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

Plan NameUFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN
Plan identification number 502

UFCW - HAWAII FOOD EMPLOYERS RETIREE 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 RETIREE HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01MILLER KAPLAN ARASE LLP
5022016-01-01MILLER KAPLAN ARASE LLP
5022015-01-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2016-10-12
5022014-01-01SANDY S GARCIA SANDY S GARCIA2015-10-08
5022013-01-01SANDY S. GARCIA SANDY S. GARCIA2014-10-11

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

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

Measure Date Value
2022: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01205
Total number of active participants reported on line 7a of the Form 55002022-01-01208
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 participants2022-01-01209
Total participants2022-01-01209
Number of employers contributing to the scheme2022-01-015
2021: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01200
Total number of active participants reported on line 7a of the Form 55002021-01-01204
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-01205
Total participants2021-01-01205
Number of employers contributing to the scheme2021-01-015
2020: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01186
Total number of active participants reported on line 7a of the Form 55002020-01-01198
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-01200
Total participants2020-01-01200
Number of employers contributing to the scheme2020-01-016
2019: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01173
Total number of active participants reported on line 7a of the Form 55002019-01-01185
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01186
Number of employers contributing to the scheme2019-01-016
2018: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01160
Total number of active participants reported on line 7a of the Form 55002018-01-01172
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01173
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 RETIREE HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01154
Total number of active participants reported on line 7a of the Form 55002017-01-01158
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-012
Total participants2017-01-01160
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 RETIREE HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01151
Total number of active participants reported on line 7a of the Form 55002016-01-01153
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01154
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 scheme2016-01-014
2015: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01141
Number of retired or separated participants receiving benefits2015-01-01151
Total of all active and inactive participants2015-01-01151
Total participants2015-01-01151
Number of employers contributing to the scheme2015-01-014
2014: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01133
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-01139
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-01141
Total participants2014-01-01141
Number of employers contributing to the scheme2014-01-013
2013: UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-010
Number of retired or separated participants receiving benefits2013-01-01133
Total of all active and inactive participants2013-01-01133
Total participants2013-01-01133
Number of employers contributing to the scheme2013-01-014

