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PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 401k Plan overview

Plan NamePLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN
Plan identification number 501

PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

TRUSTEES OF PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE FUND
Employer identification number (EIN):231477739
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-05-01WILLIAM OUSEY
5012015-05-01WILLIAM OUSEY
5012014-05-01JOE DIEHL THOMAS ONEIL2016-02-12
5012013-05-01THOMAS J. KILKENNY JR THOMAS ONEIL2015-01-29
5012012-05-01THOMAS J. KILKENNY JR THOMAS ONEIL2014-02-17
5012011-05-01THOMAS J. KILKENNY JR THOMAS ONEIL2013-02-06
5012010-05-01THOMAS J. KILKENNY JR THOMAS ONEIL2012-02-02
5012009-05-01THOMAS J. KILKENNY JR THOMAS ONEIL2011-02-10

Plan Statistics for PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN

401k plan membership statisitcs for PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN

Measure Date Value
2016: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01119
Total number of active participants reported on line 7a of the Form 55002016-05-010
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-010
Number of employers contributing to the scheme2016-05-0141
2015: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01302
Total number of active participants reported on line 7a of the Form 55002015-05-0198
Number of retired or separated participants receiving benefits2015-05-0120
Number of other retired or separated participants entitled to future benefits2015-05-011
Total of all active and inactive participants2015-05-01119
Number of employers contributing to the scheme2015-05-0149
2014: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01281
Total number of active participants reported on line 7a of the Form 55002014-05-01129
Number of retired or separated participants receiving benefits2014-05-01173
Total of all active and inactive participants2014-05-01302
2013: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01129
Total number of active participants reported on line 7a of the Form 55002013-05-0186
Number of retired or separated participants receiving benefits2013-05-0127
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-01113
2012: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01142
Total number of active participants reported on line 7a of the Form 55002012-05-01100
Number of retired or separated participants receiving benefits2012-05-0129
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-01129
2011: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01157
Total number of active participants reported on line 7a of the Form 55002011-05-01110
Number of retired or separated participants receiving benefits2011-05-0132
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-01142
2010: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01152
Total number of active participants reported on line 7a of the Form 55002010-05-01123
Number of retired or separated participants receiving benefits2010-05-0134
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-01157
2009: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01152
Total number of active participants reported on line 7a of the Form 55002009-05-01150
Number of retired or separated participants receiving benefits2009-05-012
Total of all active and inactive participants2009-05-01152

