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TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 401k Plan overview

Plan NameTEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN
Plan identification number 501

TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES, TEAMSTERS UNION INSURANCE PLAN has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, TEAMSTERS UNION INSURANCE PLAN
Employer identification number (EIN):046374631
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01THOMAS G. MARI2023-03-24
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01SEAN O'BRIEN
5012016-09-01SEAN O'BRIEN
5012015-09-01SEAN O'BRIEN
5012014-09-01SEAN O'BRIEN
5012013-09-01SEAN O'BRIEN
5012012-09-01SEAN O'BRIEN
5012011-09-01SEAN O'BRIEN
5012009-09-01SEAN O'BRIEN TOM J. VENTURA2011-03-10

Plan Statistics for TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN

401k plan membership statisitcs for TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN

Measure Date Value
2021: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-017,780
Total number of active participants reported on line 7a of the Form 55002021-09-016,722
Number of retired or separated participants receiving benefits2021-09-011,227
Total of all active and inactive participants2021-09-017,949
Number of employers contributing to the scheme2021-09-01109
2020: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-017,746
Total number of active participants reported on line 7a of the Form 55002020-09-016,597
Number of retired or separated participants receiving benefits2020-09-011,183
Total of all active and inactive participants2020-09-017,780
Number of employers contributing to the scheme2020-09-01133
2019: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-017,834
Total number of active participants reported on line 7a of the Form 55002019-09-016,554
Number of retired or separated participants receiving benefits2019-09-011,192
Total of all active and inactive participants2019-09-017,746
Number of employers contributing to the scheme2019-09-01121
2018: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-017,647
Total number of active participants reported on line 7a of the Form 55002018-09-016,665
Number of retired or separated participants receiving benefits2018-09-011,169
Total of all active and inactive participants2018-09-017,834
Number of employers contributing to the scheme2018-09-01126
2017: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-017,613
Total number of active participants reported on line 7a of the Form 55002017-09-016,484
Number of retired or separated participants receiving benefits2017-09-011,163
Total of all active and inactive participants2017-09-017,647
Number of employers contributing to the scheme2017-09-01126
2016: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-017,605
Total number of active participants reported on line 7a of the Form 55002016-09-016,468
Number of retired or separated participants receiving benefits2016-09-011,145
Total of all active and inactive participants2016-09-017,613
Number of employers contributing to the scheme2016-09-01156
2015: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-017,614
Total number of active participants reported on line 7a of the Form 55002015-09-016,466
Number of retired or separated participants receiving benefits2015-09-011,139
Total of all active and inactive participants2015-09-017,605
Number of employers contributing to the scheme2015-09-01142
2014: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-017,447
Total number of active participants reported on line 7a of the Form 55002014-09-016,435
Number of retired or separated participants receiving benefits2014-09-011,179
Total of all active and inactive participants2014-09-017,614
Number of employers contributing to the scheme2014-09-01149
2013: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-017,044
Total number of active participants reported on line 7a of the Form 55002013-09-016,261
Number of retired or separated participants receiving benefits2013-09-011,186
Total of all active and inactive participants2013-09-017,447
Number of employers contributing to the scheme2013-09-01141
2012: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-017,321
Total number of active participants reported on line 7a of the Form 55002012-09-016,003
Number of retired or separated participants receiving benefits2012-09-011,041
Total of all active and inactive participants2012-09-017,044
Number of employers contributing to the scheme2012-09-01155
2011: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-017,387
Total number of active participants reported on line 7a of the Form 55002011-09-016,017
Number of retired or separated participants receiving benefits2011-09-011,304
Total of all active and inactive participants2011-09-017,321
Number of employers contributing to the scheme2011-09-01135
2009: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-018,133
Total number of active participants reported on line 7a of the Form 55002009-09-016,129
Number of retired or separated participants receiving benefits2009-09-011,342
Total of all active and inactive participants2009-09-017,471
Number of employers contributing to the scheme2009-09-01139

Financial Data on TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN

Measure Date Value
2022 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-08-31$-5,520,535
Total unrealized appreciation/depreciation of assets2022-08-31$-5,520,535
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$5,170,027
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$5,152,111
Total income from all sources (including contributions)2022-08-31$159,666,517
Total loss/gain on sale of assets2022-08-31$-117,338
Total of all expenses incurred2022-08-31$157,005,971
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$152,495,949
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$175,522,207
Value of total assets at end of year2022-08-31$308,767,057
Value of total assets at beginning of year2022-08-31$306,088,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$4,510,022
Total interest from all sources2022-08-31$431,037
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$3,240,273
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-08-31$3,112,438
Administrative expenses professional fees incurred2022-08-31$403,065
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$5,000,000
If this is an individual account plan, was there a blackout period2022-08-31No
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$6,942,922
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-08-31$1,822,452
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-08-31$1,340,735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-08-31$296,564
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-08-31$532,839
Other income not declared elsewhere2022-08-31$17,472,849
Administrative expenses (other) incurred2022-08-31$3,595,440
Liabilities. Value of operating payables at end of year2022-08-31$522,163
Liabilities. Value of operating payables at beginning of year2022-08-31$618,810
Total non interest bearing cash at end of year2022-08-31$68,695
Total non interest bearing cash at beginning of year2022-08-31$58,770
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$2,660,546
Value of net assets at end of year (total assets less liabilities)2022-08-31$303,597,030
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$300,936,484
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Assets. partnership/joint venture interests at end of year2022-08-31$49,682,376
Assets. partnership/joint venture interests at beginning of year2022-08-31$49,071,397
Investment advisory and management fees2022-08-31$511,517
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-08-31$75,071,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-08-31$33,647,608
Interest earned on other investments2022-08-31$428,984
Value of interest in common/collective trusts at end of year2022-08-31$107,777,973
Value of interest in common/collective trusts at beginning of year2022-08-31$153,813,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-08-31$28,669,860
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-08-31$23,720,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-08-31$23,720,912
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-08-31$2,053
Assets. Value of investments in 103.12 investment entities at end of year2022-08-31$17,494,079
Assets. Value of investments in 103.12 investment entities at beginning of year2022-08-31$16,261,425
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$106,294,022
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-08-31$-6,476,607
Net investment gain or loss from common/collective trusts2022-08-31$-20,318,023
Net gain/loss from 103.12 investment entities2022-08-31$-4,567,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31Yes
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$168,579,285
Employer contributions (assets) at end of year2022-08-31$14,826,114
Employer contributions (assets) at beginning of year2022-08-31$12,879,508
Income. Dividends from common stock2022-08-31$127,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$46,201,927
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2022-08-31$11,136,855
Assets. Corporate common stocks other than exployer securities at beginning of year2022-08-31$13,362,155
Liabilities. Value of benefit claims payable at end of year2022-08-31$4,351,300
