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RDWA WELFARE FUND UNION NO. 10 401k Plan overview

Plan NameRDWA WELFARE FUND UNION NO. 10
Plan identification number 501

RDWA WELFARE FUND UNION NO. 10 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

COMPOSITION ROOFERS LOCAL NO. 10 has sponsored the creation of one or more 401k plans.

Company Name:COMPOSITION ROOFERS LOCAL NO. 10
Employer identification number (EIN):221512145
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RDWA WELFARE FUND UNION NO. 10

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012016-01-01JOSEPH AIOSA
5012016-01-01
5012016-01-01
5012015-01-01JOSEPH AIOSA
5012014-01-01HENNING KRISTIANSEN
5012013-01-01HENNING KRISTIANSEN
5012012-01-01HENNING KRISTIANSEN
5012011-01-01JAMES CURRIE
5012009-01-01JAMES CURRIE
5012009-01-01JAMES CURRIE

Plan Statistics for RDWA WELFARE FUND UNION NO. 10

401k plan membership statisitcs for RDWA WELFARE FUND UNION NO. 10

Measure Date Value
2022: RDWA WELFARE FUND UNION NO. 10 2022 401k membership
Total participants, beginning-of-year2022-01-0185
Total number of active participants reported on line 7a of the Form 55002022-01-0180
Number of retired or separated participants receiving benefits2022-01-0110
Total of all active and inactive participants2022-01-0190
Total participants2022-01-0190
Number of employers contributing to the scheme2022-01-0123
2021: RDWA WELFARE FUND UNION NO. 10 2021 401k membership
Total participants, beginning-of-year2021-01-01100
Total number of active participants reported on line 7a of the Form 55002021-01-0176
Number of retired or separated participants receiving benefits2021-01-019
Total of all active and inactive participants2021-01-0185
Total participants2021-01-0185
Number of employers contributing to the scheme2021-01-0124
2020: RDWA WELFARE FUND UNION NO. 10 2020 401k membership
Total participants, beginning-of-year2020-01-01100
Total number of active participants reported on line 7a of the Form 55002020-01-0192
Number of retired or separated participants receiving benefits2020-01-018
Total of all active and inactive participants2020-01-01100
Total participants2020-01-01100
Number of employers contributing to the scheme2020-01-0123
2019: RDWA WELFARE FUND UNION NO. 10 2019 401k membership
Total participants, beginning-of-year2019-01-01107
Total number of active participants reported on line 7a of the Form 55002019-01-0188
Number of retired or separated participants receiving benefits2019-01-0112
Total of all active and inactive participants2019-01-01100
Total participants2019-01-01100
Number of participants with account balances2019-01-010
Number of employers contributing to the scheme2019-01-0123
2018: RDWA WELFARE FUND UNION NO. 10 2018 401k membership
Total participants, beginning-of-year2018-01-01103
Total number of active participants reported on line 7a of the Form 55002018-01-0194
Number of retired or separated participants receiving benefits2018-01-0113
Total of all active and inactive participants2018-01-01107
