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LOCAL 812 HEALTH FUND 401k Plan overview

Plan NameLOCAL 812 HEALTH FUND
Plan identification number 502

LOCAL 812 HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

BOARD OF TRUSTEES LOCAL 812 HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES LOCAL 812 HEALTH FUND
Employer identification number (EIN):136162404
NAIC Classification:312110
NAIC Description: Soft Drink and Ice Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 812 HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01JOSEPH G. VITTA2022-10-11
5022020-01-01JOSEPH G. VITTA2021-10-14
5022019-01-01JOSEPH G. VITTA2020-10-14
5022018-01-01JOSEPH G. VITA2019-10-11
5022017-01-01EDWARD WEBER
5022016-01-01EDWARD WEBER
5022015-01-01EDWARD WEBER EDWARD WEBER2016-10-14
5022014-01-01EDWARD WEBER EDWARD WEBER2015-10-15
5022013-01-01EDWARD WEBER EDWARD WEBER2014-10-15
5022012-01-01EDWARD WEBER EDWARD WEBER2013-10-11
5022011-01-01EDWARD WEBER EDWARD WEBER2012-10-12
5022009-01-01THOMAS ROSANO

Plan Statistics for LOCAL 812 HEALTH FUND

401k plan membership statisitcs for LOCAL 812 HEALTH FUND

Measure Date Value
2022: LOCAL 812 HEALTH FUND 2022 401k membership
Total participants, beginning-of-year2022-01-013,624
Total number of active participants reported on line 7a of the Form 55002022-01-012,558
Number of retired or separated participants receiving benefits2022-01-011,049
Total of all active and inactive participants2022-01-013,607
Number of employers contributing to the scheme2022-01-0160
2021: LOCAL 812 HEALTH FUND 2021 401k membership
Total participants, beginning-of-year2021-01-013,848
Total number of active participants reported on line 7a of the Form 55002021-01-012,452
Number of retired or separated participants receiving benefits2021-01-011,172
Total of all active and inactive participants2021-01-013,624
Number of employers contributing to the scheme2021-01-0172
2020: LOCAL 812 HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-01-014,012
Total number of active participants reported on line 7a of the Form 55002020-01-012,780
Number of retired or separated participants receiving benefits2020-01-011,068
Total of all active and inactive participants2020-01-013,848
Number of employers contributing to the scheme2020-01-0195
2019: LOCAL 812 HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-014,237
Total number of active participants reported on line 7a of the Form 55002019-01-013,009
Number of retired or separated participants receiving benefits2019-01-011,003
Total of all active and inactive participants2019-01-014,012
Number of employers contributing to the scheme2019-01-0194
2018: LOCAL 812 HEALTH FUND 2018 401k membership
Total participants, beginning-of-year2018-01-013,834
Total number of active participants reported on line 7a of the Form 55002018-01-013,264
Number of retired or separated participants receiving benefits2018-01-01973
Total of all active and inactive participants2018-01-014,237
Number of employers contributing to the scheme2018-01-0196
2017: LOCAL 812 HEALTH FUND 2017 401k membership
Total participants, beginning-of-year2017-01-013,840
Total number of active participants reported on line 7a of the Form 55002017-01-013,034
Number of retired or separated participants receiving benefits2017-01-01800
Total of all active and inactive participants2017-01-013,834
Number of employers contributing to the scheme2017-01-01110
2016: LOCAL 812 HEALTH FUND 2016 401k membership
Total participants, beginning-of-year2016-01-014,273
Total number of active participants reported on line 7a of the Form 55002016-01-013,034
Number of retired or separated participants receiving benefits2016-01-01806
Total of all active and inactive participants2016-01-013,840
Number of employers contributing to the scheme2016-01-01110
2015: LOCAL 812 HEALTH FUND 2015 401k membership
Total participants, beginning-of-year2015-01-014,539
Total number of active participants reported on line 7a of the Form 55002015-01-013,682
Number of retired or separated participants receiving benefits2015-01-01591
Total of all active and inactive participants2015-01-014,273
Number of employers contributing to the scheme2015-01-01116
2014: LOCAL 812 HEALTH FUND 2014 401k membership
Total participants, beginning-of-year2014-01-014,248
Total number of active participants reported on line 7a of the Form 55002014-01-013,696
Number of retired or separated participants receiving benefits2014-01-01843
Total of all active and inactive participants2014-01-014,539
Number of employers contributing to the scheme2014-01-01114
2013: LOCAL 812 HEALTH FUND 2013 401k membership
Total participants, beginning-of-year2013-01-014,280
Total number of active participants reported on line 7a of the Form 55002013-01-013,406
Number of retired or separated participants receiving benefits2013-01-01842
Total of all active and inactive participants2013-01-014,248
Number of employers contributing to the scheme2013-01-01106
2012: LOCAL 812 HEALTH FUND 2012 401k membership
Total participants, beginning-of-year2012-01-014,315
Total number of active participants reported on line 7a of the Form 55002012-01-013,458
Number of retired or separated participants receiving benefits2012-01-01822
Total of all active and inactive participants2012-01-014,280
Number of employers contributing to the scheme2012-01-01118
2011: LOCAL 812 HEALTH FUND 2011 401k membership
Total participants, beginning-of-year2011-01-014,261
Total number of active participants reported on line 7a of the Form 55002011-01-013,501
Number of retired or separated participants receiving benefits2011-01-01814
Total of all active and inactive participants2011-01-014,315
Number of employers contributing to the scheme2011-01-01105
2009: LOCAL 812 HEALTH FUND 2009 401k membership
Total participants, beginning-of-year2009-01-014,368
Total number of active participants reported on line 7a of the Form 55002009-01-013,831
Number of retired or separated participants receiving benefits2009-01-01559
Total of all active and inactive participants2009-01-014,390
Number of employers contributing to the scheme2009-01-01126

Financial Data on LOCAL 812 HEALTH FUND

Measure Date Value
2022 : LOCAL 812 HEALTH FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,454,266
Total unrealized appreciation/depreciation of assets2022-12-31$-1,454,266
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$32,406,393
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$25,058,002
Total income from all sources (including contributions)2022-12-31$45,988,056
Total loss/gain on sale of assets2022-12-31$1,408,485
Total of all expenses incurred2022-12-31$58,069,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$57,060,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$44,535,990
Value of total assets at end of year2022-12-31$16,022,386
Value of total assets at beginning of year2022-12-31$20,755,527
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,008,792
Total interest from all sources2022-12-31$735
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$290,111
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$288,705
Administrative expenses professional fees incurred2022-12-31$387,419
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$266,852
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$52,631,448
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$3,202,186