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

Measure Date Value
2022 : UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$88,781
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$41,729
Total income from all sources (including contributions)2022-12-31$1,965,655
Total of all expenses incurred2022-12-31$1,674,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,544,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,976,280
Value of total assets at end of year2022-12-31$2,082,952
Value of total assets at beginning of year2022-12-31$1,744,753
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$129,870
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$4,401
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$4,401
Administrative expenses professional fees incurred2022-12-31$66,323
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$187,373
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$46,976
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$28,981
Administrative expenses (other) incurred2022-12-31$15,018
Liabilities. Value of operating payables at end of year2022-12-31$7,366
Liabilities. Value of operating payables at beginning of year2022-12-31$4,127
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$291,147
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,994,171
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,703,024
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$566
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$178,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$188,616
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,690,622
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,389,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,389,604
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,198,983
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-15,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
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$1,788,907
Employer contributions (assets) at end of year2022-12-31$167,151
Employer contributions (assets) at beginning of year2022-12-31$137,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$345,655
Contract administrator fees2022-12-31$47,963
Liabilities. Value of benefit claims payable at end of year2022-12-31$81,415
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$37,602
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
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 RETIREE HEALTH AND WELFARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$41,729
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$112,079
Total income from all sources (including contributions)2021-12-31$1,864,762
Total of all expenses incurred2021-12-31$1,566,894
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,474,190
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,865,401
Value of total assets at end of year2021-12-31$1,744,753
Value of total assets at beginning of year2021-12-31$1,517,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$92,704
Total interest from all sources2021-12-31$4
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$3,335
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$3,335
Administrative expenses professional fees incurred2021-12-31$42,474
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$180,775
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$28,981
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$54,418
Administrative expenses (other) incurred2021-12-31$4,139
Liabilities. Value of operating payables at end of year2021-12-31$4,127
Liabilities. Value of operating payables at beginning of year2021-12-31$3,756
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$297,868
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,703,024
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,405,156
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$598
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$188,616
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$164,751
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,389,604
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,157,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,157,396
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,100,022
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-3,978
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,684,626
Employer contributions (assets) at end of year2021-12-31$137,552
Employer contributions (assets) at beginning of year2021-12-31$140,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$374,168
Contract administrator fees2021-12-31$45,493
Liabilities. Value of benefit claims payable at end of year2021-12-31$37,602
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$108,323
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
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 RETIREE HEALTH AND WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$112,079
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$64,821
Total income from all sources (including contributions)2020-12-31$1,790,022
Total of all expenses incurred2020-12-31$1,590,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,487,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,781,736
Value of total assets at end of year2020-12-31$1,517,235
Value of total assets at beginning of year2020-12-31$1,270,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$102,302
Total interest from all sources2020-12-31$96
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$4,306
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$4,306
Administrative expenses professional fees incurred2020-12-31$47,012
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$174,118
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$54,418
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$28,986
Administrative expenses (other) incurred2020-12-31$10,081
Liabilities. Value of operating payables at end of year2020-12-31$3,756
Liabilities. Value of operating payables at beginning of year2020-12-31$3,773
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$199,865
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,405,156
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,205,291
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$587
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$164,751
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$165,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,157,396
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$946,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$946,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$96
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,050,312
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$3,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,607,618
Employer contributions (assets) at end of year2020-12-31$140,670
Employer contributions (assets) at beginning of year2020-12-31$128,815
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$437,543
Contract administrator fees2020-12-31$44,622
Liabilities. Value of benefit claims payable at end of year2020-12-31$108,323
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$61,048
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
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 RETIREE HEALTH AND WELFARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$64,821
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$144,549
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$144,549
Total income from all sources (including contributions)2019-12-31$1,598,948
Total income from all sources (including contributions)2019-12-31$1,598,948
Total of all expenses incurred2019-12-31$1,484,710
Total of all expenses incurred2019-12-31$1,484,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,395,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,395,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,588,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,588,391
Value of total assets at end of year2019-12-31$1,270,112
Value of total assets at end of year2019-12-31$1,270,112
Value of total assets at beginning of year2019-12-31$1,235,602
Value of total assets at beginning of year2019-12-31$1,235,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$89,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$89,566
Total interest from all sources2019-12-31$679
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$4,270
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$4,270
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$4,270
Administrative expenses professional fees incurred2019-12-31$41,434
Administrative expenses professional fees incurred2019-12-31$41,434
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
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$147,698
Contributions received from participants2019-12-31$147,698
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$28,986
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$28,986
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$21,925
Administrative expenses (other) incurred2019-12-31$4,000
Administrative expenses (other) incurred2019-12-31$4,000
Liabilities. Value of operating payables at end of year2019-12-31$3,773
Liabilities. Value of operating payables at beginning of year2019-12-31$4,024
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$114,238
Value of net income/loss2019-12-31$114,238
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,205,291
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,205,291
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,091,053
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,091,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$563
Investment advisory and management fees2019-12-31$563
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$165,666
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$165,666
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$155,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$155,639
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$946,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$946,645
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$937,659
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$937,659
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$937,659
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$937,659
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$679
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$679
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,037,429
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$5,608
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$5,608
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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$1,440,693
Contributions received in cash from employer2019-12-31$1,440,693
Employer contributions (assets) at end of year2019-12-31$128,815
Employer contributions (assets) at end of year2019-12-31$128,815
Employer contributions (assets) at beginning of year2019-12-31$120,379
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$357,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$357,715
Contract administrator fees2019-12-31$43,569
Contract administrator fees2019-12-31$43,569
Liabilities. Value of benefit claims payable at end of year2019-12-31$61,048
Liabilities. Value of benefit claims payable at end of year2019-12-31$61,048
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$140,525
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$140,525
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-12-31952036255
Accountancy firm EIN2019-12-31952036255
2018 : UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$144,549
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$171,226
Total income from all sources (including contributions)2018-12-31$1,430,747
Total of all expenses incurred2018-12-31$1,407,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,316,135
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,430,520
Value of total assets at end of year2018-12-31$1,235,602
Value of total assets at beginning of year2018-12-31$1,238,557
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$90,890
Total interest from all sources2018-12-31$387
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,754
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$4,754
Administrative expenses professional fees incurred2018-12-31$37,934
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$147,811
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$21,925
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$7,449
Administrative expenses (other) incurred2018-12-31$8,930
Liabilities. Value of operating payables at end of year2018-12-31$4,024
Liabilities. Value of operating payables at beginning of year2018-12-31$3,372
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$942,017
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$23,722
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,091,053
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,067,331
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$1,112
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$155,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$177,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$937,659