Liabilities. Value of benefit claims payable at beginning of year2022-08-31$4,000,462
Assets. Value of buildings and other operty used in plan operation at end of year2022-08-31$2,217,563
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-08-31$1,932,173
Did the plan have assets held for investment2022-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Aggregate proceeds on sale of assets2022-08-31$75,311,543
Aggregate carrying amount (costs) on sale of assets2022-08-31$75,428,881
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-08-31611436956
2021 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-08-31$3,515,761
Total unrealized appreciation/depreciation of assets2021-08-31$3,515,761
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$5,152,111
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$4,807,070
Total income from all sources (including contributions)2021-08-31$211,428,737
Total loss/gain on sale of assets2021-08-31$738,324
Total of all expenses incurred2021-08-31$147,926,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$143,413,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$166,769,578
Value of total assets at end of year2021-08-31$306,088,595
Value of total assets at beginning of year2021-08-31$242,241,744
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$4,513,142
Total interest from all sources2021-08-31$386,397
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$458,786
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-08-31$344,284
Administrative expenses professional fees incurred2021-08-31$521,281
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$5,000,000
If this is an individual account plan, was there a blackout period2021-08-31No
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$7,002,560
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-08-31$1,340,735
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-08-31$1,140,337
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-08-31$532,839
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-08-31$412,654
Other income not declared elsewhere2021-08-31$5,167,789
Administrative expenses (other) incurred2021-08-31$3,385,649
Liabilities. Value of operating payables at end of year2021-08-31$618,810
Liabilities. Value of operating payables at beginning of year2021-08-31$738,080
Total non interest bearing cash at end of year2021-08-31$58,770
Total non interest bearing cash at beginning of year2021-08-31$3,923
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$63,501,810
Value of net assets at end of year (total assets less liabilities)2021-08-31$300,936,484
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$237,434,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Assets. partnership/joint venture interests at end of year2021-08-31$49,071,397
Assets. partnership/joint venture interests at beginning of year2021-08-31$24,678,147
Investment advisory and management fees2021-08-31$606,212
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-08-31$33,647,608
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-08-31$37,469,584
Interest earned on other investments2021-08-31$385,387
Value of interest in common/collective trusts at end of year2021-08-31$153,813,912
Value of interest in common/collective trusts at beginning of year2021-08-31$127,918,522
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-08-31$23,720,912
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-08-31$13,629,780
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-08-31$13,629,780
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-31$1,010
Assets. Value of investments in 103.12 investment entities at end of year2021-08-31$16,261,425
Assets. Value of investments in 103.12 investment entities at beginning of year2021-08-31$11,940,343
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$98,058,248
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-08-31$4,967,078
Net investment gain/loss from pooled separate accounts2021-08-31$3,042,142
Net investment gain or loss from common/collective trusts2021-08-31$25,561,799
Net gain/loss from 103.12 investment entities2021-08-31$821,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31Yes
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$159,767,018
Employer contributions (assets) at end of year2021-08-31$12,879,508
Employer contributions (assets) at beginning of year2021-08-31$12,919,481
Income. Dividends from common stock2021-08-31$114,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$45,355,537
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-08-31$13,362,155
Assets. Corporate common stocks other than exployer securities at beginning of year2021-08-31$10,729,587
Liabilities. Value of benefit claims payable at end of year2021-08-31$4,000,462
Liabilities. Value of benefit claims payable at beginning of year2021-08-31$3,656,336
Assets. Value of buildings and other operty used in plan operation at end of year2021-08-31$1,932,173
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-08-31$1,812,040
Did the plan have assets held for investment2021-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Aggregate proceeds on sale of assets2021-08-31$4,045,368
Aggregate carrying amount (costs) on sale of assets2021-08-31$3,307,044
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-08-31611436956
2020 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-08-31$3,944,057
Total unrealized appreciation/depreciation of assets2020-08-31$3,944,057
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$4,807,070
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$4,180,066
Total income from all sources (including contributions)2020-08-31$183,024,889
Total loss/gain on sale of assets2020-08-31$-188,841
Total of all expenses incurred2020-08-31$153,135,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$148,711,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$155,365,840
Value of total assets at end of year2020-08-31$242,241,744
Value of total assets at beginning of year2020-08-31$211,725,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$4,424,015
Total interest from all sources2020-08-31$420,294
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$378,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-08-31$272,748
Administrative expenses professional fees incurred2020-08-31$429,519
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$5,000,000
If this is an individual account plan, was there a blackout period2020-08-31No
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$7,025,826
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-08-31$1,140,337
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-08-31$2,386,401
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-08-31$412,654
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-08-31$382,979
Other income not declared elsewhere2020-08-31$4,407,339
Administrative expenses (other) incurred2020-08-31$3,532,192
Liabilities. Value of operating payables at end of year2020-08-31$738,080
Liabilities. Value of operating payables at beginning of year2020-08-31$672,280
Total non interest bearing cash at end of year2020-08-31$3,923
Total non interest bearing cash at beginning of year2020-08-31$5,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$29,889,366
Value of net assets at end of year (total assets less liabilities)2020-08-31$237,434,674
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$207,545,308
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Assets. partnership/joint venture interests at end of year2020-08-31$24,678,147
Assets. partnership/joint venture interests at beginning of year2020-08-31$22,336,253
Investment advisory and management fees2020-08-31$462,304
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-08-31$37,469,584
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-08-31$33,615,884
Interest earned on other investments2020-08-31$404,703
Value of interest in common/collective trusts at end of year2020-08-31$127,918,522
Value of interest in common/collective trusts at beginning of year2020-08-31$105,756,648
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-08-31$13,629,780
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-08-31$16,642,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-08-31$16,642,946
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-08-31$15,591
Assets. Value of investments in 103.12 investment entities at end of year2020-08-31$11,940,343
Assets. Value of investments in 103.12 investment entities at beginning of year2020-08-31$9,934,375
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$105,402,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-08-31$2,357,562
Net investment gain or loss from common/collective trusts2020-08-31$16,780,342
Net gain/loss from 103.12 investment entities2020-08-31$-440,702
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31Yes
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$148,340,014
Employer contributions (assets) at end of year2020-08-31$12,919,481
Employer contributions (assets) at beginning of year2020-08-31$13,213,670
Income. Dividends from common stock2020-08-31$106,250
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-08-31$43,308,724
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-08-31$10,729,587
Assets. Corporate common stocks other than exployer securities at beginning of year2020-08-31$6,039,534
Liabilities. Value of benefit claims payable at end of year2020-08-31$3,656,336
