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LOCAL 888 HEALTH FUND 401k Plan overview

Plan NameLOCAL 888 HEALTH FUND
Plan identification number 501

LOCAL 888 HEALTH 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)

401k Sponsoring company profile

BOARD OF TRUSTEES LOCAL 888 HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES LOCAL 888 HEALTH FUND
Employer identification number (EIN):131564856
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 888 HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JEAN-JOSEPH MAX BRUNY2023-10-11 FELIX BURGOS2023-10-11
5012021-01-01JEAN-JOSEPH MAX BRUNY2022-10-14
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01JEAN-JOSEPH MAX BRUNY
5012016-01-01JEAN - JOSEPH BRUNY
5012015-01-01JEAN - JOSEPH BRUNY
5012014-01-01JEAN - JOSEPH BRUNY
5012013-01-01JEAN - JOSEPH BRUNY
5012012-01-01JEAN - JOSEPH BRUNY
5012011-01-01JEAN - JOSEPH BRUNY
5012009-01-01EUGENE SPIVAK
5012009-01-01EUGENE SPIVAK

Plan Statistics for LOCAL 888 HEALTH FUND

401k plan membership statisitcs for LOCAL 888 HEALTH FUND

Measure Date Value
2022: LOCAL 888 HEALTH FUND 2022 401k membership
Total participants, beginning-of-year2022-01-012,110
Total number of active participants reported on line 7a of the Form 55002022-01-012,070
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,070
Number of employers contributing to the scheme2022-01-0160
2021: LOCAL 888 HEALTH FUND 2021 401k membership
Total participants, beginning-of-year2021-01-011,720
Total number of active participants reported on line 7a of the Form 55002021-01-012,110
Total of all active and inactive participants2021-01-012,110
Number of employers contributing to the scheme2021-01-0160
2020: LOCAL 888 HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-01-012,039
Total number of active participants reported on line 7a of the Form 55002020-01-011,720
Total of all active and inactive participants2020-01-011,720
Total participants2020-01-011,720
Number of employers contributing to the scheme2020-01-0158
2019: LOCAL 888 HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-011,778
Total number of active participants reported on line 7a of the Form 55002019-01-012,039
Total of all active and inactive participants2019-01-012,039
Total participants2019-01-012,039
Number of employers contributing to the scheme2019-01-0161
2018: LOCAL 888 HEALTH FUND 2018 401k membership
Total participants, beginning-of-year2018-01-012,062
Total number of active participants reported on line 7a of the Form 55002018-01-011,778
Total of all active and inactive participants2018-01-011,778
Total participants2018-01-011,778
Number of employers contributing to the scheme2018-01-0163
2017: LOCAL 888 HEALTH FUND 2017 401k membership
Total participants, beginning-of-year2017-01-012,000
Total number of active participants reported on line 7a of the Form 55002017-01-012,062
Total of all active and inactive participants2017-01-012,062
Total participants2017-01-012,062
Number of employers contributing to the scheme2017-01-0170
2016: LOCAL 888 HEALTH FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,998
Total number of active participants reported on line 7a of the Form 55002016-01-012,000
Total of all active and inactive participants2016-01-012,000
Total participants2016-01-012,000
Number of employers contributing to the scheme2016-01-0171
2015: LOCAL 888 HEALTH FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,856
Total number of active participants reported on line 7a of the Form 55002015-01-011,998
Total of all active and inactive participants2015-01-011,998
Total participants2015-01-010
Number of employers contributing to the scheme2015-01-0171
2014: LOCAL 888 HEALTH FUND 2014 401k membership
Total participants, beginning-of-year2014-01-014,144
Total number of active participants reported on line 7a of the Form 55002014-01-011,856
Total of all active and inactive participants2014-01-011,856
Total participants2014-01-010
Number of employers contributing to the scheme2014-01-0172
2013: LOCAL 888 HEALTH FUND 2013 401k membership
Total participants, beginning-of-year2013-01-014,218
Total number of active participants reported on line 7a of the Form 55002013-01-014,144
Total of all active and inactive participants2013-01-014,144
Total participants2013-01-010
Number of employers contributing to the scheme2013-01-0191
2012: LOCAL 888 HEALTH FUND 2012 401k membership
Total participants, beginning-of-year2012-01-013,983
Total number of active participants reported on line 7a of the Form 55002012-01-014,118
Number of other retired or separated participants entitled to future benefits2012-01-01100
Total of all active and inactive participants2012-01-014,218
Total participants2012-01-010
Number of employers contributing to the scheme2012-01-0187
2011: LOCAL 888 HEALTH FUND 2011 401k membership
Total participants, beginning-of-year2011-01-013,967
Total number of active participants reported on line 7a of the Form 55002011-01-013,983
Number of other retired or separated participants entitled to future benefits2011-01-01187
Total of all active and inactive participants2011-01-014,170
Total participants2011-01-014,170
Number of employers contributing to the scheme2011-01-0197
2009: LOCAL 888 HEALTH FUND 2009 401k membership
Total participants, beginning-of-year2009-01-013,853
Total number of active participants reported on line 7a of the Form 55002009-01-013,759
Total of all active and inactive participants2009-01-013,759
Number of employers contributing to the scheme2009-01-01112

Financial Data on LOCAL 888 HEALTH FUND

Measure Date Value
2022 : LOCAL 888 HEALTH FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-2,031,083
Total unrealized appreciation/depreciation of assets2022-12-31$-2,031,083
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,626,210
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,226,515
Total income from all sources (including contributions)2022-12-31$17,553,686
Total loss/gain on sale of assets2022-12-31$342,259
Total of all expenses incurred2022-12-31$24,157,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$21,496,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$19,594,705
Value of total assets at end of year2022-12-31$23,848,196
Value of total assets at beginning of year2022-12-31$30,052,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,661,486
Total interest from all sources2022-12-31$105,956
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$273,960
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$194,208
Administrative expenses professional fees incurred2022-12-31$259,165
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$48,818
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$87,476
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$862,001
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,939,152
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$522,447
Administrative expenses (other) incurred2022-12-31$1,710,046
Liabilities. Value of operating payables at end of year2022-12-31$52,747
Liabilities. Value of operating payables at beginning of year2022-12-31$20,092
Total non interest bearing cash at end of year2022-12-31$69,734
Total non interest bearing cash at beginning of year2022-12-31$119,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-6,604,186
Value of net assets at end of year (total assets less liabilities)2022-12-31$21,221,986
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$27,826,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$53,415
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$11,322,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$15,835,685
Income. Interest from US Government securities2022-12-31$56,312
Income. Interest from corporate debt instruments2022-12-31$46,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,363,070
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$557,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$557,200
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$3,069
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$971,567
Asset value of US Government securities at end of year2022-12-31$3,385,890
Asset value of US Government securities at beginning of year2022-12-31$3,541,475
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-732,111
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$19,458,411
Employer contributions (assets) at end of year2022-12-31$1,723,262
Employer contributions (assets) at beginning of year2022-12-31$1,632,071
Income. Dividends from common stock2022-12-31$79,752
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$20,524,819
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,448,077
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$1,637,708
Contract administrator fees2022-12-31$638,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$3,673,234
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$4,788,312
Liabilities. Value of benefit claims payable at end of year2022-12-31$2,051,016
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$2,206,423
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$2,027
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$3,793,625
Aggregate carrying amount (costs) on sale of assets2022-12-31$3,451,366
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GETTRY MARCUS CPA P.C.
Accountancy firm EIN2022-12-31133418879
2021 : LOCAL 888 HEALTH FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$527,377
Total unrealized appreciation/depreciation of assets2021-12-31$527,377
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,226,515
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,701,330
