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SMWIA LOCAL 137 INSURANCE FUND 401k Plan overview

Plan NameSMWIA LOCAL 137 INSURANCE FUND
Plan identification number 501

SMWIA LOCAL 137 INSURANCE FUND Benefits

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

401k Sponsoring company profile

BOT OF S.M.A.R.T. LOCAL 137 INS FUND has sponsored the creation of one or more 401k plans.

Company Name:BOT OF S.M.A.R.T. LOCAL 137 INS FUND
Employer identification number (EIN):135520944
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SMWIA LOCAL 137 INSURANCE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DANTE DANO JR.2023-07-23 KEVIN GOING2023-07-23
5012021-01-01DANTE DANO JR.2022-07-26 KEVIN GOING2022-07-26
5012020-01-01DANTE DANO JR.2021-07-27 SHANNA PERAS2021-07-27
5012019-01-01KEVIN GOING2020-06-23 DANTE DANO JR.2020-06-23
5012018-01-01KEVIN GOING2019-07-29 DANTE DANO JR.2019-07-29
5012017-01-01
5012016-01-01CAROL WESTFALL
5012015-01-01CAROL WESTFALL
5012014-01-01CAROL WESTFALL
5012013-01-01CAROL WESTFALL
5012012-01-01CAROL WESTFALL
5012011-01-01CAROL WESTFALL
5012009-01-01CAROL WESTFALL

Plan Statistics for SMWIA LOCAL 137 INSURANCE FUND

401k plan membership statisitcs for SMWIA LOCAL 137 INSURANCE FUND

Measure Date Value
2022: SMWIA LOCAL 137 INSURANCE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01356
Total number of active participants reported on line 7a of the Form 55002022-01-01266
Number of retired or separated participants receiving benefits2022-01-0198
Total of all active and inactive participants2022-01-01364
Number of employers contributing to the scheme2022-01-0135
2021: SMWIA LOCAL 137 INSURANCE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01372
Total number of active participants reported on line 7a of the Form 55002021-01-01260
Number of retired or separated participants receiving benefits2021-01-0196
Total of all active and inactive participants2021-01-01356
Number of employers contributing to the scheme2021-01-0138
2020: SMWIA LOCAL 137 INSURANCE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01388
Total number of active participants reported on line 7a of the Form 55002020-01-01275
Number of retired or separated participants receiving benefits2020-01-0197
Total of all active and inactive participants2020-01-01372
Number of employers contributing to the scheme2020-01-0129
2019: SMWIA LOCAL 137 INSURANCE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01406
Total number of active participants reported on line 7a of the Form 55002019-01-01286
Number of retired or separated participants receiving benefits2019-01-01102
Total of all active and inactive participants2019-01-01388
Number of employers contributing to the scheme2019-01-0132
2018: SMWIA LOCAL 137 INSURANCE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01403
Total number of active participants reported on line 7a of the Form 55002018-01-01306
Number of retired or separated participants receiving benefits2018-01-01100
Total of all active and inactive participants2018-01-01406
Number of employers contributing to the scheme2018-01-0130
2017: SMWIA LOCAL 137 INSURANCE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01415
Total number of active participants reported on line 7a of the Form 55002017-01-01304
Number of retired or separated participants receiving benefits2017-01-0199
Total of all active and inactive participants2017-01-01403
Number of employers contributing to the scheme2017-01-0130
2016: SMWIA LOCAL 137 INSURANCE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01437
Total number of active participants reported on line 7a of the Form 55002016-01-01318
Number of retired or separated participants receiving benefits2016-01-0197
Total of all active and inactive participants2016-01-01415
Number of employers contributing to the scheme2016-01-0130
2015: SMWIA LOCAL 137 INSURANCE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01432
Total number of active participants reported on line 7a of the Form 55002015-01-01330
Number of retired or separated participants receiving benefits2015-01-01107
Total of all active and inactive participants2015-01-01437
Number of employers contributing to the scheme2015-01-0138
2014: SMWIA LOCAL 137 INSURANCE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01445
Total number of active participants reported on line 7a of the Form 55002014-01-01325
Number of retired or separated participants receiving benefits2014-01-01107
Total of all active and inactive participants2014-01-01432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Number of employers contributing to the scheme2014-01-0142
2013: SMWIA LOCAL 137 INSURANCE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01464
Total number of active participants reported on line 7a of the Form 55002013-01-01336
Number of retired or separated participants receiving benefits2013-01-01109
Total of all active and inactive participants2013-01-01445
Number of employers contributing to the scheme2013-01-0136
2012: SMWIA LOCAL 137 INSURANCE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01464
Total number of active participants reported on line 7a of the Form 55002012-01-01355
Number of retired or separated participants receiving benefits2012-01-01109
Total of all active and inactive participants2012-01-01464
Number of employers contributing to the scheme2012-01-0139
2011: SMWIA LOCAL 137 INSURANCE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01496
Total number of active participants reported on line 7a of the Form 55002011-01-01356
Number of retired or separated participants receiving benefits2011-01-01108
Total of all active and inactive participants2011-01-01464
Number of employers contributing to the scheme2011-01-0135
2009: SMWIA LOCAL 137 INSURANCE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01556
Total number of active participants reported on line 7a of the Form 55002009-01-01408
Number of retired or separated participants receiving benefits2009-01-01112
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01520
Number of employers contributing to the scheme2009-01-0150

Financial Data on SMWIA LOCAL 137 INSURANCE FUND

Measure Date Value
2022 : SMWIA LOCAL 137 INSURANCE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-506,836
Total unrealized appreciation/depreciation of assets2022-12-31$-506,836
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,018,025
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,138,134
Total income from all sources (including contributions)2022-12-31$4,750,238
Total loss/gain on sale of assets2022-12-31$-1,362
Total of all expenses incurred2022-12-31$7,320,046
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,794,155
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$6,397,174
Value of total assets at end of year2022-12-31$15,716,325
Value of total assets at beginning of year2022-12-31$18,406,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$525,891
Total interest from all sources2022-12-31$153,937
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$153,744
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$3,250,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$140,375
Assets. Other investments not covered elsewhere at end of year2022-12-31$10,024
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$2,778
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$580,005
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$160,356
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$748,486
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$532,745
Administrative expenses (other) incurred2022-12-31$357,846
Liabilities. Value of operating payables at end of year2022-12-31$284,548
Liabilities. Value of operating payables at beginning of year2022-12-31$799,389
Total non interest bearing cash at end of year2022-12-31$309,879
Total non interest bearing cash at beginning of year2022-12-31$110,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,569,808
Value of net assets at end of year (total assets less liabilities)2022-12-31$13,698,300
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$16,268,108
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
Assets. partnership/joint venture interests at end of year2022-12-31$38,233
Investment advisory and management fees2022-12-31$14,301
Interest earned on other investments2022-12-31$96,865