Total participants2018-01-01107
Number of employers contributing to the scheme2018-01-0124
2016: RDWA WELFARE FUND UNION NO. 10 2016 401k membership
Total participants, beginning-of-year2016-01-01109
Total number of active participants reported on line 7a of the Form 55002016-01-0185
Number of retired or separated participants receiving benefits2016-01-0122
Total of all active and inactive participants2016-01-01107
Total participants2016-01-01107
Number of employers contributing to the scheme2016-01-0131
2015: RDWA WELFARE FUND UNION NO. 10 2015 401k membership
Total participants, beginning-of-year2015-01-01112
Total number of active participants reported on line 7a of the Form 55002015-01-0185
Number of retired or separated participants receiving benefits2015-01-0124
Total of all active and inactive participants2015-01-01109
Total participants2015-01-010
Number of employers contributing to the scheme2015-01-0127
2014: RDWA WELFARE FUND UNION NO. 10 2014 401k membership
Total participants, beginning-of-year2014-01-01120
Total number of active participants reported on line 7a of the Form 55002014-01-0190
Number of retired or separated participants receiving benefits2014-01-0122
Total of all active and inactive participants2014-01-01112
Total participants2014-01-010
Number of employers contributing to the scheme2014-01-0134
2013: RDWA WELFARE FUND UNION NO. 10 2013 401k membership
Total participants, beginning-of-year2013-01-01140
Total number of active participants reported on line 7a of the Form 55002013-01-0197
Number of retired or separated participants receiving benefits2013-01-0123
Total of all active and inactive participants2013-01-01120
Total participants2013-01-010
Number of employers contributing to the scheme2013-01-0132
2012: RDWA WELFARE FUND UNION NO. 10 2012 401k membership
Total participants, beginning-of-year2012-01-01142
Total number of active participants reported on line 7a of the Form 55002012-01-01111
Number of retired or separated participants receiving benefits2012-01-0129
Total of all active and inactive participants2012-01-01140
Total participants2012-01-010
Number of employers contributing to the scheme2012-01-0131
2011: RDWA WELFARE FUND UNION NO. 10 2011 401k membership
Total participants, beginning-of-year2011-01-01152
Total number of active participants reported on line 7a of the Form 55002011-01-01116
Number of retired or separated participants receiving benefits2011-01-0126
Total of all active and inactive participants2011-01-01142
Total participants2011-01-01142
Number of employers contributing to the scheme2011-01-0130
2009: RDWA WELFARE FUND UNION NO. 10 2009 401k membership
Total participants, beginning-of-year2009-01-01109
Total number of active participants reported on line 7a of the Form 55002009-01-01119
Number of retired or separated participants receiving benefits2009-01-0127
Total of all active and inactive participants2009-01-01146
Total participants2009-01-01146
Number of employers contributing to the scheme2009-01-0132

