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INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 401k Plan overview

Plan NameINTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND
Plan identification number 501

INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES OF THE I.U.O.E. LOCAL 14-14B WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF THE I.U.O.E. LOCAL 14-14B WELFARE FUND
Employer identification number (EIN):112392159
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01EDWIN L. CHRISTIAN2023-03-06 JOHN O'HARE2023-03-06
5012020-07-01EDWIN L. CHRISTIAN2022-03-29 JOHN O'HARE2022-03-29
5012019-07-01EDWIN L. CHRISTIAN2021-03-08 JOHN F. O'HARE2021-03-08
5012018-07-01EDWIN L. CHRISTIAN2020-03-22 JOHN O'HARE2020-03-22
5012017-07-01
5012016-07-01
5012015-07-01CAROL WESTFALL
5012014-07-01CAROL WESTFALL
5012013-07-01CAROL WESTFALL
5012012-07-01CAROL WESTFALL
5012011-07-01CAROL WESTFALL
5012009-07-01VINCENT F. PANETTIERI
5012009-07-01VINCENT F. PANETTIERI

Plan Statistics for INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND

401k plan membership statisitcs for INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND

Measure Date Value
2021: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-07-011,456
Total number of active participants reported on line 7a of the Form 55002021-07-01963
Number of retired or separated participants receiving benefits2021-07-01444
Total of all active and inactive participants2021-07-011,407
Number of employers contributing to the scheme2021-07-01456
2020: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-07-011,491
Total number of active participants reported on line 7a of the Form 55002020-07-011,024
Number of retired or separated participants receiving benefits2020-07-01432
Total of all active and inactive participants2020-07-011,456
Number of employers contributing to the scheme2020-07-01453
2019: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-07-011,523
Total number of active participants reported on line 7a of the Form 55002019-07-011,088
Number of retired or separated participants receiving benefits2019-07-01403
Total of all active and inactive participants2019-07-011,491
Number of employers contributing to the scheme2019-07-01478
2018: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-07-011,551
Total number of active participants reported on line 7a of the Form 55002018-07-011,132
Number of retired or separated participants receiving benefits2018-07-01391
Total of all active and inactive participants2018-07-011,523
Number of employers contributing to the scheme2018-07-01486
2017: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-07-011,522
Total number of active participants reported on line 7a of the Form 55002017-07-011,136
Number of retired or separated participants receiving benefits2017-07-01415
Total of all active and inactive participants2017-07-011,551
Number of employers contributing to the scheme2017-07-01495
2016: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-07-011,469
Total number of active participants reported on line 7a of the Form 55002016-07-011,116
Number of retired or separated participants receiving benefits2016-07-01406
Total of all active and inactive participants2016-07-011,522
Number of employers contributing to the scheme2016-07-01545
2015: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-07-011,435
Total number of active participants reported on line 7a of the Form 55002015-07-011,063
Number of retired or separated participants receiving benefits2015-07-01406
Total of all active and inactive participants2015-07-011,469
Number of employers contributing to the scheme2015-07-01542
2014: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-07-011,433
Total number of active participants reported on line 7a of the Form 55002014-07-011,028
Number of retired or separated participants receiving benefits2014-07-01407
Total of all active and inactive participants2014-07-011,435
Number of employers contributing to the scheme2014-07-01573
2013: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-07-011,481
Total number of active participants reported on line 7a of the Form 55002013-07-011,038
Number of retired or separated participants receiving benefits2013-07-01395
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-011,433
Number of employers contributing to the scheme2013-07-01627
2012: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-07-011,509
Total number of active participants reported on line 7a of the Form 55002012-07-011,096
Number of retired or separated participants receiving benefits2012-07-01385
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-011,481
Number of employers contributing to the scheme2012-07-01641
2011: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-07-011,442
Total number of active participants reported on line 7a of the Form 55002011-07-011,123
Number of retired or separated participants receiving benefits2011-07-01386
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-011,509
Number of employers contributing to the scheme2011-07-01555
2009: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-07-011,594
Total number of active participants reported on line 7a of the Form 55002009-07-011,121
Number of retired or separated participants receiving benefits2009-07-01341
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-011,462

Financial Data on INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND

Measure Date Value
2022 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-1,736,907
Total unrealized appreciation/depreciation of assets2022-06-30$-1,736,907
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$4,325,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$4,133,708
Total income from all sources (including contributions)2022-06-30$22,107,958
Total loss/gain on sale of assets2022-06-30$-886,664
Total of all expenses incurred2022-06-30$33,247,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$32,355,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$25,107,663
Value of total assets at end of year2022-06-30$41,820,284
Value of total assets at beginning of year2022-06-30$52,767,944
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$891,028
Total interest from all sources2022-06-30$589,924
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$796
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$796
Administrative expenses professional fees incurred2022-06-30$290,075
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$475,542
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$3,167,473
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$4,908,527
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$168,776
Other income not declared elsewhere2022-06-30$16,807
Administrative expenses (other) incurred2022-06-30$476,659
Liabilities. Value of operating payables at end of year2022-06-30$114,324
Liabilities. Value of operating payables at beginning of year2022-06-30$72,508
Total non interest bearing cash at end of year2022-06-30$1,387,597
Total non interest bearing cash at beginning of year2022-06-30$930,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-11,139,052
Value of net assets at end of year (total assets less liabilities)2022-06-30$37,495,184
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$48,634,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$124,294
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$530,608
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$350,273
Interest earned on other investments2022-06-30$68
Income. Interest from US Government securities2022-06-30$115,099
Income. Interest from corporate debt instruments2022-06-30$469,009
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$4,401,316
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$2,251,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$2,251,246
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$5,748
Assets. Value of investments in 103.12 investment entities at end of year2022-06-30$10,101,630
Assets. Value of investments in 103.12 investment entities at beginning of year2022-06-30$14,085,293