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,582
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$387
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$800,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-4,914
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$1,282,709
Employer contributions (assets) at end of year2018-12-31$120,379
Employer contributions (assets) at beginning of year2018-12-31$107,619
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$516,115
Contract administrator fees2018-12-31$42,914
Liabilities. Value of benefit claims payable at end of year2018-12-31$140,525
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$167,854
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
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 RETIREE HEALTH AND WELFARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$171,226
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$130,614
Total income from all sources (including contributions)2017-12-31$1,244,571
Total of all expenses incurred2017-12-31$1,345,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,252,803
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,238,900
Value of total assets at end of year2017-12-31$1,238,557
Value of total assets at beginning of year2017-12-31$1,298,464
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$92,287
Total interest from all sources2017-12-31$180
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$4,734
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$4,734
Administrative expenses professional fees incurred2017-12-31$41,246
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$138,699
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$7,449
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$434,166
Administrative expenses (other) incurred2017-12-31$8,690
Liabilities. Value of operating payables at end of year2017-12-31$3,372
Liabilities. Value of operating payables at beginning of year2017-12-31$3,980
Total non interest bearing cash at end of year2017-12-31$942,017
Total non interest bearing cash at beginning of year2017-12-31$519,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-100,519
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,067,331
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,167,850
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$539
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$177,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$157,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,582
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$19,006
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$19,006
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$180
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$719,912
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$1,100,201
Employer contributions (assets) at end of year2017-12-31$107,619
Employer contributions (assets) at beginning of year2017-12-31$168,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$532,891
Contract administrator fees2017-12-31$41,812
Liabilities. Value of benefit claims payable at end of year2017-12-31$167,854
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$126,634
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
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 RETIREE HEALTH AND WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$130,614
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$82,503
Total income from all sources (including contributions)2016-12-31$1,254,859
Total of all expenses incurred2016-12-31$1,527,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,435,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,233,529
Value of total assets at end of year2016-12-31$1,298,464
Value of total assets at beginning of year2016-12-31$1,523,185
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$92,484
Total interest from all sources2016-12-31$92
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$13,879
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$13,879
Administrative expenses professional fees incurred2016-12-31$40,588
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$133,886
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$434,166
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$355,502
Administrative expenses (other) incurred2016-12-31$9,352
Liabilities. Value of operating payables at end of year2016-12-31$3,980
Liabilities. Value of operating payables at beginning of year2016-12-31$2,189
Total non interest bearing cash at end of year2016-12-31$519,059
Total non interest bearing cash at beginning of year2016-12-31$395,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-272,832
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,167,850
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,440,682
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$1,462
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$157,277
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$579,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$19,006
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$25,399
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$25,399
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$92
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$654,031
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$7,359
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$1,099,643
Employer contributions (assets) at end of year2016-12-31$168,956
Employer contributions (assets) at beginning of year2016-12-31$167,851
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$781,176
Contract administrator fees2016-12-31$41,082
Liabilities. Value of benefit claims payable at end of year2016-12-31$126,634
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$80,314
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
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 RETIREE HEALTH AND WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$82,503
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$28,418
Total income from all sources (including contributions)2015-12-31$1,180,337
Total of all expenses incurred2015-12-31$890,396
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$816,318
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,185,339
Value of total assets at end of year2015-12-31$1,523,185
Value of total assets at beginning of year2015-12-31$1,179,159
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$74,078
Total interest from all sources2015-12-31$56
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$16,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$16,353
Administrative expenses professional fees incurred2015-12-31$38,650
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$125,020
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$355,502
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$236,592
Administrative expenses (other) incurred2015-12-31$10,929
Liabilities. Value of operating payables at end of year2015-12-31$2,189
Liabilities. Value of operating payables at beginning of year2015-12-31$1,322
Total non interest bearing cash at end of year2015-12-31$395,165
Total non interest bearing cash at beginning of year2015-12-31$655,766
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$289,941
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,440,682
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,150,741
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$2,668
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$579,268
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$178,141
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$25,399
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$33,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$33,464
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$56
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$543,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-21,411
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$1,060,319
Employer contributions (assets) at end of year2015-12-31$167,851
Employer contributions (assets) at beginning of year2015-12-31$75,196
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$272,869
Contract administrator fees2015-12-31$21,831
Liabilities. Value of benefit claims payable at end of year2015-12-31$80,314
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$27,096
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-12-31952036255
2014 : UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$28,418
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$76,809
Total income from all sources (including contributions)2014-12-31$971,219
Total of all expenses incurred2014-12-31$630,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$567,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$963,696
Value of total assets at end of year2014-12-31$1,179,159
Value of total assets at beginning of year2014-12-31$886,878
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$63,296
Total interest from all sources2014-12-31$66
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$6,647
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$6,647
Administrative expenses professional fees incurred2014-12-31$37,766
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$114,940
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$236,592
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$456,049
Administrative expenses (other) incurred2014-12-31$4,136
Liabilities. Value of operating payables at end of year2014-12-31$1,322
Liabilities. Value of operating payables at beginning of year2014-12-31$1,387
Total non interest bearing cash at end of year2014-12-31$655,766
Total non interest bearing cash at beginning of year2014-12-31$69,682
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$340,672
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,150,741
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$810,069
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$842
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$178,141
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$199,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$33,464
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$89,174
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$89,174
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$66
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$442,132
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$810
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$848,756
Employer contributions (assets) at end of year2014-12-31$75,196
Employer contributions (assets) at beginning of year2014-12-31$72,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$125,119
Contract administrator fees2014-12-31$20,552
Liabilities. Value of benefit claims payable at end of year2014-12-31$27,096
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$75,422
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-12-31952036255
2013 : UFCW - HAWAII FOOD EMPLOYERS RETIREE HEALTH AND WELFARE PLAN 2013 401k financial data
Total transfer of assets to 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$76,809
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$917,541
Total of all expenses incurred2013-12-31$860,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$810,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$912,427
Value of total assets at end of year2013-12-31$886,878
Value of total assets at beginning of year2013-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$49,695
Total interest from all sources2013-12-31$252
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$2,290
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$2,290
Administrative expenses professional fees incurred2013-12-31$23,900
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$109,200
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$456,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$56
Administrative expenses (other) incurred2013-12-31$3,892
Liabilities. Value of operating payables at end of year2013-12-31$1,387
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$69,682
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$57,342
Value of net assets at end of year (total assets less liabilities)2013-12-31$810,069
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$0
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$205
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$199,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$89,174
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$252
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$419,429
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,516
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$803,227
Employer contributions (assets) at end of year2013-12-31$72,675
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$391,075
Contract administrator fees2013-12-31$21,698
Liabilities. Value of benefit claims payable at end of year2013-12-31$75,422
Liabilities. Value of benefit claims payable 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
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