Total income from all sources (including contributions)2021-12-31$22,166,121
Total loss/gain on sale of assets2021-12-31$848,664
Total of all expenses incurred2021-12-31$20,581,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$17,517,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$20,721,291
Value of total assets at end of year2021-12-31$30,052,687
Value of total assets at beginning of year2021-12-31$29,942,433
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,063,102
Total interest from all sources2021-12-31$103,378
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$252,810
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$170,727
Administrative expenses professional fees incurred2021-12-31$257,580
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$42,048
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$22,998
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,939,152
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,268,487
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$497,190
Administrative expenses (other) incurred2021-12-31$1,555,533
Liabilities. Value of operating payables at end of year2021-12-31$20,092
Liabilities. Value of operating payables at beginning of year2021-12-31$67,012
Total non interest bearing cash at end of year2021-12-31$119,057
Total non interest bearing cash at beginning of year2021-12-31$37,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,585,069
Value of net assets at end of year (total assets less liabilities)2021-12-31$27,826,172
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$26,241,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$40,218
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$15,835,685
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$15,241,304
Income. Interest from US Government securities2021-12-31$54,071
Income. Interest from corporate debt instruments2021-12-31$48,181
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$557,200
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$939,966
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$939,966
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,126
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$835,391
Asset value of US Government securities at end of year2021-12-31$3,541,475
Asset value of US Government securities at beginning of year2021-12-31$3,668,630
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-287,399
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$20,656,245
Employer contributions (assets) at end of year2021-12-31$1,632,071
Employer contributions (assets) at beginning of year2021-12-31$2,644,787
Income. Dividends from common stock2021-12-31$82,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$16,682,559
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$1,637,708
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$1,831,361
Contract administrator fees2021-12-31$1,209,771
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$4,788,312
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$4,307,880
Liabilities. Value of benefit claims payable at end of year2021-12-31$2,206,423
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$3,137,128
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$2,027
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$2,642
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$8,370,482
Aggregate carrying amount (costs) on sale of assets2021-12-31$7,521,818
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GETTRY MARCUS CPA PC
Accountancy firm EIN2021-12-31133418879
2020 : LOCAL 888 HEALTH FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$30,861
Total unrealized appreciation/depreciation of assets2020-12-31$30,861
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3,701,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$7,491,119
Total income from all sources (including contributions)2020-12-31$23,024,451
Total loss/gain on sale of assets2020-12-31$456,665
Total of all expenses incurred2020-12-31$19,849,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$17,331,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$21,729,372
Value of total assets at end of year2020-12-31$29,942,433
Value of total assets at beginning of year2020-12-31$30,557,581
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,518,420
Total interest from all sources2020-12-31$90,324
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$354,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$227,571
Administrative expenses professional fees incurred2020-12-31$318,448
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$49,596
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$34,233
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,268,487
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$1,109,263
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$497,190
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$556,434
Administrative expenses (other) incurred2020-12-31$1,413,726
Liabilities. Value of operating payables at end of year2020-12-31$67,012
Liabilities. Value of operating payables at beginning of year2020-12-31$244,139
Total non interest bearing cash at end of year2020-12-31$37,376
Total non interest bearing cash at beginning of year2020-12-31$41,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,174,641
Value of net assets at end of year (total assets less liabilities)2020-12-31$26,241,103
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$23,066,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$45,661
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$15,241,304
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$18,562,309
Value of interest in pooled separate accounts at end of year2020-12-31$0
Income. Interest from US Government securities2020-12-31$63,346
Income. Interest from corporate debt instruments2020-12-31$25,308
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$939,966
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$227,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$227,270
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,670
Asset value of US Government securities at end of year2020-12-31$3,668,630
Asset value of US Government securities at beginning of year2020-12-31$3,718,048
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$363,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$21,645,543
Employer contributions (assets) at end of year2020-12-31$2,644,787
Employer contributions (assets) at beginning of year2020-12-31$2,487,005
Income. Dividends from common stock2020-12-31$126,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$17,331,390
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$1,831,361
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$254,342
Contract administrator fees2020-12-31$740,585
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$4,307,880
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$4,155,058
Liabilities. Value of benefit claims payable at end of year2020-12-31$3,137,128
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$6,690,546
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$2,642
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$3,257
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$9,242,914
Aggregate carrying amount (costs) on sale of assets2020-12-31$8,786,249
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2020-12-31112836481
2019 : LOCAL 888 HEALTH FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,684,270
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,684,270
Total unrealized appreciation/depreciation of assets2019-12-31$1,684,270
Total unrealized appreciation/depreciation of assets2019-12-31$1,684,270
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,491,119
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,491,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,168,282
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,168,282
Total income from all sources (including contributions)2019-12-31$24,317,941
Total income from all sources (including contributions)2019-12-31$24,317,941
Total loss/gain on sale of assets2019-12-31$225,341
Total loss/gain on sale of assets2019-12-31$225,341
Total of all expenses incurred2019-12-31$24,251,922
Total of all expenses incurred2019-12-31$24,251,922
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$21,707,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$21,707,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$21,483,766
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$21,483,766
Value of total assets at end of year2019-12-31$30,557,581
Value of total assets at end of year2019-12-31$30,557,581
Value of total assets at beginning of year2019-12-31$28,168,725
Value of total assets at beginning of year2019-12-31$28,168,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,544,565
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,544,565
Total interest from all sources2019-12-31$78,478
Total interest from all sources2019-12-31$78,478
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$501,568
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$501,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$289,702
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$289,702
Administrative expenses professional fees incurred2019-12-31$278,808
Administrative expenses professional fees incurred2019-12-31$278,808
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,500,000
Value of fidelity bond cover2019-12-31$2,500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$50,651
