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USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameUSW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN
Plan identification number 501

USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

JOINT BOT USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:JOINT BOT USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN
Employer identification number (EIN):223548930
NAIC Classification:325410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01KEVIN MCCAFFERTRY2023-04-18 MICHAEL ARSENESAULT2023-04-14
5012020-07-01MICHAEL GAUGER2022-04-14 MICHAEL ARSENEAULT2022-04-14
5012019-07-01MICHAEL GAUGER2021-04-12 MICHAEL ARSENEAULT2021-04-13
5012018-07-01KEVIN MCCAFFERTY2020-04-15 MICHAEL ARSEMEAULT2020-04-15
5012017-07-01MICHAEL GAUGER2019-04-12
5012016-07-01
5012015-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01ANTHONY PONTARELLI
5012011-07-01ANTHONY PONTARELLI
5012010-07-01ANTHONY PONTARELLI
5012009-07-01ANTHONY PONTARELLI

Plan Statistics for USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN

401k plan membership statisitcs for USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN

Measure Date Value
2021: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-011,997
Total number of active participants reported on line 7a of the Form 55002021-07-012,084
Number of retired or separated participants receiving benefits2021-07-0121
Total of all active and inactive participants2021-07-012,105
Total participants2021-07-012,105
2020: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-011,876
Total number of active participants reported on line 7a of the Form 55002020-07-011,992
Number of retired or separated participants receiving benefits2020-07-015
Total of all active and inactive participants2020-07-011,997
Total participants2020-07-011,997
2019: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-011,774
Total number of active participants reported on line 7a of the Form 55002019-07-011,870
Number of retired or separated participants receiving benefits2019-07-016
Total of all active and inactive participants2019-07-011,876
Total participants2019-07-011,876
2018: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-011,722
Total number of active participants reported on line 7a of the Form 55002018-07-011,769
Number of retired or separated participants receiving benefits2018-07-015
Total of all active and inactive participants2018-07-011,774
Total participants2018-07-011,774
2017: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-011,737
Total number of active participants reported on line 7a of the Form 55002017-07-011,713
Number of retired or separated participants receiving benefits2017-07-019
Total of all active and inactive participants2017-07-011,722
Total participants2017-07-011,722
2016: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-011,735
Total number of active participants reported on line 7a of the Form 55002016-07-011,723
Number of retired or separated participants receiving benefits2016-07-0114
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-011,737
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-011,737
2015: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-011,907
Total number of active participants reported on line 7a of the Form 55002015-07-011,709
Number of retired or separated participants receiving benefits2015-07-0126
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-011,735
Total participants2015-07-011,735
2014: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-012,032
Total number of active participants reported on line 7a of the Form 55002014-07-011,855
Number of retired or separated participants receiving benefits2014-07-0152
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-011,907
Total participants2014-07-011,907
2013: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-012,087
Total number of active participants reported on line 7a of the Form 55002013-07-011,997
Number of retired or separated participants receiving benefits2013-07-0135
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-012,032
Total participants2013-07-012,032
2012: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-012,042
Total number of active participants reported on line 7a of the Form 55002012-07-012,083
Number of retired or separated participants receiving benefits2012-07-014
Total of all active and inactive participants2012-07-012,087
Total participants2012-07-012,087
2011: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-012,081
Total number of active participants reported on line 7a of the Form 55002011-07-012,048
Number of retired or separated participants receiving benefits2011-07-014
Total of all active and inactive participants2011-07-012,052
Total participants2011-07-012,052
2010: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-012,075
Total number of active participants reported on line 7a of the Form 55002010-07-012,081
Total of all active and inactive participants2010-07-012,081
Total participants2010-07-012,081
2009: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-012,064
Total number of active participants reported on line 7a of the Form 55002009-07-012,063
Number of retired or separated participants receiving benefits2009-07-0112
Total of all active and inactive participants2009-07-012,075
Total participants2009-07-012,075

Financial Data on USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN

Measure Date Value
2022 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-7,092,905
Total unrealized appreciation/depreciation of assets2022-06-30$-7,092,905
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$4,560,675
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$4,657,777
Total income from all sources (including contributions)2022-06-30$39,744,465
Total loss/gain on sale of assets2022-06-30$551,189
Total of all expenses incurred2022-06-30$35,793,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$35,250,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$44,787,531
Value of total assets at end of year2022-06-30$69,303,250
Value of total assets at beginning of year2022-06-30$65,449,031
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$542,364
Total interest from all sources2022-06-30$503,019
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$995,631
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$965,264
Administrative expenses professional fees incurred2022-06-30$54,645
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$5,551,306
Participant contributions at end of year2022-06-30$451,630
Participant contributions at beginning of year2022-06-30$431,719
Assets. Other investments not covered elsewhere at end of year2022-06-30$6,010,538
Assets. Other investments not covered elsewhere at beginning of year2022-06-30$6,288,876
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$15,323
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-30$8,821
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$1,718,496
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$1,711,961
Administrative expenses (other) incurred2022-06-30$70,546
Liabilities. Value of operating payables at end of year2022-06-30$136,322
Liabilities. Value of operating payables at beginning of year2022-06-30$136,604
Total non interest bearing cash at end of year2022-06-30$11,140
Total non interest bearing cash at beginning of year2022-06-30$86,398
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$3,951,321
