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HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 401k Plan overview

Plan NameHEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN
Plan identification number 501

HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES HEAT & FROST INSULATORS LOC NO. 33 HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES HEAT & FROST INSULATORS LOC NO. 33 HEALTH FUND
Employer identification number (EIN):061078051
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DONALD SCOOPO2023-10-16 JOSEPH P. LEO, JR.2023-10-16
5012022-01-01DONALD SCOOPO2023-11-20
5012021-01-01DONALD SCOOPO2022-10-12 JOSEPH P. LEO, JR.2022-10-17
5012020-01-01DONALD SCOOPO2021-09-13 JOSEPH P. LEO, JR.2021-09-13
5012019-01-01DONALD SCOOPO2020-10-14 JOSEPH P. LEO, JR.2020-10-14
5012018-01-01STEPHEN G. MORRELL2019-10-11 JOSEPH P. LEO, JR.2019-10-11
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01KEVIN CWIKLA
5012013-01-01KEVIN CWIKLA
5012012-01-01KEVIN CWIKLA
5012011-01-01GERARD FRAME
5012009-01-01
5012009-01-01GERARD FRAME

Plan Statistics for HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN

401k plan membership statisitcs for HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN

Measure Date Value
2022: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01162
Total number of active participants reported on line 7a of the Form 55002022-01-01119
Number of retired or separated participants receiving benefits2022-01-0149
Number of other retired or separated participants entitled to future benefits2022-01-016
Total of all active and inactive participants2022-01-01174
Number of employers contributing to the scheme2022-01-0113
2021: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01175
Total number of active participants reported on line 7a of the Form 55002021-01-01111
Number of retired or separated participants receiving benefits2021-01-0143
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-01162
Number of employers contributing to the scheme2021-01-0113
2020: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01195
Total number of active participants reported on line 7a of the Form 55002020-01-01118
Number of retired or separated participants receiving benefits2020-01-0149
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-01175
Number of employers contributing to the scheme2020-01-0113
2019: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01193
Total number of active participants reported on line 7a of the Form 55002019-01-01134
Number of retired or separated participants receiving benefits2019-01-0153
Number of other retired or separated participants entitled to future benefits2019-01-018
Total of all active and inactive participants2019-01-01195
Number of employers contributing to the scheme2019-01-0116
2018: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01194
Total number of active participants reported on line 7a of the Form 55002018-01-01131
Number of retired or separated participants receiving benefits2018-01-0154
Number of other retired or separated participants entitled to future benefits2018-01-018
Total of all active and inactive participants2018-01-01193
Number of employers contributing to the scheme2018-01-0118
2017: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01183
Total number of active participants reported on line 7a of the Form 55002017-01-01128
Number of retired or separated participants receiving benefits2017-01-0158
Number of other retired or separated participants entitled to future benefits2017-01-018
Total of all active and inactive participants2017-01-01194
Number of employers contributing to the scheme2017-01-0115
2016: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01174
Total number of active participants reported on line 7a of the Form 55002016-01-01115
Number of retired or separated participants receiving benefits2016-01-0159
Number of other retired or separated participants entitled to future benefits2016-01-019
Total of all active and inactive participants2016-01-01183
Number of employers contributing to the scheme2016-01-0112
2015: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01157
Total number of active participants reported on line 7a of the Form 55002015-01-01114
Number of retired or separated participants receiving benefits2015-01-0160
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01174
Number of employers contributing to the scheme2015-01-0112
2014: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01151
Total number of active participants reported on line 7a of the Form 55002014-01-0192
Number of retired or separated participants receiving benefits2014-01-0160
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-01157
Number of employers contributing to the scheme2014-01-0112
2013: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01159
Total number of active participants reported on line 7a of the Form 55002013-01-0192
Number of retired or separated participants receiving benefits2013-01-0155
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-01151
Number of employers contributing to the scheme2013-01-0110
2012: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01166
Total number of active participants reported on line 7a of the Form 55002012-01-0199
Number of retired or separated participants receiving benefits2012-01-0153
Number of other retired or separated participants entitled to future benefits2012-01-017
Total of all active and inactive participants2012-01-01159
Number of employers contributing to the scheme2012-01-0110
2011: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01185
Total number of active participants reported on line 7a of the Form 55002011-01-01112
Number of retired or separated participants receiving benefits2011-01-0150
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-01166
Number of employers contributing to the scheme2011-01-019
2009: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01187
Total number of active participants reported on line 7a of the Form 55002009-01-01134
Number of retired or separated participants receiving benefits2009-01-0156
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-01194

Financial Data on HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN

Measure Date Value
2022 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-395
Total unrealized appreciation/depreciation of assets2022-12-31$-395
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$135,859
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$304,600
Total income from all sources (including contributions)2022-12-31$1,765,587
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,174,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,759,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,104,014
Value of total assets at end of year2022-12-31$4,943,405
Value of total assets at beginning of year2022-12-31$5,520,999
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$415,182
Total interest from all sources2022-12-31$2,685
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$112,889
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$112,889
Administrative expenses professional fees incurred2022-12-31$125,879
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$239,827
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$456
Other income not declared elsewhere2022-12-31$263,995
Administrative expenses (other) incurred2022-12-31$130,006
Liabilities. Value of operating payables at end of year2022-12-31$659
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-408,853
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,807,546
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,216,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$6,713
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,258,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,862,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$471,691
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$482,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$482,535
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,685
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$293,347
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-717,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,864,187
Employer contributions (assets) at end of year2022-12-31$212,997
Employer contributions (assets) at beginning of year2022-12-31$175,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,465,911
Contract administrator fees2022-12-31$152,584
Liabilities. Value of benefit claims payable at end of year2022-12-31$135,200