Income. Interest from US Government securities2022-12-31$57,062
Value of interest in common/collective trusts at end of year2022-12-31$5,845,212
Value of interest in common/collective trusts at beginning of year2022-12-31$7,139,482
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$237,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$230,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$230,474
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,930,690
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$4,707,766
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$434,620
Net investment gain or loss from common/collective trusts2022-12-31$-1,292,675
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$6,254,021
Employer contributions (assets) at end of year2022-12-31$636,000
Employer contributions (assets) at beginning of year2022-12-31$574,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$6,359,535
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$1,746,318
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$2,020,786
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$362,709
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$471,184
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$2,887,952
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$2,976,847
Liabilities. Value of benefit claims payable at end of year2022-12-31$738,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$806,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$131,970
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$14,867
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 appraiser2022-12-31Yes
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$225,000
Aggregate carrying amount (costs) on sale of assets2022-12-31$226,362
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$246,991
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2022-12-31131577780
2021 : SMWIA LOCAL 137 INSURANCE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-29,728
Total unrealized appreciation/depreciation of assets2021-12-31$-29,728
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,138,134
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,057,887
Total income from all sources (including contributions)2021-12-31$7,394,820
Total loss/gain on sale of assets2021-12-31$-8,552
Total of all expenses incurred2021-12-31$6,472,752
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,951,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,651,506
Value of total assets at end of year2021-12-31$18,406,242
Value of total assets at beginning of year2021-12-31$17,403,927
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$520,877
Total interest from all sources2021-12-31$188,637
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$194,027
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,250,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$203,200
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,476
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$56,055
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$160,356
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$325,981
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$532,745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$941,490
Administrative expenses (other) incurred2021-12-31$312,012
Liabilities. Value of operating payables at end of year2021-12-31$799,389
Liabilities. Value of operating payables at beginning of year2021-12-31$618,397
Total non interest bearing cash at end of year2021-12-31$110,480
Total non interest bearing cash at beginning of year2021-12-31$275,256
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$922,068
Value of net assets at end of year (total assets less liabilities)2021-12-31$16,268,108
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$15,346,040
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$14,838
Interest earned on other investments2021-12-31$131,030
Income. Interest from US Government securities2021-12-31$57,596
Value of interest in common/collective trusts at end of year2021-12-31$7,139,482
Value of interest in common/collective trusts at beginning of year2021-12-31$5,548,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$230,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$365,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$365,287
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$11
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$4,707,766
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,916,261
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$410,927
Net investment gain or loss from common/collective trusts2021-12-31$1,592,957
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$5,392,251
Employer contributions (assets) at end of year2021-12-31$574,000
Employer contributions (assets) at beginning of year2021-12-31$407,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$5,540,948
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$2,020,786
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$1,941,776
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$471,184
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$571,471
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$2,976,847
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$3,036,884
Liabilities. Value of benefit claims payable at end of year2021-12-31$806,000
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$498,000
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$14,867
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$14,527
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 appraiser2021-12-31Yes
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$737,039
Aggregate carrying amount (costs) on sale of assets2021-12-31$745,591
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2021-12-31131577780
2020 : SMWIA LOCAL 137 INSURANCE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$391,895
Total unrealized appreciation/depreciation of assets2020-12-31$391,895
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,057,887
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,176,556
Total income from all sources (including contributions)2020-12-31$6,700,864
Total loss/gain on sale of assets2020-12-31$4,272
Total of all expenses incurred2020-12-31$5,564,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$5,056,843
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,173,098
Value of total assets at end of year2020-12-31$17,403,927
Value of total assets at beginning of year2020-12-31$16,386,450
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$507,875
Total interest from all sources2020-12-31$139,206
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$171,926
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$3,250,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$172,070
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,476
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,776
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$325,981
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$189,496
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$941,490
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$844,153
Administrative expenses (other) incurred2020-12-31$321,095
Liabilities. Value of operating payables at end of year2020-12-31$618,397
Liabilities. Value of operating payables at beginning of year2020-12-31$332,403
Total non interest bearing cash at end of year2020-12-31$275,256
Total non interest bearing cash at beginning of year2020-12-31$349,517
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$1,136,146
Value of net assets at end of year (total assets less liabilities)2020-12-31$15,346,040
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$14,209,894
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$14,854
Interest earned on other investments2020-12-31$127,464
Value of interest in common/collective trusts at end of year2020-12-31$5,548,008
Value of interest in common/collective trusts at beginning of year2020-12-31$6,739,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$365,287
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$2,562,695
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$2,562,695
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$11,742