Financial Data on RDWA WELFARE FUND UNION NO. 10

Measure Date Value
2022 : RDWA WELFARE FUND UNION NO. 10 2022 401k financial data
Total income from all sources2022-12-31$2,046,552
Expenses. Total of all expenses incurred2022-12-31$1,584,732
Benefits paid (including direct rollovers)2022-12-31$1,428,902
Total plan assets at end of year2022-12-31$3,482,527
Total plan assets at beginning of year2022-12-31$3,020,707
Value of fidelity bond covering the plan2022-12-31$2,000,000
Total contributions received or receivable from participants2022-12-31$8,280
Expenses. Other expenses not covered elsewhere2022-12-31$155,830
Other income received2022-12-31$85,415
Net income (gross income less expenses)2022-12-31$461,820
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,482,527
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$3,020,707
Total contributions received or receivable from employer(s)2022-12-31$1,952,857
2021 : RDWA WELFARE FUND UNION NO. 10 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$63,180
Total unrealized appreciation/depreciation of assets2021-12-31$63,180
Total income from all sources (including contributions)2021-12-31$1,817,092
Total loss/gain on sale of assets2021-12-31$-153
Total of all expenses incurred2021-12-31$1,562,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,404,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,746,933
Value of total assets at end of year2021-12-31$3,020,707
Value of total assets at beginning of year2021-12-31$2,765,879
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$158,116
Total income from rents2021-12-31$1,300
Total interest from all sources2021-12-31$5,592
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$240
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$26,070
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$19,779
Assets. Other investments not covered elsewhere at end of year2021-12-31$86,383
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$115,718
Administrative expenses (other) incurred2021-12-31$46,527
Total non interest bearing cash at end of year2021-12-31$652,393
Total non interest bearing cash at beginning of year2021-12-31$311,057
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$254,828
Value of net assets at end of year (total assets less liabilities)2021-12-31$3,020,707
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,765,879
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
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,699,301
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,709,868
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,709,868
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$5,592
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,404,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,727,154
Income. Dividends from common stock2021-12-31$240
Contract administrator fees2021-12-31$85,519
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$99,787
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$582,630
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$529,449
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$99,634
Aggregate carrying amount (costs) on sale of assets2021-12-31$99,787
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2021-12-31222414251
2020 : RDWA WELFARE FUND UNION NO. 10 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$37,336
Total unrealized appreciation/depreciation of assets2020-12-31$37,336
Total income from all sources (including contributions)2020-12-31$1,736,822
Total of all expenses incurred2020-12-31$1,669,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,503,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,678,785
Value of total assets at end of year2020-12-31$2,765,879
Value of total assets at beginning of year2020-12-31$2,698,120
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$165,680
Total income from rents2020-12-31$1,100
Total interest from all sources2020-12-31$19,543
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$58
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$30,059
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$25,043
Assets. Other investments not covered elsewhere at end of year2020-12-31$115,718
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$101,636
Administrative expenses (other) incurred2020-12-31$55,564
Total non interest bearing cash at end of year2020-12-31$311,057
Total non interest bearing cash at beginning of year2020-12-31$287,597
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$67,759
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,765,879
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,698,120
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
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,709,868
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,805,324
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,805,324
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$19,543
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,503,383
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,653,742
Income. Dividends from common stock2020-12-31$58
Contract administrator fees2020-12-31$80,057
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$99,787
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$529,449
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$503,563
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
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2020-12-31222414251
2019 : RDWA WELFARE FUND UNION NO. 10 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$32,332
Total unrealized appreciation/depreciation of assets2019-12-31$32,332
Total income from all sources (including contributions)2019-12-31$2,081,313
Total of all expenses incurred2019-12-31$1,499,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,320,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,021,400
Value of total assets at end of year2019-12-31$2,698,120
Value of total assets at beginning of year2019-12-31$2,116,405
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$179,207
Total income from rents2019-12-31$1,200
Total interest from all sources2019-12-31$26,381
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$32,704
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$3,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$22,942
Assets. Other investments not covered elsewhere at end of year2019-12-31$101,636
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$97,270
Administrative expenses (other) incurred2019-12-31$56,011
Total non interest bearing cash at end of year2019-12-31$287,597
Total non interest bearing cash at beginning of year2019-12-31$20,635
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$581,715
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,698,120
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,116,405
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
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,805,324
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,526,183
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,526,183
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$26,381
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,320,391
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,998,458
Contract administrator fees2019-12-31$90,492
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$503,563
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$472,317
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
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 name2019-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2019-12-31222414251
2018 : RDWA WELFARE FUND UNION NO. 10 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$37,077
Total unrealized appreciation/depreciation of assets2018-12-31$37,077
Total income from all sources (including contributions)2018-12-31$1,746,871
Total of all expenses incurred2018-12-31$1,413,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,252,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,696,515
Value of total assets at end of year2018-12-31$2,116,405
Value of total assets at beginning of year2018-12-31$1,782,671
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$160,440
Total income from rents2018-12-31$1,200