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

2022: UFCW - HAWAII FOOD EMPLOYERS RETIREE 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 RETIREE 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 RETIREE 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 RETIREE 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 RETIREE 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 RETIREE 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 RETIREE 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 RETIREE 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 RETIREE 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 RETIREE HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01First time form 5500 has been submittedYes
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

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 Covered32
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $11,779
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 numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered172
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $740,097
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered223
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 number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered69
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $416,492
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 number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered67
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $366,283
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered221
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
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered174
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $698,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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 Covered33
Insurance policy start date2021-04-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $9,021
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 numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered171
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $653,751
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered211
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
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered63
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $373,485
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 numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered156
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $675,435
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered194
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 number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered63
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $385,180
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 number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered56
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $258,672
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered180
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
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered142
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $527,235
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 numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered130
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $434,226
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered167
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
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered55
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $299,378
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 number36877-11
Policy instance 1
Insurance contract or identification number36877-11
Number of Individuals Covered44
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $202,621
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 numberFOOTNOTE 1
Policy instance 2
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered154
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
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract numberFOOTNOTE 2
Policy instance 3
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered120
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $325,894
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 numberFOOTNOTE 2
Policy instance 4
Insurance contract or identification numberFOOTNOTE 2
Number of Individuals Covered113
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,254
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 numberFOOTNOTE 1
Policy instance 3
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered140
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
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number36877-11
Policy instance 2
Insurance contract or identification number36877-11
Number of Individuals Covered41
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $188,940
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 1
Insurance contract or identification number2581
Number of Individuals Covered3
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 numberFOOTNOTE 1
Policy instance 4
Insurance contract or identification numberFOOTNOTE 1
Number of Individuals Covered109
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $239,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12209645
Policy instance 3
Insurance contract or identification number12209645
Number of Individuals Covered133
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 2
Insurance contract or identification number36877
Number of Individuals Covered39
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,776
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 1
Insurance contract or identification number2581
Number of Individuals Covered3
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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