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LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameLABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN
Plan identification number 501

LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE FUND
Employer identification number (EIN):231608209
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01PAUL DESANTO2023-10-12
5012021-01-01PAUL DESANTO2022-10-14
5012021-01-01PAUL DESANTO2023-05-15
5012020-01-01PAUL DESANTO2021-10-14
5012019-01-01PAUL DESANTO2020-10-13
5012018-01-01PAUL DESANTO2019-10-08
5012017-01-01PAUL DESANTO
5012016-01-01PAUL DESANTO
5012015-01-01PAUL DESANTO
5012014-01-01PAUL DESANTO
5012013-01-01PAUL DESANTO
5012012-01-01PAUL DESANTO
5012011-01-01PAUL DESANTO
5012009-01-01PAUL DESANTO

Plan Statistics for LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN

401k plan membership statisitcs for LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN

Measure Date Value
2022: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01754
Total number of active participants reported on line 7a of the Form 55002022-01-01755
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01755
Number of employers contributing to the scheme2022-01-01119
2021: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,031
Total number of active participants reported on line 7a of the Form 55002021-01-01754
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01754
Number of employers contributing to the scheme2021-01-01132
2020: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,466
Total number of active participants reported on line 7a of the Form 55002020-01-011,031
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,031
Number of employers contributing to the scheme2020-01-01147
2019: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,411
Total number of active participants reported on line 7a of the Form 55002019-01-011,466
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,466
Number of employers contributing to the scheme2019-01-01153
2018: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01794
Total number of active participants reported on line 7a of the Form 55002018-01-011,411
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,411
Number of employers contributing to the scheme2018-01-01155
2017: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01865
Total number of active participants reported on line 7a of the Form 55002017-01-01794
Total of all active and inactive participants2017-01-01794
Total participants2017-01-01794
Number of employers contributing to the scheme2017-01-01140
2016: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01818
Total number of active participants reported on line 7a of the Form 55002016-01-01865
Total of all active and inactive participants2016-01-01865
Total participants2016-01-01865
Number of employers contributing to the scheme2016-01-01107
2015: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01835
Total number of active participants reported on line 7a of the Form 55002015-01-01818
Total of all active and inactive participants2015-01-01818
Total participants2015-01-01818
Number of employers contributing to the scheme2015-01-01110
2014: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01948
Total number of active participants reported on line 7a of the Form 55002014-01-01835
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01835
Total participants2014-01-01835
Number of employers contributing to the scheme2014-01-01137
2013: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01899
Total number of active participants reported on line 7a of the Form 55002013-01-01948
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01948
Number of employers contributing to the scheme2013-01-01136
2012: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01942
Total number of active participants reported on line 7a of the Form 55002012-01-01899
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01899
Number of employers contributing to the scheme2012-01-01128
2011: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01581
Total number of active participants reported on line 7a of the Form 55002011-01-01665
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01665
Number of employers contributing to the scheme2011-01-01139
2009: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01641
Total number of active participants reported on line 7a of the Form 55002009-01-01599
Number of retired or separated participants receiving benefits2009-01-0114
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01613
Total participants2009-01-01613

Financial Data on LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN

Measure Date Value
2022 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-4,751,884
Total unrealized appreciation/depreciation of assets2022-12-31$-4,751,884
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$542,607
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$481,683
Total income from all sources (including contributions)2022-12-31$8,681,300
Total loss/gain on sale of assets2022-12-31$-151,294
Total of all expenses incurred2022-12-31$12,395,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$11,257,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$11,841,818
Value of total assets at end of year2022-12-31$56,905,713
Value of total assets at beginning of year2022-12-31$60,558,647
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,137,878
Total interest from all sources2022-12-31$1,315,488
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$427,172
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$377,226
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$113,333
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$63,213
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$75,679
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$169,435
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$919,366
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$787,575
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$80,546
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Administrative expenses (other) incurred2022-12-31$302,297
Liabilities. Value of operating payables at end of year2022-12-31$462,061
Liabilities. Value of operating payables at beginning of year2022-12-31$481,683
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,713,858
Value of net assets at end of year (total assets less liabilities)2022-12-31$56,363,106
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$60,076,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$0