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,237,018
Other income not declared elsewhere2022-12-31$3,376,276
Administrative expenses (other) incurred2022-12-31$592,956
Liabilities. Value of operating payables at end of year2022-12-31$58,193
Liabilities. Value of operating payables at beginning of year2022-12-31$53,802
Total non interest bearing cash at end of year2022-12-31$1,954,908
Total non interest bearing cash at beginning of year2022-12-31$763,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-12,081,532
Value of net assets at end of year (total assets less liabilities)2022-12-31$-16,384,007
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$-4,302,475
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$28,417
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,762,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$15,149,566
Income. Interest from US Government securities2022-12-31$2
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$628,411
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,355,807
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,355,807
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$733
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$4,429,348
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,169,275
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$44,269,138
Employer contributions (assets) at end of year2022-12-31$428,289
Employer contributions (assets) at beginning of year2022-12-31$178,039
Income. Dividends from common stock2022-12-31$1,406
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$2,012,495
Liabilities. Value of benefit claims payable at end of year2022-12-31$32,348,200
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$25,004,200
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$46,161
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$59,350
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$8,595,293
Aggregate carrying amount (costs) on sale of assets2022-12-31$7,186,808
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2022-12-31611436956
2021 : LOCAL 812 HEALTH FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$202,310
Total unrealized appreciation/depreciation of assets2021-12-31$202,310
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$25,058,002
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$18,789,529
Total income from all sources (including contributions)2021-12-31$46,650,440
Total loss/gain on sale of assets2021-12-31$4,664
Total of all expenses incurred2021-12-31$60,015,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$58,856,952
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$42,465,927
Value of total assets at end of year2021-12-31$20,755,527
Value of total assets at beginning of year2021-12-31$27,851,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,158,221
Total interest from all sources2021-12-31$5,145
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$621,155
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$603,943
Administrative expenses professional fees incurred2021-12-31$472,343
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$278,348
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$54,662,456
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,237,018
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,404,007
Other income not declared elsewhere2021-12-31$1,186,796
Administrative expenses (other) incurred2021-12-31$648,769
Liabilities. Value of operating payables at end of year2021-12-31$53,802
Liabilities. Value of operating payables at beginning of year2021-12-31$67,029
Total non interest bearing cash at end of year2021-12-31$763,252
Total non interest bearing cash at beginning of year2021-12-31$159,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-13,364,733
Value of net assets at end of year (total assets less liabilities)2021-12-31$-4,302,475
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,062,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$37,109
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$15,149,566
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$22,743,425
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,355,807
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,801,434
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,801,434
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$5,145
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$4,194,496
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,164,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$42,187,579
Employer contributions (assets) at end of year2021-12-31$178,039
Employer contributions (assets) at beginning of year2021-12-31$267,160
Income. Dividends from common stock2021-12-31$17,212
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$2,012,495
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$1,475,824
Liabilities. Value of benefit claims payable at end of year2021-12-31$25,004,200
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$18,722,500
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$59,350
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$10,519,883
Aggregate carrying amount (costs) on sale of assets2021-12-31$10,515,219
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-12-31611436956
2020 : LOCAL 812 HEALTH FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$376,734
Total unrealized appreciation/depreciation of assets2020-12-31$376,734
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$18,789,529
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$12,757,546
Total income from all sources (including contributions)2020-12-31$49,465,295
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$58,529,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$57,445,622
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$44,098,058
Value of total assets at end of year2020-12-31$27,851,787
Value of total assets at beginning of year2020-12-31$30,883,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,083,831
Total interest from all sources2020-12-31$14,239
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$871,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$857,418
Administrative expenses professional fees incurred2020-12-31$497,904
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$216,717
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$53,297,235
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,404,007
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$600,903
Other income not declared elsewhere2020-12-31$3,897,490
Administrative expenses (other) incurred2020-12-31$538,613
Liabilities. Value of operating payables at end of year2020-12-31$67,029
Liabilities. Value of operating payables at beginning of year2020-12-31$54,046
Total non interest bearing cash at end of year2020-12-31$159,937
Total non interest bearing cash at beginning of year2020-12-31$947,552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-9,064,158
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,062,258
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,126,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$47,314
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$22,743,425
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$26,659,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,801,434
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,307,559