Value of net assets at end of year (total assets less liabilities)2022-06-30$64,742,575
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$60,791,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$241,373
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$24,153,011
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$27,374,986
Interest earned on other investments2022-06-30$34,660
Income. Interest from US Government securities2022-06-30$208,579
Income. Interest from corporate debt instruments2022-06-30$218,834
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$25,155,564
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$17,169,859
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$17,169,859
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$40,946
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$658,962
Asset value of US Government securities at end of year2022-06-30$7,142,506
Asset value of US Government securities at beginning of year2022-06-30$6,191,216
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$39,220,902
Income. Dividends from common stock2022-06-30$30,367
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$34,582,997
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$4,660,365
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$6,194,016
Contract administrator fees2022-06-30$175,800
Liabilities. Value of benefit claims payable at end of year2022-06-30$4,424,353
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$4,521,173
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$16,925,609
Aggregate carrying amount (costs) on sale of assets2022-06-30$16,374,420
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2022-06-30320048632
2021 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$2,345,544
Total unrealized appreciation/depreciation of assets2021-06-30$2,345,544
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$4,657,777
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$4,793,373
Total income from all sources (including contributions)2021-06-30$45,330,906
Total loss/gain on sale of assets2021-06-30$133,145
Total of all expenses incurred2021-06-30$34,374,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$33,840,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$41,275,037
Value of total assets at end of year2021-06-30$65,449,031
Value of total assets at beginning of year2021-06-30$54,628,503
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$534,440
Total interest from all sources2021-06-30$567,109
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$1,010,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$1,010,071
Administrative expenses professional fees incurred2021-06-30$71,376
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$5,162,327
Participant contributions at end of year2021-06-30$431,719
Participant contributions at beginning of year2021-06-30$400,743
Assets. Other investments not covered elsewhere at end of year2021-06-30$6,288,876
Assets. Other investments not covered elsewhere at beginning of year2021-06-30$4,419,873
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$10,386
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-06-30$8,472
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$1,711,961
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$991,631
Administrative expenses (other) incurred2021-06-30$36,582
Liabilities. Value of operating payables at end of year2021-06-30$136,604
Liabilities. Value of operating payables at beginning of year2021-06-30$116,712
Total non interest bearing cash at end of year2021-06-30$86,398
Total non interest bearing cash at beginning of year2021-06-30$108,136
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$10,956,124
Value of net assets at end of year (total assets less liabilities)2021-06-30$60,791,254
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$49,835,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$236,632
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$27,374,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$22,713,049
Interest earned on other investments2021-06-30$31,179
Income. Interest from US Government securities2021-06-30$172,956
Income. Interest from corporate debt instruments2021-06-30$212,734
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$17,169,859
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$14,915,401
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$14,915,401
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$150,240
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$672,968
Asset value of US Government securities at end of year2021-06-30$6,191,216
Asset value of US Government securities at beginning of year2021-06-30$4,991,402
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$36,102,324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$33,158,902
Asset. Corporate debt instrument debt (other) at end of year2021-06-30$6,194,016
Asset. Corporate debt instrument debt (other) at beginning of year2021-06-30$6,088,268
Contract administrator fees2021-06-30$189,850
Liabilities. Value of benefit claims payable at end of year2021-06-30$4,521,173
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$4,676,661
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$8,760,910
Aggregate carrying amount (costs) on sale of assets2021-06-30$8,627,765
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2021-06-30320048632
2020 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$820,252
Total unrealized appreciation/depreciation of assets2020-06-30$820,252
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$4,793,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$4,776,909
Total income from all sources (including contributions)2020-06-30$40,078,646
Total loss/gain on sale of assets2020-06-30$-65,738
Total of all expenses incurred2020-06-30$34,476,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$34,022,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$38,121,688
Value of total assets at end of year2020-06-30$54,628,503
Value of total assets at beginning of year2020-06-30$49,010,137
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$454,382
Total interest from all sources2020-06-30$576,496
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$625,948
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$73,728
Administrative expenses professional fees incurred2020-06-30$88,594
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$4,576,309
Participant contributions at end of year2020-06-30$400,743
Participant contributions at beginning of year2020-06-30$358,643
Assets. Other investments not covered elsewhere at end of year2020-06-30$4,419,873
Assets. Other investments not covered elsewhere at beginning of year2020-06-30$4,187,859
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$9,972
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$8,045
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$991,631
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$1,021,686
Administrative expenses (other) incurred2020-06-30$54,631
Liabilities. Value of operating payables at end of year2020-06-30$116,712
Liabilities. Value of operating payables at beginning of year2020-06-30$152,575
Total non interest bearing cash at end of year2020-06-30$108,136
Total non interest bearing cash at beginning of year2020-06-30$314,234
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$5,601,902
Value of net assets at end of year (total assets less liabilities)2020-06-30$49,835,130