Liabilities. Value of benefit claims payable at beginning of year2020-08-31$3,124,807
Assets. Value of buildings and other operty used in plan operation at end of year2020-08-31$1,812,040
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-08-31$1,794,141
Did the plan have assets held for investment2020-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Aggregate proceeds on sale of assets2020-08-31$8,695,381
Aggregate carrying amount (costs) on sale of assets2020-08-31$8,884,222
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31No
Opinion of an independent qualified public accountant for this plan2020-08-31Unqualified
Accountancy firm name2020-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-08-31611436956
2019 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-08-31$-387,100
Total unrealized appreciation/depreciation of assets2019-08-31$-387,100
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$4,180,066
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$4,473,496
Total income from all sources (including contributions)2019-08-31$166,005,239
Total loss/gain on sale of assets2019-08-31$428,624
Total of all expenses incurred2019-08-31$146,088,548
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$142,112,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$156,031,315
Value of total assets at end of year2019-08-31$211,725,374
Value of total assets at beginning of year2019-08-31$192,102,113
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$3,975,740
Total interest from all sources2019-08-31$472,825
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$675,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-08-31$595,378
Administrative expenses professional fees incurred2019-08-31$436,710
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$5,000,000
If this is an individual account plan, was there a blackout period2019-08-31No
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$6,930,062
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-08-31$2,386,401
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-08-31$2,374,283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-08-31$382,979
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-08-31$404,947
Other income not declared elsewhere2019-08-31$3,948,932
Administrative expenses (other) incurred2019-08-31$3,092,484
Liabilities. Value of operating payables at end of year2019-08-31$672,280
Liabilities. Value of operating payables at beginning of year2019-08-31$673,525
Total non interest bearing cash at end of year2019-08-31$5,522
Total non interest bearing cash at beginning of year2019-08-31$8,317
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$19,916,691
Value of net assets at end of year (total assets less liabilities)2019-08-31$207,545,308
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$187,628,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Assets. partnership/joint venture interests at end of year2019-08-31$22,336,253
Assets. partnership/joint venture interests at beginning of year2019-08-31$21,068,930
Investment advisory and management fees2019-08-31$446,546
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-08-31$33,615,884
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-08-31$29,062,899
Interest earned on other investments2019-08-31$431,566
Value of interest in common/collective trusts at end of year2019-08-31$105,756,648
Value of interest in common/collective trusts at beginning of year2019-08-31$95,209,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-08-31$16,642,946
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-08-31$13,771,318
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-08-31$13,771,318
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-08-31$41,259
Assets. Value of investments in 103.12 investment entities at end of year2019-08-31$9,934,375
Assets. Value of investments in 103.12 investment entities at beginning of year2019-08-31$8,707,285
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$101,601,126
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-08-31$962,571
Net investment gain or loss from common/collective trusts2019-08-31$2,645,085
Net gain/loss from 103.12 investment entities2019-08-31$1,227,091
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31Yes
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$149,101,253
Employer contributions (assets) at end of year2019-08-31$13,213,670
Employer contributions (assets) at beginning of year2019-08-31$12,352,888
Income. Dividends from common stock2019-08-31$80,518
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-08-31$40,511,682
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-08-31$6,039,534
Assets. Corporate common stocks other than exployer securities at beginning of year2019-08-31$7,801,663
Liabilities. Value of benefit claims payable at end of year2019-08-31$3,124,807
Liabilities. Value of benefit claims payable at beginning of year2019-08-31$3,395,024
Assets. Value of buildings and other operty used in plan operation at end of year2019-08-31$1,794,141
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-08-31$1,744,992
Did the plan have assets held for investment2019-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Aggregate proceeds on sale of assets2019-08-31$2,800,129
Aggregate carrying amount (costs) on sale of assets2019-08-31$2,371,505
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31No
Opinion of an independent qualified public accountant for this plan2019-08-31Unqualified
Accountancy firm name2019-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2019-08-31611436956
2018 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-08-31$241,400
Total unrealized appreciation/depreciation of assets2018-08-31$241,400
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$4,473,496
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$3,867,319
Total income from all sources (including contributions)2018-08-31$158,473,681
Total loss/gain on sale of assets2018-08-31$193,132
Total of all expenses incurred2018-08-31$141,529,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$137,718,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$144,629,519
Value of total assets at end of year2018-08-31$192,102,113
Value of total assets at beginning of year2018-08-31$174,551,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$3,810,065
Total interest from all sources2018-08-31$453,784
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$584,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-08-31$508,719
Administrative expenses professional fees incurred2018-08-31$397,788
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$5,000,000
If this is an individual account plan, was there a blackout period2018-08-31No
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$7,336,222
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-08-31$2,374,283
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$177,519
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-08-31$404,947
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-08-31$352,484
Other income not declared elsewhere2018-08-31$3,687,688
Administrative expenses (other) incurred2018-08-31$2,912,500
Liabilities. Value of operating payables at end of year2018-08-31$673,525
Liabilities. Value of operating payables at beginning of year2018-08-31$485,012
Total non interest bearing cash at end of year2018-08-31$8,317
Total non interest bearing cash at beginning of year2018-08-31$6,517
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$16,944,649
Value of net assets at end of year (total assets less liabilities)2018-08-31$187,628,617
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$170,683,968
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Assets. partnership/joint venture interests at end of year2018-08-31$21,068,930
Assets. partnership/joint venture interests at beginning of year2018-08-31$19,680,089
Investment advisory and management fees2018-08-31$499,777
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-08-31$29,062,899
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-08-31$26,642,171
Interest earned on other investments2018-08-31$419,395
Value of interest in common/collective trusts at end of year2018-08-31$95,209,538
Value of interest in common/collective trusts at beginning of year2018-08-31$87,811,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-08-31$13,771,318
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-08-31$12,382,253
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-08-31$12,382,253
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-08-31$34,389
Assets. Value of investments in 103.12 investment entities at end of year2018-08-31$8,707,285
Assets. Value of investments in 103.12 investment entities at beginning of year2018-08-31$7,811,052
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$96,874,148
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-08-31$615,253
Net investment gain or loss from common/collective trusts2018-08-31$6,504,116
Net gain/loss from 103.12 investment entities2018-08-31$1,564,728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31Yes
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$137,293,297
Employer contributions (assets) at end of year2018-08-31$12,352,888
Employer contributions (assets) at beginning of year2018-08-31$12,123,827
Income. Dividends from common stock2018-08-31$75,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$40,844,819
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-08-31$7,801,663