Total interest from all sources2018-12-31$12,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$33,085
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$524,700
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$17,520
Assets. Other investments not covered elsewhere at end of year2018-12-31$97,270
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$92,056
Administrative expenses (other) incurred2018-12-31$63,219
Total non interest bearing cash at end of year2018-12-31$20,635
Total non interest bearing cash at beginning of year2018-12-31$145,263
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$333,734
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,116,405
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,782,671
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
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,526,183
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,099,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,099,605
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$12,079
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,252,697
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,678,995
Contract administrator fees2018-12-31$64,136
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$472,317
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$445,747
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 name2018-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2018-12-31222414251
2016 : RDWA WELFARE FUND UNION NO. 10 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$11,960
Total unrealized appreciation/depreciation of assets2016-12-31$11,960
Total income from all sources (including contributions)2016-12-31$1,438,742
Total of all expenses incurred2016-12-31$1,464,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,295,594
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,421,371
Value of total assets at end of year2016-12-31$1,356,342
Value of total assets at beginning of year2016-12-31$1,381,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$168,599
Total income from rents2016-12-31$1,200
Total interest from all sources2016-12-31$4,211
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$30,067
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$524,700
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$23,042
Assets. Other investments not covered elsewhere at end of year2016-12-31$95,000
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$112,712
Administrative expenses (other) incurred2016-12-31$86,583
Total non interest bearing cash at end of year2016-12-31$80,583
Total non interest bearing cash at beginning of year2016-12-31$38,961
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-25,451
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,356,342
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,381,793
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
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$753,745
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$820,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$820,398
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$4,211
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,289,675
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$1,398,329
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,919
Contract administrator fees2016-12-31$51,949
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$427,014
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$409,722
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2016-12-31222414251
2015 : RDWA WELFARE FUND UNION NO. 10 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$-13,434
Total unrealized appreciation/depreciation of assets2015-12-31$-13,434
Total income from all sources (including contributions)2015-12-31$1,474,010
Total of all expenses incurred2015-12-31$1,356,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,259,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,481,011
Value of total assets at end of year2015-12-31$1,381,793
Value of total assets at beginning of year2015-12-31$1,264,075
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$96,945
Total income from rents2015-12-31$1,200
Total interest from all sources2015-12-31$5,233
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$29,872
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$524,700
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$29,608
Assets. Other investments not covered elsewhere at end of year2015-12-31$112,712
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$42,314
Administrative expenses (other) incurred2015-12-31$64,955
Total non interest bearing cash at end of year2015-12-31$38,961
Total non interest bearing cash at beginning of year2015-12-31$26,651
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$117,718
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,381,793
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,264,075
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
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$820,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$775,495
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$775,495
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$5,233
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,245,564
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,451,403
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$13,783
Contract administrator fees2015-12-31$2,118
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$409,722
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$419,615
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2015-12-31222414251
2014 : RDWA WELFARE FUND UNION NO. 10 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-31$-62,802
Total unrealized appreciation/depreciation of assets2014-12-31$-62,802
Total income from all sources (including contributions)2014-12-31$1,303,591
Total of all expenses incurred2014-12-31$1,582,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,467,393
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,360,138
Value of total assets at end of year2014-12-31$1,264,075
Value of total assets at beginning of year2014-12-31$1,542,856
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$114,979
Total income from rents2014-12-31$1,100
Total interest from all sources2014-12-31$5,155
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$25,517
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$524,700
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$54,914
Assets. Other investments not covered elsewhere at end of year2014-12-31$42,314
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$59,875
Administrative expenses (other) incurred2014-12-31$54,730
Total non interest bearing cash at end of year2014-12-31$26,651
Total non interest bearing cash at beginning of year2014-12-31$32,819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-278,781
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,264,075
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,542,856
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
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$775,495
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$961,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$961,622
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$5,155
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,458,964
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$1,305,224
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,429
Contract administrator fees2014-12-31$34,732
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$419,615
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$488,540
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2014-12-31222414251
2013 : RDWA WELFARE FUND UNION NO. 10 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$-26,873
Total unrealized appreciation/depreciation of assets2013-12-31$-26,873
Total income from all sources (including contributions)2013-12-31$1,243,151
Total of all expenses incurred2013-12-31$1,421,219
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,290,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,262,453
Value of total assets at end of year2013-12-31$1,542,856