Contributions received from participants2019-12-31$50,651
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,109,263
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,109,263
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$633,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$633,024
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$556,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$556,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$753,051
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$753,051
Other income not declared elsewhere2019-12-31$27,773
Other income not declared elsewhere2019-12-31$27,773
Administrative expenses (other) incurred2019-12-31$1,501,094
Administrative expenses (other) incurred2019-12-31$1,501,094
Liabilities. Value of operating payables at end of year2019-12-31$244,139
Liabilities. Value of operating payables at end of year2019-12-31$244,139
Liabilities. Value of operating payables at beginning of year2019-12-31$93,996
Liabilities. Value of operating payables at beginning of year2019-12-31$93,996
Total non interest bearing cash at end of year2019-12-31$41,029
Total non interest bearing cash at end of year2019-12-31$41,029
Total non interest bearing cash at beginning of year2019-12-31$70,583
Total non interest bearing cash at beginning of year2019-12-31$70,583
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$66,019
Value of net income/loss2019-12-31$66,019
Value of net assets at end of year (total assets less liabilities)2019-12-31$23,066,462
Value of net assets at end of year (total assets less liabilities)2019-12-31$23,066,462
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$23,000,443
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$23,000,443
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$59,327
Investment advisory and management fees2019-12-31$59,327
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$18,562,309
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$18,562,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,009,660
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,009,660
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Income. Interest from US Government securities2019-12-31$66,055
Income. Interest from US Government securities2019-12-31$66,055
Income. Interest from corporate debt instruments2019-12-31$6,795
Income. Interest from corporate debt instruments2019-12-31$6,795
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$227,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$227,270
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$964,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$964,552
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$964,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$964,552
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$5,628
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$21,707,357
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$21,707,357
Asset value of US Government securities at end of year2019-12-31$3,718,048
Asset value of US Government securities at end of year2019-12-31$3,718,048
Asset value of US Government securities at beginning of year2019-12-31$3,592,426
Asset value of US Government securities at beginning of year2019-12-31$3,592,426
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$316,745
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$316,745
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$21,433,115
Contributions received in cash from employer2019-12-31$21,433,115
Employer contributions (assets) at end of year2019-12-31$2,487,005
Employer contributions (assets) at end of year2019-12-31$2,487,005
Employer contributions (assets) at beginning of year2019-12-31$2,317,740
Employer contributions (assets) at beginning of year2019-12-31$2,317,740
Income. Dividends from common stock2019-12-31$211,866
Income. Dividends from common stock2019-12-31$211,866
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$254,342
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$254,342
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$269,540
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$269,540
Contract administrator fees2019-12-31$705,336
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$4,155,058
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$4,155,058
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,307,328
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,307,328
Liabilities. Value of benefit claims payable at end of year2019-12-31$6,690,546
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,321,235
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,321,235
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$3,257
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$3,257
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$3,872
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$3,872
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$3,388,870
Aggregate proceeds on sale of assets2019-12-31$3,388,870
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,163,529
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,163,529
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31WAGNER & ZWERMAN, LLP
Accountancy firm name2019-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2019-12-31112836481
Accountancy firm EIN2019-12-31112836481
2018 : LOCAL 888 HEALTH FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-773,395
Total unrealized appreciation/depreciation of assets2018-12-31$-773,395
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,422,323
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,508,872
Total income from all sources (including contributions)2018-12-31$20,420,701
Total loss/gain on sale of assets2018-12-31$129,877
Total of all expenses incurred2018-12-31$20,961,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$18,555,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$20,629,316
Value of total assets at end of year2018-12-31$28,168,725
Value of total assets at beginning of year2018-12-31$27,795,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,405,378
Total interest from all sources2018-12-31$80,093
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$408,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$247,943
Administrative expenses professional fees incurred2018-12-31$221,899
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$69,075
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$633,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$548,236
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$7,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$6,931
Other income not declared elsewhere2018-12-31$27,652
Administrative expenses (other) incurred2018-12-31$1,428,788
Liabilities. Value of operating payables at end of year2018-12-31$93,996
Liabilities. Value of operating payables at beginning of year2018-12-31$148,329
Total non interest bearing cash at end of year2018-12-31$70,583
Total non interest bearing cash at beginning of year2018-12-31$82,832
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-540,333
Value of net assets at end of year (total assets less liabilities)2018-12-31$23,746,402
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$24,286,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$53,005
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$17,009,660
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$17,290,064
Value of interest in pooled separate accounts at end of year2018-12-31$0
Income. Interest from US Government securities2018-12-31$63,876
Income. Interest from corporate debt instruments2018-12-31$6,925
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$964,552
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$488,377
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$488,377
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$9,292
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$18,555,656
Asset value of US Government securities at end of year2018-12-31$3,592,426
Asset value of US Government securities at beginning of year2018-12-31$3,528,176
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-81,737
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$20,560,241
Employer contributions (assets) at end of year2018-12-31$2,317,740
Employer contributions (assets) at beginning of year2018-12-31$2,035,173
Income. Dividends from common stock2018-12-31$160,952
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$269,540
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$275,310
Contract administrator fees2018-12-31$701,686
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$3,307,328
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$3,540,199
Liabilities. Value of benefit claims payable at end of year2018-12-31$4,321,235
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$3,353,612
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$3,872
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$7,240
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$827,613
Aggregate carrying amount (costs) on sale of assets2018-12-31$697,736
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2018-12-31112836481
2017 : LOCAL 888 HEALTH FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$734,169
Total unrealized appreciation/depreciation of assets2017-12-31$734,169
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,508,872
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,576,489
Total income from all sources (including contributions)2017-12-31$22,221,801
Total loss/gain on sale of assets2017-12-31$451,968