Assets. Corporate common stocks other than exployer securities at beginning of year2018-08-31$6,421,906
Liabilities. Value of benefit claims payable at end of year2018-08-31$3,395,024
Liabilities. Value of benefit claims payable at beginning of year2018-08-31$3,029,823
Assets. Value of buildings and other operty used in plan operation at end of year2018-08-31$1,744,992
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-08-31$1,494,936
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Aggregate proceeds on sale of assets2018-08-31$1,878,481
Aggregate carrying amount (costs) on sale of assets2018-08-31$1,685,349
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2018-08-31611436956
2017 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-08-31$2,799,514
Total unrealized appreciation/depreciation of assets2017-08-31$2,799,514
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$3,867,319
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$4,255,608
Total income from all sources (including contributions)2017-08-31$155,041,908
Total loss/gain on sale of assets2017-08-31$60,452
Total of all expenses incurred2017-08-31$136,455,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$132,823,267
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$137,216,638
Value of total assets at end of year2017-08-31$174,551,287
Value of total assets at beginning of year2017-08-31$156,352,816
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$3,631,881
Total interest from all sources2017-08-31$419,388
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$528,780
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-08-31$385,403
Administrative expenses professional fees incurred2017-08-31$408,467
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$5,000,000
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$7,102,549
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$177,519
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$530,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-08-31$352,484
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-08-31$326,665
Other income not declared elsewhere2017-08-31$2,971,869
Administrative expenses (other) incurred2017-08-31$2,767,434
Liabilities. Value of operating payables at end of year2017-08-31$485,012
Liabilities. Value of operating payables at beginning of year2017-08-31$456,203
Total non interest bearing cash at end of year2017-08-31$6,517
Total non interest bearing cash at beginning of year2017-08-31$8,986
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$18,586,760
Value of net assets at end of year (total assets less liabilities)2017-08-31$170,683,968
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$152,097,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Assets. partnership/joint venture interests at end of year2017-08-31$19,680,089
Assets. partnership/joint venture interests at beginning of year2017-08-31$19,512,502
Investment advisory and management fees2017-08-31$455,980
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-08-31$26,642,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-08-31$20,552,004
Interest earned on other investments2017-08-31$391,092
Value of interest in common/collective trusts at end of year2017-08-31$87,811,017
Value of interest in common/collective trusts at beginning of year2017-08-31$85,333,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-08-31$12,382,253
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-08-31$11,421,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-08-31$11,421,168
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-08-31$28,296
Assets. Value of investments in 103.12 investment entities at end of year2017-08-31$7,811,052
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$93,096,371
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-08-31$1,210,989
Net investment gain or loss from common/collective trusts2017-08-31$9,273,226
Net gain/loss from 103.12 investment entities2017-08-31$561,052
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31Yes
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$130,114,089
Employer contributions (assets) at end of year2017-08-31$12,123,827
Employer contributions (assets) at beginning of year2017-08-31$12,064,861
Income. Dividends from common stock2017-08-31$143,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$39,726,896
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-08-31$6,421,906
Assets. Corporate common stocks other than exployer securities at beginning of year2017-08-31$5,569,717
Liabilities. Value of benefit claims payable at end of year2017-08-31$3,029,823
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$3,472,740
Assets. Value of buildings and other operty used in plan operation at end of year2017-08-31$1,494,936
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-08-31$1,359,527
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Aggregate proceeds on sale of assets2017-08-31$25,496,176
Aggregate carrying amount (costs) on sale of assets2017-08-31$25,435,724
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2017-08-31611436956
2016 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-08-31$1,775,231
Total unrealized appreciation/depreciation of assets2016-08-31$1,775,231
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$4,255,608
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$4,242,905
Total income from all sources (including contributions)2016-08-31$144,094,068
Total loss/gain on sale of assets2016-08-31$-67,746
Total of all expenses incurred2016-08-31$133,036,695
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$129,520,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$132,171,443
Value of total assets at end of year2016-08-31$156,352,816
Value of total assets at beginning of year2016-08-31$145,282,740
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$3,515,747
Total interest from all sources2016-08-31$650,549
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$587,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-08-31$452,726
Administrative expenses professional fees incurred2016-08-31$328,272
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$5,000,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$6,906,407
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$530,944
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-08-31$728,033
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-08-31$326,665
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-08-31$298,800
Other income not declared elsewhere2016-08-31$3,002,610
Administrative expenses (other) incurred2016-08-31$2,746,751
Liabilities. Value of operating payables at end of year2016-08-31$456,203
Liabilities. Value of operating payables at beginning of year2016-08-31$526,790
Total non interest bearing cash at end of year2016-08-31$8,986
Total non interest bearing cash at beginning of year2016-08-31$9,995
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$11,057,373
Value of net assets at end of year (total assets less liabilities)2016-08-31$152,097,208
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$141,039,835
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Assets. partnership/joint venture interests at end of year2016-08-31$19,512,502
Assets. partnership/joint venture interests at beginning of year2016-08-31$12,648,276
Investment advisory and management fees2016-08-31$440,724
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-08-31$20,552,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-08-31$21,066,051
Interest earned on other investments2016-08-31$625,795
Value of interest in common/collective trusts at end of year2016-08-31$85,333,107
Value of interest in common/collective trusts at beginning of year2016-08-31$82,579,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-08-31$11,421,168
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-08-31$10,630,629
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-08-31$10,630,629
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$24,754
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$91,472,467
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-08-31$-703,097
Net investment gain or loss from common/collective trusts2016-08-31$6,677,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31Yes
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$125,265,036
Employer contributions (assets) at end of year2016-08-31$12,064,861
Employer contributions (assets) at beginning of year2016-08-31$10,067,317
Income. Dividends from common stock2016-08-31$134,806
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$38,048,481
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-08-31$5,569,717
Assets. Corporate common stocks other than exployer securities at beginning of year2016-08-31$6,180,200
Liabilities. Value of benefit claims payable at end of year2016-08-31$3,472,740
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$3,417,315
Assets. Value of buildings and other operty used in plan operation at end of year2016-08-31$1,359,527
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-08-31$1,372,305
Did the plan have assets held for investment2016-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Aggregate proceeds on sale of assets2016-08-31$15,774,043
Aggregate carrying amount (costs) on sale of assets2016-08-31$15,841,789
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31NOVAK FRANCELLA LLC