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,916,261
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$3,740,026
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$333,482
Net investment gain or loss from common/collective trusts2020-12-31$992,393
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$5,001,028
Employer contributions (assets) at end of year2020-12-31$407,000
Employer contributions (assets) at beginning of year2020-12-31$532,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,723,361
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$1,941,776
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$571,471
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$3,036,884
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$2,247,209
Liabilities. Value of benefit claims payable at end of year2020-12-31$498,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,000,000
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$14,527
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$24,565
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 appraiser2020-12-31Yes
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$2,547,333
Aggregate carrying amount (costs) on sale of assets2020-12-31$2,543,061
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2020-12-31131577780
2019 : SMWIA LOCAL 137 INSURANCE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$103,440
Total unrealized appreciation/depreciation of assets2019-12-31$103,440
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,176,556
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$533,287
Total income from all sources (including contributions)2019-12-31$7,435,515
Total loss/gain on sale of assets2019-12-31$3,094
Total of all expenses incurred2019-12-31$6,893,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,388,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,806,503
Value of total assets at end of year2019-12-31$16,386,450
Value of total assets at beginning of year2019-12-31$14,201,427
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$504,977
Total interest from all sources2019-12-31$144,220
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$4,870
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$4,870
Administrative expenses professional fees incurred2019-12-31$192,180
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$3,250,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$120,180
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,776
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$189,496
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$180,153
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$844,153
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$65,034
Administrative expenses (other) incurred2019-12-31$298,579
Liabilities. Value of operating payables at end of year2019-12-31$332,403
Liabilities. Value of operating payables at beginning of year2019-12-31$69,253
Total non interest bearing cash at end of year2019-12-31$349,517
Total non interest bearing cash at beginning of year2019-12-31$1,024,246
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$541,754
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,209,894
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,668,140
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$14,218
Interest earned on other investments2019-12-31$119,859
Value of interest in common/collective trusts at end of year2019-12-31$6,739,166
Value of interest in common/collective trusts at beginning of year2019-12-31$6,143,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$2,562,695
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,927,483
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,927,483
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$24,361
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$3,740,026
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,304,814
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$348,804
Net investment gain or loss from common/collective trusts2019-12-31$1,373,388
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,686,323
Employer contributions (assets) at end of year2019-12-31$532,000
Employer contributions (assets) at beginning of year2019-12-31$580,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,039,980
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$2,247,209
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,000,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$399,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$24,565
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$41,602
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
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$2,990,301
Aggregate carrying amount (costs) on sale of assets2019-12-31$2,987,207
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
Accountancy firm name2019-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2019-12-31131577780
2018 : SMWIA LOCAL 137 INSURANCE FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$533,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$524,306
Total income from all sources (including contributions)2018-12-31$5,070,525
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$6,507,321
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$6,027,146
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,240,839
Value of total assets at end of year2018-12-31$14,201,427
Value of total assets at beginning of year2018-12-31$15,629,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$480,175
Total interest from all sources2018-12-31$40,772
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$-2,395,259
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$-2,395,259
Administrative expenses professional fees incurred2018-12-31$156,818
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$3,250,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$94,840
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$180,153
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$326,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$65,034
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$88,092
Other income not declared elsewhere2018-12-31$4,046
Administrative expenses (other) incurred2018-12-31$288,723
Liabilities. Value of operating payables at end of year2018-12-31$69,253
Liabilities. Value of operating payables at beginning of year2018-12-31$70,214
Total non interest bearing cash at end of year2018-12-31$1,024,246
Total non interest bearing cash at beginning of year2018-12-31$538,143
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,436,796
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,668,140
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,104,936
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$34,634
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,721,238
Interest earned on other investments2018-12-31$211
Value of interest in common/collective trusts at end of year2018-12-31$6,143,129
Value of interest in common/collective trusts at beginning of year2018-12-31$2,286,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,927,483
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,101,800
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,101,800
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$40,561
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,304,814
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$360,928
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$2,319,618
Net investment gain or loss from common/collective trusts2018-12-31$-139,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$5,145,999
Employer contributions (assets) at end of year2018-12-31$580,000
Employer contributions (assets) at beginning of year2018-12-31$588,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,666,218
Liabilities. Value of benefit claims payable at end of year2018-12-31$399,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$366,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$41,602
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$67,121
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2018-12-31131577780
2017 : SMWIA LOCAL 137 INSURANCE FUND 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$524,306
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$911,742