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,307,559
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$14,239
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,148,387
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$206,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$43,881,341
Employer contributions (assets) at end of year2020-12-31$267,160
Employer contributions (assets) at beginning of year2020-12-31$284,447
Income. Dividends from common stock2020-12-31$14,475
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$1,475,824
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$1,083,970
Liabilities. Value of benefit claims payable at end of year2020-12-31$18,722,500
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$12,703,500
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$4,500,000
Aggregate carrying amount (costs) on sale of assets2020-12-31$4,500,000
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-12-31611436956
2019 : LOCAL 812 HEALTH FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$290,908
Total unrealized appreciation/depreciation of assets2019-12-31$290,908
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$12,757,546
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$13,274,518
Total income from all sources (including contributions)2019-12-31$52,305,656
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$57,426,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$56,234,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$44,909,570
Value of total assets at end of year2019-12-31$30,883,962
Value of total assets at beginning of year2019-12-31$36,521,797
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,192,129
Total interest from all sources2019-12-31$14,010
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,011,964
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$994,788
Administrative expenses professional fees incurred2019-12-31$637,057
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$187,351
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$52,729,263
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$600,903
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,383,527
Other income not declared elsewhere2019-12-31$2,337,131
Administrative expenses (other) incurred2019-12-31$490,149
Liabilities. Value of operating payables at end of year2019-12-31$54,046
Liabilities. Value of operating payables at beginning of year2019-12-31$75,718
Total non interest bearing cash at end of year2019-12-31$947,552
Total non interest bearing cash at beginning of year2019-12-31$2,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-5,120,863
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,126,416
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$23,247,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$64,923
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$26,659,531
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$27,709,824
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,307,559
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$6,265,481
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$6,265,481
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$14,010
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$3,505,127
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,742,073
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$44,722,219
Employer contributions (assets) at end of year2019-12-31$284,447
Employer contributions (assets) at beginning of year2019-12-31$383,893
Income. Dividends from common stock2019-12-31$17,176
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$1,083,970
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$776,669
Liabilities. Value of benefit claims payable at end of year2019-12-31$12,703,500
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$13,198,800
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$143
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$10,500,000
Aggregate carrying amount (costs) on sale of assets2019-12-31$10,500,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2019-12-31611436956
2018 : LOCAL 812 HEALTH FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-76,896
Total unrealized appreciation/depreciation of assets2018-12-31$-76,896
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$13,274,518
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$10,709,749
Total income from all sources (including contributions)2018-12-31$46,898,050
Total of all expenses incurred2018-12-31$57,680,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$56,615,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$45,062,894
Value of total assets at end of year2018-12-31$36,521,797
Value of total assets at beginning of year2018-12-31$44,739,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,065,223
Total interest from all sources2018-12-31$10,003
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,299,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,284,553
Administrative expenses professional fees incurred2018-12-31$498,551
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$206,542
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$53,631,287
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,383,527
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,334,910
Other income not declared elsewhere2018-12-31$2,928,515
Administrative expenses (other) incurred2018-12-31$485,182
Liabilities. Value of operating payables at end of year2018-12-31$75,718
Liabilities. Value of operating payables at beginning of year2018-12-31$114,349
Total non interest bearing cash at end of year2018-12-31$2,260
Total non interest bearing cash at beginning of year2018-12-31$2,350
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-10,782,805
Value of net assets at end of year (total assets less liabilities)2018-12-31$23,247,279
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$34,030,084
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$81,490
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$27,709,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$40,491,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$6,265,481
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,772,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,772,520
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$10,003
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,984,345
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,326,034
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$44,856,352
Employer contributions (assets) at end of year2018-12-31$383,893
Employer contributions (assets) at beginning of year2018-12-31$298,899
Income. Dividends from common stock2018-12-31$15,015
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$776,669
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$839,561
Liabilities. Value of benefit claims payable at end of year2018-12-31$13,198,800
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$10,595,400
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$143
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$430
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2018-12-31611436956
2017 : LOCAL 812 HEALTH FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$191,001
Total unrealized appreciation/depreciation of assets2017-12-31$191,001