Assets. partnership/joint venture interests at beginning of year2022-12-31$0
Investment advisory and management fees2022-12-31$329,931
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Interest earned on other investments2022-12-31$118
Income. Interest from US Government securities2022-12-31$94,080
Income. Interest from corporate debt instruments2022-12-31$1,194,135
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$0
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$4,814,871
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$6,071,066
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$6,071,066
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$27,155
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$619,357
Asset value of US Government securities at end of year2022-12-31$5,582,721
Asset value of US Government securities at beginning of year2022-12-31$5,425,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$11,778,605
Employer contributions (assets) at end of year2022-12-31$1,235,172
Employer contributions (assets) at beginning of year2022-12-31$1,231,940
Income. Dividends from common stock2022-12-31$49,946
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$10,637,923
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$38,810,199
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$39,745,946
Contract administrator fees2022-12-31$392,317
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$5,129,636
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$6,729,875
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$338,069
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$397,244
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$23,396,641
Aggregate carrying amount (costs) on sale of assets2022-12-31$23,547,935
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2022-12-31520959934
2021 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-107,188
Total unrealized appreciation/depreciation of assets2021-12-31$-107,188
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$481,683
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$731,597
Total income from all sources (including contributions)2021-12-31$14,859,236
Total loss/gain on sale of assets2021-12-31$815,009
Total of all expenses incurred2021-12-31$13,625,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$12,484,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$12,393,710
Value of total assets at end of year2021-12-31$60,558,647
Value of total assets at beginning of year2021-12-31$59,575,207
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,141,303
Total interest from all sources2021-12-31$1,370,134
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$387,571
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$343,056
Assets. Real estate other than employer real property at end of year2021-12-31$0
Assets. Real estate other than employer real property at beginning of year2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$104,377
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$292,709
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Assets. Other investments not covered elsewhere at end of year2021-12-31$169,435
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$106,758
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$787,575
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$714,555
Assets. Loans (other than to participants) at end of year2021-12-31$0
Assets. Loans (other than to participants) at beginning of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$560
Administrative expenses (other) incurred2021-12-31$313,745
Liabilities. Value of operating payables at end of year2021-12-31$481,683
Liabilities. Value of operating payables at beginning of year2021-12-31$731,037
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,233,354
Value of net assets at end of year (total assets less liabilities)2021-12-31$60,076,964
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$58,843,610
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$0
Assets. partnership/joint venture interests at beginning of year2021-12-31$0
Investment advisory and management fees2021-12-31$282,375
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$0
Value of interest in pooled separate accounts at end of year2021-12-31$0
Value of interest in pooled separate accounts at beginning of year2021-12-31$0
Interest earned on other investments2021-12-31$0
Income. Interest from US Government securities2021-12-31$72,641
Income. Interest from corporate debt instruments2021-12-31$1,278,025
Value of interest in master investment trust accounts at end of year2021-12-31$0
Value of interest in master investment trust accounts at beginning of year2021-12-31$0
Value of interest in common/collective trusts at end of year2021-12-31$0
Value of interest in common/collective trusts at beginning of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$6,071,066
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,960,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,960,707
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$19,468
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$652,385
Asset value of US Government securities at end of year2021-12-31$5,425,566
Asset value of US Government securities at beginning of year2021-12-31$4,182,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Assets. Invements in employer securities at end of year2021-12-31$0
Assets. Invements in employer securities at beginning of year2021-12-31$0
Assets. Value of employer real property at end of year2021-12-31$0
Assets. Value of employer real property at beginning of year2021-12-31$0
Contributions received in cash from employer2021-12-31$12,101,001
Employer contributions (assets) at end of year2021-12-31$1,231,940
Employer contributions (assets) at beginning of year2021-12-31$1,412,040
Income. Dividends from common stock2021-12-31$44,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,832,194
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$39,745,946
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$39,169,503
Contract administrator fees2021-12-31$440,806
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$6,729,875
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$5,603,922
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$397,244
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$425,586
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$41,084,296
Aggregate carrying amount (costs) on sale of assets2021-12-31$40,269,287