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$2,866,470
Asset value of US Government securities at end of year2022-06-30$9,891,205
Asset value of US Government securities at beginning of year2022-06-30$12,853,820
Net gain/loss from 103.12 investment entities2022-06-30$-983,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$24,632,121
Employer contributions (assets) at end of year2022-06-30$9,427
Employer contributions (assets) at beginning of year2022-06-30$14,191
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$29,489,512
Asset. Corporate debt instrument preferred debt at end of year2022-06-30$4,339,190
Asset. Corporate debt instrument preferred debt at beginning of year2022-06-30$5,875,004
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$7,608,089
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$11,147,821
Liabilities. Value of benefit claims payable at end of year2022-06-30$4,042,000
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$4,061,200
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$383,749
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-06-30$351,162
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$36,041,747
Aggregate carrying amount (costs) on sale of assets2022-06-30$36,928,411
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2022-06-30131577780
2021 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$-79,301
Total unrealized appreciation/depreciation of assets2021-06-30$-79,301
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$4,133,708
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$2,491,273
Total income from all sources (including contributions)2021-06-30$31,920,482
Total loss/gain on sale of assets2021-06-30$-136,189
Total of all expenses incurred2021-06-30$31,600,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$30,652,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$26,978,947
Value of total assets at end of year2021-06-30$52,767,944
Value of total assets at beginning of year2021-06-30$50,805,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$948,276
Total interest from all sources2021-06-30$733,381
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$268
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$268
Administrative expenses professional fees incurred2021-06-30$284,410
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$414,856
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$4,908,527
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$2,485,132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$40,201
Other income not declared elsewhere2021-06-30$6,963
Administrative expenses (other) incurred2021-06-30$535,386
Liabilities. Value of operating payables at end of year2021-06-30$72,508
Liabilities. Value of operating payables at beginning of year2021-06-30$73,572
Total non interest bearing cash at end of year2021-06-30$930,607
Total non interest bearing cash at beginning of year2021-06-30$1,149,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$319,688
Value of net assets at end of year (total assets less liabilities)2021-06-30$48,634,236
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$48,314,548
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$128,480
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$350,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$981,275
Interest earned on other investments2021-06-30$16,968
Income. Interest from US Government securities2021-06-30$203,702
Income. Interest from corporate debt instruments2021-06-30$507,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$2,251,246
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$3,411,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$3,411,819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$4,928
Assets. Value of investments in 103.12 investment entities at end of year2021-06-30$14,085,293
Assets. Value of investments in 103.12 investment entities at beginning of year2021-06-30$12,668,880
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$2,738,485
Asset value of US Government securities at end of year2021-06-30$12,853,820
Asset value of US Government securities at beginning of year2021-06-30$11,965,996
Net gain/loss from 103.12 investment entities2021-06-30$4,416,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$26,564,091
Employer contributions (assets) at end of year2021-06-30$14,191
Employer contributions (assets) at beginning of year2021-06-30$20,262
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$27,914,033
Asset. Corporate debt instrument preferred debt at end of year2021-06-30$5,875,004
Asset. Corporate debt instrument preferred debt at beginning of year2021-06-30$5,681,157
Asset. Corporate debt instrument debt (other) at end of year2021-06-30$11,147,821
Asset. Corporate debt instrument debt (other) at beginning of year2021-06-30$12,060,109
Liabilities. Value of benefit claims payable at end of year2021-06-30$4,061,200
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$2,377,500
Assets. Value of buildings and other operty used in plan operation at end of year2021-06-30$351,162
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-06-30$381,361
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$25,688,652
Aggregate carrying amount (costs) on sale of assets2021-06-30$25,824,841
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2021-06-30131577780
2020 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$789,664
Total unrealized appreciation/depreciation of assets2020-06-30$789,664
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$2,491,273
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$3,899,327
Total income from all sources (including contributions)2020-06-30$28,264,998
Total loss/gain on sale of assets2020-06-30$390,257
Total of all expenses incurred2020-06-30$28,159,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$27,122,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$25,479,587
Value of total assets at end of year2020-06-30$50,805,821
Value of total assets at beginning of year2020-06-30$52,108,021
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$1,036,707
Total interest from all sources2020-06-30$866,040
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$12,262
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$12,262
Administrative expenses professional fees incurred2020-06-30$215,667
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$330,372
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$2,485,132
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$780,443
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$40,201
Other income not declared elsewhere2020-06-30$9,175
Administrative expenses (other) incurred2020-06-30$694,693
Liabilities. Value of operating payables at end of year2020-06-30$73,572
Liabilities. Value of operating payables at beginning of year2020-06-30$69,827
Total non interest bearing cash at end of year2020-06-30$1,149,830
Total non interest bearing cash at beginning of year2020-06-30$448,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$105,854
Value of net assets at end of year (total assets less liabilities)2020-06-30$48,314,548
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$48,208,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$126,347
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$981,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$131,883
Interest earned on other investments2020-06-30$3,439
Income. Interest from US Government securities2020-06-30$240,321
Income. Interest from corporate debt instruments2020-06-30$589,001
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$3,411,819
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$3,985,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$3,985,388
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$33,279
Assets. Value of investments in 103.12 investment entities at end of year2020-06-30$12,668,880
Assets. Value of investments in 103.12 investment entities at beginning of year2020-06-30$14,200,867