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,709,749
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$9,501,684
Total income from all sources (including contributions)2017-12-31$53,486,995
Total of all expenses incurred2017-12-31$51,750,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$50,410,669
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$45,608,047
Value of total assets at end of year2017-12-31$44,739,833
Value of total assets at beginning of year2017-12-31$41,794,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,339,483
Total interest from all sources2017-12-31$6,545
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,087,506
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,074,981
Administrative expenses professional fees incurred2017-12-31$471,063
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$166,849
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$47,021,023
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,334,910
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,645,889
Other income not declared elsewhere2017-12-31$1,376,223
Administrative expenses (other) incurred2017-12-31$783,554
Liabilities. Value of operating payables at end of year2017-12-31$114,349
Liabilities. Value of operating payables at beginning of year2017-12-31$65,984
Total non interest bearing cash at end of year2017-12-31$2,350
Total non interest bearing cash at beginning of year2017-12-31$269,845
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,736,843
Value of net assets at end of year (total assets less liabilities)2017-12-31$34,030,084
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$32,293,241
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$84,866
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$40,491,163
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$37,199,169
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,772,520
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,777,366
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,777,366
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$6,545
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$3,389,646
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$5,217,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$45,441,198
Employer contributions (assets) at end of year2017-12-31$298,899
Employer contributions (assets) at beginning of year2017-12-31$261,247
Income. Dividends from common stock2017-12-31$12,525
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$839,561
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$636,054
Liabilities. Value of benefit claims payable at end of year2017-12-31$10,595,400
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$9,435,700
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$430
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$5,355
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2017-12-31611436956
2016 : LOCAL 812 HEALTH FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-5,159
Total unrealized appreciation/depreciation of assets2016-12-31$-5,159
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$9,501,684
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$10,649,927
Total income from all sources (including contributions)2016-12-31$51,024,749
Total of all expenses incurred2016-12-31$48,208,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$46,685,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$46,994,036
Value of total assets at end of year2016-12-31$41,794,925
Value of total assets at beginning of year2016-12-31$40,126,875
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,523,134
Total interest from all sources2016-12-31$7,600
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,060,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,060,583
Administrative expenses professional fees incurred2016-12-31$732,661
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$284,976
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$43,562,916
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,645,889
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,948,446
Other income not declared elsewhere2016-12-31$1,154,127
Administrative expenses (other) incurred2016-12-31$709,350
Liabilities. Value of operating payables at end of year2016-12-31$65,984
Liabilities. Value of operating payables at beginning of year2016-12-31$63,338
Total non interest bearing cash at end of year2016-12-31$269,845
Total non interest bearing cash at beginning of year2016-12-31$38,893
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,816,293
Value of net assets at end of year (total assets less liabilities)2016-12-31$32,293,241
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$29,476,948
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$81,123
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$37,199,169
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$34,317,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,777,366
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,887,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,887,730
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$7,600
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$3,122,406
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,813,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$46,709,060
Employer contributions (assets) at end of year2016-12-31$261,247
Employer contributions (assets) at beginning of year2016-12-31$287,732
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$636,054
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$631,064
Liabilities. Value of benefit claims payable at end of year2016-12-31$9,435,700
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$10,586,589
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$5,355
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$15,708
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2016-12-31611436956
2015 : LOCAL 812 HEALTH FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-148,547
Total unrealized appreciation/depreciation of assets2015-12-31$-148,547
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$10,649,927
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$9,744,572
Total income from all sources (including contributions)2015-12-31$46,657,098
Total loss/gain on sale of assets2015-12-31$134,469
Total of all expenses incurred2015-12-31$50,008,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$47,354,135
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$45,614,145
Value of total assets at end of year2015-12-31$40,126,875
Value of total assets at beginning of year2015-12-31$42,572,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,654,437
Total interest from all sources2015-12-31$6,057
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,027,053
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,027,053
Administrative expenses professional fees incurred2015-12-31$352,994
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$506,243
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$44,149,378
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,948,446
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3,622,328
Other income not declared elsewhere2015-12-31$1,801,893
Administrative expenses (other) incurred2015-12-31$447,733
Liabilities. Value of operating payables at end of year2015-12-31$63,338