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$304,600
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$201,827
Aggregate carrying amount (costs) on sale of assets2022-12-31$201,827
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-12-31611436956
2021 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$304,600
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$299,087
Total income from all sources (including contributions)2021-12-31$2,284,106
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,774,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,398,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,842,290
Value of total assets at end of year2021-12-31$5,520,999
Value of total assets at beginning of year2021-12-31$6,005,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$376,008
Total interest from all sources2021-12-31$13
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$107,971
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$107,971
Administrative expenses professional fees incurred2021-12-31$97,111
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$180,214
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$638
Other income not declared elsewhere2021-12-31$194,261
Administrative expenses (other) incurred2021-12-31$117,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-490,069
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,216,399
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,706,468
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$7,203
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,862,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,397,606
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$482,535
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$476,044
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$476,044
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$13
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$289,097
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$139,571
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,662,076
Employer contributions (assets) at end of year2021-12-31$175,492
Employer contributions (assets) at beginning of year2021-12-31$131,267
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,109,070
Contract administrator fees2021-12-31$154,510
Liabilities. Value of benefit claims payable at end of year2021-12-31$304,600
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$299,087
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$1,940
Aggregate carrying amount (costs) on sale of assets2021-12-31$1,940
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-12-31611436956
2020 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$299,087
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$243,300
Total income from all sources (including contributions)2020-12-31$2,732,195
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,870,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,483,277
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,726,002
Value of total assets at end of year2020-12-31$6,005,555
Value of total assets at beginning of year2020-12-31$6,088,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$387,692
Total interest from all sources2020-12-31$433
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$129,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$129,033
Administrative expenses professional fees incurred2020-12-31$122,487
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$231,362
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$638
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$629
Other income not declared elsewhere2020-12-31$471,427
Administrative expenses (other) incurred2020-12-31$109,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-138,774
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,706,468
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,845,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$7,302
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,397,606
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,864,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$476,044
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$939,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$939,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$433
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$333,238
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$405,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,494,640
Employer contributions (assets) at end of year2020-12-31$131,267
Employer contributions (assets) at beginning of year2020-12-31$284,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,150,039
Contract administrator fees2020-12-31$148,103
Liabilities. Value of benefit claims payable at end of year2020-12-31$299,087
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$243,300
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$1,776
Aggregate carrying amount (costs) on sale of assets2020-12-31$1,776
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31NOVAK FRANCELLA, LLC
2019 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$243,300
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$243,300
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$207,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$207,276
Total income from all sources (including contributions)2019-12-31$3,652,627
Total income from all sources (including contributions)2019-12-31$3,652,627
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,598,944
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,198,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,198,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,815,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,815,643
Value of total assets at end of year2019-12-31$6,088,542
Value of total assets at end of year2019-12-31$6,088,542
Value of total assets at beginning of year2019-12-31$4,998,835
Value of total assets at beginning of year2019-12-31$4,998,835
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$400,766
Total interest from all sources2019-12-31$2,148
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$153,757
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$153,757
Administrative expenses professional fees incurred2019-12-31$117,514
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$3,000,000
Value of fidelity bond cover2019-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$217,245
Contributions received from participants2019-12-31$217,245
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$629
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$9,467
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$9,467
Other income not declared elsewhere2019-12-31$206,039
Other income not declared elsewhere2019-12-31$206,039
Administrative expenses (other) incurred2019-12-31$125,139
Administrative expenses (other) incurred2019-12-31$125,139
Liabilities. Value of operating payables at beginning of year2019-12-31$5,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,053,683
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,845,242
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,845,242
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,791,559
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,791,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$4,283
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,864,289
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,864,289
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,235,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,235,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$939,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$939,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$468,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$468,119
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$468,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$468,119
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2,148
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$318,605
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$318,605
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$475,040
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$475,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,598,398
Contributions received in cash from employer2019-12-31$2,598,398
Employer contributions (assets) at end of year2019-12-31$284,493
Employer contributions (assets) at beginning of year2019-12-31$285,758