Value of total assets at beginning of year2013-12-31$1,720,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$130,740
Total income from rents2013-12-31$1,300
Total interest from all sources2013-12-31$6,271
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$22,800
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$524,700
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$56,000
Assets. Other investments not covered elsewhere at end of year2013-12-31$59,875
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$74,107
Administrative expenses (other) incurred2013-12-31$66,690
Total non interest bearing cash at end of year2013-12-31$32,819
Total non interest bearing cash at beginning of year2013-12-31$9,504
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-178,068
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,542,856
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,720,924
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
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$961,622
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,111,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,111,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$6,271
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,290,247
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$1,206,453
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$232
Contract administrator fees2013-12-31$41,250
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$488,540
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$526,253
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2013-12-31222414251
2012 : RDWA WELFARE FUND UNION NO. 10 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$-23,048
Total unrealized appreciation/depreciation of assets2012-12-31$-23,048
Total income from all sources (including contributions)2012-12-31$1,230,397
Total of all expenses incurred2012-12-31$1,447,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,347,908
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,242,737
Value of total assets at end of year2012-12-31$1,720,924
Value of total assets at beginning of year2012-12-31$1,938,314
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$99,879
Total income from rents2012-12-31$1,200
Total interest from all sources2012-12-31$9,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$20,400
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$524,700
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$33,547
Assets. Other investments not covered elsewhere at end of year2012-12-31$74,107
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$109,343
Administrative expenses (other) incurred2012-12-31$71,043
Total non interest bearing cash at end of year2012-12-31$9,504
Total non interest bearing cash at beginning of year2012-12-31$5,478
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-217,390
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,720,924
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,938,314
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
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,111,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,261,045
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,261,045
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$9,508
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,347,875
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$1,209,190
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$33
Contract administrator fees2012-12-31$8,436
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$526,253
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$562,448
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2012-12-31222414251
2011 : RDWA WELFARE FUND UNION NO. 10 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$-50,852
Total unrealized appreciation/depreciation of assets2011-12-31$-50,852
Total income from all sources (including contributions)2011-12-31$1,377,965
Total of all expenses incurred2011-12-31$1,691,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,542,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,412,630
Value of total assets at end of year2011-12-31$1,938,314
Value of total assets at beginning of year2011-12-31$2,251,789
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$149,062
Total income from rents2011-12-31$1,200
Total interest from all sources2011-12-31$14,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$34,276
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$524,700
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$18,923
Assets. Other investments not covered elsewhere at end of year2011-12-31$109,343
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$115,686
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$4,035
Administrative expenses (other) incurred2011-12-31$73,438
Total non interest bearing cash at end of year2011-12-31$5,478
Total non interest bearing cash at beginning of year2011-12-31$26,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-313,475
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,938,314
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,251,789
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,261,045
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,501,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,501,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$14,987
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,542,003
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$1,389,672
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$375
Contract administrator fees2011-12-31$41,348
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$562,448
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$608,478
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2011-12-31222414251
2010 : RDWA WELFARE FUND UNION NO. 10 2010 401k financial data
Unrealized appreciation/depreciation of real estate assets2010-12-31$-33,731
Total unrealized appreciation/depreciation of assets2010-12-31$-33,731
Total income from all sources (including contributions)2010-12-31$1,230,307
Total of all expenses incurred2010-12-31$1,601,174
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,477,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,242,649
Value of total assets at end of year2010-12-31$2,251,789
Value of total assets at beginning of year2010-12-31$2,622,656
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$123,948
Total income from rents2010-12-31$1,200
Total interest from all sources2010-12-31$20,189
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$25,436
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$524,700
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$24,260
Assets. Other investments not covered elsewhere at end of year2010-12-31$115,686
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$132,398
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$22,531
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$3,841
Administrative expenses (other) incurred2010-12-31$57,290
Total non interest bearing cash at end of year2010-12-31$26,305
Total non interest bearing cash at beginning of year2010-12-31$203,039
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-370,867
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,251,789
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,622,656
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,501,320
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,631,113
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,631,113
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$20,189
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,461,142
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$1,195,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$16,084
Contract administrator fees2010-12-31$41,222
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$608,478
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$652,265
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$631,000
Aggregate carrying amount (costs) on sale of assets2010-12-31$631,000
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 name2010-12-31BRUNO, DIBELLO & CO, LLC
Accountancy firm EIN2010-12-31222414251