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2021-12-31520959934
2020 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$1,116,148
Total unrealized appreciation/depreciation of assets2020-12-31$1,116,148
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$731,597
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,125,747
Total income from all sources (including contributions)2020-12-31$15,594,239
Total loss/gain on sale of assets2020-12-31$858,428
Total of all expenses incurred2020-12-31$15,919,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$14,680,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$11,808,576
Value of total assets at end of year2020-12-31$59,575,207
Value of total assets at beginning of year2020-12-31$60,294,564
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,238,931
Total interest from all sources2020-12-31$1,513,686
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$297,401
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$244,924
Assets. Real estate other than employer real property at end of year2020-12-31$0
Assets. Real estate other than employer real property at beginning of year2020-12-31$0
Administrative expenses professional fees incurred2020-12-31$123,307
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$68,183
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$106,758
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$134,221
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$714,555
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$774,692
Assets. Loans (other than to participants) at end of year2020-12-31$0
Assets. Loans (other than to participants) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$560
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$190,940
Administrative expenses (other) incurred2020-12-31$286,735
Liabilities. Value of operating payables at end of year2020-12-31$731,037
Liabilities. Value of operating payables at beginning of year2020-12-31$934,807
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-325,207
Value of net assets at end of year (total assets less liabilities)2020-12-31$58,843,610
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$59,168,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$0
Assets. partnership/joint venture interests at beginning of year2020-12-31$0
Investment advisory and management fees2020-12-31$276,246
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$0
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest in pooled separate accounts at beginning of year2020-12-31$0
Income. Interest from US Government securities2020-12-31$108,995
Income. Interest from corporate debt instruments2020-12-31$1,354,245
Value of interest in master investment trust accounts at end of year2020-12-31$0
Value of interest in master investment trust accounts at beginning of year2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$0
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,960,707
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$8,921,951
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$8,921,951
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$50,446
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$686,050
Asset value of US Government securities at end of year2020-12-31$4,182,136
Asset value of US Government securities at beginning of year2020-12-31$8,492,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$0
Assets. Invements in employer securities at beginning of year2020-12-31$0
Assets. Value of employer real property at end of year2020-12-31$0
Assets. Value of employer real property at beginning of year2020-12-31$0
Contributions received in cash from employer2020-12-31$11,740,393
Employer contributions (assets) at end of year2020-12-31$1,412,040
Employer contributions (assets) at beginning of year2020-12-31$1,699,756
Income. Dividends from common stock2020-12-31$52,477
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$13,994,465
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$39,169,503
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$34,395,624
Contract administrator fees2020-12-31$552,643
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$5,603,922
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$5,455,887
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$425,586
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$419,960
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$40,990,371
Aggregate carrying amount (costs) on sale of assets2020-12-31$40,131,943
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2020-12-31520959934
2019 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$3,032,535
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$3,032,535
Total unrealized appreciation/depreciation of assets2019-12-31$3,032,535
Total unrealized appreciation/depreciation of assets2019-12-31$3,032,535
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,125,747
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,125,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$839,042
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$839,042
Total income from all sources (including contributions)2019-12-31$21,115,650
Total income from all sources (including contributions)2019-12-31$21,115,650
Total loss/gain on sale of assets2019-12-31$165,183
Total loss/gain on sale of assets2019-12-31$165,183
Total of all expenses incurred2019-12-31$17,153,413
Total of all expenses incurred2019-12-31$17,153,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,764,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$15,764,561
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,029,865
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,029,865
Value of total assets at end of year2019-12-31$60,294,564
Value of total assets at end of year2019-12-31$60,294,564
Value of total assets at beginning of year2019-12-31$56,045,622
Value of total assets at beginning of year2019-12-31$56,045,622
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,388,852
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,388,852
Total interest from all sources2019-12-31$1,656,535
Total interest from all sources2019-12-31$1,656,535
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$231,532
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$231,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$169,817
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$169,817
Assets. Real estate other than employer real property at end of year2019-12-31$0
Assets. Real estate other than employer real property at end of year2019-12-31$0
