SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE
401k plan membership statisitcs for SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE
| Measure | Date | Value |
|---|
| 2022 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $896,129 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $889,380 |
| Expenses. Interest paid | 2022-12-31 | $7,737 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2022-12-31 | $7,737 |
| Total income from all sources (including contributions) | 2022-12-31 | $2,612,461 |
| Total of all expenses incurred | 2022-12-31 | $2,785,422 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $2,620,081 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $2,607,262 |
| Value of total assets at end of year | 2022-12-31 | $1,657,435 |
| Value of total assets at beginning of year | 2022-12-31 | $1,823,647 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $157,604 |
| Total interest from all sources | 2022-12-31 | $3,156 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Administrative expenses professional fees incurred | 2022-12-31 | $78,713 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $526,224 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-12-31 | $2,050,404 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $14,803 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $19,260 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $503,990 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $503,759 |
| Other income not declared elsewhere | 2022-12-31 | $2,043 |
| Administrative expenses (other) incurred | 2022-12-31 | $78,891 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $119,981 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $115,933 |
| Total non interest bearing cash at end of year | 2022-12-31 | $1,449,010 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $1,570,894 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-172,961 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $761,306 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $934,267 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $3,156 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $466,234 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $2,081,038 |
| Employer contributions (assets) at end of year | 2022-12-31 | $178,148 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $215,850 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $103,443 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $272,158 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $269,688 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-12-31 | $15,474 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-12-31 | $17,643 |
| Did the plan have assets held for investment | 2022-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2022-12-31 | 132688836 |
| 2021 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $889,380 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $945,374 |
| Expenses. Interest paid | 2021-12-31 | $8,182 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2021-12-31 | $8,182 |
| Total income from all sources (including contributions) | 2021-12-31 | $2,521,065 |
| Total of all expenses incurred | 2021-12-31 | $2,619,048 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $2,447,176 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $2,517,318 |
| Value of total assets at end of year | 2021-12-31 | $1,823,647 |
| Value of total assets at beginning of year | 2021-12-31 | $1,977,624 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $163,690 |
| Total interest from all sources | 2021-12-31 | $1,556 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Administrative expenses professional fees incurred | 2021-12-31 | $76,800 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $540,958 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2021-12-31 | $2,050,485 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $19,260 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $13,867 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $503,759 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $512,840 |
| Other income not declared elsewhere | 2021-12-31 | $2,191 |
| Administrative expenses (other) incurred | 2021-12-31 | $86,890 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $115,933 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $133,190 |
| Total non interest bearing cash at end of year | 2021-12-31 | $1,570,894 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $1,595,568 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $-97,983 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $934,267 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $1,032,250 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $1,556 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $317,217 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $1,976,360 |
| Employer contributions (assets) at end of year | 2021-12-31 | $215,850 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $224,623 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $79,474 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $269,688 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $299,344 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-12-31 | $17,643 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-12-31 | $143,566 |
| Did the plan have assets held for investment | 2021-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2021-12-31 | 132688836 |
| 2020 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $945,374 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $1,010,992 |
| Expenses. Interest paid | 2020-12-31 | $8,595 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2020-12-31 | $8,595 |
| Total income from all sources (including contributions) | 2020-12-31 | $3,138,732 |
| Total of all expenses incurred | 2020-12-31 | $3,306,097 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $3,151,347 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $3,131,594 |
| Value of total assets at end of year | 2020-12-31 | $1,977,624 |
| Value of total assets at beginning of year | 2020-12-31 | $2,210,607 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $146,155 |
| Total interest from all sources | 2020-12-31 | $2,288 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $78,075 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $680,036 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-12-31 | $2,388,782 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $13,867 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $48,576 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $512,840 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $500,863 |
| Other income not declared elsewhere | 2020-12-31 | $4,850 |
| Administrative expenses (other) incurred | 2020-12-31 | $68,080 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $133,190 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $140,834 |
| Total non interest bearing cash at end of year | 2020-12-31 | $1,595,568 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $1,672,935 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $-167,365 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $1,032,250 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $1,199,615 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $2,288 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $656,566 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $2,451,558 |
| Employer contributions (assets) at end of year | 2020-12-31 | $224,623 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $345,536 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $105,999 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $299,344 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $369,295 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-12-31 | $143,566 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-12-31 | $143,560 |
| Did the plan have assets held for investment | 2020-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2020-12-31 | 132688836 |