Total of all expenses incurred2017-12-31$18,588,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$15,547,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$20,652,446
Value of total assets at end of year2017-12-31$27,795,607
Value of total assets at beginning of year2017-12-31$23,229,995
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,041,512
Total interest from all sources2017-12-31$61,851
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$333,528
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$183,977
Administrative expenses professional fees incurred2017-12-31$325,754
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$57,066
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$548,236
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,115,749
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$6,931
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$5,424
Other income not declared elsewhere2017-12-31$51,367
Administrative expenses (other) incurred2017-12-31$2,025,766
Liabilities. Value of operating payables at end of year2017-12-31$148,329
Liabilities. Value of operating payables at beginning of year2017-12-31$145,184
Total non interest bearing cash at end of year2017-12-31$82,832
Total non interest bearing cash at beginning of year2017-12-31$77,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,633,229
Value of net assets at end of year (total assets less liabilities)2017-12-31$24,286,735
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$20,653,506
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$53,117
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$17,290,064
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$11,527,508
Income. Interest from US Government securities2017-12-31$51,413
Income. Interest from corporate debt instruments2017-12-31$5,647
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$488,377
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,498,607
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,498,607
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,791
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$15,547,060
Asset value of US Government securities at end of year2017-12-31$3,528,176
Asset value of US Government securities at beginning of year2017-12-31$2,650,447
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$-63,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$20,595,380
Employer contributions (assets) at end of year2017-12-31$2,035,173
Employer contributions (assets) at beginning of year2017-12-31$1,883,833
Income. Dividends from common stock2017-12-31$149,551
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$275,310
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$199,919
Contract administrator fees2017-12-31$636,875
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$3,540,199
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$4,264,674
Liabilities. Value of benefit claims payable at end of year2017-12-31$3,353,612
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$2,425,881
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$7,240
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$12,172
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$9,083,278
Aggregate carrying amount (costs) on sale of assets2017-12-31$8,631,310
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2017-12-31112836481
2016 : LOCAL 888 HEALTH FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$332,780
Total unrealized appreciation/depreciation of assets2016-12-31$332,780
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,576,489
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,819,396
Total income from all sources (including contributions)2016-12-31$22,637,855
Total loss/gain on sale of assets2016-12-31$153,514
Total of all expenses incurred2016-12-31$17,933,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$14,944,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$21,858,448
Value of total assets at end of year2016-12-31$23,229,995
Value of total assets at beginning of year2016-12-31$18,768,172
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,988,595
Total interest from all sources2016-12-31$42,237
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$261,249
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$138,355
Administrative expenses professional fees incurred2016-12-31$308,549
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$64,753
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,115,749
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$373,567
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$5,424
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$5,760
Other income not declared elsewhere2016-12-31$5,093
Administrative expenses (other) incurred2016-12-31$2,021,742
Liabilities. Value of operating payables at end of year2016-12-31$145,184
Liabilities. Value of operating payables at beginning of year2016-12-31$147,306
Total non interest bearing cash at end of year2016-12-31$77,086
Total non interest bearing cash at beginning of year2016-12-31$31,039
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$4,704,730
Value of net assets at end of year (total assets less liabilities)2016-12-31$20,653,506
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$15,948,776
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$50,562
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$11,527,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$9,417,306
Income. Interest from US Government securities2016-12-31$40,930
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,498,607
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,945,933
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,945,933
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,307
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$14,944,530
Asset value of US Government securities at end of year2016-12-31$2,650,447
Asset value of US Government securities at beginning of year2016-12-31$1,650,266
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-15,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$21,793,695
Employer contributions (assets) at end of year2016-12-31$1,883,833
Employer contributions (assets) at beginning of year2016-12-31$1,862,295
Income. Dividends from common stock2016-12-31$122,894
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$199,919
Contract administrator fees2016-12-31$607,742
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$4,264,674
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$3,470,661
Liabilities. Value of benefit claims payable at end of year2016-12-31$2,425,881
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,666,330
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$12,172
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$17,105
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$7,985,563
Aggregate carrying amount (costs) on sale of assets2016-12-31$7,832,049
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2016-12-31112836481
2015 : LOCAL 888 HEALTH FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-155,338
Total unrealized appreciation/depreciation of assets2015-12-31$-155,338
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,819,396
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,171,727
Total income from all sources (including contributions)2015-12-31$22,151,787
Total loss/gain on sale of assets2015-12-31$61,366
Total of all expenses incurred2015-12-31$18,160,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$15,132,476
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$22,065,289
Value of total assets at end of year2015-12-31$18,768,172
Value of total assets at beginning of year2015-12-31$13,129,582
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,028,390
Total interest from all sources2015-12-31$20,891
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$178,856
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$104,434
Administrative expenses professional fees incurred2015-12-31$338,382
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$97,128
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$373,567
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$323,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$5,760
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$5,684
Other income not declared elsewhere2015-12-31$27,871
Administrative expenses (other) incurred2015-12-31$2,006,212
Liabilities. Value of operating payables at end of year2015-12-31$147,306
Liabilities. Value of operating payables at beginning of year2015-12-31$221,974
Total non interest bearing cash at end of year2015-12-31$31,039
Total non interest bearing cash at beginning of year2015-12-31$27,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,990,921
Value of net assets at end of year (total assets less liabilities)2015-12-31$15,948,776
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,957,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$39,920
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$9,417,306
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,033,196
Income. Interest from US Government securities2015-12-31$19,496
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,945,933
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,500,117
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,500,117
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,395
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$15,132,476
Asset value of US Government securities at end of year2015-12-31$1,650,266