Employer contributions (assets) at beginning of year2019-12-31$285,758
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,879,573
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,879,573
Contract administrator fees2019-12-31$153,830
Contract administrator fees2019-12-31$153,830
Liabilities. Value of benefit claims payable at end of year2019-12-31$243,300
Liabilities. Value of benefit claims payable at end of year2019-12-31$243,300
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$201,400
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$201,400
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$1,717
Aggregate proceeds on sale of assets2019-12-31$1,717
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,717
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,717
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NOVAK FRANCELLA, LLC
Accountancy firm name2019-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2019-12-31611436956
2018 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$207,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$204,908
Total income from all sources (including contributions)2018-12-31$2,387,862
Total of all expenses incurred2018-12-31$2,607,397
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,271,702
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,367,651
Value of total assets at end of year2018-12-31$4,998,835
Value of total assets at beginning of year2018-12-31$5,216,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$335,695
Total interest from all sources2018-12-31$5,798
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$118,684
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$118,684
Administrative expenses professional fees incurred2018-12-31$70,712
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$3,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$227,442
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$9,467
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$12,179
Other income not declared elsewhere2018-12-31$178,572
Administrative expenses (other) incurred2018-12-31$112,182
Liabilities. Value of operating payables at end of year2018-12-31$5,876
Liabilities. Value of operating payables at beginning of year2018-12-31$13,008
Total non interest bearing cash at beginning of year2018-12-31$337,265
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-219,535
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,791,559
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,011,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$6,116
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,235,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,984,650
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$468,119
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$425,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$425,429
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$5,798
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$399,376
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-282,843
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,140,209
Employer contributions (assets) at end of year2018-12-31$285,758
Employer contributions (assets) at beginning of year2018-12-31$456,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,872,326
Contract administrator fees2018-12-31$146,685
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$201,400
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$191,900
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$80
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2018-12-31611436956
2017 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$204,908
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$183,937
Total income from all sources (including contributions)2017-12-31$3,345,940
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,206,316
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,861,110
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,764,752
Value of total assets at end of year2017-12-31$5,216,002
Value of total assets at beginning of year2017-12-31$4,055,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$345,206
Total interest from all sources2017-12-31$662
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$96,882
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$96,882
Administrative expenses professional fees incurred2017-12-31$166,747
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$224,512
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$12,179
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$14,450
Other income not declared elsewhere2017-12-31$77,587
Administrative expenses (other) incurred2017-12-31$31,910
Liabilities. Value of operating payables at end of year2017-12-31$13,008
Liabilities. Value of operating payables at beginning of year2017-12-31$18,037
Total non interest bearing cash at end of year2017-12-31$337,265
Total non interest bearing cash at beginning of year2017-12-31$370,762
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,139,624
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,011,094
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,871,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$3,538
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$3,984,650
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,121,712
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$425,429
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$256,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$256,129
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$662
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$348,725
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$406,057
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,540,240
Employer contributions (assets) at end of year2017-12-31$456,399
Employer contributions (assets) at beginning of year2017-12-31$292,194
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,512,385
Contract administrator fees2017-12-31$143,011
Liabilities. Value of benefit claims payable at end of year2017-12-31$191,900
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$165,900
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$80
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$160
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2017-12-31611436956
2016 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$183,937
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$159,796
Total income from all sources (including contributions)2016-12-31$3,131,964
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,217,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,885,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,898,728
Value of total assets at end of year2016-12-31$4,055,407
Value of total assets at beginning of year2016-12-31$3,117,082
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$331,934
Total interest from all sources2016-12-31$1,104
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$72,283
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$72,283
Administrative expenses professional fees incurred2016-12-31$91,945
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$275,045
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$14,450
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$28,380
Other income not declared elsewhere2016-12-31$73,000
Administrative expenses (other) incurred2016-12-31$90,043
Liabilities. Value of operating payables at end of year2016-12-31$18,037
Liabilities. Value of operating payables at beginning of year2016-12-31$23,596
Total non interest bearing cash at end of year2016-12-31$370,762
Total non interest bearing cash at beginning of year2016-12-31$552,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$914,184
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,871,470
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,957,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$5,110
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,121,712
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,073,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$256,129
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$57,639
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$57,639
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,104
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$352,341
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$86,849
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,623,683
Employer contributions (assets) at end of year2016-12-31$292,194