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,585,491
Asset value of US Government securities at end of year2020-06-30$11,965,996
Asset value of US Government securities at beginning of year2020-06-30$15,959,404
Net gain/loss from 103.12 investment entities2020-06-30$718,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$25,149,215
Employer contributions (assets) at end of year2020-06-30$20,262
Employer contributions (assets) at beginning of year2020-06-30$20,571
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$25,536,946
Asset. Corporate debt instrument preferred debt at end of year2020-06-30$5,681,157
Asset. Corporate debt instrument preferred debt at beginning of year2020-06-30$6,326,924
Asset. Corporate debt instrument debt (other) at end of year2020-06-30$12,060,109
Asset. Corporate debt instrument debt (other) at beginning of year2020-06-30$9,967,617
Liabilities. Value of benefit claims payable at end of year2020-06-30$2,377,500
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$3,829,500
Assets. Value of buildings and other operty used in plan operation at end of year2020-06-30$381,361
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-06-30$286,190
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$36,904,592
Aggregate carrying amount (costs) on sale of assets2020-06-30$36,514,335
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2020-06-30131577780
2019 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$941,473
Total unrealized appreciation/depreciation of assets2019-06-30$941,473
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$3,899,327
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$2,440,553
Total income from all sources (including contributions)2019-06-30$31,263,967
Total loss/gain on sale of assets2019-06-30$242,061
Total of all expenses incurred2019-06-30$32,863,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$31,991,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$27,754,268
Value of total assets at end of year2019-06-30$52,108,021
Value of total assets at beginning of year2019-06-30$52,249,278
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$872,451
Total interest from all sources2019-06-30$918,143
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$22,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$22,886
Administrative expenses professional fees incurred2019-06-30$244,417
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$248,170
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$780,443
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$1,283,226
Other income not declared elsewhere2019-06-30$16,898
Administrative expenses (other) incurred2019-06-30$506,430
Liabilities. Value of operating payables at end of year2019-06-30$69,827
Liabilities. Value of operating payables at beginning of year2019-06-30$90,553
Total non interest bearing cash at end of year2019-06-30$448,734
Total non interest bearing cash at beginning of year2019-06-30$982,731
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-1,600,031
Value of net assets at end of year (total assets less liabilities)2019-06-30$48,208,694
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$49,808,725
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$121,604
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$131,883
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$827,327
Interest earned on other investments2019-06-30$7,638
Income. Interest from US Government securities2019-06-30$313,527
Income. Interest from corporate debt instruments2019-06-30$557,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$3,985,388
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$6,644,411
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$6,644,411
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$39,181
Assets. Value of investments in 103.12 investment entities at end of year2019-06-30$14,200,867
Assets. Value of investments in 103.12 investment entities at beginning of year2019-06-30$12,232,630
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$461,616
Asset value of US Government securities at end of year2019-06-30$15,959,404
Asset value of US Government securities at beginning of year2019-06-30$12,575,922
Net gain/loss from 103.12 investment entities2019-06-30$1,368,238
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$27,506,098
Employer contributions (assets) at end of year2019-06-30$20,571
Employer contributions (assets) at beginning of year2019-06-30$21,975
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$31,529,931
Asset. Corporate debt instrument preferred debt at end of year2019-06-30$6,326,924
Asset. Corporate debt instrument preferred debt at beginning of year2019-06-30$8,342,672
Asset. Corporate debt instrument debt (other) at end of year2019-06-30$9,967,617
Asset. Corporate debt instrument debt (other) at beginning of year2019-06-30$9,133,141
Liabilities. Value of benefit claims payable at end of year2019-06-30$3,829,500
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$2,350,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$286,190
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$205,243
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$32,301,411
Aggregate carrying amount (costs) on sale of assets2019-06-30$32,059,350
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2019-06-30131577780
2018 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-538,521
Total unrealized appreciation/depreciation of assets2018-06-30$-538,521
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,440,553
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,578,450
Total income from all sources (including contributions)2018-06-30$28,413,730
Total loss/gain on sale of assets2018-06-30$-295,651
Total of all expenses incurred2018-06-30$28,254,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$27,351,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$26,906,066
Value of total assets at end of year2018-06-30$52,249,278
Value of total assets at beginning of year2018-06-30$52,228,180
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$903,510
Total interest from all sources2018-06-30$787,688
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$14,957
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$14,957
Administrative expenses professional fees incurred2018-06-30$355,756
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$238,981
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$1,283,226
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$955,220
Other income not declared elsewhere2018-06-30$5,676
Administrative expenses (other) incurred2018-06-30$439,687
Liabilities. Value of operating payables at end of year2018-06-30$90,553
Liabilities. Value of operating payables at beginning of year2018-06-30$60,950
Total non interest bearing cash at end of year2018-06-30$982,731
Total non interest bearing cash at beginning of year2018-06-30$1,218,214
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$158,995
Value of net assets at end of year (total assets less liabilities)2018-06-30$49,808,725
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$49,649,730
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$108,067
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$827,327
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$1,740,218
Interest earned on other investments2018-06-30$17,560
Income. Interest from US Government securities2018-06-30$242,633
Income. Interest from corporate debt instruments2018-06-30$504,257
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$6,644,411
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$8,133,898
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$8,133,898
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$23,238
Assets. Value of investments in 103.12 investment entities at end of year2018-06-30$12,232,630
Assets. Value of investments in 103.12 investment entities at beginning of year2018-06-30$10,699,114
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$511,254
Asset value of US Government securities at end of year2018-06-30$12,575,922