| 2019 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $1,010,992 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $1,010,992 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $1,048,965 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $1,048,965 |
| Expenses. Interest paid | 2019-12-31 | $8,978 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2019-12-31 | $8,978 |
| Expenses. Interest paid | 2019-12-31 | $8,978 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2019-12-31 | $8,978 |
| Total income from all sources (including contributions) | 2019-12-31 | $3,376,213 |
| Total income from all sources (including contributions) | 2019-12-31 | $3,376,213 |
| Total of all expenses incurred | 2019-12-31 | $3,621,364 |
| Total of all expenses incurred | 2019-12-31 | $3,621,364 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $3,427,795 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $3,427,795 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $3,363,337 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $3,363,337 |
| Value of total assets at end of year | 2019-12-31 | $2,210,607 |
| Value of total assets at end of year | 2019-12-31 | $2,210,607 |
| Value of total assets at beginning of year | 2019-12-31 | $2,493,731 |
| Value of total assets at beginning of year | 2019-12-31 | $2,493,731 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $184,591 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $184,591 |
| Total interest from all sources | 2019-12-31 | $6,261 |
| Total interest from all sources | 2019-12-31 | $6,261 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Administrative expenses professional fees incurred | 2019-12-31 | $99,629 |
| Administrative expenses professional fees incurred | 2019-12-31 | $99,629 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $627,847 |
| Contributions received from participants | 2019-12-31 | $627,847 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $2,561,653 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $2,561,653 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $48,576 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $48,576 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $57,829 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $57,829 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $500,863 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $500,863 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $513,769 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $513,769 |
| Other income not declared elsewhere | 2019-12-31 | $6,615 |
| Other income not declared elsewhere | 2019-12-31 | $6,615 |
| Administrative expenses (other) incurred | 2019-12-31 | $84,962 |
| Administrative expenses (other) incurred | 2019-12-31 | $84,962 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $140,834 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $140,834 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $144,570 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $144,570 |
| Total non interest bearing cash at end of year | 2019-12-31 | $1,672,935 |
| Total non interest bearing cash at end of year | 2019-12-31 | $1,672,935 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $1,926,332 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $1,926,332 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $-245,151 |
| Value of net income/loss | 2019-12-31 | $-245,151 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $1,199,615 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $1,199,615 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $1,444,766 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $1,444,766 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $6,261 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $6,261 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $724,553 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $724,553 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $2,735,490 |
| Contributions received in cash from employer | 2019-12-31 | $2,735,490 |
| Employer contributions (assets) at end of year | 2019-12-31 | $345,536 |
| Employer contributions (assets) at end of year | 2019-12-31 | $345,536 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $362,520 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $362,520 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $141,589 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $141,589 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $369,295 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $369,295 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $390,626 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $390,626 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-12-31 | $143,560 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-12-31 | $143,560 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-12-31 | $147,050 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-12-31 | $147,050 |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm name | 2019-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2019-12-31 | 132688836 |
| Accountancy firm EIN | 2019-12-31 | 132688836 |
| 2018 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $1,048,965 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $1,144,014 |
| Expenses. Interest paid | 2018-12-31 | $12,568 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2018-12-31 | $12,568 |
| Total income from all sources (including contributions) | 2018-12-31 | $3,788,759 |
| Total of all expenses incurred | 2018-12-31 | $3,826,423 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $3,614,598 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $3,778,458 |
| Value of total assets at end of year | 2018-12-31 | $2,493,731 |
| Value of total assets at beginning of year | 2018-12-31 | $2,626,444 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $199,257 |
| Total interest from all sources | 2018-12-31 | $7,809 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $90,341 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $773,406 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-12-31 | $2,602,080 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $57,829 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $56,765 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $513,769 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $515,654 |
| Other income not declared elsewhere | 2018-12-31 | $2,492 |
| Administrative expenses (other) incurred | 2018-12-31 | $108,916 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $144,570 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $151,178 |
| Total non interest bearing cash at end of year | 2018-12-31 | $1,926,332 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $1,774,393 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-37,664 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $1,444,766 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $1,482,430 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $7,809 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $1,012,518 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $3,005,052 |
| Employer contributions (assets) at end of year | 2018-12-31 | $362,520 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $541,322 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $390,626 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $477,182 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-12-31 | $147,050 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-12-31 | $253,964 |
| Did the plan have assets held for investment | 2018-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2018-12-31 | 132688836 |
| 2017 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2017 401k financial data |
|---|
| Total transfer of assets to this plan | 2017-12-31 | $533,099 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $1,144,014 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $648,946 |