Employer contributions (assets) at beginning of year2016-12-31$405,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,533,505
Contract administrator fees2016-12-31$144,836
Liabilities. Value of benefit claims payable at end of year2016-12-31$165,900
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$136,200
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$160
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$240
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2016-12-31060931761
2015 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$159,796
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$152,861
Total income from all sources (including contributions)2015-12-31$2,789,982
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,696,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,349,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,782,602
Value of total assets at end of year2015-12-31$3,117,082
Value of total assets at beginning of year2015-12-31$2,016,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$346,953
Total interest from all sources2015-12-31$4,009
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$34,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$34,272
Administrative expenses professional fees incurred2015-12-31$100,863
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$261,637
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$28,380
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$59,195
Other income not declared elsewhere2015-12-31$38,848
Administrative expenses (other) incurred2015-12-31$103,453
Liabilities. Value of operating payables at end of year2015-12-31$23,596
Liabilities. Value of operating payables at beginning of year2015-12-31$23,761
Total non interest bearing cash at end of year2015-12-31$552,549
Total non interest bearing cash at beginning of year2015-12-31$446,261
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,093,749
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,957,286
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,863,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$4,649
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,073,186
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$751,735
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$57,639
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$462,870
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$462,870
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$4,009
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$342,703
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-69,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,520,965
Employer contributions (assets) at end of year2015-12-31$405,088
Employer contributions (assets) at beginning of year2015-12-31$296,336
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,006,577
Contract administrator fees2015-12-31$137,988
Liabilities. Value of benefit claims payable at end of year2015-12-31$136,200
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$129,100
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$240
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$1
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2015-12-31060931761
2014 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$152,861
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$176,133
Total income from all sources (including contributions)2014-12-31$2,501,400
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,605,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,286,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,467,642
Value of total assets at end of year2014-12-31$2,016,398
Value of total assets at beginning of year2014-12-31$1,143,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$319,092
Total interest from all sources2014-12-31$49
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$10,452
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$10,452
Administrative expenses professional fees incurred2014-12-31$78,479
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$275,194
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$59,195
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$54,895
Other income not declared elsewhere2014-12-31$6,948
Administrative expenses (other) incurred2014-12-31$105,043
Liabilities. Value of operating payables at end of year2014-12-31$23,761
Liabilities. Value of operating payables at beginning of year2014-12-31$24,357
Total non interest bearing cash at end of year2014-12-31$446,261
Total non interest bearing cash at beginning of year2014-12-31$252,361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$896,010
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,863,537
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$967,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$5,205
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$751,735
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$48,212
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$462,870
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$447,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$447,192
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$49
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$347,833
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$16,309
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,192,448
Employer contributions (assets) at end of year2014-12-31$296,336
Employer contributions (assets) at beginning of year2014-12-31$340,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$938,465
Contract administrator fees2014-12-31$130,365
Liabilities. Value of benefit claims payable at end of year2014-12-31$129,100
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$151,776
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$1
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$123
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2014-12-31060931761
2013 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$176,133
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$230,171
Total income from all sources (including contributions)2013-12-31$2,465,650
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,775,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,572,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,458,045
Value of total assets at end of year2013-12-31$1,143,660
Value of total assets at beginning of year2013-12-31$507,245
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$202,819
Total interest from all sources2013-12-31$841
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$295
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$295
Administrative expenses professional fees incurred2013-12-31$63,134
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$287,573
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$54,895
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$39,668
Other income not declared elsewhere2013-12-31$20,085
Administrative expenses (other) incurred2013-12-31$104,918
Liabilities. Value of operating payables at end of year2013-12-31$24,357
Liabilities. Value of operating payables at beginning of year2013-12-31$2,271
Total non interest bearing cash at end of year2013-12-31$252,361
Total non interest bearing cash at beginning of year2013-12-31$121,335
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$690,453
Value of net assets at end of year (total assets less liabilities)2013-12-31$967,527
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$277,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$5,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$48,212
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$45,113
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$447,192
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$113,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$113,683
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$841
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$341,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-13,616
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,170,472
Employer contributions (assets) at end of year2013-12-31$340,877
Employer contributions (assets) at beginning of year2013-12-31$187,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,231,006
Contract administrator fees2013-12-31$29,767
Liabilities. Value of benefit claims payable at end of year2013-12-31$151,776
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$227,900
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$123