Asset value of US Government securities at beginning of year2018-06-30$13,396,022
Net gain/loss from 103.12 investment entities2018-06-30$1,533,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$26,667,085
Employer contributions (assets) at end of year2018-06-30$21,975
Employer contributions (assets) at beginning of year2018-06-30$14,870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$26,839,971
Asset. Corporate debt instrument preferred debt at end of year2018-06-30$8,342,672
Asset. Corporate debt instrument preferred debt at beginning of year2018-06-30$8,450,235
Asset. Corporate debt instrument debt (other) at end of year2018-06-30$9,133,141
Asset. Corporate debt instrument debt (other) at beginning of year2018-06-30$7,401,102
Liabilities. Value of benefit claims payable at end of year2018-06-30$2,350,000
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$2,517,500
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$205,243
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$219,287
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Aggregate proceeds on sale of assets2018-06-30$28,410,793
Aggregate carrying amount (costs) on sale of assets2018-06-30$28,706,444
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2018-06-30131577780
2017 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$-201,194
Total unrealized appreciation/depreciation of assets2017-06-30$-201,194
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,578,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,122,473
Total income from all sources (including contributions)2017-06-30$29,775,414
Total loss/gain on sale of assets2017-06-30$-478,949
Total of all expenses incurred2017-06-30$27,649,753
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$26,828,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$28,064,965
Value of total assets at end of year2017-06-30$52,228,180
Value of total assets at beginning of year2017-06-30$49,646,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$821,701
Total interest from all sources2017-06-30$764,676
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$5,082
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$5,082
Administrative expenses professional fees incurred2017-06-30$308,421
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$142,561
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$955,220
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$1,865,875
Other income not declared elsewhere2017-06-30$806
Administrative expenses (other) incurred2017-06-30$415,711
Liabilities. Value of operating payables at end of year2017-06-30$60,950
Liabilities. Value of operating payables at beginning of year2017-06-30$61,173
Total non interest bearing cash at end of year2017-06-30$1,218,214
Total non interest bearing cash at beginning of year2017-06-30$1,088,468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$2,125,661
Value of net assets at end of year (total assets less liabilities)2017-06-30$49,649,730
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$47,524,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$97,569
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$1,740,218
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$188,611
Interest earned on other investments2017-06-30$37,363
Income. Interest from US Government securities2017-06-30$238,082
Income. Interest from corporate debt instruments2017-06-30$464,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$8,133,898
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$6,523,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$6,523,272
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$24,644
Assets. Value of investments in 103.12 investment entities at end of year2017-06-30$10,699,114
Assets. Value of investments in 103.12 investment entities at beginning of year2017-06-30$9,079,102
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$141,899
Asset value of US Government securities at end of year2017-06-30$13,396,022
Asset value of US Government securities at beginning of year2017-06-30$15,875,272
Net gain/loss from 103.12 investment entities2017-06-30$1,620,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$27,922,404
Employer contributions (assets) at end of year2017-06-30$14,870
Employer contributions (assets) at beginning of year2017-06-30$14,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$26,686,153
Asset. Corporate debt instrument preferred debt at end of year2017-06-30$8,450,235
Asset. Corporate debt instrument preferred debt at beginning of year2017-06-30$7,066,626
Asset. Corporate debt instrument debt (other) at end of year2017-06-30$7,401,102
Asset. Corporate debt instrument debt (other) at beginning of year2017-06-30$7,811,974
Liabilities. Value of benefit claims payable at end of year2017-06-30$2,517,500
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$2,061,300
Assets. Value of buildings and other operty used in plan operation at end of year2017-06-30$219,287
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-06-30$132,822
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Aggregate proceeds on sale of assets2017-06-30$35,809,755
Aggregate carrying amount (costs) on sale of assets2017-06-30$36,288,704
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2017-06-30131577780
2016 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$437,291
Total unrealized appreciation/depreciation of assets2016-06-30$437,291
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$2,122,473
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,873,008
Total income from all sources (including contributions)2016-06-30$28,972,002
Total loss/gain on sale of assets2016-06-30$74,647
Total of all expenses incurred2016-06-30$23,229,681
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$22,475,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$27,333,411
Value of total assets at end of year2016-06-30$49,646,542
Value of total assets at beginning of year2016-06-30$43,654,756
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$753,911
Total interest from all sources2016-06-30$768,381
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$1,460
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$1,460
Administrative expenses professional fees incurred2016-06-30$257,402
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$136,528
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$1,865,875
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$889,977
Other income not declared elsewhere2016-06-30$10,523
Administrative expenses (other) incurred2016-06-30$385,178
Liabilities. Value of operating payables at end of year2016-06-30$61,173
Liabilities. Value of operating payables at beginning of year2016-06-30$57,008
Total non interest bearing cash at end of year2016-06-30$1,088,468
Total non interest bearing cash at beginning of year2016-06-30$666,315
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$5,742,321
Value of net assets at end of year (total assets less liabilities)2016-06-30$47,524,069
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$41,781,748
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$111,331
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$188,611
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$430,313
Interest earned on other investments2016-06-30$27,796
Income. Interest from US Government securities2016-06-30$259,243
Income. Interest from corporate debt instruments2016-06-30$469,886
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$6,523,272
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$3,567,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$3,567,062
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$11,456
Assets. Value of investments in 103.12 investment entities at end of year2016-06-30$9,079,102
Assets. Value of investments in 103.12 investment entities at beginning of year2016-06-30$8,732,773
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$96,187
Asset value of US Government securities at end of year2016-06-30$15,875,272
Asset value of US Government securities at beginning of year2016-06-30$11,814,473