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$44,233,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$126,420
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$22,713,049
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$19,595,958
Interest earned on other investments2020-06-30$35,796
Income. Interest from US Government securities2020-06-30$176,854
Income. Interest from corporate debt instruments2020-06-30$170,606
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$14,915,401
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$14,726,055
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$14,726,055
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$193,240
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$540,905
Asset value of US Government securities at end of year2020-06-30$4,991,402
Asset value of US Government securities at beginning of year2020-06-30$4,755,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$33,535,407
Income. Dividends from common stock2020-06-30$552,220
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$33,473,412
Asset. Corporate debt instrument debt (other) at end of year2020-06-30$6,088,268
Asset. Corporate debt instrument debt (other) at beginning of year2020-06-30$4,050,205
Contract administrator fees2020-06-30$184,737
Liabilities. Value of benefit claims payable at end of year2020-06-30$4,676,661
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$4,624,334
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$11,977,148
Aggregate carrying amount (costs) on sale of assets2020-06-30$12,042,886
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2020-06-30320048632
2019 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$424,115
Total unrealized appreciation/depreciation of assets2019-06-30$424,115
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$4,776,909
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$5,297,162
Total income from all sources (including contributions)2019-06-30$38,162,412
Total loss/gain on sale of assets2019-06-30$294,638
Total of all expenses incurred2019-06-30$33,495,857
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$33,093,641
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$36,081,192
Value of total assets at end of year2019-06-30$49,010,137
Value of total assets at beginning of year2019-06-30$44,863,835
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$402,216
Total interest from all sources2019-06-30$342,905
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$1,019,562
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$704,624
Administrative expenses professional fees incurred2019-06-30$153,936
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$4,000,214
Participant contributions at end of year2019-06-30$358,643
Participant contributions at beginning of year2019-06-30$334,746
Assets. Other investments not covered elsewhere at end of year2019-06-30$4,187,859
Assets. Other investments not covered elsewhere at beginning of year2019-06-30$3,565,076
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$3,381
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-06-30$7,695
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$1,021,686
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$903,371
Administrative expenses (other) incurred2019-06-30$57,305
Liabilities. Value of operating payables at end of year2019-06-30$152,575
Liabilities. Value of operating payables at beginning of year2019-06-30$110,250
Total non interest bearing cash at end of year2019-06-30$314,234
Total non interest bearing cash at beginning of year2019-06-30$82,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$4,666,555
Value of net assets at end of year (total assets less liabilities)2019-06-30$44,233,228
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$39,566,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$19,031
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$19,595,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$28,142,471
Income. Interest from US Government securities2019-06-30$9,087
Income. Interest from corporate debt instruments2019-06-30$8,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$14,726,055
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$11,835,253
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$11,835,253
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$325,754
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$518,475
Asset value of US Government securities at end of year2019-06-30$4,755,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$32,077,597
Income. Dividends from common stock2019-06-30$314,938
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$32,567,471
Asset. Corporate debt instrument debt (other) at end of year2019-06-30$4,050,205
Contract administrator fees2019-06-30$171,944
Liabilities. Value of benefit claims payable at end of year2019-06-30$4,624,334
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$5,186,912
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$25,645,100
Aggregate carrying amount (costs) on sale of assets2019-06-30$25,350,462
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2019-06-30320048632
2018 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$160,364
Total unrealized appreciation/depreciation of assets2018-06-30$160,364
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$5,297,162
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$6,535,373
Total income from all sources (including contributions)2018-06-30$34,736,122
Total loss/gain on sale of assets2018-06-30$-3,725
Total of all expenses incurred2018-06-30$33,320,693
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$33,005,229
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$33,548,999
Value of total assets at end of year2018-06-30$44,863,835
Value of total assets at beginning of year2018-06-30$44,686,617
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$315,464
Total interest from all sources2018-06-30$731,835
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$49,581
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$3,788,713
Participant contributions at end of year2018-06-30$334,746
Participant contributions at beginning of year2018-06-30$321,455
Assets. Other investments not covered elsewhere at end of year2018-06-30$3,565,076
Assets. Other investments not covered elsewhere at beginning of year2018-06-30$3,131,754
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$2,974
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-06-30$7,538
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$903,371
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$670,250
Administrative expenses (other) incurred2018-06-30$71,313
Liabilities. Value of operating payables at end of year2018-06-30$110,250
Liabilities. Value of operating payables at beginning of year2018-06-30$241,498
Total non interest bearing cash at end of year2018-06-30$82,918
Total non interest bearing cash at beginning of year2018-06-30$101,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$1,415,429
Value of net assets at end of year (total assets less liabilities)2018-06-30$39,566,673
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$38,151,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$23,220
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$28,142,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$27,084,509
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$11,835,253