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$245
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2013-12-31060931761
2012 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$230,171
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$292,257
Total income from all sources (including contributions)2012-12-31$1,752,770
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,191,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,858,312
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,707,851
Value of total assets at end of year2012-12-31$507,245
Value of total assets at beginning of year2012-12-31$1,007,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$333,116
Total interest from all sources2012-12-31$27
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$2,775
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$2,775
Administrative expenses professional fees incurred2012-12-31$98,620
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$286,521
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$39,668
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$67,850
Other income not declared elsewhere2012-12-31$600
Administrative expenses (other) incurred2012-12-31$184,379
Liabilities. Value of operating payables at end of year2012-12-31$2,271
Liabilities. Value of operating payables at beginning of year2012-12-31$5,257
Total non interest bearing cash at end of year2012-12-31$121,335
Total non interest bearing cash at beginning of year2012-12-31$77,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-438,658
Value of net assets at end of year (total assets less liabilities)2012-12-31$277,074
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$715,732
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$1,693
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$45,113
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$492,516
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$113,683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$56,640
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$56,640
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$27
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$289,137
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$41,517
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,421,330
Employer contributions (assets) at end of year2012-12-31$187,201
Employer contributions (assets) at beginning of year2012-12-31$313,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,569,175
Contract administrator fees2012-12-31$48,424
Liabilities. Value of benefit claims payable at end of year2012-12-31$227,900
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$287,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$245
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$327
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2012-12-31060931761
2011 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$292,257
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$242,791
Total income from all sources (including contributions)2011-12-31$1,926,171
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,366,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,129,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,892,612
Value of total assets at end of year2011-12-31$1,007,989
Value of total assets at beginning of year2011-12-31$1,399,279
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$237,561
Total interest from all sources2011-12-31$56
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$12,034
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$12,034
Administrative expenses professional fees incurred2011-12-31$75,918
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$326,198
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$67,850
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$98,777
Other income not declared elsewhere2011-12-31$18,557
Administrative expenses (other) incurred2011-12-31$89,132
Liabilities. Value of operating payables at end of year2011-12-31$5,257
Liabilities. Value of operating payables at beginning of year2011-12-31$3,791
Total non interest bearing cash at end of year2011-12-31$77,592
Total non interest bearing cash at beginning of year2011-12-31$83,664
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-440,756
Value of net assets at end of year (total assets less liabilities)2011-12-31$715,732
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,156,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$8,549
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$492,516
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$625,085
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$56,640
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$67,233
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$67,233
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$56
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$114,185
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$2,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,566,414
Employer contributions (assets) at end of year2011-12-31$313,064
Employer contributions (assets) at beginning of year2011-12-31$524,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,015,181
Contract administrator fees2011-12-31$63,962
Liabilities. Value of benefit claims payable at end of year2011-12-31$287,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$239,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$327
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$27
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2011-12-31060931761
2010 : HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$242,791
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$365,042
Total income from all sources (including contributions)2010-12-31$1,903,203
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,047,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,808,799
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,804,512
Value of total assets at end of year2010-12-31$1,399,279
Value of total assets at beginning of year2010-12-31$1,666,210
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$239,084
Total interest from all sources2010-12-31$128
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$20,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$20,598
Administrative expenses professional fees incurred2010-12-31$61,809
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$303,714
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$98,777
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$104,589
Other income not declared elsewhere2010-12-31$8,412
Administrative expenses (other) incurred2010-12-31$96,495
Liabilities. Value of operating payables at end of year2010-12-31$3,791
Liabilities. Value of operating payables at beginning of year2010-12-31$7,442
Total non interest bearing cash at end of year2010-12-31$83,664
Total non interest bearing cash at beginning of year2010-12-31$81,279
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-144,680
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,156,488
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,301,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$4,509
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$625,085
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$753,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$67,233
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$101,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$101,882
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$128
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$151,689
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$69,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,500,798
Employer contributions (assets) at end of year2010-12-31$524,493
Employer contributions (assets) at beginning of year2010-12-31$621,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,657,110
Contract administrator fees2010-12-31$76,271
Liabilities. Value of benefit claims payable at end of year2010-12-31$239,000
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$357,600
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$27
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$3,416
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BUCKLEY, FRAME, BOUDREAU & CO PC
Accountancy firm EIN2010-12-31060931761

Form 5500 Responses for HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN

2022: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: HEAT & FROST INSULATORS LOC NO. 33 HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04569