Total income from all sources (including contributions)2017-12-31$6,632,307
Total loss/gain on sale of assets2017-12-31$891
Total of all expenses incurred2017-12-31$6,047,317
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,500,672
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$5,269,917
Value of total assets at end of year2017-12-31$15,629,242
Value of total assets at beginning of year2017-12-31$15,431,688
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$546,645
Total interest from all sources2017-12-31$2,120
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$177,933
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$177,933
Administrative expenses professional fees incurred2017-12-31$159,199
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$3,250,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$53,450
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$326,877
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$168,223
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$88,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$112,957
Administrative expenses (other) incurred2017-12-31$358,151
Liabilities. Value of operating payables at end of year2017-12-31$70,214
Liabilities. Value of operating payables at beginning of year2017-12-31$76,785
Total non interest bearing cash at end of year2017-12-31$538,143
Total non interest bearing cash at beginning of year2017-12-31$564,098
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$584,990
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,104,936
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$14,519,946
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$29,295
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,721,238
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,762,461
Interest earned on other investments2017-12-31$196
Value of interest in common/collective trusts at end of year2017-12-31$2,286,063
Value of interest in common/collective trusts at beginning of year2017-12-31$2,209,487
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,101,800
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,000,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,000,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,924
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$334,248
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,102,180
Net investment gain or loss from common/collective trusts2017-12-31$79,266
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$5,216,467
Employer contributions (assets) at end of year2017-12-31$588,000
Employer contributions (assets) at beginning of year2017-12-31$633,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,166,424
Liabilities. Value of benefit claims payable at end of year2017-12-31$366,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$722,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$67,121
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$94,419
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$1,750,000
Aggregate carrying amount (costs) on sale of assets2017-12-31$1,749,109
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 name2017-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2017-12-31131577780
2016 : SMWIA LOCAL 137 INSURANCE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$897
Total unrealized appreciation/depreciation of assets2016-12-31$897
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$911,742
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$406,483
Total income from all sources (including contributions)2016-12-31$5,906,346
Total loss/gain on sale of assets2016-12-31$-18
Total of all expenses incurred2016-12-31$5,629,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,117,571
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,100,720
Value of total assets at end of year2016-12-31$15,431,688
Value of total assets at beginning of year2016-12-31$14,649,704
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$512,050
Total interest from all sources2016-12-31$1,245
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$178,721
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$178,721
Administrative expenses professional fees incurred2016-12-31$151,884
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$50,950
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$168,223
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$299,346
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$112,957
Administrative expenses (other) incurred2016-12-31$329,838
Liabilities. Value of operating payables at end of year2016-12-31$76,785
Liabilities. Value of operating payables at beginning of year2016-12-31$84,483
Total non interest bearing cash at end of year2016-12-31$564,098
Total non interest bearing cash at beginning of year2016-12-31$529,469
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$276,725
Value of net assets at end of year (total assets less liabilities)2016-12-31$14,519,946
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$14,243,221
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$30,328
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,762,461
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$11,040,802
Interest earned on other investments2016-12-31$424
Value of interest in common/collective trusts at end of year2016-12-31$2,209,487
Value of interest in common/collective trusts at beginning of year2016-12-31$2,153,097
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,000,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$821
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$450,419
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$563,387
Net investment gain or loss from common/collective trusts2016-12-31$61,394
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$5,049,770
Employer contributions (assets) at end of year2016-12-31$633,000
Employer contributions (assets) at beginning of year2016-12-31$465,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,667,152
Liabilities. Value of benefit claims payable at end of year2016-12-31$722,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$322,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$94,419
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$161,990
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 appraiser2016-12-31Yes
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$1,999,994
Aggregate carrying amount (costs) on sale of assets2016-12-31$2,000,012
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 name2016-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2016-12-31131577780
2015 : SMWIA LOCAL 137 INSURANCE FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$406,483
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$653,746
Total income from all sources (including contributions)2015-12-31$4,996,265
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$5,434,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,929,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,884,108
Value of total assets at end of year2015-12-31$14,649,704
Value of total assets at beginning of year2015-12-31$15,334,898
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$504,675
Total interest from all sources2015-12-31$12,175
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$201,357
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$201,357
Administrative expenses professional fees incurred2015-12-31$210,259
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$95,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$299,346
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$74,400
Administrative expenses (other) incurred2015-12-31$265,582
Liabilities. Value of operating payables at end of year2015-12-31$84,483
Liabilities. Value of operating payables at beginning of year2015-12-31$175,746
Total non interest bearing cash at end of year2015-12-31$529,469
Total non interest bearing cash at beginning of year2015-12-31$698,021
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-437,931
Value of net assets at end of year (total assets less liabilities)2015-12-31$14,243,221
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$14,681,152
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$28,834
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$11,040,802
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$11,423,583