Financial Data on PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN

Measure Date Value
2017 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-04-30$15,847
Total unrealized appreciation/depreciation of assets2017-04-30$15,847
Total transfer of assets from this plan2017-04-30$3,692,011
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$458,008
Total income from all sources (including contributions)2017-04-30$2,239,749
Total loss/gain on sale of assets2017-04-30$-354
Total of all expenses incurred2017-04-30$1,517,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$1,308,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$2,200,342
Value of total assets at end of year2017-04-30$0
Value of total assets at beginning of year2017-04-30$3,428,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$209,967
Total interest from all sources2017-04-30$23,914
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-04-30$0
Administrative expenses professional fees incurred2017-04-30$80,619
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$323,297
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-04-30$6,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$1,471
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-04-30$17,323
Administrative expenses (other) incurred2017-04-30$101,649
Liabilities. Value of operating payables at beginning of year2017-04-30$23,423
Total non interest bearing cash at beginning of year2017-04-30$607,656
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$721,767
Value of net assets at end of year (total assets less liabilities)2017-04-30$0
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$2,970,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Investment advisory and management fees2017-04-30$18,701
Income. Interest from US Government securities2017-04-30$7,929
Income. Interest from corporate debt instruments2017-04-30$11,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$2,625,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$2,625,520
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$4,192
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$189,930
Asset value of US Government securities at beginning of year2017-04-30$996
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30Yes
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$1,877,045
Employer contributions (assets) at beginning of year2017-04-30$192,609
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$1,111,749
Contract administrator fees2017-04-30$8,998
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-04-30No
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$417,262
Did the plan have assets held for investment2017-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30Yes
Aggregate proceeds on sale of assets2017-04-30$8,433,262
Aggregate carrying amount (costs) on sale of assets2017-04-30$8,433,616
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2017-04-30611436956
2016 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$-1
Total unrealized appreciation/depreciation of assets2016-04-30$-1
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$458,008
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$441,207
Total income from all sources (including contributions)2016-04-30$2,036,327
Total loss/gain on sale of assets2016-04-30$-25
Total of all expenses incurred2016-04-30$1,645,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$1,455,020
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$2,035,872
Value of total assets at end of year2016-04-30$3,428,252
Value of total assets at beginning of year2016-04-30$3,020,854
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$190,710
Total interest from all sources2016-04-30$481
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Administrative expenses professional fees incurred2016-04-30$74,806
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$351,136
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-04-30$10,151
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$1,471
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$5
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-04-30$17,323
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-04-30$152,742
Administrative expenses (other) incurred2016-04-30$43,025
Liabilities. Value of operating payables at end of year2016-04-30$23,423
Liabilities. Value of operating payables at beginning of year2016-04-30$12,225
Total non interest bearing cash at end of year2016-04-30$607,656
Total non interest bearing cash at beginning of year2016-04-30$847,323
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$390,597
Value of net assets at end of year (total assets less liabilities)2016-04-30$2,970,244
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$2,579,647
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$2,625,520
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$1,981,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$1,981,531
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$481
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$62,214
Asset value of US Government securities at end of year2016-04-30$996
Asset value of US Government securities at beginning of year2016-04-30$1,144
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$1,684,736
Employer contributions (assets) at end of year2016-04-30$192,609
Employer contributions (assets) at beginning of year2016-04-30$190,851
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$1,382,655
Contract administrator fees2016-04-30$72,879
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-04-30No
Liabilities. Value of benefit claims payable at end of year2016-04-30$417,262
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$276,240
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Aggregate proceeds on sale of assets2016-04-30$1,981,972
Aggregate carrying amount (costs) on sale of assets2016-04-30$1,981,997
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2016-04-30611436956
2015 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$5
Total unrealized appreciation/depreciation of assets2015-04-30$5
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$441,207
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$630,752
Total income from all sources (including contributions)2015-04-30$1,815,904
Total loss/gain on sale of assets2015-04-30$0
Total of all expenses incurred2015-04-30$2,033,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$1,827,977
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$1,811,606
Value of total assets at end of year2015-04-30$3,020,854
Value of total assets at beginning of year2015-04-30$3,427,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$205,318
Total interest from all sources2015-04-30$510
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Administrative expenses professional fees incurred2015-04-30$65,477
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$263,920
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$5
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$7
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-04-30$152,742
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-04-30$370,547
Other income not declared elsewhere2015-04-30$3,783
Administrative expenses (other) incurred2015-04-30$63,264
Liabilities. Value of operating payables at end of year2015-04-30$12,225
Liabilities. Value of operating payables at beginning of year2015-04-30$22,344
Total non interest bearing cash at end of year2015-04-30$847,323
Total non interest bearing cash at beginning of year2015-04-30$1,244,266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-217,391
Value of net assets at end of year (total assets less liabilities)2015-04-30$2,579,647
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$2,797,038
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$1,981,531
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$1,981,066
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$1,981,066
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$510
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$1,532,040
Asset value of US Government securities at end of year2015-04-30$1,144
Asset value of US Government securities at beginning of year2015-04-30$1,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$1,547,686
Employer contributions (assets) at end of year2015-04-30$190,851
Employer contributions (assets) at beginning of year2015-04-30$201,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$295,937
Contract administrator fees2015-04-30$76,577
Liabilities. Value of benefit claims payable at end of year2015-04-30$276,240
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$237,861
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30FISCHER DORWART, P.C.
Accountancy firm EIN2015-04-30232247478
2014 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-04-30$-125
Total unrealized appreciation/depreciation of assets2014-04-30$-125
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$630,752
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$442,532
Total income from all sources (including contributions)2014-04-30$1,819,771
Total loss/gain on sale of assets2014-04-30$0
Total of all expenses incurred2014-04-30$1,754,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$1,527,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$1,802,117
Value of total assets at end of year2014-04-30$3,427,790
Value of total assets at beginning of year2014-04-30$3,174,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$227,736
Total interest from all sources2014-04-30$508
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$74,186
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$195,241
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$7
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$8
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-04-30$370,547
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-04-30$306,109
Other income not declared elsewhere2014-04-30$17,271
Administrative expenses (other) incurred2014-04-30$72,515