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$13,377,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$13,377,582
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$731,835
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$539,569
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$298,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$29,757,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$32,458,122
Contract administrator fees2018-06-30$171,350
Liabilities. Value of benefit claims payable at end of year2018-06-30$5,186,912
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$6,293,875
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Aggregate proceeds on sale of assets2018-06-30$1,864,266
Aggregate carrying amount (costs) on sale of assets2018-06-30$1,867,991
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2018-06-30320048632
2017 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$328,552
Total unrealized appreciation/depreciation of assets2017-06-30$328,552
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$6,535,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$4,124,094
Total income from all sources (including contributions)2017-06-30$34,760,251
Total loss/gain on sale of assets2017-06-30$563,026
Total of all expenses incurred2017-06-30$31,518,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$31,216,255
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$33,294,572
Value of total assets at end of year2017-06-30$44,686,617
Value of total assets at beginning of year2017-06-30$39,033,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$301,944
Total interest from all sources2017-06-30$60,041
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$514,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$514,060
Administrative expenses professional fees incurred2017-06-30$50,609
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$4,206,260
Participant contributions at end of year2017-06-30$321,455
Participant contributions at beginning of year2017-06-30$313,291
Assets. Other investments not covered elsewhere at end of year2017-06-30$3,131,754
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$4,283
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-06-30$99,610
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$670,250
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$833,224
Administrative expenses (other) incurred2017-06-30$49,661
Liabilities. Value of operating payables at end of year2017-06-30$241,498
Liabilities. Value of operating payables at beginning of year2017-06-30$91,647
Total non interest bearing cash at end of year2017-06-30$101,067
Total non interest bearing cash at beginning of year2017-06-30$192,428
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$3,242,052
Value of net assets at end of year (total assets less liabilities)2017-06-30$38,151,244
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$34,909,192
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$29,699
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$27,084,509
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$24,508,599
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$13,377,582
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$13,185,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$13,185,744
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$60,041
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$540,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$29,084,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$30,575,926
Contract administrator fees2017-06-30$171,975
Liabilities. Value of benefit claims payable at end of year2017-06-30$6,293,875
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$4,032,447
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Aggregate proceeds on sale of assets2017-06-30$2,770,000
Aggregate carrying amount (costs) on sale of assets2017-06-30$2,206,974
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2017-06-30320048632
2016 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$4,124,094
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$4,395,632
Total income from all sources (including contributions)2016-06-30$34,904,496
Total loss/gain on sale of assets2016-06-30$-6
Total of all expenses incurred2016-06-30$32,952,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$32,619,089
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$34,506,372
Value of total assets at end of year2016-06-30$39,033,286
Value of total assets at beginning of year2016-06-30$37,353,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$333,728
Total interest from all sources2016-06-30$26,707
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$711,981
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$711,981
Administrative expenses professional fees incurred2016-06-30$97,351
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$3,954,689
Participant contributions at end of year2016-06-30$313,291
Participant contributions at beginning of year2016-06-30$317,909
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$6,103
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-06-30$164,732
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$833,224
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$493,367
Other income not declared elsewhere2016-06-30$54,864
Administrative expenses (other) incurred2016-06-30$19,431
Liabilities. Value of operating payables at end of year2016-06-30$91,647
Liabilities. Value of operating payables at beginning of year2016-06-30$24,646
Total non interest bearing cash at end of year2016-06-30$192,428
Total non interest bearing cash at beginning of year2016-06-30$220,168
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$1,951,679
Value of net assets at end of year (total assets less liabilities)2016-06-30$34,909,192
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$32,957,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$39,089
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$24,508,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$24,137,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$13,185,744
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$12,184,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$12,184,413
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$26,707
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$507,643
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-395,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$30,545,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$31,946,714
Contract administrator fees2016-06-30$177,857
Liabilities. Value of benefit claims payable at end of year2016-06-30$4,032,447
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$4,370,986
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$8,204,268
Aggregate carrying amount (costs) on sale of assets2016-06-30$8,204,274
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2016-06-30320048632
2015 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$4,395,632
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$4,055,109
Total income from all sources (including contributions)2015-06-30$34,864,905
Total loss/gain on sale of assets2015-06-30$35,660
Total of all expenses incurred2015-06-30$31,329,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$30,960,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$34,326,216
Value of total assets at end of year2015-06-30$37,353,145