| Expenses. Interest paid | 2017-12-31 | $5,150 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2017-12-31 | $5,150 |
| Total income from all sources (including contributions) | 2017-12-31 | $3,664,214 |
| Total of all expenses incurred | 2017-12-31 | $3,809,820 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $3,614,584 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $3,658,234 |
| Value of total assets at end of year | 2017-12-31 | $2,626,444 |
| Value of total assets at beginning of year | 2017-12-31 | $1,743,883 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $190,086 |
| Total interest from all sources | 2017-12-31 | $3,826 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $74,286 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $814,095 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-12-31 | $2,908,839 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $56,765 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $24,395 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $515,654 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $504,902 |
| Other income not declared elsewhere | 2017-12-31 | $2,154 |
| Administrative expenses (other) incurred | 2017-12-31 | $115,800 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $151,178 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $25,154 |
| Total non interest bearing cash at end of year | 2017-12-31 | $1,774,393 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $761,898 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-145,606 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $1,482,430 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $1,094,937 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $3,826 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $705,745 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $2,844,139 |
| Employer contributions (assets) at end of year | 2017-12-31 | $541,322 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $708,000 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $477,182 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $118,890 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-12-31 | $253,964 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-12-31 | $249,590 |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2017-12-31 | 132688836 |
| 2016 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $-3,851 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $-3,851 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $648,946 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $931,132 |
| Total income from all sources (including contributions) | 2016-12-31 | $3,445,595 |
| Total loss/gain on sale of assets | 2016-12-31 | $9,488 |
| Total of all expenses incurred | 2016-12-31 | $3,605,885 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $3,420,236 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $3,429,466 |
| Value of total assets at end of year | 2016-12-31 | $1,743,883 |
| Value of total assets at beginning of year | 2016-12-31 | $2,186,359 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $185,649 |
| Total interest from all sources | 2016-12-31 | $8,357 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $66,300 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $861,795 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-12-31 | $2,750,447 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $24,395 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $69,726 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $504,902 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $500,300 |
| Other income not declared elsewhere | 2016-12-31 | $2,135 |
| Administrative expenses (other) incurred | 2016-12-31 | $120,489 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $25,154 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $39,417 |
| Total non interest bearing cash at end of year | 2016-12-31 | $761,898 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $784,460 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-160,290 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $1,094,937 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $1,255,227 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $-1,140 |
| Interest earned on other investments | 2016-12-31 | $194 |
| Income. Interest from US Government securities | 2016-12-31 | $3,325 |
| Income. Interest from corporate debt instruments | 2016-12-31 | $3,313 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $2,694 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $2,694 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $1,525 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $669,789 |
| Asset value of US Government securities at beginning of year | 2016-12-31 | $359,277 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $2,567,671 |
| Employer contributions (assets) at end of year | 2016-12-31 | $708,000 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $547,000 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2016-12-31 | $172,166 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $118,890 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $391,415 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-12-31 | $249,590 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-12-31 | $251,036 |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Aggregate proceeds on sale of assets | 2016-12-31 | $963,115 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $953,627 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2016-12-31 | 132688836 |
| 2015 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-15,926 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-15,926 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $931,132 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $526,928 |
| Total income from all sources (including contributions) | 2015-12-31 | $3,421,734 |
| Total loss/gain on sale of assets | 2015-12-31 | $1,291 |
| Total of all expenses incurred | 2015-12-31 | $3,666,985 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $3,474,193 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $3,416,502 |
| Value of total assets at end of year | 2015-12-31 | $2,186,359 |
| Value of total assets at beginning of year | 2015-12-31 | $2,027,406 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $192,792 |
| Total interest from all sources | 2015-12-31 | $17,715 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Administrative expenses professional fees incurred | 2015-12-31 | $66,100 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $940,329 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-12-31 | $2,716,782 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $69,726 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $22,714 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $500,300 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $500,000 |
| Other income not declared elsewhere | 2015-12-31 | $2,152 |
| Administrative expenses (other) incurred | 2015-12-31 | $119,569 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $39,417 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $26,928 |
| Total non interest bearing cash at end of year | 2015-12-31 | $784,460 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $635,324 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-245,251 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $1,255,227 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,500,478 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $7,123 |
| Interest earned on other investments | 2015-12-31 | $61 |
| Income. Interest from US Government securities | 2015-12-31 | $8,575 |
| Income. Interest from corporate debt instruments | 2015-12-31 | $7,890 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $2,694 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $9,235 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $9,235 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $1,189 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $757,411 |