Policy instance 4
Insurance contract or identification number04569
Number of Individuals Covered282
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberCTEGR012
Policy instance 3
Insurance contract or identification numberCTEGR012
Number of Individuals Covered49
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $142,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10351
Policy instance 2
Insurance contract or identification numberSL10351
Number of Individuals Covered105
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $1,703
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $113,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,703
Additional information about fees paid to insurance brokerCOMMISSIONS
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered147
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $15,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberCTEGR012
Policy instance 3
Insurance contract or identification numberCTEGR012
Number of Individuals Covered48
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $128,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10351
Policy instance 2
Insurance contract or identification numberSL10351
Number of Individuals Covered229
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $43,971
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $258,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,971
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered139
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered167
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,688
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 numberAE466715
Policy instance 2
Insurance contract or identification numberAE466715
Number of Individuals Covered49
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $194,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10351
Policy instance 3
Insurance contract or identification numberSL10351
Number of Individuals Covered135
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $159,314
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10351
Policy instance 3
Insurance contract or identification numberSL10351
Number of Individuals Covered131
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $146,361
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 numberAE466715
Policy instance 2
Insurance contract or identification numberAE466715
Number of Individuals Covered54
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $141,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered168
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31081
Policy instance 3
Insurance contract or identification numberHCL31081
Number of Individuals Covered119
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $134,922
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 numberAE466715
Policy instance 2
Insurance contract or identification numberAE466715
Number of Individuals Covered54
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $231,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered160
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31081
Policy instance 3
Insurance contract or identification numberHCL31081
Number of Individuals Covered117
Insurance policy start date2016-02-01
Insurance policy end date2017-01-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $143,024
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 numberAE466715
Policy instance 2
Insurance contract or identification numberAE466715
Number of Individuals Covered56
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $194,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered161
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $613
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $35,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $613
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY INC
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31081
Policy instance 3
Insurance contract or identification numberHCL31081
Number of Individuals Covered113
Insurance policy start date2015-02-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $120,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number5G00011
Policy instance 2
Insurance contract or identification number5G00011
Number of Individuals Covered65
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12,015
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMEDICARE GROUP
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $230,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,015
Insurance broker organization code?3
Insurance broker nameBEACON RETIREE BENEFITS GROUP. INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 1
Insurance contract or identification number03984
Number of Individuals Covered157
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number610087
Policy instance 1
Insurance contract or identification number610087
Number of Individuals Covered97
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $566
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $566
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 2
Insurance contract or identification number03984
Number of Individuals Covered151
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number5G00011
Policy instance 3
Insurance contract or identification number5G00011
Number of Individuals Covered71
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,780
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMEDICARE GROUP
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,152,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,780
Insurance broker organization code?3
Insurance broker nameBEACON RETIREE BENEFITS GROUP. INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31081
Policy instance 4
Insurance contract or identification numberHCL31081
Number of Individuals Covered92
Insurance policy start date2014-02-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $101,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number5G00011
Policy instance 3
Insurance contract or identification number5G00011
Number of Individuals Covered76
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13,620
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMEDICARE GROUP
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $959,672
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,620
Insurance broker organization code?3
Insurance broker nameBEACON RETIREE BENEFITS GROUP. INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 2
Insurance contract or identification number03984
Number of Individuals Covered142
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number610087
Policy instance 1
Insurance contract or identification number610087
Number of Individuals Covered97
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,673
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $117,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,673
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY, INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 2
Insurance contract or identification number03984
Number of Individuals Covered151
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number610087
Policy instance 1
Insurance contract or identification number610087
Number of Individuals Covered99
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,159
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $105,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,159
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY, INC.
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number610087
Policy instance 1
Insurance contract or identification number610087
Number of Individuals Covered136
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,997
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $102,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 2
Insurance contract or identification number03984
Number of Individuals Covered174
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )
Policy contract number610087
Policy instance 1
Insurance contract or identification number610087
Number of Individuals Covered136
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,466
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $137,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number03984
Policy instance 2
Insurance contract or identification number03984
Number of Individuals Covered175
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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