Accountancy firm EIN2016-08-31611436956
2015 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-08-31$-957,589
Total unrealized appreciation/depreciation of assets2015-08-31$-957,589
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$4,242,905
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$4,053,954
Total income from all sources (including contributions)2015-08-31$122,380,115
Total loss/gain on sale of assets2015-08-31$152,027
Total of all expenses incurred2015-08-31$124,054,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$120,637,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$124,100,547
Value of total assets at end of year2015-08-31$145,282,740
Value of total assets at beginning of year2015-08-31$146,768,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$3,417,344
Total interest from all sources2015-08-31$776,104
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$1,646,132
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-08-31$1,575,174
Administrative expenses professional fees incurred2015-08-31$348,284
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$5,000,000
If this is an individual account plan, was there a blackout period2015-08-31No
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$6,475,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-08-31$728,033
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-08-31$1,214,546
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-08-31$298,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-08-31$414,796
Other income not declared elsewhere2015-08-31$2,569,722
Administrative expenses (other) incurred2015-08-31$2,643,078
Liabilities. Value of operating payables at end of year2015-08-31$526,790
Liabilities. Value of operating payables at beginning of year2015-08-31$465,796
Total non interest bearing cash at end of year2015-08-31$9,995
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$-1,674,291
Value of net assets at end of year (total assets less liabilities)2015-08-31$141,039,835
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$142,714,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Assets. partnership/joint venture interests at end of year2015-08-31$12,648,276
Assets. partnership/joint venture interests at beginning of year2015-08-31$18,962,512
Investment advisory and management fees2015-08-31$425,982
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-08-31$21,066,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-08-31$16,011,110
Interest earned on other investments2015-08-31$756,953
Value of interest in common/collective trusts at end of year2015-08-31$82,579,934
Value of interest in common/collective trusts at beginning of year2015-08-31$83,321,689
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-08-31$10,630,629
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-08-31$10,741,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-08-31$10,741,874
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$19,151
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$85,753,507
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-08-31$-1,631,000
Net investment gain or loss from common/collective trusts2015-08-31$-4,275,828
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31No
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$117,624,930
Employer contributions (assets) at end of year2015-08-31$10,067,317
Employer contributions (assets) at beginning of year2015-08-31$9,269,137
Income. Dividends from common stock2015-08-31$70,958
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$34,883,555
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2015-08-31$6,180,200
Assets. Corporate common stocks other than exployer securities at beginning of year2015-08-31$5,662,744
Liabilities. Value of benefit claims payable at end of year2015-08-31$3,417,315
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$3,173,362
Assets. Value of buildings and other operty used in plan operation at end of year2015-08-31$1,372,305
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-08-31$1,584,468
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Aggregate proceeds on sale of assets2015-08-31$6,511,616
Aggregate carrying amount (costs) on sale of assets2015-08-31$6,359,589
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31NOVAK FRANCELLA LLC
Accountancy firm EIN2015-08-31611436956
2014 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-08-31$1,961,248
Total unrealized appreciation/depreciation of assets2014-08-31$1,961,248
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$4,053,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$3,379,478
Total income from all sources (including contributions)2014-08-31$127,985,368
Total loss/gain on sale of assets2014-08-31$464,797
Total of all expenses incurred2014-08-31$115,233,857
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$111,549,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$111,473,811
Value of total assets at end of year2014-08-31$146,768,080
Value of total assets at beginning of year2014-08-31$133,342,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$3,684,638
Total interest from all sources2014-08-31$538,946
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$594,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-08-31$528,711
Administrative expenses professional fees incurred2014-08-31$419,491
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$5,000,000
If this is an individual account plan, was there a blackout period2014-08-31No
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$6,437,184
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-08-31$1,214,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-08-31$1,405,472
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-08-31$414,796
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-08-31$261,932
Other income not declared elsewhere2014-08-31$2,917,044
Administrative expenses (other) incurred2014-08-31$2,953,476
Liabilities. Value of operating payables at end of year2014-08-31$465,796
Liabilities. Value of operating payables at beginning of year2014-08-31$439,706
Total non interest bearing cash at beginning of year2014-08-31$10,573
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$12,751,511
Value of net assets at end of year (total assets less liabilities)2014-08-31$142,714,126
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$129,962,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Assets. partnership/joint venture interests at end of year2014-08-31$18,962,512
Assets. partnership/joint venture interests at beginning of year2014-08-31$15,397,206
Investment advisory and management fees2014-08-31$311,671
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-08-31$16,011,110
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-08-31$16,481,918
Interest earned on other investments2014-08-31$524,199
Value of interest in common/collective trusts at end of year2014-08-31$83,321,689
Value of interest in common/collective trusts at beginning of year2014-08-31$73,698,229
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-08-31$10,741,874
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$9,517,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$9,517,277
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-08-31$14,747
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$78,298,634
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-08-31$221,142
Net investment gain or loss from common/collective trusts2014-08-31$9,813,791
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31Yes
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$105,036,627
Employer contributions (assets) at end of year2014-08-31$9,269,137
Employer contributions (assets) at beginning of year2014-08-31$8,585,921
Income. Dividends from common stock2014-08-31$65,878
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$33,250,585
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-08-31$5,662,744
Assets. Corporate common stocks other than exployer securities at beginning of year2014-08-31$6,335,578
Liabilities. Value of benefit claims payable at end of year2014-08-31$3,173,362
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$2,677,840
Assets. Value of buildings and other operty used in plan operation at end of year2014-08-31$1,584,468
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-08-31$1,909,919
Did the plan have assets held for investment2014-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Aggregate proceeds on sale of assets2014-08-31$19,271,000
Aggregate carrying amount (costs) on sale of assets2014-08-31$18,806,203
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31NOVAK FRANCELLA LLC
Accountancy firm EIN2014-08-31611436956
2013 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-08-31$-487,731
Total unrealized appreciation/depreciation of assets2013-08-31$-487,731
Total transfer of assets to this plan2013-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$3,379,478
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$3,266,972
Total income from all sources (including contributions)2013-08-31$112,954,857
Total loss/gain on sale of assets2013-08-31$55,299
Total of all expenses incurred2013-08-31$108,197,387
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$104,354,309
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$103,809,588
Value of total assets at end of year2013-08-31$133,342,093
Value of total assets at beginning of year2013-08-31$128,472,117