| Asset value of US Government securities at end of year | 2015-12-31 | $359,277 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $345,415 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $2,476,173 |
| Employer contributions (assets) at end of year | 2015-12-31 | $547,000 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $585,000 |
| Asset. Corporate debt instrument preferred debt at end of year | 2015-12-31 | $172,166 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2015-12-31 | $177,417 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $391,415 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-12-31 | $251,036 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-12-31 | $252,301 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $728,891 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $727,600 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2015-12-31 | 132688836 |
| 2014 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $8,220 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $8,220 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $526,928 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $595,664 |
| Total income from all sources (including contributions) | 2014-12-31 | $3,922,628 |
| Total loss/gain on sale of assets | 2014-12-31 | $1,620 |
| Total of all expenses incurred | 2014-12-31 | $3,883,919 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $3,637,871 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $3,893,426 |
| Value of total assets at end of year | 2014-12-31 | $2,027,406 |
| Value of total assets at beginning of year | 2014-12-31 | $2,057,433 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $246,048 |
| Total interest from all sources | 2014-12-31 | $17,040 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $66,100 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $1,041,701 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-12-31 | $2,806,370 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $22,714 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $3,357 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $500,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $520,750 |
| Other income not declared elsewhere | 2014-12-31 | $2,322 |
| Administrative expenses (other) incurred | 2014-12-31 | $172,275 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $26,928 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $74,914 |
| Total non interest bearing cash at end of year | 2014-12-31 | $635,324 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $636,769 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $38,709 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $1,500,478 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,461,769 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $7,673 |
| Interest earned on other investments | 2014-12-31 | $276 |
| Income. Interest from US Government securities | 2014-12-31 | $8,181 |
| Income. Interest from corporate debt instruments | 2014-12-31 | $7,572 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $9,235 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $107,073 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $107,073 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $1,011 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $831,501 |
| Asset value of US Government securities at end of year | 2014-12-31 | $345,415 |
| Asset value of US Government securities at beginning of year | 2014-12-31 | $229,737 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $2,851,725 |
| Employer contributions (assets) at end of year | 2014-12-31 | $585,000 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $656,000 |
| Asset. Corporate debt instrument preferred debt at end of year | 2014-12-31 | $177,417 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2014-12-31 | $171,007 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-12-31 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-12-31 | $252,301 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-12-31 | $253,490 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Aggregate proceeds on sale of assets | 2014-12-31 | $713,396 |
| Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $711,776 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2014-12-31 | 132688836 |
| 2013 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-21,168 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-21,168 |
| Total transfer of assets to this plan | 2013-12-31 | $120,378 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $595,664 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $647,276 |
| Total income from all sources (including contributions) | 2013-12-31 | $4,278,956 |
| Total loss/gain on sale of assets | 2013-12-31 | $-11,903 |
| Total of all expenses incurred | 2013-12-31 | $3,933,776 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $3,647,516 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $4,295,007 |
| Value of total assets at end of year | 2013-12-31 | $2,057,433 |
| Value of total assets at beginning of year | 2013-12-31 | $1,643,487 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $286,260 |
| Total interest from all sources | 2013-12-31 | $16,557 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Administrative expenses professional fees incurred | 2013-12-31 | $68,600 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $1,061,125 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $2,822,500 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $3,357 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $35,592 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $520,750 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $614,703 |
| Other income not declared elsewhere | 2013-12-31 | $463 |
| Administrative expenses (other) incurred | 2013-12-31 | $209,299 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $74,914 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $32,573 |
| Total non interest bearing cash at end of year | 2013-12-31 | $636,769 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $395,522 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $345,180 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $1,461,769 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $996,211 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $8,361 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $107,073 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $25,359 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $25,359 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $16,557 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $825,016 |
| Asset value of US Government securities at end of year | 2013-12-31 | $229,737 |
| Asset value of US Government securities at beginning of year | 2013-12-31 | $281,867 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $3,233,882 |
| Employer contributions (assets) at end of year | 2013-12-31 | $656,000 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $434,400 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-12-31 | $171,007 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-12-31 | $215,876 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-12-31 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-12-31 | $253,490 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-12-31 | $254,871 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $518,312 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $530,215 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2013-12-31 | 132688836 |
| 2012 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2012 401k financial data |
|---|
| Total transfer of assets to this plan | 2012-12-31 | $615,553 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $647,276 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $858,204 |
| Total income from all sources (including contributions) | 2012-12-31 | $4,117,995 |
