest from all sources2016-12-31$78,078
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$35,234
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$35,234
Administrative expenses professional fees incurred2016-12-31$155,330
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$45,798
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$159,230
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$193,377
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$426,302
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$345,507
Administrative expenses (other) incurred2016-12-31$111,163
Liabilities. Value of operating payables at end of year2016-12-31$35,703
Liabilities. Value of operating payables at beginning of year2016-12-31$33,320
Total non interest bearing cash at end of year2016-12-31$66,778
Total non interest bearing cash at beginning of year2016-12-31$72,893
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-250,571
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,971,297
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,221,868
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$14,551
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$895,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$0
Interest earned on other investments2016-12-31$10,027
Income. Interest from US Government securities2016-12-31$30,710
Income. Interest from corporate debt instruments2016-12-31$35,484
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,220,480
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,106,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,106,499
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,857
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,534,638
Asset value of US Government securities at end of year2016-12-31$3,468,132
Asset value of US Government securities at beginning of year2016-12-31$4,243,175
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$51,931
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$12,363,017
Employer contributions (assets) at end of year2016-12-31$1,099,328
Employer contributions (assets) at beginning of year2016-12-31$1,047,375
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$9,412,217
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$1,949,470
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$1,776,337
Contract administrator fees2016-12-31$594,699
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,837,215
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$3,177,093
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$411,275
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$338,132
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$2,487,485
Aggregate carrying amount (costs) on sale of assets2016-12-31$2,483,632
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-12-31952036255
2015 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-24,409
Total unrealized appreciation/depreciation of assets2015-12-31$-24,409
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,555,920
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,746,290
Total income from all sources (including contributions)2015-12-31$11,332,919
Total loss/gain on sale of assets2015-12-31$7,236
Total of all expenses incurred2015-12-31$12,333,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$11,487,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$11,270,736
Value of total assets at end of year2015-12-31$8,777,788
Value of total assets at beginning of year2015-12-31$8,968,953
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$846,005
Total interest from all sources2015-12-31$79,356
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$132,428
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$24,253
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$193,377
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$122,426
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$345,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$232,893
Administrative expenses (other) incurred2015-12-31$130,816
Liabilities. Value of operating payables at end of year2015-12-31$33,320
Liabilities. Value of operating payables at beginning of year2015-12-31$37,398
Total non interest bearing cash at end of year2015-12-31$72,893
Total non interest bearing cash at beginning of year2015-12-31$73,387
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,000,795
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,221,868
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,222,663
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$23,218
Interest earned on other investments2015-12-31$9,824
Income. Interest from US Government securities2015-12-31$38,994
Income. Interest from corporate debt instruments2015-12-31$30,139
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,106,499
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$857,311
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$857,311
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$399
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,101,853
Asset value of US Government securities at end of year2015-12-31$4,243,175
Asset value of US Government securities at beginning of year2015-12-31$5,391,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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$11,246,483
Employer contributions (assets) at end of year2015-12-31$1,047,375
Employer contributions (assets) at beginning of year2015-12-31$887,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,385,856
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$1,776,337
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$1,376,034
Contract administrator fees2015-12-31$559,543
Liabilities. Value of benefit claims payable at end of year2015-12-31$3,177,093
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$2,475,999
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$338,132
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$260,457
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
Aggregate proceeds on sale of assets2015-12-31$4,742,258
Aggregate carrying amount (costs) on sale of assets2015-12-31$4,735,022
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 name2015-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-12-31952036255
2014 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$757
Total unrealized appreciation/depreciation of assets2014-12-31$757
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,746,290
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,051,516
Total income from all sources (including contributions)2014-12-31$9,929,171
Total loss/gain on sale of assets2014-12-31$2,581
Total of all expenses incurred2014-12-31$10,110,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$9,347,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$9,860,729
Value of total assets at end of year2014-12-31$8,968,953
Value of total assets at beginning of year2014-12-31$9,455,442
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$763,008
Total interest from all sources2014-12-31$65,104
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$110,480
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$24,790
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$122,426
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$116,812
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$232,893
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$449,917
Administrative expenses (other) incurred2014-12-31$109,206
Liabilities. Value of operating payables at end of year2014-12-31$37,398
Liabilities. Value of operating payables at beginning of year2014-12-31$16,154
Total non interest bearing cash at end of year2014-12-31$73,387
Total non interest bearing cash at beginning of year2014-12-31$61,719
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-181,263
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,222,663
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,403,926
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$22,873
Interest earned on other investments2014-12-31$7,570