Assets. Real estate other than employer real property at beginning of year2019-12-31$0
Assets. Real estate other than employer real property at beginning of year2019-12-31$0
Administrative expenses professional fees incurred2019-12-31$114,139
Administrative expenses professional fees incurred2019-12-31$114,139
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Value of fidelity bond cover2019-12-31$2,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$53,182
Contributions received from participants2019-12-31$53,182
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Assets. Other investments not covered elsewhere at end of year2019-12-31$134,221
Assets. Other investments not covered elsewhere at end of year2019-12-31$134,221
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$126,862
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$126,862
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$774,692
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$774,692
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$681,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$681,533
Assets. Loans (other than to participants) at end of year2019-12-31$0
Assets. Loans (other than to participants) at end of year2019-12-31$0
Assets. Loans (other than to participants) at beginning of year2019-12-31$0
Assets. Loans (other than to participants) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$190,940
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$190,940
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$47,820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$47,820
Administrative expenses (other) incurred2019-12-31$290,544
Administrative expenses (other) incurred2019-12-31$290,544
Liabilities. Value of operating payables at end of year2019-12-31$934,807
Liabilities. Value of operating payables at end of year2019-12-31$934,807
Liabilities. Value of operating payables at beginning of year2019-12-31$791,222
Liabilities. Value of operating payables at beginning of year2019-12-31$791,222
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,962,237
Value of net income/loss2019-12-31$3,962,237
Value of net assets at end of year (total assets less liabilities)2019-12-31$59,168,817
Value of net assets at end of year (total assets less liabilities)2019-12-31$59,168,817
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$55,206,580
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$55,206,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$0
Assets. partnership/joint venture interests at end of year2019-12-31$0
Assets. partnership/joint venture interests at beginning of year2019-12-31$0
Assets. partnership/joint venture interests at beginning of year2019-12-31$0
Investment advisory and management fees2019-12-31$243,218
Investment advisory and management fees2019-12-31$243,218
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest earned on other investments2019-12-31$90
Interest earned on other investments2019-12-31$90
Income. Interest from US Government securities2019-12-31$185,709
Income. Interest from US Government securities2019-12-31$185,709
Income. Interest from corporate debt instruments2019-12-31$1,313,819
Income. Interest from corporate debt instruments2019-12-31$1,313,819
Value of interest in master investment trust accounts at end of year2019-12-31$0
Value of interest in master investment trust accounts at end of year2019-12-31$0
Value of interest in master investment trust accounts at beginning of year2019-12-31$0
Value of interest in master investment trust accounts at beginning of year2019-12-31$0
Value of interest in common/collective trusts at end of year2019-12-31$0
Value of interest in common/collective trusts at end of year2019-12-31$0
Value of interest in common/collective trusts at beginning of year2019-12-31$0
Value of interest in common/collective trusts at beginning of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,921,951
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,921,951
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,712,455
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,712,455
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,712,455
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,712,455
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$156,917
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$156,917
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2019-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$761,576
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$761,576
Asset value of US Government securities at end of year2019-12-31$8,492,473
Asset value of US Government securities at end of year2019-12-31$8,492,473
Asset value of US Government securities at beginning of year2019-12-31$8,784,855
Asset value of US Government securities at beginning of year2019-12-31$8,784,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$0
Assets. Invements in employer securities at end of year2019-12-31$0
Assets. Invements in employer securities at beginning of year2019-12-31$0
Assets. Invements in employer securities at beginning of year2019-12-31$0
Assets. Value of employer real property at end of year2019-12-31$0
Assets. Value of employer real property at end of year2019-12-31$0
Assets. Value of employer real property at beginning of year2019-12-31$0
Assets. Value of employer real property at beginning of year2019-12-31$0
Contributions received in cash from employer2019-12-31$15,976,683
Contributions received in cash from employer2019-12-31$15,976,683
Employer contributions (assets) at end of year2019-12-31$1,699,756
Employer contributions (assets) at beginning of year2019-12-31$2,732,788
Employer contributions (assets) at beginning of year2019-12-31$2,732,788
Income. Dividends from common stock2019-12-31$61,715
Income. Dividends from common stock2019-12-31$61,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,002,985
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,002,985
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$0
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$34,395,624
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$34,395,624
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$28,056,911
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$28,056,911
Contract administrator fees2019-12-31$740,951
Contract administrator fees2019-12-31$740,951
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$5,455,887
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$5,455,887
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,872,864