| Total of all expenses incurred | 2012-12-31 | $4,258,630 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $3,973,671 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $4,115,135 |
| Value of total assets at end of year | 2012-12-31 | $1,643,487 |
| Value of total assets at beginning of year | 2012-12-31 | $1,379,497 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $284,959 |
| Total interest from all sources | 2012-12-31 | $2,523 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $69,585 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $1,185,739 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-12-31 | $222,500 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $35,592 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $19,908 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $614,703 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $788,710 |
| Other income not declared elsewhere | 2012-12-31 | $337 |
| Administrative expenses (other) incurred | 2012-12-31 | $215,374 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $32,573 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $69,494 |
| Total non interest bearing cash at end of year | 2012-12-31 | $395,522 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $440,446 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $-140,635 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $996,211 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $521,293 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $25,359 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $2,523 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $3,746,539 |
| Asset value of US Government securities at end of year | 2012-12-31 | $281,867 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $2,929,396 |
| Employer contributions (assets) at end of year | 2012-12-31 | $434,400 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $664,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $4,632 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-12-31 | $215,876 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-12-31 | $254,871 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-12-31 | $255,143 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2012-12-31 | 132688836 |
| 2011 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2011 401k financial data |
|---|
| Total transfer of assets to this plan | 2011-12-31 | $323,632 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $858,204 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $624,346 |
| Total income from all sources (including contributions) | 2011-12-31 | $4,794,179 |
| Total of all expenses incurred | 2011-12-31 | $5,083,422 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $4,771,135 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $4,789,244 |
| Value of total assets at end of year | 2011-12-31 | $1,379,497 |
| Value of total assets at beginning of year | 2011-12-31 | $1,111,250 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $312,287 |
| Total interest from all sources | 2011-12-31 | $2,474 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $66,100 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $1,264,879 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $19,908 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $788,710 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $610,321 |
| Other income not declared elsewhere | 2011-12-31 | $2,461 |
| Administrative expenses (other) incurred | 2011-12-31 | $246,187 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $69,494 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $14,025 |
| Total non interest bearing cash at end of year | 2011-12-31 | $440,446 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $179,622 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-289,243 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $521,293 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $486,904 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $2,474 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $4,750,604 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $3,524,365 |
| Employer contributions (assets) at end of year | 2011-12-31 | $664,000 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $601,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $20,531 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-12-31 | $255,143 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-12-31 | $330,628 |
| Did the plan have assets held for investment | 2011-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | ROGOFF & COMPANY PC |
| Accountancy firm EIN | 2011-12-31 | 132688836 |
| 2010 : SICKNESS & ACCIDENT FUND OF LOCAL ONE, ALA FOR LITHOGRAPHIC EMPLOYEE 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $624,346 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $632,419 |
| Total income from all sources (including contributions) | 2010-12-31 | $5,039,423 |
| Total of all expenses incurred | 2010-12-31 | $5,292,199 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $4,949,888 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $5,033,542 |
| Value of total assets at end of year | 2010-12-31 | $1,111,250 |
| Value of total assets at beginning of year | 2010-12-31 | $1,372,099 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $342,311 |
| Total interest from all sources | 2010-12-31 | $2,686 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $68,060 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $1,436,611 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $610,321 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $603,968 |
| Other income not declared elsewhere | 2010-12-31 | $3,195 |
| Administrative expenses (other) incurred | 2010-12-31 | $274,251 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $14,025 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $25,675 |
| Total non interest bearing cash at end of year | 2010-12-31 | $179,622 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $527,415 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-252,776 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $486,904 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $739,680 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $2,686 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $4,875,951 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $3,596,931 |
| Employer contributions (assets) at end of year | 2010-12-31 | $601,000 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $567,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $73,937 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $2,776 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2010-12-31 | $330,628 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2010-12-31 | $277,684 |
| Did the plan have assets held for investment | 2010-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | JOSEPH WARREN & CO. |
| Accountancy firm EIN | 2010-12-31 | 131935859 |
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 3 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 4 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $23,271 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | E00066721176 |
| Policy instance | 8 |
| Insurance contract or identification number | E00066721176 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $79,383 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1123089 |
| Policy instance | 1 |
| Insurance contract or identification number | 1123089 | | Number of Individuals Covered | 28 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $322,435 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,597 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 95479 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,754 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,638 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $936 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS (CT), INC. (National Association of Insurance Commissioners NAIC id number: 96798 ) |