Net gain/loss from 103.12 investment entities2016-06-30$346,289
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$27,196,883
Employer contributions (assets) at end of year2016-06-30$14,520
Employer contributions (assets) at beginning of year2016-06-30$14,170
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$22,379,583
Asset. Corporate debt instrument preferred debt at end of year2016-06-30$7,066,626
Asset. Corporate debt instrument preferred debt at beginning of year2016-06-30$9,675,200
Asset. Corporate debt instrument debt (other) at end of year2016-06-30$7,811,974
Asset. Corporate debt instrument debt (other) at beginning of year2016-06-30$7,744,411
Liabilities. Value of benefit claims payable at end of year2016-06-30$2,061,300
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$1,816,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-06-30$132,822
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-06-30$120,062
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$36,117,346
Aggregate carrying amount (costs) on sale of assets2016-06-30$36,042,699
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2016-06-30131577780
2015 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-304,949
Total unrealized appreciation/depreciation of assets2015-06-30$-304,949
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,873,008
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$2,282,281
Total income from all sources (including contributions)2015-06-30$25,906,352
Total loss/gain on sale of assets2015-06-30$-24,064
Total of all expenses incurred2015-06-30$26,459,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$25,550,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$22,556,579
Value of total assets at end of year2015-06-30$43,654,756
Value of total assets at beginning of year2015-06-30$44,617,622
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$909,065
Total interest from all sources2015-06-30$729,450
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$683
Administrative expenses professional fees incurred2015-06-30$281,930
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$203,163
Assets. Other investments not covered elsewhere at beginning of year2015-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$889,977
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$1,170,370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$253,785
Other income not declared elsewhere2015-06-30$2,345,560
Administrative expenses (other) incurred2015-06-30$525,970
Liabilities. Value of operating payables at end of year2015-06-30$57,008
Liabilities. Value of operating payables at beginning of year2015-06-30$65,496
Total non interest bearing cash at end of year2015-06-30$666,315
Total non interest bearing cash at beginning of year2015-06-30$879,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-553,593
Value of net assets at end of year (total assets less liabilities)2015-06-30$41,781,748
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$42,335,341
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$101,165
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$430,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$471,914
Interest earned on other investments2015-06-30$23,357
Income. Interest from US Government securities2015-06-30$122,188
Income. Interest from corporate debt instruments2015-06-30$577,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$3,567,062
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$4,679,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$4,679,192
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$6,243
Assets. Value of investments in 103.12 investment entities at end of year2015-06-30$8,732,773
Assets. Value of investments in 103.12 investment entities at beginning of year2015-06-30$8,129,680
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$99,638
Asset value of US Government securities at end of year2015-06-30$11,814,473
Asset value of US Government securities at beginning of year2015-06-30$6,685,205
Net gain/loss from 103.12 investment entities2015-06-30$603,093
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$22,353,416
Employer contributions (assets) at end of year2015-06-30$14,170
Employer contributions (assets) at beginning of year2015-06-30$14,700
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$25,451,242
Asset. Corporate debt instrument preferred debt at end of year2015-06-30$9,675,200
Asset. Corporate debt instrument preferred debt at beginning of year2015-06-30$13,632,143
Asset. Corporate debt instrument debt (other) at end of year2015-06-30$7,744,411
Asset. Corporate debt instrument debt (other) at beginning of year2015-06-30$8,748,149
Liabilities. Value of benefit claims payable at end of year2015-06-30$1,816,000
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$1,963,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-06-30$120,062
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-06-30$206,280
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$34,569,666
Aggregate carrying amount (costs) on sale of assets2015-06-30$34,593,730
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2015-06-30131577780
2014 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$287,744
Total unrealized appreciation/depreciation of assets2014-06-30$287,744
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$2,282,281
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,643,119
Total income from all sources (including contributions)2014-06-30$22,834,211
Total loss/gain on sale of assets2014-06-30$95,033
Total of all expenses incurred2014-06-30$26,293,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$25,145,309
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$19,893,438
Value of total assets at end of year2014-06-30$44,617,622
Value of total assets at beginning of year2014-06-30$49,437,706
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,148,148
Total interest from all sources2014-06-30$805,309
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$439
Administrative expenses professional fees incurred2014-06-30$284,918
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$216,181
Assets. Other investments not covered elsewhere at end of year2014-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$1,170,370
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$2,054,735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$253,785
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$2,093,731
Administrative expenses (other) incurred2014-06-30$761,516
Liabilities. Value of operating payables at end of year2014-06-30$65,496
Liabilities. Value of operating payables at beginning of year2014-06-30$52,888
Total non interest bearing cash at end of year2014-06-30$879,989
Total non interest bearing cash at beginning of year2014-06-30$2,223,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-3,459,246
Value of net assets at end of year (total assets less liabilities)2014-06-30$42,335,341
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$45,794,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$101,714
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$471,914
Interest earned on other investments2014-06-30$30,360
Income. Interest from US Government securities2014-06-30$93,127
Income. Interest from corporate debt instruments2014-06-30$669,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$4,679,192
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$5,843,427
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$5,843,427
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$11,925
Assets. Value of investments in 103.12 investment entities at end of year2014-06-30$8,129,680
Assets. Value of investments in 103.12 investment entities at beginning of year2014-06-30$8,272,593
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$9,314,102
Asset value of US Government securities at end of year2014-06-30$6,685,205
Asset value of US Government securities at beginning of year2014-06-30$10,110,001
Net gain/loss from 103.12 investment entities2014-06-30$1,752,248