Value of total assets at beginning of year2015-06-30$33,476,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$368,376
Total interest from all sources2015-06-30$4,908
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$885,709
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$885,709
Administrative expenses professional fees incurred2015-06-30$48,962
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$4,269,694
Participant contributions at end of year2015-06-30$317,909
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$13,558
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-06-30$240,156
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$493,367
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$34,534
Other income not declared elsewhere2015-06-30$250
Administrative expenses (other) incurred2015-06-30$50,377
Liabilities. Value of operating payables at end of year2015-06-30$24,646
Liabilities. Value of operating payables at beginning of year2015-06-30$24,151
Total non interest bearing cash at end of year2015-06-30$220,168
Total non interest bearing cash at beginning of year2015-06-30$197,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$3,535,852
Value of net assets at end of year (total assets less liabilities)2015-06-30$32,957,513
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$29,421,661
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$94,360
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$24,137,288
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$23,634,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$12,184,413
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$9,609,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$9,609,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$4,908
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$632,052
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$-387,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$30,042,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$30,088,469
Contract administrator fees2015-06-30$174,677
Liabilities. Value of benefit claims payable at end of year2015-06-30$4,370,986
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$4,030,958
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$100,000
Aggregate carrying amount (costs) on sale of assets2015-06-30$64,340
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2015-06-30320048632
2014 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$446,054
Total unrealized appreciation/depreciation of assets2014-06-30$446,054
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$4,055,109
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,996,131
Total income from all sources (including contributions)2014-06-30$34,558,680
Total loss/gain on sale of assets2014-06-30$793,413
Total of all expenses incurred2014-06-30$30,388,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$30,045,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$32,974,470
Value of total assets at end of year2014-06-30$33,476,770
Value of total assets at beginning of year2014-06-30$29,247,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$342,984
Total interest from all sources2014-06-30$4,239
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$340,504
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$340,504
Administrative expenses professional fees incurred2014-06-30$52,687
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$3,425,853
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$33,947
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$34,534
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$25,209
Administrative expenses (other) incurred2014-06-30$40,582
Liabilities. Value of operating payables at end of year2014-06-30$24,151
Liabilities. Value of operating payables at beginning of year2014-06-30$29,900
Total non interest bearing cash at end of year2014-06-30$197,530
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$4,170,668
Value of net assets at end of year (total assets less liabilities)2014-06-30$29,421,661
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$25,250,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$92,995
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$23,634,964
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$23,378,608
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$9,609,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$5,843,307
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$5,843,307
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$4,239
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$122,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$29,514,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$29,922,715
Contract administrator fees2014-06-30$156,720
Liabilities. Value of benefit claims payable at end of year2014-06-30$4,030,958
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$3,966,231
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$3,175,478
Aggregate carrying amount (costs) on sale of assets2014-06-30$2,382,065
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2014-06-30320048632
2013 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$91,434
Total unrealized appreciation/depreciation of assets2013-06-30$91,434
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,996,131
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,886,494
Total income from all sources (including contributions)2013-06-30$32,876,501
Total loss/gain on sale of assets2013-06-30$83,150
Total of all expenses incurred2013-06-30$28,847,845
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$28,516,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$32,085,591
Value of total assets at end of year2013-06-30$29,247,124
Value of total assets at beginning of year2013-06-30$25,108,831
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$331,172
Total interest from all sources2013-06-30$3,150
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$613,176
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$613,176
Administrative expenses professional fees incurred2013-06-30$58,392
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$2,917,863
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$29,860
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$25,209
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$34,740
Administrative expenses (other) incurred2013-06-30$49,006
Liabilities. Value of operating payables at end of year2013-06-30$29,900
Liabilities. Value of operating payables at beginning of year2013-06-30$8,532
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$4,028,656
Value of net assets at end of year (total assets less liabilities)2013-06-30$25,250,993
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$21,222,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$86,574
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$23,378,608
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$21,678,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$5,843,307
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$3,395,564
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$3,395,564
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$3,150
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$117,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$29,137,868
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$28,398,954
Contract administrator fees2013-06-30$137,200