| Policy contract number | H0755 |
| Policy instance | 7 |
| Insurance contract or identification number | H0755 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,559 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,014 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1123089 |
| Policy instance | 1 |
| Insurance contract or identification number | 1123089 | | Number of Individuals Covered | 28 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $161,833 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,827 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 3 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 4 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $23,038 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 95479 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,715 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,048 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS (CT), INC. (National Association of Insurance Commissioners NAIC id number: 96798 ) |
| Policy contract number | H0755 |
| Policy instance | 7 |
| Insurance contract or identification number | H0755 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,065 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | E00066721176 |
| Policy instance | 8 |
| Insurance contract or identification number | E00066721176 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $90,571 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 3 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 20 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $119,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS (CT), INC. (National Association of Insurance Commissioners NAIC id number: 96798 ) |
| Policy contract number | H0755 |
| Policy instance | 7 |
| Insurance contract or identification number | H0755 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,547 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1123089 |
| Policy instance | 1 |
| Insurance contract or identification number | 1123089 | | Number of Individuals Covered | 51 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $446,791 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 95479 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,006 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,229 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $858 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE00322A |
| Policy instance | 8 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 5 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $29,400 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 84 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,381 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,016 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,638 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 95479 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,907 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 3 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 26 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $155,520 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,819 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1123089 |
| Policy instance | 1 |
| Insurance contract or identification number | 1123089 | | Number of Individuals Covered | 51 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $486,055 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS (CT), INC. (National Association of Insurance Commissioners NAIC id number: 96798 ) |
| Policy contract number | H0755 |
| Policy instance | 7 |
| Insurance contract or identification number | H0755 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE00322A |
| Policy instance | 8 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 5 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $26,745 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 1123089 |
| Policy instance | 1 |
| Insurance contract or identification number | 1123089 | | Number of Individuals Covered | 59 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $521,979 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS (CT), INC. (National Association of Insurance Commissioners NAIC id number: 96798 ) |
| Policy contract number | H0755 |
| Policy instance | 7 |
| Insurance contract or identification number | H0755 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,842 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,259 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,638 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 95479 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 3 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 41 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $239,485 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,265 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS (CT), INC. (National Association of Insurance Commissioners NAIC id number: 96798 ) |
| Policy contract number | H0755 |
| Policy instance | 7 |
| Insurance contract or identification number | H0755 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,636 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,491 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,716 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 95479 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,153 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 3 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 56 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $7,572 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $260,635 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,572 | | Insurance broker organization code? | 3 | | Insurance broker name | SEGAL COMPANY (NY) |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,627 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR000 | | Number of Individuals Covered | 51 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $258,483 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | H3107 |
| Policy instance | 7 |
| Insurance contract or identification number | H3107 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,888 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,686 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 5 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | H3307 |
| Policy instance | 4 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,082 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 3 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 56 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $11,341 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $252,878 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,341 | | Insurance broker organization code? | 3 | | Insurance broker name | SEGAL COMPANY (NY) |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 2 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,842 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR000 | | Number of Individuals Covered | 108 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $381,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | H3107 |
| Policy instance | 8 |
| Insurance contract or identification number | H3107 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,009 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 4 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 68 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $11,041 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $294,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,041 | | Insurance broker organization code? | 3 | | Insurance broker name | SEGAL COMPANY (NY) |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 3 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,762 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 2 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 8 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $39,048 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR000 | | Number of Individuals Covered | 122 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $412,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 7 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,718 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | H3307 |