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$19,677,257
Employer contributions (assets) at end of year2014-06-30$14,700
Employer contributions (assets) at beginning of year2014-06-30$11,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$15,831,207
Asset. Corporate debt instrument preferred debt at end of year2014-06-30$13,632,143
Asset. Corporate debt instrument preferred debt at beginning of year2014-06-30$11,258,955
Asset. Corporate debt instrument debt (other) at end of year2014-06-30$8,748,149
Asset. Corporate debt instrument debt (other) at beginning of year2014-06-30$9,463,373
Liabilities. Value of benefit claims payable at end of year2014-06-30$1,963,000
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$1,496,500
Assets. Value of buildings and other operty used in plan operation at end of year2014-06-30$206,280
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-06-30$200,194
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$30,607,979
Aggregate carrying amount (costs) on sale of assets2014-06-30$30,512,946
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2014-06-30131577780
2013 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$-552,667
Total unrealized appreciation/depreciation of assets2013-06-30$-552,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,643,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,494,547
Total income from all sources (including contributions)2013-06-30$23,958,780
Total loss/gain on sale of assets2013-06-30$-1,459
Total of all expenses incurred2013-06-30$27,722,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$26,499,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$21,851,524
Value of total assets at end of year2013-06-30$49,437,706
Value of total assets at beginning of year2013-06-30$53,052,534
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$1,223,051
Total interest from all sources2013-06-30$956,207
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$296,397
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$197,158
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$2,054,735
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$1,276,738
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$2,093,731
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$1,796,679
Administrative expenses (other) incurred2013-06-30$814,634
Liabilities. Value of operating payables at end of year2013-06-30$52,888
Liabilities. Value of operating payables at beginning of year2013-06-30$57,868
Total non interest bearing cash at end of year2013-06-30$2,223,378
Total non interest bearing cash at beginning of year2013-06-30$18,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-3,763,400
Value of net assets at end of year (total assets less liabilities)2013-06-30$45,794,587
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$49,557,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$112,020
Interest earned on other investments2013-06-30$23,274
Income. Interest from US Government securities2013-06-30$142,000
Income. Interest from corporate debt instruments2013-06-30$771,634
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$5,843,427
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$7,512,027
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$7,512,027
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$19,299
Assets. Value of investments in 103.12 investment entities at end of year2013-06-30$8,272,593
Assets. Value of investments in 103.12 investment entities at beginning of year2013-06-30$8,567,434
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$14,643,373
Asset value of US Government securities at end of year2013-06-30$10,110,001
Asset value of US Government securities at beginning of year2013-06-30$13,243,546
Net gain/loss from 103.12 investment entities2013-06-30$1,705,175
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$21,654,366
Employer contributions (assets) at end of year2013-06-30$11,050
Employer contributions (assets) at beginning of year2013-06-30$29,289
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$11,855,756
Asset. Corporate debt instrument preferred debt at end of year2013-06-30$11,258,955
Asset. Corporate debt instrument preferred debt at beginning of year2013-06-30$12,078,642
Asset. Corporate debt instrument debt (other) at end of year2013-06-30$9,463,373
Asset. Corporate debt instrument debt (other) at beginning of year2013-06-30$10,117,361
Liabilities. Value of benefit claims payable at end of year2013-06-30$1,496,500
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$1,640,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-06-30$200,194
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-06-30$208,697
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$54,149,589
Aggregate carrying amount (costs) on sale of assets2013-06-30$54,151,048
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2013-06-30131577780
2012 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-06-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$362,236
Total unrealized appreciation/depreciation of assets2012-06-30$362,236
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,494,547
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,498,052
Total income from all sources (including contributions)2012-06-30$24,829,670
Total loss/gain on sale of assets2012-06-30$649,046
Total of all expenses incurred2012-06-30$27,232,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$26,035,936
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$22,108,628
Value of total assets at end of year2012-06-30$53,052,534
Value of total assets at beginning of year2012-06-30$55,459,070
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$1,196,765
Total interest from all sources2012-06-30$1,259,495
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$246,952
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$189,297
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$2,160
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$1,276,738
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$615,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$1,796,679
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$1,905,748
Administrative expenses (other) incurred2012-06-30$820,404
Liabilities. Value of operating payables at end of year2012-06-30$57,868
Liabilities. Value of operating payables at beginning of year2012-06-30$57,304
Total non interest bearing cash at end of year2012-06-30$18,800
Total non interest bearing cash at beginning of year2012-06-30$273,836
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-2,403,031
Value of net assets at end of year (total assets less liabilities)2012-06-30$49,557,987
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$51,961,018
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$129,409
Interest earned on other investments2012-06-30$7,048
Income. Interest from US Government securities2012-06-30$301,878
Income. Interest from corporate debt instruments2012-06-30$931,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$7,512,027
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$7,430,409
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$7,430,409
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$18,913
Assets. Value of investments in 103.12 investment entities at end of year2012-06-30$8,567,434
Assets. Value of investments in 103.12 investment entities at beginning of year2012-06-30$8,617,169
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$14,124,934
Asset value of US Government securities at end of year2012-06-30$13,243,546
Asset value of US Government securities at beginning of year2012-06-30$17,135,947
Net gain/loss from 103.12 investment entities2012-06-30$450,265
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$21,917,171
Employer contributions (assets) at end of year2012-06-30$29,289
Employer contributions (assets) at beginning of year2012-06-30$29,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$11,911,002
Asset. Corporate debt instrument preferred debt at end of year2012-06-30$12,078,642