Form 5500 Responses for RDWA WELFARE FUND UNION NO. 10

2022: RDWA WELFARE FUND UNION NO. 10 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 – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: RDWA WELFARE FUND UNION NO. 10 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 – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: RDWA WELFARE FUND UNION NO. 10 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 – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RDWA WELFARE FUND UNION NO. 10 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 – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RDWA WELFARE FUND UNION NO. 10 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 – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2016: RDWA WELFARE FUND UNION NO. 10 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedYes
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: RDWA WELFARE FUND UNION NO. 10 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: RDWA WELFARE FUND UNION NO. 10 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: RDWA WELFARE FUND UNION NO. 10 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: RDWA WELFARE FUND UNION NO. 10 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: RDWA WELFARE FUND UNION NO. 10 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: RDWA WELFARE FUND UNION NO. 10 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0243876
Policy instance 3
Insurance contract or identification number0243876
Number of Individuals Covered166
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,256,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHIER NEW JERSEY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number65-83931
Policy instance 2
Insurance contract or identification number65-83931
Number of Individuals Covered10
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535637
Policy instance 1
Insurance contract or identification number00535637
Number of Individuals Covered76
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $1,730
Total amount of fees paid to insurance companyUSD $838
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,696
Amount paid for insurance broker fees838
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535637
Policy instance 1
Insurance contract or identification number00535637
Number of Individuals Covered96
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $2,959
Total amount of fees paid to insurance companyUSD $2,369
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,902
Amount paid for insurance broker fees2369
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0243876
Policy instance 3
Insurance contract or identification number0243876
Number of Individuals Covered93
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $65,336
Total amount of fees paid to insurance companyUSD $14,365
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,274,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $65,336
Insurance broker organization code?3
Amount paid for insurance broker fees14365
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
HEALTHIER NEW JERSEY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract number65-83931
Policy instance 2
Insurance contract or identification number65-83931
Number of Individuals Covered9
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535637
Policy instance 1
Insurance contract or identification number00535637
Number of Individuals Covered96
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $5,780
Total amount of fees paid to insurance companyUSD $2,150
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,981
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,667
Amount paid for insurance broker fees2150
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number71-83918
Policy instance 3
Insurance contract or identification number71-83918
Number of Individuals Covered8
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberCR15342
Policy instance 4
Insurance contract or identification numberCR15342
Number of Individuals Covered177
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $61,863
Total amount of fees paid to insurance companyUSD $16,156
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,205,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,863
Insurance broker organization code?3
Amount paid for insurance broker fees16156
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number70-83918
Policy instance 2
Insurance contract or identification number70-83918
Number of Individuals Covered8
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535637
Policy instance 1
Insurance contract or identification number00535637
Number of Individuals Covered94
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $4,885
Total amount of fees paid to insurance companyUSD $1,291
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,789
Amount paid for insurance broker fees1291
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberCR15342
Policy instance 4
Insurance contract or identification numberCR15342
Number of Individuals Covered175
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $49,911
Total amount of fees paid to insurance companyUSD $12,402
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,061,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,911
Insurance broker organization code?3
Amount paid for insurance broker fees12402
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number71-83918
Policy instance 3
Insurance contract or identification number71-83918
Number of Individuals Covered12
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number70-83918
Policy instance 2
Insurance contract or identification number70-83918
Number of Individuals Covered12
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00535637
Policy instance 2
Insurance contract or identification number00535637
Number of Individuals Covered94
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,244
Total amount of fees paid to insurance companyUSD $1,291
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,120
Amount paid for insurance broker fees1291
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number13650200
Policy instance 1
Insurance contract or identification number13650200
Number of Individuals Covered74
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $52,607
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,066,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,866
Insurance broker organization code?3
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number70-83918
Policy instance 3
Insurance contract or identification number70-83918
Number of Individuals Covered11
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 95529 )
Policy contract number71-83918
Policy instance 4
Insurance contract or identification number71-83918
Number of Individuals Covered11
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338740
Policy instance 3
Insurance contract or identification number3338740
Number of Individuals Covered185
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $59,562
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,191,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,562
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS & FINANCIAL SERV
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number09105
Policy instance 2
Insurance contract or identification number09105
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $330
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $330
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE332958
Policy instance 1
Insurance contract or identification numberAE332958
Number of Individuals Covered23