Income. Interest from US Government securities2014-12-31$32,986
Income. Interest from corporate debt instruments2014-12-31$24,032
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$857,311
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,818,329
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,818,329
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$516
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,274,067
Asset value of US Government securities at end of year2014-12-31$5,391,722
Asset value of US Government securities at beginning of year2014-12-31$5,195,071
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
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$9,835,939
Employer contributions (assets) at end of year2014-12-31$887,616
Employer contributions (assets) at beginning of year2014-12-31$832,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$7,073,359
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$1,376,034
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$1,177,724
Contract administrator fees2014-12-31$520,449
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
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,475,999
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$2,585,445
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$260,457
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$253,445
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
Aggregate proceeds on sale of assets2014-12-31$1,538,129
Aggregate carrying amount (costs) on sale of assets2014-12-31$1,535,548
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-12-31952036255
2013 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-87,331
Total unrealized appreciation/depreciation of assets2013-12-31$-87,331
Total transfer of assets from this plan2013-12-31$752,727
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,051,516
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,257,411
Total income from all sources (including contributions)2013-12-31$9,841,774
Total loss/gain on sale of assets2013-12-31$38,313
Total of all expenses incurred2013-12-31$11,822,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$11,031,113
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$9,816,991
Value of total assets at end of year2013-12-31$9,455,442
Value of total assets at beginning of year2013-12-31$10,395,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$791,709
Total interest from all sources2013-12-31$72,559
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$108,335
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$33,925
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$357
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$116,812
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$91,881
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$449,917
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$1,242
Administrative expenses (other) incurred2013-12-31$139,163
Liabilities. Value of operating payables at end of year2013-12-31$16,154
Liabilities. Value of operating payables at beginning of year2013-12-31$19,636
Total non interest bearing cash at end of year2013-12-31$61,719
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,981,048
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,403,926
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$9,137,701
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$23,182
Interest earned on other investments2013-12-31$10,040
Income. Interest from US Government securities2013-12-31$41,655
Income. Interest from corporate debt instruments2013-12-31$20,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,818,329
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,229,876
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,229,876
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$575
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,365,934
Asset value of US Government securities at end of year2013-12-31$5,195,071
Asset value of US Government securities at beginning of year2013-12-31$7,165,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
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$9,783,066
Employer contributions (assets) at end of year2013-12-31$832,342
Employer contributions (assets) at beginning of year2013-12-31$881,478
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$8,665,179
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$1,177,724
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$1,026,383
Contract administrator fees2013-12-31$521,029
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
Liabilities. Value of benefit claims payable at end of year2013-12-31$2,585,445
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,237,775
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$253,445
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$0
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
Aggregate proceeds on sale of assets2013-12-31$5,599,236
Aggregate carrying amount (costs) on sale of assets2013-12-31$5,560,923
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 name2013-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2013-12-31952036255
2012 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$15,847
Total unrealized appreciation/depreciation of assets2012-12-31$15,847
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,257,411
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,509,599
Total income from all sources (including contributions)2012-12-31$9,853,780
Total loss/gain on sale of assets2012-12-31$-854
Total of all expenses incurred2012-12-31$10,523,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$9,702,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$9,731,935
Value of total assets at end of year2012-12-31$10,395,112
Value of total assets at beginning of year2012-12-31$11,317,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$820,882
Total interest from all sources2012-12-31$105,207
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$131,122
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$154,129
Participant contributions at end of year2012-12-31$357
Participant contributions at beginning of year2012-12-31$718
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$91,881
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$88,001
Other income not declared elsewhere2012-12-31$1,645
Administrative expenses (other) incurred2012-12-31$70,244
Liabilities. Value of operating payables at end of year2012-12-31$19,636
Liabilities. Value of operating payables at beginning of year2012-12-31$15,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-669,706
Value of net assets at end of year (total assets less liabilities)2012-12-31$9,137,701
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$9,807,407
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$26,742
Income. Interest from US Government securities2012-12-31$74,901
Income. Interest from corporate debt instruments2012-12-31$16,279
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,229,876
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,337,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,337,548
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$14,027
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,189,969
Asset value of US Government securities at end of year2012-12-31$7,165,137
Asset value of US Government securities at beginning of year2012-12-31$7,439,536
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
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$9,577,806
Employer contributions (assets) at end of year2012-12-31$881,478
Employer contributions (assets) at beginning of year2012-12-31$831,310
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,512,635
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$1,026,383
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$619,893
Contract administrator fees2012-12-31$592,774
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
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,237,775