Liabilities. Value of operating payables at beginning of year2015-12-31$114,527
Total non interest bearing cash at end of year2015-12-31$38,893
Total non interest bearing cash at beginning of year2015-12-31$1,142,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-3,351,474
Value of net assets at end of year (total assets less liabilities)2015-12-31$29,476,948
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$32,828,422
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$77,600
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$34,317,302
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$34,094,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,887,730
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,010,831
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,010,831
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$6,057
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,204,757
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,777,972
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$45,107,902
Employer contributions (assets) at end of year2015-12-31$287,732
Employer contributions (assets) at beginning of year2015-12-31$310,557
Contract administrator fees2015-12-31$1,776,110
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$631,064
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$365,686
Liabilities. Value of benefit claims payable at end of year2015-12-31$10,586,589
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$9,630,045
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$15,708
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$26,920
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$1,030,544
Aggregate carrying amount (costs) on sale of assets2015-12-31$896,075
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31SAX LLP
Accountancy firm EIN2015-12-31812950760
2014 : LOCAL 812 HEALTH FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-6,528
Total unrealized appreciation/depreciation of assets2014-12-31$-6,528
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$9,744,572
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$6,971,662
Total income from all sources (including contributions)2014-12-31$50,352,725
Total loss/gain on sale of assets2014-12-31$23,248
Total of all expenses incurred2014-12-31$47,775,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$45,165,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$44,911,282
Value of total assets at end of year2014-12-31$42,572,994
Value of total assets at beginning of year2014-12-31$37,223,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,610,479
Total interest from all sources2014-12-31$5,794
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,032,478
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,032,478
Administrative expenses professional fees incurred2014-12-31$352,186
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$146,938
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$42,215,891
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3,622,328
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,085,791
Other income not declared elsewhere2014-12-31$3,085,574
Administrative expenses (other) incurred2014-12-31$396,442
Liabilities. Value of operating payables at end of year2014-12-31$114,527
Liabilities. Value of operating payables at beginning of year2014-12-31$109,039
Total non interest bearing cash at end of year2014-12-31$1,142,134
Total non interest bearing cash at beginning of year2014-12-31$1,960,655
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,576,740
Value of net assets at end of year (total assets less liabilities)2014-12-31$32,828,422
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$30,251,682
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$64,619
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$34,094,538
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$27,777,045
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,010,831
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$5,896,497
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$5,896,497
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$5,794
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,949,615
Asset value of US Government securities at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,300,877
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$44,764,344
Employer contributions (assets) at end of year2014-12-31$310,557
Employer contributions (assets) at beginning of year2014-12-31$154,298
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$0
Contract administrator fees2014-12-31$1,797,232
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$365,686
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$311,644
Liabilities. Value of benefit claims payable at end of year2014-12-31$9,630,045
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$6,862,623
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$26,920
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$37,414
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$5,010,388
Aggregate carrying amount (costs) on sale of assets2014-12-31$4,987,140
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SAXBST LLP
Accountancy firm EIN2014-12-31464001827
2013 : LOCAL 812 HEALTH FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-492,168
Total unrealized appreciation/depreciation of assets2013-12-31$-492,168
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$6,971,662
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$7,066,410
Total income from all sources (including contributions)2013-12-31$46,089,956
Total loss/gain on sale of assets2013-12-31$-9,498
Total of all expenses incurred2013-12-31$37,300,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$34,556,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$41,441,710
Value of total assets at end of year2013-12-31$37,223,344
Value of total assets at beginning of year2013-12-31$28,528,582
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,744,251
Total interest from all sources2013-12-31$26,551
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$843,933
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$819,645
Administrative expenses professional fees incurred2013-12-31$415,651
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$129,240
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$33,549,127
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,085,791
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$1,158,624
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$508,912
Administrative expenses (other) incurred2013-12-31$357,881
Liabilities. Value of operating payables at end of year2013-12-31$109,039
Liabilities. Value of operating payables at beginning of year2013-12-31$121,799
Total non interest bearing cash at end of year2013-12-31$1,960,655
Total non interest bearing cash at beginning of year2013-12-31$1,260,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$8,789,510
Value of net assets at end of year (total assets less liabilities)2013-12-31$30,251,682
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$21,462,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$66,145
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$27,777,045
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$17,998,554