Liabilities. Value of operating payables at end of year2014-04-30$22,344
Liabilities. Value of operating payables at beginning of year2014-04-30$17,462
Total non interest bearing cash at end of year2014-04-30$1,244,266
Total non interest bearing cash at beginning of year2014-04-30$990,951
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$64,975
Value of net assets at end of year (total assets less liabilities)2014-04-30$2,797,038
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$2,732,063
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$1,981,066
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$1,980,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$1,980,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$508
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$1,278,652
Asset value of US Government securities at end of year2014-04-30$1,333
Asset value of US Government securities at beginning of year2014-04-30$1,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30No
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$1,606,876
Employer contributions (assets) at end of year2014-04-30$201,118
Employer contributions (assets) at beginning of year2014-04-30$201,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$248,408
Contract administrator fees2014-04-30$81,035
Liabilities. Value of benefit claims payable at end of year2014-04-30$237,861
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$118,961
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30FISCHER DORWART, P.C.
Accountancy firm EIN2014-04-30232247478
2013 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-04-30$5
Total unrealized appreciation/depreciation of assets2013-04-30$5
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$442,532
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$433,658
Total income from all sources (including contributions)2013-04-30$1,885,535
Total loss/gain on sale of assets2013-04-30$0
Total of all expenses incurred2013-04-30$1,820,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$1,618,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$1,867,511
Value of total assets at end of year2013-04-30$3,174,595
Value of total assets at beginning of year2013-04-30$3,101,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$202,523
Total interest from all sources2013-04-30$553
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$73,294
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$188,643
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$8
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$3,615
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-04-30$306,109
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-04-30$266,265
Other income not declared elsewhere2013-04-30$17,466
Administrative expenses (other) incurred2013-04-30$67,255
Liabilities. Value of operating payables at end of year2013-04-30$17,462
Liabilities. Value of operating payables at beginning of year2013-04-30$15,450
Total non interest bearing cash at end of year2013-04-30$990,951
Total non interest bearing cash at beginning of year2013-04-30$1,004,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$64,695
Value of net assets at end of year (total assets less liabilities)2013-04-30$2,732,063
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$2,667,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$1,980,505
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$1,912,459
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$1,912,459
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$553
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-04-30$0
Asset value of US Government securities at end of year2013-04-30$1,734
Asset value of US Government securities at beginning of year2013-04-30$1,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$1,678,868
Employer contributions (assets) at end of year2013-04-30$201,397
Employer contributions (assets) at beginning of year2013-04-30$178,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$1,618,317
Contract administrator fees2013-04-30$61,974
Liabilities. Value of benefit claims payable at end of year2013-04-30$118,961
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$151,943
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30FISCHER DORWART, P.C.
Accountancy firm EIN2013-04-30232247478
2012 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-04-30$15
Total unrealized appreciation/depreciation of assets2012-04-30$15
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$433,658
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$508,992
Total income from all sources (including contributions)2012-04-30$2,606,763
Total loss/gain on sale of assets2012-04-30$0
Total of all expenses incurred2012-04-30$2,025,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$1,830,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$2,606,089
Value of total assets at end of year2012-04-30$3,101,026
Value of total assets at beginning of year2012-04-30$2,595,562
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$195,894
Total interest from all sources2012-04-30$659
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$60,426
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$239,889
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$3,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$9,238
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-04-30$266,265
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-04-30$310,850
Administrative expenses (other) incurred2012-04-30$68,435
Liabilities. Value of operating payables at end of year2012-04-30$15,450
Liabilities. Value of operating payables at beginning of year2012-04-30$13,125
Total non interest bearing cash at end of year2012-04-30$1,004,533
Total non interest bearing cash at beginning of year2012-04-30$962,645
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$580,798
Value of net assets at end of year (total assets less liabilities)2012-04-30$2,667,368
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$2,086,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$1,912,459
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$1,388,227
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$1,388,227
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$659
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-04-30$0
Asset value of US Government securities at end of year2012-04-30$1,937
Asset value of US Government securities at beginning of year2012-04-30$2,209
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30No
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$2,366,200
Employer contributions (assets) at end of year2012-04-30$178,482
Employer contributions (assets) at beginning of year2012-04-30$233,243
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$1,830,071
Contract administrator fees2012-04-30$67,033
Liabilities. Value of benefit claims payable at end of year2012-04-30$151,943
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$185,017
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30FISCHER DORWART, P.C.
Accountancy firm EIN2012-04-30232247478
2011 : PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-04-30$26
Total unrealized appreciation/depreciation of assets2011-04-30$26
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$508,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$434,847
Total income from all sources (including contributions)2011-04-30$2,105,549
Total loss/gain on sale of assets2011-04-30$0
Total of all expenses incurred2011-04-30$2,012,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$1,815,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$2,104,551
Value of total assets at end of year2011-04-30$2,595,562
Value of total assets at beginning of year2011-04-30$2,427,940
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$196,943
Total interest from all sources2011-04-30$972
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Administrative expenses professional fees incurred2011-04-30$59,434
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$236,701
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$9,238
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$13
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-04-30$310,850
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-04-30$267,695
Administrative expenses (other) incurred2011-04-30$68,709
Liabilities. Value of operating payables at end of year2011-04-30$13,125
Liabilities. Value of operating payables at beginning of year2011-04-30$14,571
Total non interest bearing cash at end of year2011-04-30$962,645
Total non interest bearing cash at beginning of year2011-04-30$118,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$93,477
Value of net assets at end of year (total assets less liabilities)2011-04-30$2,086,570
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$1,993,093
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$1,388,227
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$1,978,227
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$1,978,227
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$972
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-04-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-04-30$0
Asset value of US Government securities at end of year2011-04-30$2,209
Asset value of US Government securities at beginning of year2011-04-30$2,526
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30No
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$1,867,850
Employer contributions (assets) at end of year2011-04-30$233,243
Employer contributions (assets) at beginning of year2011-04-30$328,610
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$1,815,129
Contract administrator fees2011-04-30$68,800
Liabilities. Value of benefit claims payable at end of year2011-04-30$185,017
Liabilities. Value of benefit claims payable at beginning of year2011-04-30$152,581
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30FISCHER DORWART, P.C.
Accountancy firm EIN2011-04-30232247478