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,493,605
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
Aggregate proceeds on sale of assets2012-12-31$7,489,274
Aggregate carrying amount (costs) on sale of assets2012-12-31$7,490,128
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 name2012-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2012-12-31990155373
2011 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$66,497
Total unrealized appreciation/depreciation of assets2011-12-31$66,497
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,509,598
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,492,295
Total income from all sources (including contributions)2011-12-31$9,330,780
Total loss/gain on sale of assets2011-12-31$1,251
Total of all expenses incurred2011-12-31$10,425,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$9,699,954
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,145,953
Value of total assets at end of year2011-12-31$11,317,006
Value of total assets at beginning of year2011-12-31$12,394,829
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$725,952
Total interest from all sources2011-12-31$115,950
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$136,130
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$145,920
Participant contributions at end of year2011-12-31$718
Participant contributions at beginning of year2011-12-31$1,104
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$88,001
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$44,199
Other income not declared elsewhere2011-12-31$1,129
Administrative expenses (other) incurred2011-12-31$49,813
Liabilities. Value of operating payables at end of year2011-12-31$15,993
Liabilities. Value of operating payables at beginning of year2011-12-31$17,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,095,126
Value of net assets at end of year (total assets less liabilities)2011-12-31$9,807,408
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$10,902,534
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$26,345
Income. Interest from US Government securities2011-12-31$84,422
Income. Interest from corporate debt instruments2011-12-31$5,631
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,337,548
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$4,990,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$4,990,474
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$25,897
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,359,433
Asset value of US Government securities at end of year2011-12-31$7,439,536
Asset value of US Government securities at beginning of year2011-12-31$6,611,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
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$9,000,033
Employer contributions (assets) at end of year2011-12-31$831,310
Employer contributions (assets) at beginning of year2011-12-31$747,290
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$7,340,521
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$619,893
Contract administrator fees2011-12-31$513,664
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
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,493,605
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,475,056
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
Aggregate proceeds on sale of assets2011-12-31$11,651,774
Aggregate carrying amount (costs) on sale of assets2011-12-31$11,650,523
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 name2011-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2011-12-31990155373
2010 : UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$53,665
Total unrealized appreciation/depreciation of assets2010-12-31$53,665
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,492,295
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,694,944
Total income from all sources (including contributions)2010-12-31$9,274,573
Total loss/gain on sale of assets2010-12-31$308
Total of all expenses incurred2010-12-31$9,526,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$8,775,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$9,129,110
Value of total assets at end of year2010-12-31$12,394,829
Value of total assets at beginning of year2010-12-31$12,849,184
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$750,726
Total interest from all sources2010-12-31$91,490
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$132,439
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$165,930
Participant contributions at end of year2010-12-31$1,104
Participant contributions at beginning of year2010-12-31$3,055
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$44,199
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$41,074
Administrative expenses (other) incurred2010-12-31$78,048
Liabilities. Value of operating payables at end of year2010-12-31$17,239
Liabilities. Value of operating payables at beginning of year2010-12-31$12,154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-251,706
Value of net assets at end of year (total assets less liabilities)2010-12-31$10,902,534
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$11,154,240
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$17,773
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$4,990,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$12,025,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$12,025,847
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$91,490
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,283,586
Asset value of US Government securities at end of year2010-12-31$6,611,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
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$8,963,180
Employer contributions (assets) at end of year2010-12-31$747,290
Employer contributions (assets) at beginning of year2010-12-31$755,712
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$6,491,967
Contract administrator fees2010-12-31$522,466
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$1,475,056
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,682,790
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$23,496
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
Aggregate proceeds on sale of assets2010-12-31$9,690,826
Aggregate carrying amount (costs) on sale of assets2010-12-31$9,690,518
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 name2010-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2010-12-31990155373

Form 5500 Responses for UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN

2022: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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: UFCW - HAWAII FOOD EMPLOYERS HEALTH AND WELFARE PLAN 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

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10533
Policy instance 4
Insurance contract or identification numberSL10533
Number of Individuals Covered1367
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $17,652
Welfare Benefit Premiums Paid to CarrierUSD $475,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,652
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1762
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered798
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,257,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1844
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1868
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $17,532
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 number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1787
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered768
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,195,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 4
Insurance contract or identification numberUFCW
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10533
Policy instance 5
Insurance contract or identification numberSL10533
Number of Individuals Covered1414
Insurance policy start date2021-04-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $17,652
Welfare Benefit Premiums Paid to CarrierUSD $372,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,652