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $67,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number86404
Policy instance 3
Insurance contract or identification number86404
Number of Individuals Covered92
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $42,728
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $965,926
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,728
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS & FINANCIAL SERV
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE332958
Policy instance 1
Insurance contract or identification numberAE332958
Number of Individuals Covered22
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Welfare Benefit Premiums Paid to CarrierUSD $68,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number9105
Policy instance 2
Insurance contract or identification number9105
Number of Individuals Covered110
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,358
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,358
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberAE332958
Policy instance 1
Insurance contract or identification numberAE332958
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $86,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number86404
Policy instance 3
Insurance contract or identification number86404
Number of Individuals Covered101
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $44,834
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $902,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,834
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number9105
Policy instance 2
Insurance contract or identification number9105
Number of Individuals Covered114
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of fees paid to insurance companyUSD $1,383
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1383
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberUS332703
Policy instance 6
Insurance contract or identification numberUS332703
Number of Individuals Covered260
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,723
Welfare Benefit Premiums Paid to CarrierUSD $100,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,723
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberAE332958
Policy instance 5
Insurance contract or identification numberAE332958
Number of Individuals Covered27
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,950
Welfare Benefit Premiums Paid to CarrierUSD $79,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,950
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number9105
Policy instance 4
Insurance contract or identification number9105
Number of Individuals Covered118
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,477
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,477
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberG0000422
Policy instance 2
Insurance contract or identification numberG0000422
Number of Individuals Covered123
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,638
Welfare Benefit Premiums Paid to CarrierUSD $5,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,638
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS FINL SERV GRP LLC
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number86404
Policy instance 1
Insurance contract or identification number86404
Number of Individuals Covered110
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $45,287
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $805,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,287
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12251213
Policy instance 3
Insurance contract or identification number12251213
Insurance policy start date2012-01-01
Insurance policy end date2012-02-01
Total amount of commissions paid to insurance brokerUSD $225
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $225
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS & FINANCIAL SERV
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number9105
Policy instance 3
Insurance contract or identification number9105
Number of Individuals Covered131
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,573
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberUS332703
Policy instance 5
Insurance contract or identification numberUS332703
Number of Individuals Covered253
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $54,254
Welfare Benefit Premiums Paid to CarrierUSD $1,098,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberG0000422
Policy instance 1
Insurance contract or identification numberG0000422
Number of Individuals Covered110
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,033
Welfare Benefit Premiums Paid to CarrierUSD $73,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12251213
Policy instance 2
Insurance contract or identification number12251213
Number of Individuals Covered135
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,167
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberAE332958
Policy instance 4
Insurance contract or identification numberAE332958
Number of Individuals Covered26
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,800
Welfare Benefit Premiums Paid to CarrierUSD $71,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLNET HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberWNHC-1727-28
Policy instance 6
Insurance contract or identification numberWNHC-1727-28
Number of Individuals Covered119
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,727
Total amount of fees paid to insurance companyUSD $8,348
Welfare Benefit Premiums Paid to CarrierUSD $168,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number9105
Policy instance 2
Insurance contract or identification number9105
Number of Individuals Covered131
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,584
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $413
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS FINL SERV GRP LLC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberUS332703
Policy instance 4
Insurance contract or identification numberUS332703
Number of Individuals Covered257
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $50,956
Welfare Benefit Premiums Paid to CarrierUSD $1,027,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,956
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
WELLNET HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberWNHC-1727-28
Policy instance 5
Insurance contract or identification numberWNHC-1727-28
Number of Individuals Covered119
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,814
Total amount of fees paid to insurance companyUSD $8,222
Welfare Benefit Premiums Paid to CarrierUSD $162,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees132
Additional information about fees paid to insurance brokerADMINISTRATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $2,814
Insurance broker nameWELLNET HEALTHCARE PLAN INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberAE332958
Policy instance 3
Insurance contract or identification numberAE332958
Number of Individuals Covered26
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,950
Welfare Benefit Premiums Paid to CarrierUSD $122,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,950
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS GROUP INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12251213
Policy instance 1
Insurance contract or identification number12251213
Number of Individuals Covered134
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,175
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,175
Insurance broker organization code?3
Insurance broker nameCAPACITY BENEFITS & FINANCIAL SERV

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