Form 5500 Responses for PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN

2016: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-05-01Type of plan entityMulti-employer plan
2016-05-01This submission is the final filingYes
2016-05-01Plan is a collectively bargained planYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-05-01Type of plan entityMulti-employer plan
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-05-01Type of plan entityMulti-employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-05-01Type of plan entityMulti-employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement - TrustYes
2011: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement - TrustYes
2010: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-05-01Type of plan entityMulti-employer plan
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planYes
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement - TrustYes
2009: PLASTERERS UNION LOCAL 8 HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849718
Policy instance 1
Insurance contract or identification numberSL-849718
Number of Individuals Covered80
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $32,114
Welfare Benefit Premiums Paid to CarrierUSD $188,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14770
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEE
Insurance broker organization code?5
Insurance broker nameHEALTH CARE STRAGETIS
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number7026
Policy instance 1
Insurance contract or identification number7026
Number of Individuals Covered74
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $219,133
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number40291
Policy instance 3
Insurance contract or identification number40291
Number of Individuals Covered297
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number7026
Policy instance 1
Insurance contract or identification number7026
Number of Individuals Covered97
Insurance policy start date2014-01-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $51,878
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number40291
Policy instance 2
Insurance contract or identification number40291
Number of Individuals Covered1
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
FIDELIO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 28231 )
Policy contract numberPLASTERERS' 8
Policy instance 1
Insurance contract or identification numberPLASTERERS' 8
Number of Individuals Covered248
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $74,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number40291
Policy instance 4
Insurance contract or identification number40291
Number of Individuals Covered308
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number8596
Policy instance 3
Insurance contract or identification number8596
Number of Individuals Covered1
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number40291
Policy instance 2
Insurance contract or identification number40291
Number of Individuals Covered1
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,067
FIDELIO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 28231 )
Policy contract numberPLASTERERS' 8
Policy instance 3
Insurance contract or identification numberPLASTERERS' 8
Number of Individuals Covered345
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $86,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number40291
Policy instance 2
Insurance contract or identification number40291
Number of Individuals Covered351
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number8596
Policy instance 1
Insurance contract or identification number8596
Number of Individuals Covered1
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number40291
Policy instance 4
Insurance contract or identification number40291
Number of Individuals Covered1
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number40291
Policy instance 4
Insurance contract or identification number40291
Number of Individuals Covered1
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number70711
Policy instance 2
Insurance contract or identification number70711
Number of Individuals Covered1
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number40291
Policy instance 1
Insurance contract or identification number40291
Number of Individuals Covered341
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
FIDELIO INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 28231 )
Policy contract numberPLASTERERS' 8
Policy instance 3
Insurance contract or identification numberPLASTERERS' 8
Number of Individuals Covered379
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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