Asset. Corporate debt instrument preferred debt at beginning of year2012-06-30$13,357,305
Asset. Corporate debt instrument debt (other) at end of year2012-06-30$10,117,361
Asset. Corporate debt instrument debt (other) at beginning of year2012-06-30$7,863,348
Liabilities. Value of benefit claims payable at end of year2012-06-30$1,640,000
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$1,535,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-06-30$208,697
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-06-30$137,040
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$58,980,941
Aggregate carrying amount (costs) on sale of assets2012-06-30$58,331,895
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2012-06-30131577780
2011 : INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$88,542
Total unrealized appreciation/depreciation of assets2011-06-30$88,542
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$3,498,052
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,022,139
Total income from all sources (including contributions)2011-06-30$23,957,584
Total loss/gain on sale of assets2011-06-30$54,175
Total of all expenses incurred2011-06-30$24,135,192
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$22,977,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$20,327,035
Value of total assets at end of year2011-06-30$55,459,070
Value of total assets at beginning of year2011-06-30$54,160,765
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$1,157,195
Total interest from all sources2011-06-30$1,468,793
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$201,314
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$550,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$231,883
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$22,450
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$615,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$747,910
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$1,905,748
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$493,579
Administrative expenses (other) incurred2011-06-30$820,570
Liabilities. Value of operating payables at end of year2011-06-30$57,304
Liabilities. Value of operating payables at beginning of year2011-06-30$53,210
Total non interest bearing cash at end of year2011-06-30$273,836
Total non interest bearing cash at beginning of year2011-06-30$299,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-177,608
Value of net assets at end of year (total assets less liabilities)2011-06-30$51,961,018
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$52,138,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$135,311
Interest earned on other investments2011-06-30$13,168
Income. Interest from US Government securities2011-06-30$487,412
Income. Interest from corporate debt instruments2011-06-30$944,620
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$7,430,409
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$6,344,517
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$6,344,517
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$23,593
Assets. Value of investments in 103.12 investment entities at end of year2011-06-30$8,617,169
Assets. Value of investments in 103.12 investment entities at beginning of year2011-06-30$6,598,130
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$11,810,831
Asset value of US Government securities at end of year2011-06-30$17,135,947
Asset value of US Government securities at beginning of year2011-06-30$20,157,681
Net gain/loss from 103.12 investment entities2011-06-30$2,019,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$20,072,702
Employer contributions (assets) at end of year2011-06-30$29,000
Employer contributions (assets) at beginning of year2011-06-30$36,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$11,167,166
Asset. Corporate debt instrument preferred debt at end of year2011-06-30$13,357,305
Asset. Corporate debt instrument preferred debt at beginning of year2011-06-30$13,327,602
Asset. Corporate debt instrument debt (other) at end of year2011-06-30$7,863,348
Asset. Corporate debt instrument debt (other) at beginning of year2011-06-30$6,427,390
Liabilities. Value of benefit claims payable at end of year2011-06-30$1,535,000
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$1,475,350
Assets. Value of buildings and other operty used in plan operation at end of year2011-06-30$137,040
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$221,570
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$38,781,061
Aggregate carrying amount (costs) on sale of assets2011-06-30$38,726,886
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2011-06-30131577780

Form 5500 Responses for INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND

2021: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 14-14B WELFARE FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC4573 CP4573
Policy instance 5
Insurance contract or identification numberC4573 CP4573
Number of Individuals Covered923
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $18,069
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 BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPAID FAMILY LEAVE
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 $446,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,069
Insurance broker organization code?3
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered511
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
Other welfare benefits providedMAPD
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 $1,705,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1101
Policy instance 3
Insurance contract or identification numberSL1101
Number of Individuals Covered963
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $23,862
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 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 $433,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,862
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1082
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered64
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $58,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered66
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $41,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered15
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1101
Policy instance 3
Insurance contract or identification numberSL1101
Number of Individuals Covered1010
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $22,311
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 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 $405,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,311
Insurance broker organization code?3
SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 4
Insurance contract or identification numberH2001
Number of Individuals Covered499
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
Other welfare benefits providedMAPD
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 $1,729,483
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 numberC4573 CP4573
Policy instance 5
Insurance contract or identification numberC4573 CP4573
Number of Individuals Covered967
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,777
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 BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPAID FAMILY LEAVE
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 $291,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,777
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered70
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $56,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1082
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $14,132
Total amount of fees paid to insurance companyUSD $14,132
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
Other welfare benefits providedAD&D
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 $94,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,132
Insurance broker organization code?3
Amount paid for insurance broker fees14132