Asset value of US Government securities at beginning of year2015-12-31$770,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-47,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$21,968,161
Employer contributions (assets) at end of year2015-12-31$1,862,295
Employer contributions (assets) at beginning of year2015-12-31$1,735,151
Income. Dividends from common stock2015-12-31$74,422
Contract administrator fees2015-12-31$643,876
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$3,470,661
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$1,715,845
Liabilities. Value of benefit claims payable at end of year2015-12-31$2,666,330
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$944,069
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$17,105
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$23,554
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$7,059,823
Aggregate carrying amount (costs) on sale of assets2015-12-31$6,998,457
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2015-12-31112836481
2014 : LOCAL 888 HEALTH FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-9,894
Total unrealized appreciation/depreciation of assets2014-12-31$-9,894
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,171,727
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,706,265
Total income from all sources (including contributions)2014-12-31$24,596,622
Total loss/gain on sale of assets2014-12-31$152,087
Total of all expenses incurred2014-12-31$17,587,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$15,019,140
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$24,300,027
Value of total assets at end of year2014-12-31$13,129,582
Value of total assets at beginning of year2014-12-31$7,654,845
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,568,207
Total interest from all sources2014-12-31$1,932
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$86,972
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$86,972
Administrative expenses professional fees incurred2014-12-31$497,076
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$74,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$323,580
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$616,302
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$5,684
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$7,149
Other income not declared elsewhere2014-12-31$65,498
Administrative expenses (other) incurred2014-12-31$1,217,240
Liabilities. Value of operating payables at end of year2014-12-31$221,974
Liabilities. Value of operating payables at beginning of year2014-12-31$77,370
Total non interest bearing cash at end of year2014-12-31$27,410
Total non interest bearing cash at beginning of year2014-12-31$66,547
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$7,009,275
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,957,855
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,948,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$17,690
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,033,196
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,936,890
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,500,117
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$614,228
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$614,228
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,932
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$15,019,140
Asset value of US Government securities at end of year2014-12-31$770,729
Asset value of US Government securities at beginning of year2014-12-31$365,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$24,225,348
Employer contributions (assets) at end of year2014-12-31$1,735,151
Employer contributions (assets) at beginning of year2014-12-31$2,023,654
Contract administrator fees2014-12-31$836,201
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$1,715,845
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$994,719
Liabilities. Value of benefit claims payable at end of year2014-12-31$944,069
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$2,621,746
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$23,554
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$36,970
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$2,417,136
Aggregate carrying amount (costs) on sale of assets2014-12-31$2,265,049
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2014-12-31112836481
2013 : LOCAL 888 HEALTH FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$129,612
Total unrealized appreciation/depreciation of assets2013-12-31$129,612
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,706,265
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,872,364
Total income from all sources (including contributions)2013-12-31$26,348,248
Total loss/gain on sale of assets2013-12-31$56,078
Total of all expenses incurred2013-12-31$26,586,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$23,864,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$26,068,213
Value of total assets at end of year2013-12-31$7,654,845
Value of total assets at beginning of year2013-12-31$8,059,527
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,722,555
Total interest from all sources2013-12-31$1,360
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$70,617
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$70,617
Administrative expenses professional fees incurred2013-12-31$500,795
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$134,224
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$660,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$616,302
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$917,097
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$7,149
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$10,322
Other income not declared elsewhere2013-12-31$22,368
Administrative expenses (other) incurred2013-12-31$1,080,543
Liabilities. Value of operating payables at end of year2013-12-31$77,370
Liabilities. Value of operating payables at beginning of year2013-12-31$139,757
Total non interest bearing cash at end of year2013-12-31$66,547
Total non interest bearing cash at beginning of year2013-12-31$64,548
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-238,583
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,948,580
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,187,163
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$14,254
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,936,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,167,530
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$614,228
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$151,424
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$151,424
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,360
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$23,864,276
Asset value of US Government securities at end of year2013-12-31$365,535
Asset value of US Government securities at beginning of year2013-12-31$300,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$25,933,989
Employer contributions (assets) at end of year2013-12-31$2,023,654
Employer contributions (assets) at beginning of year2013-12-31$1,932,810
Contract administrator fees2013-12-31$1,126,963
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$994,719
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$813,785
Liabilities. Value of benefit claims payable at end of year2013-12-31$2,621,746
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$2,722,285
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$36,970
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$51,919
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$87,651
Aggregate carrying amount (costs) on sale of assets2013-12-31$31,573
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2013-12-31112836481
2012 : LOCAL 888 HEALTH FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-88,685
Total unrealized appreciation/depreciation of assets2012-12-31$-88,685
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,872,364
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,597,295
Total income from all sources (including contributions)2012-12-31$24,360,135
Total loss/gain on sale of assets2012-12-31$189,241
Total of all expenses incurred2012-12-31$26,541,915
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$23,839,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$24,131,720
Value of total assets at end of year2012-12-31$8,059,527
Value of total assets at beginning of year2012-12-31$10,966,238
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,702,552
Total interest from all sources2012-12-31$25,583
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$99,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$99,536
Administrative expenses professional fees incurred2012-12-31$451,844
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$210,868
Assets. Other investments not covered elsewhere at end of year2012-12-31$660,000
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$660,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$917,097
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$274,511
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$10,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$105
Other income not declared elsewhere2012-12-31$2,740
Administrative expenses (other) incurred2012-12-31$1,115,502
Liabilities. Value of operating payables at end of year2012-12-31$139,757
Liabilities. Value of operating payables at beginning of year2012-12-31$69,792
Total non interest bearing cash at end of year2012-12-31$64,548