| Policy instance | 5 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,467 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | SEGAL COMPANY (NY) |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 6 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,672 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | H3307 |
| Policy instance | 5 |
| Insurance contract or identification number | H3307 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,664 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 7 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,265 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 4 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 72 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $11,881 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $263,864 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,881 | | Insurance broker name | SEGAL COMPANY (NY) |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | H3107 |
| Policy instance | 8 |
| Insurance contract or identification number | H3107 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,247 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 2 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 8 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $33,590 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR000 | | Number of Individuals Covered | 267 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $410,685 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 3 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,221 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 2 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 8 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $37,499 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 445F1G788 |
| Policy instance | 3 |
| Insurance contract or identification number | 445F1G788 | | Number of Individuals Covered | 135 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,088,099 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | UNITED LABOR BENEFITS INC |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 4 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 154 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,201 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 5 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 93 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $323,632 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | SEGAL COMPANY (NY) |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2160 |
| Policy instance | 7 |
| Insurance contract or identification number | GJ2160 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,614 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| INTERNATIONAL HEALTHCARE SERVICES (National Association of Insurance Commissioners NAIC id number: 11173 ) |
| Policy contract number | GJ2159 |
| Policy instance | 8 |
| Insurance contract or identification number | GJ2159 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,870 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS NJ, INC. (National Association of Insurance Commissioners NAIC id number: 95506 ) |
| Policy contract number | L01170 |
| Policy instance | 6 |
| Insurance contract or identification number | L01170 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $47,909 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR000 | | Number of Individuals Covered | 289 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,325,333 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Insurance broker organization code? | 3 | | Insurance broker name | UNITED LABOR BENEFITS INC |
|
| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR000 | | Number of Individuals Covered | 348 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $63,774 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,474,485 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 2 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 9 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $36,490 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 445F1G788 |
| Policy instance | 4 |
| Insurance contract or identification number | 445F1G788 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $158,179 | | Total amount of fees paid to insurance company | USD $52,698 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,863,079 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | US00322A |
| Policy instance | 6 |
| Insurance contract or identification number | US00322A | | Number of Individuals Covered | 88 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $11,285 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $289,586 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 ) |
| Policy contract number | GG-281 |
| Policy instance | 5 |
| Insurance contract or identification number | GG-281 | | Number of Individuals Covered | 164 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $37,160 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OXFORD HEALTH PLANS NJ, INC. (National Association of Insurance Commissioners NAIC id number: 95506 ) |
| Policy contract number | LO1170 |
| Policy instance | 3 |
| Insurance contract or identification number | LO1170 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,632 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 ) |
| Policy contract number | 445F1G788 |
| Policy instance | 5 |
| Insurance contract or identification number | 445F1G788 | | Number of Individuals Covered | 200 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $174,800 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,913,338 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $174,800 | | Insurance broker organization code? | 3 | | Insurance broker name | UNITED LABOR BENEFITS INC |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | AE00322A |
| Policy instance | 6 |
| Insurance contract or identification number | AE00322A | | Number of Individuals Covered | 207 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $20,873 | | Welfare Benefit Premiums Paid to Carrier | USD $371,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,873 | | Insurance broker organization code? | 4 | | Insurance broker name | SEGAL COMPANY |
|
| AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95234 ) |
| Policy contract number | 00322A-0003 |
| Policy instance | 3 |
| Insurance contract or identification number | 00322A-0003 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $42,659 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTHPLEX INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11172 ) |
| Policy contract number | K1AK00211Y |
| Policy instance | 2 |
| Insurance contract or identification number | K1AK00211Y | | Number of Individuals Covered | 587 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $5,011 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $51,282 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,011 | | Insurance broker name | JOHN ZANOTTI |
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| HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 ) |
| Policy contract number | 10027KR-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 10027KR-000 | | Number of Individuals Covered | 367 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $1,466,678 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| OXFORD HEALTH PLANS NJ, INC. (National Association of Insurance Commissioners NAIC id number: 95506 ) |
| Policy contract number | LO1170 |
| Policy instance | 4 |
| Insurance contract or identification number | LO1170 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,717 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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