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$3,843,078
Total interest from all sources2013-08-31$1,300,688
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$638,396
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-08-31$552,158
Assets. Real estate other than employer real property at beginning of year2013-08-31$184,242
Administrative expenses professional fees incurred2013-08-31$463,870
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-08-31$1,056
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$50,000,000
If this is an individual account plan, was there a blackout period2013-08-31No
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$6,523,688
Assets. Other investments not covered elsewhere at beginning of year2013-08-31$6,782,713
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-08-31$1,405,472
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-08-31$3,271,757
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-08-31$261,932
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-08-31$225,830
Other income not declared elsewhere2013-08-31$2,680,118
Administrative expenses (other) incurred2013-08-31$3,002,435
Liabilities. Value of operating payables at end of year2013-08-31$439,706
Liabilities. Value of operating payables at beginning of year2013-08-31$511,661
Total non interest bearing cash at end of year2013-08-31$10,573
Total non interest bearing cash at beginning of year2013-08-31$55,718
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$4,757,470
Value of net assets at end of year (total assets less liabilities)2013-08-31$129,962,615
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$125,205,145
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Assets. partnership/joint venture interests at end of year2013-08-31$15,397,206
Assets. partnership/joint venture interests at beginning of year2013-08-31$10,181,863
Investment advisory and management fees2013-08-31$376,773
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-08-31$16,481,918
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-08-31$21,914,068
Interest earned on other investments2013-08-31$1,098,016
Income. Interest from US Government securities2013-08-31$9,929
Income. Interest from corporate debt instruments2013-08-31$171,380
Value of interest in common/collective trusts at end of year2013-08-31$73,698,229
Value of interest in common/collective trusts at beginning of year2013-08-31$48,504,027
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$9,517,277
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-08-31$10,514,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-08-31$10,514,071
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-08-31$21,363
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$74,093,339
Asset value of US Government securities at beginning of year2013-08-31$4,111,493
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-08-31$402,251
Net investment gain or loss from common/collective trusts2013-08-31$4,556,248
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31Yes
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$97,285,900
Employer contributions (assets) at end of year2013-08-31$8,585,921
Employer contributions (assets) at beginning of year2013-08-31$8,161,489
Income. Dividends from preferred stock2013-08-31$18
Income. Dividends from common stock2013-08-31$86,220
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$30,260,970
Asset. Corporate debt instrument debt (other) at beginning of year2013-08-31$8,487,819
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-08-31$6,335,578
Assets. Corporate common stocks other than exployer securities at beginning of year2013-08-31$3,992,521
Liabilities. Value of benefit claims payable at end of year2013-08-31$2,677,840
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$2,529,481
Assets. Value of buildings and other operty used in plan operation at end of year2013-08-31$1,909,919
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-08-31$2,309,280
Did the plan have assets held for investment2013-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Aggregate proceeds on sale of assets2013-08-31$8,937,599
Aggregate carrying amount (costs) on sale of assets2013-08-31$8,882,300
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2013-08-31611436956
2012 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-08-31$1,946,797
Total unrealized appreciation/depreciation of assets2012-08-31$1,946,797
Total transfer of assets to this plan2012-08-31$14,248,870
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$3,266,972
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$9,926,520
Total income from all sources (including contributions)2012-08-31$107,888,242
Total loss/gain on sale of assets2012-08-31$423,483
Total of all expenses incurred2012-08-31$101,061,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$97,209,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$95,820,254
Value of total assets at end of year2012-08-31$128,472,117
Value of total assets at beginning of year2012-08-31$114,056,217
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$3,851,821
Total interest from all sources2012-08-31$968,084
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$678,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-08-31$612,498
Assets. Real estate other than employer real property at end of year2012-08-31$184,242
Administrative expenses professional fees incurred2012-08-31$504,187
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-08-31$1,056
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-08-31$891
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$5,000,000
If this is an individual account plan, was there a blackout period2012-08-31No
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$6,684,858
Assets. Other investments not covered elsewhere at end of year2012-08-31$6,782,713
Assets. Other investments not covered elsewhere at beginning of year2012-08-31$6,282,169
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-08-31$3,271,757
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-08-31$2,108,674
Assets. Loans (other than to participants) at beginning of year2012-08-31$145,001
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-08-31$225,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-08-31$385,274
Other income not declared elsewhere2012-08-31$3,338,176
Administrative expenses (other) incurred2012-08-31$3,053,605
Liabilities. Value of operating payables at end of year2012-08-31$511,661
Liabilities. Value of operating payables at beginning of year2012-08-31$564,673
Total non interest bearing cash at end of year2012-08-31$55,718
Total non interest bearing cash at beginning of year2012-08-31$1,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$6,826,578
Value of net assets at end of year (total assets less liabilities)2012-08-31$125,205,145
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$104,129,697
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Assets. partnership/joint venture interests at end of year2012-08-31$10,181,863
Assets. partnership/joint venture interests at beginning of year2012-08-31$9,225,211
Investment advisory and management fees2012-08-31$294,029
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-08-31$21,914,068
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-08-31$10,877,497
Interest earned on other investments2012-08-31$368,914
Income. Interest from US Government securities2012-08-31$149,629
Income. Interest from corporate debt instruments2012-08-31$440,480
Value of interest in common/collective trusts at end of year2012-08-31$48,504,027
Value of interest in common/collective trusts at beginning of year2012-08-31$48,959,829
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-08-31$10,514,071
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-08-31$4,583,914
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-08-31$4,583,914
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-08-31$9,061
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$46,952,294
Asset value of US Government securities at end of year2012-08-31$4,111,493
Asset value of US Government securities at beginning of year2012-08-31$6,386,619
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-08-31$292,278
Net investment gain or loss from common/collective trusts2012-08-31$4,420,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31Yes
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$89,135,396
Employer contributions (assets) at end of year2012-08-31$8,161,489
Employer contributions (assets) at beginning of year2012-08-31$7,503,273
Income. Dividends from preferred stock2012-08-31$73
Income. Dividends from common stock2012-08-31$66,339
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$50,257,549
Asset. Corporate debt instrument debt (other) at end of year2012-08-31$8,487,819
Asset. Corporate debt instrument debt (other) at beginning of year2012-08-31$9,633,818
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-08-31$3,992,521
Assets. Corporate common stocks other than exployer securities at beginning of year2012-08-31$5,512,051
Liabilities. Value of benefit claims payable at end of year2012-08-31$2,529,481
Liabilities. Value of benefit claims payable at beginning of year2012-08-31$8,976,573
Assets. Value of buildings and other operty used in plan operation at end of year2012-08-31$2,309,280
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-08-31$2,835,370