Total non interest bearing cash at beginning of year2012-12-31$56,825
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-2,181,780
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,187,163
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$7,368,943
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$29,452
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,167,530
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$5,123,575
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$151,424
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,071,191
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,071,191
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$25,583
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$23,839,363
Asset value of US Government securities at end of year2012-12-31$300,414
Asset value of US Government securities at beginning of year2012-12-31$519,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$23,920,852
Employer contributions (assets) at end of year2012-12-31$1,932,810
Employer contributions (assets) at beginning of year2012-12-31$1,967,161
Contract administrator fees2012-12-31$1,105,754
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$813,785
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,226,567
Liabilities. Value of benefit claims payable at end of year2012-12-31$2,722,285
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$3,527,398
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$51,919
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$66,869
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$1,458,472
Aggregate carrying amount (costs) on sale of assets2012-12-31$1,269,231
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2012-12-31112836481
2011 : LOCAL 888 HEALTH FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-424,793
Total unrealized appreciation/depreciation of assets2011-12-31$-424,793
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,597,295
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,531,183
Total income from all sources (including contributions)2011-12-31$21,364,061
Total loss/gain on sale of assets2011-12-31$447,508
Total of all expenses incurred2011-12-31$23,651,066
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$20,803,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$21,061,841
Value of total assets at end of year2011-12-31$10,966,238
Value of total assets at beginning of year2011-12-31$12,187,131
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,847,320
Total interest from all sources2011-12-31$40,400
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$148,922
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$117,822
Administrative expenses professional fees incurred2011-12-31$427,258
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$138,529
Participant contributions at beginning of year2011-12-31$20,357
Assets. Other investments not covered elsewhere at end of year2011-12-31$660,000
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$660,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$274,511
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$86,825
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$105
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$334,929
Other income not declared elsewhere2011-12-31$23,036
Administrative expenses (other) incurred2011-12-31$1,324,758
Liabilities. Value of operating payables at end of year2011-12-31$69,792
Liabilities. Value of operating payables at beginning of year2011-12-31$31,747
Total non interest bearing cash at end of year2011-12-31$56,825
Total non interest bearing cash at beginning of year2011-12-31$70,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-2,287,005
Value of net assets at end of year (total assets less liabilities)2011-12-31$7,368,943
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$9,655,948
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$24,613
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$5,123,575
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$6,743,956
Interest earned on other investments2011-12-31$27,328
Income. Interest from US Government securities2011-12-31$11,639
Income. Interest from corporate debt instruments2011-12-31$1,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,071,191
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$260,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$260,258
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$82
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$20,803,746
Asset value of US Government securities at end of year2011-12-31$519,539
Asset value of US Government securities at beginning of year2011-12-31$842,984
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$67,147
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$20,923,312
Employer contributions (assets) at end of year2011-12-31$1,967,161
Employer contributions (assets) at beginning of year2011-12-31$1,798,965
Income. Dividends from common stock2011-12-31$31,100
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$58,239
Contract administrator fees2011-12-31$1,070,691
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,226,567
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,604,335
Liabilities. Value of benefit claims payable at end of year2011-12-31$3,527,398
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$2,164,507
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$66,869
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$40,499
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$611,761
Aggregate carrying amount (costs) on sale of assets2011-12-31$164,253
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2011-12-31112836481
2010 : LOCAL 888 HEALTH FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$202,897
Total unrealized appreciation/depreciation of assets2010-12-31$202,897
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,531,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,700,641
Total income from all sources (including contributions)2010-12-31$21,013,106
Total loss/gain on sale of assets2010-12-31$19,589
Total of all expenses incurred2010-12-31$20,594,889
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$18,109,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$20,449,800
Value of total assets at end of year2010-12-31$12,187,131
Value of total assets at beginning of year2010-12-31$10,938,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,485,751
Total interest from all sources2010-12-31$211,909
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$20,714
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$270,885
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$167,345
Participant contributions at end of year2010-12-31$20,357
Participant contributions at beginning of year2010-12-31$4,283
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$626,927
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$4,473
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$86,825
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$22,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$334,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$175,624
Administrative expenses (other) incurred2010-12-31$1,156,567
Liabilities. Value of operating payables at end of year2010-12-31$31,747
Liabilities. Value of operating payables at beginning of year2010-12-31$27,800
Total non interest bearing cash at end of year2010-12-31$70,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$418,217
Value of net assets at end of year (total assets less liabilities)2010-12-31$9,655,948
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$9,237,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$22,608
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$6,743,956
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$5,984,755
Interest earned on other investments2010-12-31$40,419
Income. Interest from US Government securities2010-12-31$15,973
Income. Interest from corporate debt instruments2010-12-31$151,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$260,258
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,112,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,112,858
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,513
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$18,109,138
Asset value of US Government securities at end of year2010-12-31$1,502,984
Asset value of US Government securities at beginning of year2010-12-31$522,783
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$108,197
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$20,277,982
Employer contributions (assets) at end of year2010-12-31$1,798,965
Employer contributions (assets) at beginning of year2010-12-31$1,863,491
Income. Dividends from common stock2010-12-31$20,714
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$58,239
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$55,064
Contract administrator fees2010-12-31$1,035,691
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,604,335
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$741,602
Liabilities. Value of benefit claims payable at end of year2010-12-31$2,164,507
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,497,217
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$40,499
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$3,804
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$615,571
Aggregate carrying amount (costs) on sale of assets2010-12-31$595,982
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31WAGNER & ZWERMAN, LLP
Accountancy firm EIN2010-12-31112836481