Income. Interest from US Government securities2013-12-31$16,574
Income. Interest from corporate debt instruments2013-12-31$858
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$5,896,497
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,773,954
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,773,954
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$9,119
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,007,068
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$2,644,130
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,770,516
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$41,312,470
Employer contributions (assets) at end of year2013-12-31$154,298
Employer contributions (assets) at beginning of year2013-12-31$195,762
Income. Dividends from common stock2013-12-31$24,288
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$39,985
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$55,026
Contract administrator fees2013-12-31$1,904,574
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$311,644
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$3,352,388
Liabilities. Value of benefit claims payable at end of year2013-12-31$6,862,623
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$6,944,611
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$37,414
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$49,732
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$2,715,189
Aggregate carrying amount (costs) on sale of assets2013-12-31$2,724,687
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SAXBST LLP
Accountancy firm EIN2013-12-31464001827
2012 : LOCAL 812 HEALTH FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$359,072
Total unrealized appreciation/depreciation of assets2012-12-31$359,072
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,066,410
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,878,608
Total income from all sources (including contributions)2012-12-31$43,307,530
Total loss/gain on sale of assets2012-12-31$-67,782
Total of all expenses incurred2012-12-31$36,287,237
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$33,452,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$40,505,987
Value of total assets at end of year2012-12-31$28,528,582
Value of total assets at beginning of year2012-12-31$22,320,487
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,835,058
Total interest from all sources2012-12-31$94,302
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$548,726
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$494,574
Administrative expenses professional fees incurred2012-12-31$506,631
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$156,710
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$32,551,018
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$1,158,624
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,047,430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$4,126
Other income not declared elsewhere2012-12-31$639,447
Administrative expenses (other) incurred2012-12-31$317,929
Liabilities. Value of operating payables at end of year2012-12-31$121,799
Liabilities. Value of operating payables at beginning of year2012-12-31$208,589
Total non interest bearing cash at end of year2012-12-31$1,260,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$7,020,293
Value of net assets at end of year (total assets less liabilities)2012-12-31$21,462,172
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$14,441,879
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$69,353
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$17,998,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$13,626,253
Income. Interest from US Government securities2012-12-31$78,920
Income. Interest from corporate debt instruments2012-12-31$3,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,773,954
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,720,497
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,720,497
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$11,386
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$901,161
Asset value of US Government securities at end of year2012-12-31$2,644,130
Asset value of US Government securities at beginning of year2012-12-31$3,095,363
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,227,778
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$40,349,277
Employer contributions (assets) at end of year2012-12-31$195,762
Employer contributions (assets) at beginning of year2012-12-31$161,267
Income. Dividends from common stock2012-12-31$54,152
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$39,985
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$40,424
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$55,026
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$27,222
Contract administrator fees2012-12-31$1,941,145
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$3,352,388
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$2,543,390
Liabilities. Value of benefit claims payable at end of year2012-12-31$6,944,611
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$7,665,893
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$49,732
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$58,641
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$4,356,777
Aggregate carrying amount (costs) on sale of assets2012-12-31$4,424,559
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BOLLAM SHEEDY TORANI & CO LLP
Accountancy firm EIN2012-12-31141442607
2011 : LOCAL 812 HEALTH FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$140,092
Total unrealized appreciation/depreciation of assets2011-12-31$140,092
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,878,608
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,953,897
Total income from all sources (including contributions)2011-12-31$40,364,683
Total loss/gain on sale of assets2011-12-31$-56,676
Total of all expenses incurred2011-12-31$38,036,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$35,387,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$39,247,127
Value of total assets at end of year2011-12-31$22,320,487
Value of total assets at beginning of year2011-12-31$20,067,656
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,649,223
Total interest from all sources2011-12-31$88,697
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$447,169
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$400,575
Administrative expenses professional fees incurred2011-12-31$311,772
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$147,328
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$34,483,263
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,047,430
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$927,178
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$4,126
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$94,762
Other income not declared elsewhere2011-12-31$594,876
Administrative expenses (other) incurred2011-12-31$333,847
Liabilities. Value of operating payables at end of year2011-12-31$208,589
Liabilities. Value of operating payables at beginning of year2011-12-31$591,082
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$2,328,120
Value of net assets at end of year (total assets less liabilities)2011-12-31$14,441,879
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,113,759
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$65,644