Did the plan have assets held for investment2012-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Aggregate proceeds on sale of assets2012-08-31$17,453,877
Aggregate carrying amount (costs) on sale of assets2012-08-31$17,030,394
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Unqualified
Accountancy firm name2012-08-31NOVAK FRANCELLA LLC
Accountancy firm EIN2012-08-31611436956
2011 : TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-08-31$2,311,831
Total unrealized appreciation/depreciation of assets2011-08-31$2,311,831
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$9,926,520
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$10,299,966
Total income from all sources (including contributions)2011-08-31$110,762,800
Total loss/gain on sale of assets2011-08-31$941,017
Total of all expenses incurred2011-08-31$97,674,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$93,915,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$94,271,711
Value of total assets at end of year2011-08-31$114,056,217
Value of total assets at beginning of year2011-08-31$101,341,479
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$3,758,989
Total interest from all sources2011-08-31$1,791,810
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$882,674
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-08-31$805,832
Administrative expenses professional fees incurred2011-08-31$523,827
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-08-31$891
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-08-31$950
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$5,000,000
If this is an individual account plan, was there a blackout period2011-08-31No
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$6,711,998
Assets. Other investments not covered elsewhere at end of year2011-08-31$6,282,169
Assets. Other investments not covered elsewhere at beginning of year2011-08-31$6,819,568
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$2,108,674
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$2,320,808
Assets. Loans (other than to participants) at end of year2011-08-31$145,001
Assets. Loans (other than to participants) at beginning of year2011-08-31$148,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-08-31$385,274
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-08-31$262,515
Other income not declared elsewhere2011-08-31$6,299,409
Administrative expenses (other) incurred2011-08-31$2,934,695
Liabilities. Value of operating payables at end of year2011-08-31$564,673
Liabilities. Value of operating payables at beginning of year2011-08-31$590,464
Total non interest bearing cash at end of year2011-08-31$1,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$13,088,184
Value of net assets at end of year (total assets less liabilities)2011-08-31$104,129,697
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$91,041,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Assets. partnership/joint venture interests at end of year2011-08-31$9,225,211
Assets. partnership/joint venture interests at beginning of year2011-08-31$8,751,384
Investment advisory and management fees2011-08-31$300,467
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-08-31$10,877,497
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-08-31$10,153,671
Interest earned on other investments2011-08-31$1,078,098
Income. Interest from US Government securities2011-08-31$174,850
Income. Interest from corporate debt instruments2011-08-31$533,043
Value of interest in common/collective trusts at end of year2011-08-31$48,959,829
Value of interest in common/collective trusts at beginning of year2011-08-31$36,842,728
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-08-31$4,583,914
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-08-31$3,956,638
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-08-31$3,956,638
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$5,819
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$675,260
Asset value of US Government securities at end of year2011-08-31$6,386,619
Asset value of US Government securities at beginning of year2011-08-31$4,271,974
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-08-31$219,523
Net investment gain or loss from common/collective trusts2011-08-31$4,044,825
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31Yes
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$87,559,713
Employer contributions (assets) at end of year2011-08-31$7,503,273
Employer contributions (assets) at beginning of year2011-08-31$6,687,466
Income. Dividends from common stock2011-08-31$76,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$93,240,367
Asset. Corporate debt instrument debt (other) at end of year2011-08-31$9,633,818
Asset. Corporate debt instrument debt (other) at beginning of year2011-08-31$10,611,206
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-08-31$5,512,051
Assets. Corporate common stocks other than exployer securities at beginning of year2011-08-31$7,986,963
Liabilities. Value of benefit claims payable at end of year2011-08-31$8,976,573
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$9,446,987
Assets. Value of buildings and other operty used in plan operation at end of year2011-08-31$2,835,370
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-08-31$2,789,998
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Aggregate proceeds on sale of assets2011-08-31$23,510,892
Aggregate carrying amount (costs) on sale of assets2011-08-31$22,569,875
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31NOVAK FRANCELLA LLC
Accountancy firm EIN2011-08-31611436956

Form 5500 Responses for TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN

2021: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2015 form 5500 responses
2015-09-01Type of plan entityMulti-employer plan
2015-09-01Plan is a collectively bargained planYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2014 form 5500 responses
2014-09-01Type of plan entityMulti-employer plan
2014-09-01Plan is a collectively bargained planYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2013 form 5500 responses
2013-09-01Type of plan entityMulti-employer plan
2013-09-01Plan is a collectively bargained planYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2012 form 5500 responses
2012-09-01Type of plan entityMulti-employer plan
2012-09-01Plan is a collectively bargained planYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2011 form 5500 responses
2011-09-01Type of plan entityMulti-employer plan
2011-09-01Plan is a collectively bargained planYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS UNION 25 HEALTH SERVICES & INSURANCE PLAN 2009 form 5500 responses
2009-09-01Type of plan entityMulti-employer plan
2009-09-01This submission is the final filingNo
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017776-00
Policy instance 2
Insurance contract or identification number01-017776-00
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $101,904
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,019,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,952
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered14772
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $1,162,127
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,162,127
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017776-00
Policy instance 2
Insurance contract or identification number01-017776-00
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $102,542
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,025,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,271
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15083
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $1,086,723
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,086,723
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017776-00
Policy instance 3
Insurance contract or identification number01-017776-00
Number of Individuals Covered4872
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $103,592
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,035,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,796
Insurance broker organization code?3
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract numberC004515102C01
Policy instance 2
Insurance contract or identification numberC004515102C01
Number of Individuals Covered4
Insurance policy start date2020-01-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $446
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $14,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $446
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15083
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $1,088,181
Total amount of fees paid to insurance companyUSD $1,487
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,088,181
Amount paid for insurance broker fees1487
Additional information about fees paid to insurance brokerNON MONETARY COMPENSATION
Insurance broker organization code?4
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15428
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $1,029,513
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $868,314
Insurance broker organization code?4
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract numberC004515102C01
Policy instance 2
Insurance contract or identification numberC004515102C01
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $2,696
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $89,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,348