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1798
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1923
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,408
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered836
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,103,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 4
Insurance contract or identification numberUFCW
Number of Individuals Covered87
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 4
Insurance contract or identification numberUFCW
Number of Individuals Covered55
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,876
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 number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1579
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered729
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,758,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1669
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,502
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 number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1520
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1634
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $15,009
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered665
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,869,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 4
Insurance contract or identification numberUFCW
Number of Individuals Covered86
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 4
Insurance contract or identification numberUFCW
Number of Individuals Covered92
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,747
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 number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1482
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1606
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,947
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered592
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,566,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 4
Insurance contract or identification numberUFCW
Number of Individuals Covered108
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,142
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 number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered1417
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
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 number*FOOTNOTE
Policy instance 2
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered469
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,736,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1604
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $10,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTAL CARE CENTERS OF HAWAII (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 5
Insurance contract or identification numberUFCW
Number of Individuals Covered125
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,088
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 number*FOOTNOTE
Policy instance 3
Insurance contract or identification number*FOOTNOTE
Number of Individuals Covered328
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,320,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2581
Policy instance 2
Insurance contract or identification number2581
Number of Individuals Covered2425
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1429
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $10,989
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 number12209645
Policy instance 4
Insurance contract or identification number12209645
Number of Individuals Covered1439
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1501
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 5
Insurance contract or identification numberUFCW
Number of Individuals Covered145
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,185
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 number12209645
Policy instance 4
Insurance contract or identification number12209645
Number of Individuals Covered1357
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Vision Insurance Welfare BenefitYes
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 number36877
Policy instance 3
Insurance contract or identification number36877
Number of Individuals Covered250
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,182,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2581
Policy instance 2
Insurance contract or identification number2581
Number of Individuals Covered2498
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2581
Policy instance 2
Insurance contract or identification number2581
Number of Individuals Covered2319
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number10417/97457
Policy instance 6
Insurance contract or identification number10417/97457
Number of Individuals Covered101
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $200,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 5
Insurance contract or identification numberUFCW
Number of Individuals Covered186
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,154
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 number12209645
Policy instance 4
Insurance contract or identification number12209645
Number of Individuals Covered1398
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
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 number36877
Policy instance 3
Insurance contract or identification number36877
Number of Individuals Covered286
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,240,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1389
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,998
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 number36877
Policy instance 3
Insurance contract or identification number36877
Number of Individuals Covered292
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,205,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 6
Insurance contract or identification numberUFCW
Number of Individuals Covered193
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,067
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 number12209645
Policy instance 5
Insurance contract or identification number12209645
Number of Individuals Covered1424
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number10417/97457
Policy instance 4
Insurance contract or identification number10417/97457
Number of Individuals Covered99
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $170,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2581
Policy instance 2
Insurance contract or identification number2581
Number of Individuals Covered2262
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1435
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberUFCW
Policy instance 6
Insurance contract or identification numberUFCW
Number of Individuals Covered224
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,832
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 number12209645
Policy instance 5
Insurance contract or identification number12209645
Number of Individuals Covered1416
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 95804 )
Policy contract number10417/97457
Policy instance 4
Insurance contract or identification number10417/97457
Number of Individuals Covered86
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $271,422
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 number36877
Policy instance 3
Insurance contract or identification number36877
Number of Individuals Covered299
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,131,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2581
Policy instance 2
Insurance contract or identification number2581
Number of Individuals Covered2210
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-40500
Policy instance 1
Insurance contract or identification numberGL-40500
Number of Individuals Covered1431
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $11,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3