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$13,626,253
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$11,283,528
Income. Interest from US Government securities2011-12-31$70,161
Income. Interest from corporate debt instruments2011-12-31$3,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,720,497
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,871,067
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,871,067
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$15,240
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$904,077
Asset value of US Government securities at end of year2011-12-31$3,095,363
Asset value of US Government securities at beginning of year2011-12-31$2,079,992
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-96,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$39,099,799
Employer contributions (assets) at end of year2011-12-31$161,267
Employer contributions (assets) at beginning of year2011-12-31$430,470
Income. Dividends from common stock2011-12-31$46,594
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$40,424
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$26,724
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$27,222
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$39,221
Contract administrator fees2011-12-31$1,937,960
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$2,543,390
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$3,338,771
Liabilities. Value of benefit claims payable at end of year2011-12-31$7,665,893
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$7,268,053
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$58,641
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$70,705
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$4,775,697
Aggregate carrying amount (costs) on sale of assets2011-12-31$4,832,373
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BOLLAM SHEEDY TORANI & CO LLP
Accountancy firm EIN2011-12-31141442607
2010 : LOCAL 812 HEALTH FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-686,071
Total unrealized appreciation/depreciation of assets2010-12-31$-686,071
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,953,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,879,099
Total income from all sources (including contributions)2010-12-31$40,480,411
Total loss/gain on sale of assets2010-12-31$1,041,246
Total of all expenses incurred2010-12-31$35,940,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$33,286,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$38,365,901
Value of total assets at end of year2010-12-31$20,067,656
Value of total assets at beginning of year2010-12-31$13,452,809
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,653,697
Total interest from all sources2010-12-31$49,254
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$311,600
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$291,356
Administrative expenses professional fees incurred2010-12-31$322,161
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$165,877
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$32,321,925
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$927,178
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$820,919
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$94,762
Other income not declared elsewhere2010-12-31$465,953
Administrative expenses (other) incurred2010-12-31$393,375
Liabilities. Value of operating payables at end of year2010-12-31$591,082
Liabilities. Value of operating payables at beginning of year2010-12-31$515,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$4,540,049
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,113,759
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$7,573,710
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$18,658
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$11,283,528
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$10,130,038
Income. Interest from US Government securities2010-12-31$33,199
Income. Interest from corporate debt instruments2010-12-31$1,401
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,871,067
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,313,313
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,313,313
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$14,654
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$964,740
Asset value of US Government securities at end of year2010-12-31$2,079,992
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$932,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$38,200,024
Employer contributions (assets) at end of year2010-12-31$430,470
Employer contributions (assets) at beginning of year2010-12-31$114,983
Income. Dividends from common stock2010-12-31$20,244
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$26,724
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$39,221
Contract administrator fees2010-12-31$1,919,503
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$3,338,771
Liabilities. Value of benefit claims payable at end of year2010-12-31$7,268,053
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$5,363,794
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$70,705
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$73,556
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$8,263,910
Aggregate carrying amount (costs) on sale of assets2010-12-31$7,222,664
Liabilities. Value of acquisition indebtedness at end of year2010-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BOLLAM SHEEDY TORANI & CO LLP
Accountancy firm EIN2010-12-31141442607

Form 5500 Responses for LOCAL 812 HEALTH FUND

2022: LOCAL 812 HEALTH FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LOCAL 812 HEALTH FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LOCAL 812 HEALTH FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LOCAL 812 HEALTH FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LOCAL 812 HEALTH FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LOCAL 812 HEALTH FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LOCAL 812 HEALTH FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LOCAL 812 HEALTH FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LOCAL 812 HEALTH FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LOCAL 812 HEALTH FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LOCAL 812 HEALTH FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LOCAL 812 HEALTH FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LOCAL 812 HEALTH FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3607
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $855,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered1750
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $22,500
Welfare Benefit Premiums Paid to CarrierUSD $3,499,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees22500
Additional information about fees paid to insurance brokerBONUSES AND ADDTL PAYMENTS PAID
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered763
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $20,656
Total amount of fees paid to insurance companyUSD $11,410
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,656
Amount paid for insurance broker fees907
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered1963
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $22,500