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017776-00
Policy instance 3
Insurance contract or identification number01-017776-00
Number of Individuals Covered4831
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $110,133
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $1,101,332
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,067
Insurance broker organization code?3
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract numberC004515102C01
Policy instance 4
Insurance contract or identification numberC004515102C01
Number of Individuals Covered14
Insurance policy start date2018-01-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $6,457
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $215,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALRA
Policy instance 3
Insurance contract or identification numberG000ALRA
Number of Individuals Covered62
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $2,015
Total amount of fees paid to insurance companyUSD $1,005
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY SHORT TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $40,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALD2
Policy instance 2
Insurance contract or identification numberG000ALD2
Number of Individuals Covered4720
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $40,424
Total amount of fees paid to insurance companyUSD $12,500
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $808,484
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15432
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $989,118
Total amount of fees paid to insurance companyUSD $2,257
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALRA
Policy instance 3
Insurance contract or identification numberG000ALRA
Number of Individuals Covered60
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1,052
Total amount of fees paid to insurance companyUSD $485
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,052
Amount paid for insurance broker fees485
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15820
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $847,425
Total amount of fees paid to insurance companyUSD $2,481
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $847,425
Amount paid for insurance broker fees2481
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameDBR GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALD2
Policy instance 2
Insurance contract or identification numberG000ALD2
Number of Individuals Covered4711
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $39,987
Total amount of fees paid to insurance companyUSD $12,500
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $799,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,987
Amount paid for insurance broker fees12500
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract numberC004515102C01
Policy instance 4
Insurance contract or identification numberC004515102C01
Number of Individuals Covered23
Insurance policy start date2016-01-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $8,984
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $211,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,984
Insurance broker organization code?3
Insurance broker nameDBR GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALRA
Policy instance 3
Insurance contract or identification numberG000ALRA
Number of Individuals Covered59
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $955
Total amount of fees paid to insurance companyUSD $1,154
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $955
Amount paid for insurance broker fees1154
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15922
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $867,841
Total amount of fees paid to insurance companyUSD $2,598
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $867,841
Amount paid for insurance broker fees2598
Additional information about fees paid to insurance brokerBONUS AND PERSISTENCY COMMISSIONS PAID TO BROKER BY BCBSMA-NOT BILLED
Insurance broker organization code?3
Insurance broker nameDBR GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALD2
Policy instance 2
Insurance contract or identification numberG000ALD2
Number of Individuals Covered4660
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $29,331
Total amount of fees paid to insurance companyUSD $20,000
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $586,620
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,331
Amount paid for insurance broker fees20000
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
FALLON COMMUNITY HEALTH PLAN -MEDICARE (National Association of Insurance Commissioners NAIC id number: 95541 )
Policy contract numberC004515102C01
Policy instance 4
Insurance contract or identification numberC004515102C01
Number of Individuals Covered22
Insurance policy start date2015-01-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $4,789
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
Welfare Benefit Premiums Paid to CarrierUSD $135,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,789
Insurance broker organization code?3
Insurance broker nameDBR GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALRA
Policy instance 4
Insurance contract or identification numberG000ALRA
Number of Individuals Covered65
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,064
Total amount of fees paid to insurance companyUSD $1,137
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,064
Amount paid for insurance broker fees1137
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Health Insurance Welfare BenefitYes
Insurance broker nameKEVIN M. HARRINGTON
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALD2
Policy instance 2
Insurance contract or identification numberG000ALD2
Number of Individuals Covered4343
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $27,982
Total amount of fees paid to insurance companyUSD $20,000
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $559,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,982
Amount paid for insurance broker fees20000
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15448
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $794,419
Total amount of fees paid to insurance companyUSD $329
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $794,419
Amount paid for insurance broker fees329
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameDBR GROUP INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALRA
Policy instance 3
Insurance contract or identification numberG000ALRA
Number of Individuals Covered20
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $710
Total amount of fees paid to insurance companyUSD $762
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $710
Amount paid for insurance broker fees762
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 1
Insurance contract or identification number4025366
Number of Individuals Covered15090
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Total amount of commissions paid to insurance brokerUSD $755,394
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $755,394
Insurance broker organization code?4
Insurance broker nameD B R GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALRA
Policy instance 3
Insurance contract or identification numberG000ALRA
Number of Individuals Covered84
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $2,126
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
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,126
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALD2
Policy instance 2
Insurance contract or identification numberG000ALD2
Number of Individuals Covered4351
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $27,055
Total amount of fees paid to insurance companyUSD $3,125
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $541,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,055
Amount paid for insurance broker fees3125
Insurance broker organization code?3
Insurance broker nameKEVIN M. HARRINGTON
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 2
Insurance contract or identification number4025366
Number of Individuals Covered14688
Insurance policy start date2012-01-01
Insurance policy end date2012-08-31
Total amount of commissions paid to insurance brokerUSD $481,186
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number619391
Policy instance 1
Insurance contract or identification number619391
Number of Individuals Covered7510
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $33,021
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
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $660,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number619391
Policy instance 1
Insurance contract or identification number619391
Number of Individuals Covered7911
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $35,837
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
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $664,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. (National Association of Insurance Commissioners NAIC id number: 53228 )
Policy contract number4025366
Policy instance 2
Insurance contract or identification number4025366
Number of Individuals Covered18
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,020
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 $40,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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