Form 5500 Responses for LOCAL 888 HEALTH FUND

2022: LOCAL 888 HEALTH FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LOCAL 888 HEALTH FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LOCAL 888 HEALTH FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LOCAL 888 HEALTH FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LOCAL 888 HEALTH FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LOCAL 888 HEALTH FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LOCAL 888 HEALTH FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LOCAL 888 HEALTH FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LOCAL 888 HEALTH FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LOCAL 888 HEALTH FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LOCAL 888 HEALTH FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LOCAL 888 HEALTH FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LOCAL 888 HEALTH FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered2070
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,443
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 numberSL10443
Policy instance 4
Insurance contract or identification numberSL10443
Number of Individuals Covered2070
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $58,294
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $971,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,294
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498C
Policy instance 3
Insurance contract or identification numberGG-498C
Number of Individuals Covered380
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,242
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-498A
Policy instance 2
Insurance contract or identification numberGG-498A
Number of Individuals Covered1470
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $273,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberGG-498B1
Policy instance 5
Insurance contract or identification numberGG-498B1
Number of Individuals Covered24
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $751
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-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1478
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered2110
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $105,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered290
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $6,883
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedSHORT-TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $89,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,883
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered389
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $152,458
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 numberSL10443
Policy instance 5
Insurance contract or identification numberSL10443
Number of Individuals Covered1598
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $51,770
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $835,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,770
Insurance broker organization code?3
HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberGG-498B1
Policy instance 6
Insurance contract or identification numberGG-498B1
Number of Individuals Covered23
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $770
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-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered408
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $146,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberGG-498B1
Policy instance 6
Insurance contract or identification numberGG-498B1
Number of Individuals Covered24
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $982
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-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1650
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $279,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered279
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $5,819
Other welfare benefits providedSHORT-TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $60,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,819
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10443
Policy instance 5
Insurance contract or identification numberSL10443
Number of Individuals Covered1755
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $40,360
Welfare Benefit Premiums Paid to CarrierUSD $807,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,360
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered1720
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberGG-498B1
Policy instance 6
Insurance contract or identification numberGG-498B1
Number of Individuals Covered25
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered260
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,499
Other welfare benefits providedSHORT-TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $37,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,499
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1578
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $264,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered1845
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,524
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-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered476
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 63657 )
Policy contract numberGSLIC-GRM3036
Policy instance 5
Insurance contract or identification numberGSLIC-GRM3036
Number of Individuals Covered1754
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $36,255
Welfare Benefit Premiums Paid to CarrierUSD $666,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,255
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered475
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $181,686
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-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1584
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $267,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered1845
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $114,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPLEX INC (ASO) (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberGG-498B1
Policy instance 6
Insurance contract or identification numberGG-498B1
Number of Individuals Covered27
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 63657 )
Policy contract numberGSLIC-GRM3036
Policy instance 5
Insurance contract or identification numberGSLIC-GRM3036
Number of Individuals Covered1830
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $33,973
Welfare Benefit Premiums Paid to CarrierUSD $679,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,973
Insurance broker organization code?3
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered343
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,192
Other welfare benefits providedSHORT-TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $41,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,192
Insurance broker organization code?3
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1623
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $237,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered345
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,363
Other welfare benefits providedSHORT-TERM DISABILITY
Welfare Benefit Premiums Paid to CarrierUSD $26,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,363
Insurance broker organization code?3
Insurance broker nameCOMBINED DBL RESOURCES LTD
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered1845
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,961
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-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered490
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $172,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberTPLIC-GRM2014
Policy instance 5
Insurance contract or identification numberTPLIC-GRM2014
Number of Individuals Covered1838
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $29,199
Welfare Benefit Premiums Paid to CarrierUSD $583,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,199
Insurance broker organization code?3
Insurance broker nameSEGAL GROUP
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL10000144-151
Policy instance 5
Insurance contract or identification numberSL10000144-151
Number of Individuals Covered1736
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $29,666
Welfare Benefit Premiums Paid to CarrierUSD $593,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,666
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY EASTERN STATES
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1619
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $216,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered1945
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered352
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,332
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,332
Insurance broker organization code?3
Insurance broker nameCOMBINED DBL RESOURCES LTD
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered383
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $136,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered3188
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $162,919
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-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered3645
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $543,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?5
Insurance broker nameHEALTHPLEX, INC.