Liabilities. Value of benefit claims payable at end of year2013-06-30$3,966,231
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$3,877,962
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$1,284,000
Aggregate carrying amount (costs) on sale of assets2013-06-30$1,200,850
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2013-06-30320048632
2012 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$410,538
Total unrealized appreciation/depreciation of assets2012-06-30$410,538
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,886,494
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,034,814
Total income from all sources (including contributions)2012-06-30$30,059,864
Total of all expenses incurred2012-06-30$29,839,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$29,603,174
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$29,382,797
Value of total assets at end of year2012-06-30$25,108,831
Value of total assets at beginning of year2012-06-30$24,036,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$236,232
Total interest from all sources2012-06-30$266,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$40,232
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$2,799,192
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$40,641
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$34,740
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$17,711
Administrative expenses (other) incurred2012-06-30$28,789
Liabilities. Value of operating payables at end of year2012-06-30$8,532
Liabilities. Value of operating payables at beginning of year2012-06-30$11,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$220,458
Value of net assets at end of year (total assets less liabilities)2012-06-30$21,222,337
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$21,001,879
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$24,936
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$21,678,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$10,032,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$3,395,564
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$13,986,690
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$13,986,690
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$266,529
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$113,915
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$26,542,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$29,489,259
Contract administrator fees2012-06-30$142,275
Liabilities. Value of benefit claims payable at end of year2012-06-30$3,877,962
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$3,023,376
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2012-06-30320048632
2011 : USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$3,034,814
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$158,027
Total income from all sources (including contributions)2011-06-30$28,327,032
Total of all expenses incurred2011-06-30$26,081,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$25,873,948
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$28,264,421
Value of total assets at end of year2011-06-30$24,036,693
Value of total assets at beginning of year2011-06-30$18,914,772
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$207,951
Total interest from all sources2011-06-30$102,593
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$26,995
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$2,912,636
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$17,711
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$521,240
Administrative expenses (other) incurred2011-06-30$39,961
Liabilities. Value of operating payables at end of year2011-06-30$11,438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$2,245,133
Value of net assets at end of year (total assets less liabilities)2011-06-30$21,001,879
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$18,756,745
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$12,595
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$10,032,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$13,986,690
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$18,393,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$18,393,532
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$102,593
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$-29,701
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$-39,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$25,351,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$25,903,649
Contract administrator fees2011-06-30$128,400
Liabilities. Value of benefit claims payable at end of year2011-06-30$3,023,376
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$158,027
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30ANTHONY M PONTARELLI CPA LLC
Accountancy firm EIN2011-06-30320048632

Form 5500 Responses for USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN

2021: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: USW LOCAL 10-00086 MERCK EMPLOYEES HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31625
Policy instance 2
Insurance contract or identification numberHCL31625
Number of Individuals Covered2087
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $535,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered2100
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31625
Policy instance 2
Insurance contract or identification numberHCL31625
Number of Individuals Covered1974
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $476,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1999
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31625
Policy instance 2
Insurance contract or identification numberHCL31625
Number of Individuals Covered1828
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $413,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1875
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31625
Policy instance 2
Insurance contract or identification numberHCL31625
Number of Individuals Covered1751
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $362,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1785
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31625
Policy instance 2
Insurance contract or identification numberHCL31625
Number of Individuals Covered1713
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $347,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1725
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31625
Policy instance 2
Insurance contract or identification numberHCL31625
Number of Individuals Covered1743
Insurance policy start date2015-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $331,087
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1745
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1821
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
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 number76086
Policy instance 2
Insurance contract or identification number76086
Number of Individuals Covered1878
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $676,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1944
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered2007
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2865
Policy instance 1
Insurance contract or identification number2865
Number of Individuals Covered1987
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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