Interest earned on other investments2015-12-31$12,175
Value of interest in common/collective trusts at end of year2015-12-31$2,153,097
Value of interest in common/collective trusts at beginning of year2015-12-31$2,141,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$465,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$465,750
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$462,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-118,137
Net investment gain or loss from common/collective trusts2015-12-31$16,762
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$4,789,058
Employer contributions (assets) at end of year2015-12-31$465,000
Employer contributions (assets) at beginning of year2015-12-31$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$4,467,153
Liabilities. Value of benefit claims payable at end of year2015-12-31$322,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$478,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$161,990
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$31,809
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 appraiser2015-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2015-12-31131577780
2014 : SMWIA LOCAL 137 INSURANCE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$653,746
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$379,783
Total income from all sources (including contributions)2014-12-31$5,623,679
Total loss/gain on sale of assets2014-12-31$10,288
Total of all expenses incurred2014-12-31$5,713,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,216,803
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,828,616
Value of total assets at end of year2014-12-31$15,334,898
Value of total assets at beginning of year2014-12-31$15,150,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$496,433
Total interest from all sources2014-12-31$21,108
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$170,336
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$170,336
Administrative expenses professional fees incurred2014-12-31$198,289
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$128,975
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$74,400
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$39,184
Administrative expenses (other) incurred2014-12-31$265,157
Liabilities. Value of operating payables at end of year2014-12-31$175,746
Liabilities. Value of operating payables at beginning of year2014-12-31$267,783
Total non interest bearing cash at end of year2014-12-31$698,021
Total non interest bearing cash at beginning of year2014-12-31$1,005,578
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-89,557
Value of net assets at end of year (total assets less liabilities)2014-12-31$14,681,152
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,770,709
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$32,987
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$11,423,583
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$10,213,387
Interest earned on other investments2014-12-31$11,114
Income. Interest from US Government securities2014-12-31$4,854
Income. Interest from corporate debt instruments2014-12-31$5,140
Value of interest in common/collective trusts at end of year2014-12-31$2,141,335
Value of interest in common/collective trusts at beginning of year2014-12-31$2,022,739
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$465,750
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$326,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$326,510
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$442,729
Asset value of US Government securities at beginning of year2014-12-31$551,058
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$469,735
Net investment gain or loss from common/collective trusts2014-12-31$123,596
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$4,699,641
Employer contributions (assets) at end of year2014-12-31$500,000
Employer contributions (assets) at beginning of year2014-12-31$700,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,774,074
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$122,833
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$130,900
Liabilities. Value of benefit claims payable at end of year2014-12-31$478,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$112,000
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$31,809
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$38,303
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 appraiser2014-12-31Yes
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$1,165,468
Aggregate carrying amount (costs) on sale of assets2014-12-31$1,155,180
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2014-12-31131577780
2013 : SMWIA LOCAL 137 INSURANCE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-24,987
Total unrealized appreciation/depreciation of assets2013-12-31$-24,987
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$379,783
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$262,070
Total income from all sources (including contributions)2013-12-31$5,690,835
Total loss/gain on sale of assets2013-12-31$-35,422
Total of all expenses incurred2013-12-31$5,098,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,682,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,511,207
Value of total assets at end of year2013-12-31$15,150,492
Value of total assets at beginning of year2013-12-31$14,440,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$415,480
Total interest from all sources2013-12-31$33,026
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$147,967
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$147,967
Administrative expenses professional fees incurred2013-12-31$193,786
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$121,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$39,184
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$81,416
Administrative expenses (other) incurred2013-12-31$186,127
Liabilities. Value of operating payables at end of year2013-12-31$267,783
Liabilities. Value of operating payables at beginning of year2013-12-31$241,070
Total non interest bearing cash at end of year2013-12-31$1,005,578
Total non interest bearing cash at beginning of year2013-12-31$448,677
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$592,592
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,770,709
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$14,178,117
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$35,567
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$10,213,387
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$9,226,427
Interest earned on other investments2013-12-31$8,705
Income. Interest from US Government securities2013-12-31$12,548
Income. Interest from corporate debt instruments2013-12-31$11,773
Value of interest in common/collective trusts at end of year2013-12-31$2,022,739
Value of interest in common/collective trusts at beginning of year2013-12-31$2,070,871
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$326,510
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$874,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$874,298
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$918,265
Asset value of US Government securities at end of year2013-12-31$551,058
Asset value of US Government securities at beginning of year2013-12-31$650,060
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,102,192
Net investment gain or loss from common/collective trusts2013-12-31$-43,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$4,389,957
Employer contributions (assets) at end of year2013-12-31$700,000
Employer contributions (assets) at beginning of year2013-12-31$740,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,764,498
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$122,833
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$170,104
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$130,900
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$124,389
Liabilities. Value of benefit claims payable at end of year2013-12-31$112,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$21,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$38,303
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$53,945
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$1,135,515