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered425
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?5
Insurance broker nameHEALTHPLEX, INC.
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered402
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,559
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,559
Insurance broker organization code?3
Insurance broker nameCOMBINED DBL RESOURCES
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 2
Insurance contract or identification numberD190299
Number of Individuals Covered402
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,809
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,809
Insurance broker organization code?3
Insurance broker nameCOMBINED DBL RESOURCES
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-498A
Policy instance 3
Insurance contract or identification numberGG-498A
Number of Individuals Covered1777
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $232,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 1
Insurance contract or identification numberG0458
Number of Individuals Covered3586
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,515
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-498C
Policy instance 4
Insurance contract or identification numberGG-498C
Number of Individuals Covered415
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 6
Insurance contract or identification numberG0458
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 5
Insurance contract or identification numberD190299
Number of Individuals Covered388
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,792
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,792
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?3
Insurance broker nameCOMBINED DBL RESOURCES
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number10888
Policy instance 4
Insurance contract or identification number10888
Number of Individuals Covered169
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number10889
Policy instance 3
Insurance contract or identification number10889
Number of Individuals Covered371
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,904
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-498A
Policy instance 2
Insurance contract or identification numberGG-498A
Number of Individuals Covered1662
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $271,284
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-498C
Policy instance 1
Insurance contract or identification numberGG-498C
Number of Individuals Covered410
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ATLANTIS HEALTH PLAN DBA EASY CHOICE HEATLH PLAN OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52624 )
Policy contract numberG08888,G8888N,A
Policy instance 6
Insurance contract or identification numberG08888,G8888N,A
Number of Individuals Covered132
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $24,459
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $543,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 8
Insurance contract or identification numberG0458
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 7
Insurance contract or identification numberD190299
Number of Individuals Covered402
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,910
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number10888
Policy instance 5
Insurance contract or identification number10888
Number of Individuals Covered168
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number10889
Policy instance 4
Insurance contract or identification number10889
Number of Individuals Covered371
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number762002
Policy instance 3
Insurance contract or identification number762002
Number of Individuals Covered47
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,648
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $156,091
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-498A
Policy instance 2
Insurance contract or identification numberGG-498A
Number of Individuals Covered1758
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $1,870
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $281,522
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-498C
Policy instance 1
Insurance contract or identification numberGG-498C
Number of Individuals Covered409
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of fees paid to insurance companyUSD $570
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberLO9801
Policy instance 9
Insurance contract or identification numberLO9801
Number of Individuals Covered41
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,614
Total amount of fees paid to insurance companyUSD $3,427
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $236,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ATLANTIS HEALTH PLAN DBA EASY CHOICE HEATLH PLAN OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52624 )
Policy contract numberG8888N
Policy instance 10
Insurance contract or identification numberG8888N
Number of Individuals Covered129
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $22,346
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $551,740
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberG0458
Policy instance 13
Insurance contract or identification numberG0458
Number of Individuals Covered3729
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $109,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE FIRST REHABILITATION LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 81434 )
Policy contract numberD190299
Policy instance 12
Insurance contract or identification numberD190299
Number of Individuals Covered425
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,111
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number10889
Policy instance 1
Insurance contract or identification number10889
Number of Individuals Covered371
Insurance policy start date2009-09-01
Insurance policy end date2010-08-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number10888
Policy instance 2
Insurance contract or identification number10888
Number of Individuals Covered166
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number70081
Policy instance 3
Insurance contract or identification number70081
Number of Individuals Covered16
Insurance policy start date2009-03-01
Insurance policy end date2010-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number70079
Policy instance 4
Insurance contract or identification number70079
Number of Individuals Covered79
Insurance policy start date2009-02-01
Insurance policy end date2010-01-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number70073-003
Policy instance 5
Insurance contract or identification number70073-003
Number of Individuals Covered397
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ATLANTIS HEALTH PLAN DBA EASY CHOICE HEATLH PLAN OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 52624 )
Policy contract numberG08888
Policy instance 11
Insurance contract or identification numberG08888
Number of Individuals Covered81
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,665
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $292,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number70073-001
Policy instance 7
Insurance contract or identification number70073-001
Number of Individuals Covered9
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARLEYSVILLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64327 )
Policy contract numberG0000736-0001
Policy instance 8
Insurance contract or identification numberG0000736-0001
Number of Individuals Covered121
Insurance policy start date2010-01-01
Insurance policy end date2010-03-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN MEDICAL AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81418 )
Policy contract number70073-002
Policy instance 6
Insurance contract or identification number70073-002
Number of Individuals Covered1341
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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