Additional information about fees paid to insurance brokerZURICH PAYS A FEE TO REUBEN WARNER FOR MARKETING AND ADMIN SERVICES PERFORMED ON ZURICH'S BEHALF
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1101
Policy instance 3
Insurance contract or identification numberSL1101
Number of Individuals Covered1061
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $18,725
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 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 $340,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,725
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC4573 CP4573
Policy instance 4
Insurance contract or identification numberC4573 CP4573
Number of Individuals Covered1866
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,919
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 BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPAID FAMILY LEAVE
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 $208,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,919
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC4573 CP4573
Policy instance 4
Insurance contract or identification numberC4573 CP4573
Number of Individuals Covered1081
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9,231
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 BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPAID FAMILY LEAVE
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 $184,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,231
Insurance broker organization code?3
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1101
Policy instance 3
Insurance contract or identification numberSL1101
Number of Individuals Covered1144
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $19,247
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 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 $381,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,247
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1058
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered75
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $59,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1101
Policy instance 3
Insurance contract or identification numberSL1101
Number of Individuals Covered1108
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $23,031
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 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 $418,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1058
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered76
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $60,980
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered80
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $63,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1058
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $5,713
Total amount of fees paid to insurance companyUSD $5,713
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 providedAD&D
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 $38,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,713
Insurance broker organization code?3
Amount paid for insurance broker fees5713
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE SERVICE
Insurance broker nameREUBEN WARNER ASSOCIATES, INC.
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered84
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $64,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 2
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1117
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $6,032
Total amount of fees paid to insurance companyUSD $6,032
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 providedAD&D
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 $40,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6032
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $6,032
Insurance broker nameSEGAL COMPANY
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 4
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1117
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $6,032
Total amount of fees paid to insurance companyUSD $6,032
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 providedAD&D
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 $40,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6032
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE SERVICE
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $6,032
Insurance broker nameSEGAL COMPANY
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered82
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $64,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number01925
Policy instance 2
Insurance contract or identification number01925
Number of Individuals Covered1068
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $886,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number4859-5232
Policy instance 3
Insurance contract or identification number4859-5232
Number of Individuals Covered1435
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number1925
Policy instance 2
Insurance contract or identification number1925
Number of Individuals Covered1153
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $920,001
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number4859-5232
Policy instance 3
Insurance contract or identification number4859-5232
Number of Individuals Covered1461
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 4
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1155
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $6,237
Total amount of fees paid to insurance companyUSD $6,237
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 providedAD&D
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 $41,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6237
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE SERVICE
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered85
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $59,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker name
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 4
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1160
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,480
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 providedAD&D
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 $43,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number4859-5232
Policy instance 3
Insurance contract or identification number4859-5232
Number of Individuals Covered1486
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number1925
Policy instance 2
Insurance contract or identification number1925
Number of Individuals Covered1167
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $917,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered86
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $67,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-334
Policy instance 1
Insurance contract or identification numberGG-334
Number of Individuals Covered87
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $2,074
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 BenefitYes
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 $74,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 )
Policy contract number1925
Policy instance 2
Insurance contract or identification number1925
Number of Individuals Covered1183
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $948,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number4859-5232
Policy instance 3
Insurance contract or identification number4859-5232
Number of Individuals Covered1485
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379863
Policy instance 4
Insurance contract or identification numberGTU 4379863
Number of Individuals Covered1146
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $6,350
Total amount of fees paid to insurance companyUSD $6,350
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 providedAD&D
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 $42,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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