Welfare Benefit Premiums Paid to CarrierUSD $3,428,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees22500
Additional information about fees paid to insurance brokerBONUSES AND ADDITIONAL PAYMENTS
Insurance broker organization code?3
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered925
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $4,188
Total amount of fees paid to insurance companyUSD $2,663
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,188
Insurance broker organization code?3
Amount paid for insurance broker fees2663
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered943
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $9,378
Total amount of fees paid to insurance companyUSD $6,889
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,378
Insurance broker organization code?3
Amount paid for insurance broker fees6889
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered3010
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $22,500
Welfare Benefit Premiums Paid to CarrierUSD $3,042,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees22500
Additional information about fees paid to insurance brokerBONUSES AND ADDITIONAL PAYMENTS PAID
Insurance broker organization code?3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered3249
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,512,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered943
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,378
Total amount of fees paid to insurance companyUSD $6,889
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,378
Insurance broker organization code?3
Amount paid for insurance broker fees6889
Additional information about fees paid to insurance brokerOTHER ADDITIONAL COMPENSATION
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered3406
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,354,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1068
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $609
Total amount of fees paid to insurance companyUSD $1,553
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1553
Additional information about fees paid to insurance brokerADDTL COMPENSATION.
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $609
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered3343
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,366,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered988
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,989
Total amount of fees paid to insurance companyUSD $3,981
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,989
Insurance broker organization code?3
Amount paid for insurance broker fees3981
Additional information about fees paid to insurance brokerBROKERAGE FEES
Insurance broker namePROFESSIONAL GROUP PLANS INC
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number820026
Policy instance 3
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $781,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 2
Insurance contract or identification number823250
Number of Individuals Covered3552
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,213,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1041
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Total amount of commissions paid to insurance brokerUSD $9,272
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,393
Insurance broker organization code?3
Insurance broker nameTHE WHITMORE GROUP LTD
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1155
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $4,948
Total amount of fees paid to insurance companyUSD $4,740
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4740
Additional information about fees paid to insurance brokerADMIN COMPENSATION PAID
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $4,948
Insurance broker nameTHE WHITMORE GROUP LTD
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number086756
Policy instance 2
Insurance contract or identification number086756
Number of Individuals Covered3644
Insurance policy start date2014-01-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $235,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 3
Insurance contract or identification number823250
Number of Individuals Covered3552
Insurance policy start date2014-01-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $707,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823250
Policy instance 4
Insurance contract or identification number823250
Number of Individuals Covered3552
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,414,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number820026
Policy instance 5
Insurance contract or identification number820026
Number of Individuals Covered3644
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $470,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number086756
Policy instance 2
Insurance contract or identification number086756
Number of Individuals Covered3644
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $705,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1140
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $4,946
Total amount of fees paid to insurance companyUSD $4,732
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4732
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $4,946
Insurance broker nameTHE WHITMORE GROUP LTD
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number086756
Policy instance 2
Insurance contract or identification number086756
Number of Individuals Covered3644
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $705,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1129
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $4,970
Total amount of fees paid to insurance companyUSD $4,581
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $97,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4581
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $4,970
Insurance broker nameTHE WHITMORE GROUP LTD
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1131
Insurance policy start date2010-07-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $5,045
Total amount of fees paid to insurance companyUSD $9,658
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $96,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number086756
Policy instance 2
Insurance contract or identification number086756
Number of Individuals Covered3644
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $807,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number454300
Policy instance 1
Insurance contract or identification number454300
Number of Individuals Covered1101
Insurance policy start date2009-07-01
Insurance policy end date2010-07-01
Total amount of commissions paid to insurance brokerUSD $4,873
Total amount of fees paid to insurance companyUSD $873
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $95,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,873
Insurance broker organization code?3
Amount paid for insurance broker fees873
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker namePGP LIFE BROKERAGE INC
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number086756
Policy instance 2
Insurance contract or identification number086756
Number of Individuals Covered3644
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $805,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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