Aggregate carrying amount (costs) on sale of assets2013-12-31$1,170,937
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 name2013-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2013-12-31131577780
2012 : SMWIA LOCAL 137 INSURANCE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$5,229
Total unrealized appreciation/depreciation of assets2012-12-31$5,229
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$262,070
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$227,506
Total income from all sources (including contributions)2012-12-31$5,460,706
Total loss/gain on sale of assets2012-12-31$-9,332
Total of all expenses incurred2012-12-31$5,149,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,669,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,595,007
Value of total assets at end of year2012-12-31$14,440,187
Value of total assets at beginning of year2012-12-31$14,094,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$480,310
Total interest from all sources2012-12-31$56,294
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$115,312
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$115,312
Administrative expenses professional fees incurred2012-12-31$342,929
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$115,215
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$81,416
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$77,781
Administrative expenses (other) incurred2012-12-31$106,159
Liabilities. Value of operating payables at end of year2012-12-31$241,070
Liabilities. Value of operating payables at beginning of year2012-12-31$177,506
Total non interest bearing cash at end of year2012-12-31$448,677
Total non interest bearing cash at beginning of year2012-12-31$192,002
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$311,258
Value of net assets at end of year (total assets less liabilities)2012-12-31$14,178,117
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$13,866,859
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$31,222
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$9,226,427
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$5,928,882
Interest earned on other investments2012-12-31$8,435
Income. Interest from US Government securities2012-12-31$31,603
Income. Interest from corporate debt instruments2012-12-31$16,235
Value of interest in common/collective trusts at end of year2012-12-31$2,070,871
Value of interest in common/collective trusts at beginning of year2012-12-31$1,984,629
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$874,298
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$4,303,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$4,303,439
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$21
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$3,300,763
Asset value of US Government securities at end of year2012-12-31$650,060
Asset value of US Government securities at beginning of year2012-12-31$774,690
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$606,951
Net investment gain or loss from common/collective trusts2012-12-31$91,245
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$4,479,792
Employer contributions (assets) at end of year2012-12-31$740,000
Employer contributions (assets) at beginning of year2012-12-31$600,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,368,375
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$170,104
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$111,658
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$124,389
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$75,570
Liabilities. Value of benefit claims payable at end of year2012-12-31$21,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$50,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$53,945
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$45,714
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$860,688
Aggregate carrying amount (costs) on sale of assets2012-12-31$870,020
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 name2012-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2012-12-31131577780
2011 : SMWIA LOCAL 137 INSURANCE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$47,035
Total unrealized appreciation/depreciation of assets2011-12-31$47,035
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$227,506
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$204,359
Total income from all sources (including contributions)2011-12-31$4,525,942
Total loss/gain on sale of assets2011-12-31$12,066
Total of all expenses incurred2011-12-31$4,555,350
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,143,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,300,254
Value of total assets at end of year2011-12-31$14,094,365
Value of total assets at beginning of year2011-12-31$14,100,626
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$411,947
Total interest from all sources2011-12-31$69,217
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$42,973
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$42,973
Administrative expenses professional fees incurred2011-12-31$219,498
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$127,760
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$13,880
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$77,781
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$64,914
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$9,403
Administrative expenses (other) incurred2011-12-31$171,271
Liabilities. Value of operating payables at end of year2011-12-31$177,506
Liabilities. Value of operating payables at beginning of year2011-12-31$102,956
Total non interest bearing cash at end of year2011-12-31$192,002
Total non interest bearing cash at beginning of year2011-12-31$313,044
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-29,408
Value of net assets at end of year (total assets less liabilities)2011-12-31$13,866,859
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$13,896,267
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$21,178
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$5,928,882
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,814,847
Income. Interest from US Government securities2011-12-31$60,940
Income. Interest from corporate debt instruments2011-12-31$8,238
Value of interest in common/collective trusts at end of year2011-12-31$1,984,629
Value of interest in common/collective trusts at beginning of year2011-12-31$1,842,513
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$4,303,439
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$302,977
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$302,977
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$39
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,783,394
Asset value of US Government securities at end of year2011-12-31$774,690
Asset value of US Government securities at beginning of year2011-12-31$8,047,421
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-92,719
Net investment gain or loss from common/collective trusts2011-12-31$147,116
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$4,158,614
Employer contributions (assets) at end of year2011-12-31$600,000
Employer contributions (assets) at beginning of year2011-12-31$500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,360,009
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$111,658
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$105,568
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$75,570
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$45,681
Liabilities. Value of benefit claims payable at end of year2011-12-31$50,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$92,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$45,714
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$63,661
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$22,913,434
Aggregate carrying amount (costs) on sale of assets2011-12-31$22,901,368
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 name2011-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2011-12-31131577780
2010 : SMWIA LOCAL 137 INSURANCE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$21,335
Total unrealized appreciation/depreciation of assets2010-12-31$21,335
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$204,359
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$697,404
Total income from all sources (including contributions)2010-12-31$4,437,998
Total loss/gain on sale of assets2010-12-31$1,254
Total of all expenses incurred2010-12-31$4,175,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,753,151
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,115,516
Value of total assets at end of year2010-12-31$14,100,626
Value of total assets at beginning of year2010-12-31$14,331,642
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$422,818
Total interest from all sources2010-12-31$74,855
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
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$162,962
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$154,723
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$51,906
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$64,914
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$231,525
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$9,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$16,051
Administrative expenses (other) incurred2010-12-31$241,884
Liabilities. Value of operating payables at end of year2010-12-31$102,956
Liabilities. Value of operating payables at beginning of year2010-12-31$112,353
Total non interest bearing cash at end of year2010-12-31$313,044
Total non interest bearing cash at beginning of year2010-12-31$281,687
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$262,029
Value of net assets at end of year (total assets less liabilities)2010-12-31$13,896,267
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$13,634,238
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$17,972
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,814,847
Value of interest in pooled separate accounts at beginning of year2010-12-31$0
Interest earned on other investments2010-12-31$797
Income. Interest from US Government securities2010-12-31$65,926
Income. Interest from corporate debt instruments2010-12-31$7,987
Value of interest in common/collective trusts at end of year2010-12-31$1,842,513
Value of interest in common/collective trusts at beginning of year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$302,977
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$8,863,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$8,863,581
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$145
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$968,947
Asset value of US Government securities at end of year2010-12-31$8,047,421
Asset value of US Government securities at beginning of year2010-12-31$4,394,624
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$130,815
Net investment gain or loss from common/collective trusts2010-12-31$94,223
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$3,908,887
Employer contributions (assets) at end of year2010-12-31$500,000
Employer contributions (assets) at beginning of year2010-12-31$330,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,784,204
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$105,568
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$127,587
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$45,681
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$42,931
Liabilities. Value of benefit claims payable at end of year2010-12-31$92,000
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$569,000
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$63,661
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$59,707
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$19,566,160
Aggregate carrying amount (costs) on sale of assets2010-12-31$19,564,906
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 name2010-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2010-12-31131577780

Form 5500 Responses for SMWIA LOCAL 137 INSURANCE FUND

2022: SMWIA LOCAL 137 INSURANCE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SMWIA LOCAL 137 INSURANCE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SMWIA LOCAL 137 INSURANCE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SMWIA LOCAL 137 INSURANCE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SMWIA LOCAL 137 INSURANCE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SMWIA LOCAL 137 INSURANCE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SMWIA LOCAL 137 INSURANCE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SMWIA LOCAL 137 INSURANCE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SMWIA LOCAL 137 INSURANCE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SMWIA LOCAL 137 INSURANCE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SMWIA LOCAL 137 INSURANCE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SMWIA LOCAL 137 INSURANCE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: SMWIA LOCAL 137 INSURANCE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HUMANA INSURANCE COMPANY OF NE (National Association of Insurance Commissioners NAIC id number: 12634 )
Policy contract number314109 & 314111
Policy instance 4
Insurance contract or identification number314109 & 314111
Number of Individuals Covered40
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $350
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $154,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $350
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number314105 & 314113
Policy instance 3
Insurance contract or identification number314105 & 314113
Number of Individuals Covered33
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $126,302
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 number720847
Policy instance 2
Insurance contract or identification number720847
Number of Individuals Covered626
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $19,302
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $356,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,302
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006825
Policy instance 1
Insurance contract or identification numberAL00006825
Number of Individuals Covered350
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,687
Total amount of fees paid to insurance companyUSD $1,696
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,687
Insurance broker organization code?3
Amount paid for insurance broker fees1696
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006825
Policy instance 1
Insurance contract or identification numberAL00006825
Number of Individuals Covered336
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,654
Total amount of fees paid to insurance companyUSD $2,008
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $32,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,654
Insurance broker organization code?3
Amount paid for insurance broker fees2008
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720847
Policy instance 2
Insurance contract or identification number720847
Number of Individuals Covered279
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $23,159
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $334,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,159
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number314105 & 314113
Policy instance 3
Insurance contract or identification number314105 & 314113
Number of Individuals Covered29
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,575
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $100,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,575
Insurance broker organization code?3
HUMANA INSURANCE COMPANY OF NE (National Association of Insurance Commissioners NAIC id number: 12634 )
Policy contract number314109 & 314111
Policy instance 4
Insurance contract or identification number314109 & 314111
Number of Individuals Covered37
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,825
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $124,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,825
Insurance broker organization code?3
HUMANA INSURANCE COMPANY OF NE (National Association of Insurance Commissioners NAIC id number: 12634 )
Policy contract number314105
Policy instance 4
Insurance contract or identification number314105
Number of Individuals Covered36
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,575
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $149,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,575
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number314105
Policy instance 3
Insurance contract or identification number314105
Number of Individuals Covered28
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $125,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,000
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720847
Policy instance 2
Insurance contract or identification number720847
Number of Individuals Covered310
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $17,724
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $302,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,724
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006825
Policy instance 1
Insurance contract or identification numberAL00006825
Number of Individuals Covered353
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,083
Total amount of fees paid to insurance companyUSD $1,748
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $36,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,083
Insurance broker organization code?3
Amount paid for insurance broker fees1748
Additional information about fees paid to insurance brokerINCENTIVES, EDUCATION, COMMUNICATION AND TRAINING
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010213792
Policy instance 4
Insurance contract or identification number000010213792
Number of Individuals Covered373
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,988
Total amount of fees paid to insurance companyUSD $2,609
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $49,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,988
Amount paid for insurance broker fees2609
Additional information about fees paid to insurance brokerOVERRIDES AND BROKER BONUS
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number314105
Policy instance 3
Insurance contract or identification number314105
Number of Individuals Covered33
Insurance policy start date2019-04-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,600
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,600
Insurance broker organization code?3
HUMANA INSURANCE COMPANY OF NE (National Association of Insurance Commissioners NAIC id number: 12634 )
Policy contract number314105
Policy instance 2
Insurance contract or identification number314105
Number of Individuals Covered38
Insurance policy start date2019-04-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,300
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $104,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,300
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720847
Policy instance 1
Insurance contract or identification number720847
Number of Individuals Covered332
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $11,307
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $292,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,307
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010213792
Policy instance 2
Insurance contract or identification number000010213792
Number of Individuals Covered393
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,319
Total amount of fees paid to insurance companyUSD $2,766
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $55,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,319
Amount paid for insurance broker fees2766
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
Insurance broker nameFNA INSURANCE SERVICES INC
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720847
Policy instance 1
Insurance contract or identification number720847
Number of Individuals Covered771
Insurance policy start date2016-03-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $383,048
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 number720847
Policy instance 1
Insurance contract or identification number720847
Number of Individuals Covered882
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $390,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677683G
Policy instance 2
Insurance contract or identification number677683G
Number of Individuals Covered425
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,921
Total amount of fees paid to insurance companyUSD $4,825
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $61,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,921
Amount paid for insurance broker fees4825
Additional information about fees paid to insurance brokerFEES AND BONUS PAID
Insurance broker organization code?3
Insurance broker nameFNA INSURANCE SERVICES, INC
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720847
Policy instance 2
Insurance contract or identification number720847
Number of Individuals Covered882
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $61,784
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $366,799
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees61784
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES PAID
Insurance broker organization code?3
Insurance broker nameEMPIRE HEALTHCHOICE ASSURANCE, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number677683G
Policy instance 1
Insurance contract or identification number677683G
Number of Individuals Covered422
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,914
Total amount of fees paid to insurance companyUSD $5,009
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $61,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,914
Amount paid for insurance broker fees5009
Additional information about fees paid to insurance brokerFEES AND BONUS PAID
Insurance broker organization code?3
Insurance broker nameGREATER METRO AGENCY INC
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720504
Policy instance 2
Insurance contract or identification number720504
Number of Individuals Covered366
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,315,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number677683G
Policy instance 1
Insurance contract or identification number677683G
Number of Individuals Covered422
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,993
Total amount of fees paid to insurance companyUSD $5,032
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $67,950
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,993
Amount paid for insurance broker fees5032
Additional information about fees paid to insurance brokerFEES AND BONUS PAID
Insurance broker organization code?3
Insurance broker nameGREATER METRO AGENCY INC
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number720504
Policy instance 2
Insurance contract or identification number720504
Number of Individuals Covered367
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,717,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number677683G
Policy instance 1
Insurance contract or identification number677683G
Number of Individuals Covered454
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,811
Total amount of fees paid to insurance companyUSD $5,302
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $67,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,811
Amount paid for insurance broker fees5302
Additional information about fees paid to insurance brokerFEES AND BONUS PAID
Insurance broker organization code?3
Insurance broker nameGREATER METRO AGENCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number677683G
Policy instance 1
Insurance contract or identification number677683G
Number of Individuals Covered437
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,697
Total amount of fees paid to insurance companyUSD $4,840
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $58,718
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 number720504
Policy instance 2
Insurance contract or identification number720504
Number of Individuals Covered353
Insurance policy start date2010-09-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,375,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number677683G
Policy instance 1
Insurance contract or identification number677683G
Number of Individuals Covered450
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,608
Total amount of fees paid to insurance companyUSD $2,087
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $66,213
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,608
Amount paid for insurance broker fees2087
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
Insurance broker nameGREATER METRO AGENCY INC

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