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$3,872,864
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$419,960
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$419,960
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$77,354
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$77,354
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$27,271,702
Aggregate proceeds on sale of assets2019-12-31$27,271,702
Aggregate carrying amount (costs) on sale of assets2019-12-31$27,106,519
Aggregate carrying amount (costs) on sale of assets2019-12-31$27,106,519
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm name2019-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2019-12-31520959934
Accountancy firm EIN2019-12-31520959934
2018 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-1,072,231
Total unrealized appreciation/depreciation of assets2018-12-31$-1,072,231
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$839,042
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,097,606
Total income from all sources (including contributions)2018-12-31$26,124,861
Total loss/gain on sale of assets2018-12-31$-429,646
Total of all expenses incurred2018-12-31$16,008,771
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$14,681,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$26,111,782
Value of total assets at end of year2018-12-31$56,045,622
Value of total assets at beginning of year2018-12-31$46,188,096
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,326,775
Total income from rents2018-12-31$0
Total interest from all sources2018-12-31$1,422,182
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$92,774
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$25,931
Assets. Real estate other than employer real property at end of year2018-12-31$0
Assets. Real estate other than employer real property at beginning of year2018-12-31$0
Administrative expenses professional fees incurred2018-12-31$179,199
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$26,254
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Assets. Other investments not covered elsewhere at end of year2018-12-31$126,862
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$124,384
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$681,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$836,474
Assets. Loans (other than to participants) at end of year2018-12-31$0
Assets. Loans (other than to participants) at beginning of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$47,820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$461,779
Administrative expenses (other) incurred2018-12-31$233,301
Liabilities. Value of operating payables at end of year2018-12-31$791,222
Liabilities. Value of operating payables at beginning of year2018-12-31$635,827
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$10,116,090
Value of net assets at end of year (total assets less liabilities)2018-12-31$55,206,580
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$45,090,490
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$0
Assets. partnership/joint venture interests at beginning of year2018-12-31$0
Investment advisory and management fees2018-12-31$170,166
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$0
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Income. Interest from US Government securities2018-12-31$165,445
Income. Interest from corporate debt instruments2018-12-31$1,143,269
Value of interest in master investment trust accounts at end of year2018-12-31$0
Value of interest in master investment trust accounts at beginning of year2018-12-31$0
Value of interest in common/collective trusts at end of year2018-12-31$0
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$11,712,455
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$9,223,280
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$9,223,280
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$113,468
Assets. Value of investments in 103.12 investment entities at end of year2018-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$655,010
Asset value of US Government securities at end of year2018-12-31$8,784,855
Asset value of US Government securities at beginning of year2018-12-31$8,582,388
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$0
Assets. Invements in employer securities at beginning of year2018-12-31$0
Assets. Value of employer real property at end of year2018-12-31$0
Assets. Value of employer real property at beginning of year2018-12-31$0
Contributions received in cash from employer2018-12-31$26,085,528
Employer contributions (assets) at end of year2018-12-31$2,732,788
Employer contributions (assets) at beginning of year2018-12-31$3,956,245
Income. Dividends from common stock2018-12-31$66,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$14,026,986
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$28,056,911
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$19,574,169
Contract administrator fees2018-12-31$744,109
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$3,872,864
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$3,815,134
Liabilities. Value of benefit claims payable at end of year2018-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$77,354
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$76,022
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$39,761,306
Aggregate carrying amount (costs) on sale of assets2018-12-31$40,190,952
Liabilities. Value of acquisition indebtedness at end of year2018-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2018-12-31520959934
2017 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$714,876
Total unrealized appreciation/depreciation of assets2017-12-31$714,876
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,097,606
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$694,083
Total income from all sources (including contributions)2017-12-31$21,788,895
Total loss/gain on sale of assets2017-12-31$-148,221
Total of all expenses incurred2017-12-31$11,052,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$10,027,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$20,090,583
Value of total assets at end of year2017-12-31$46,188,096
Value of total assets at beginning of year2017-12-31$35,048,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,024,990
Total interest from all sources2017-12-31$1,082,667
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$48,990
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$165,023
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$23,889
Assets. Other investments not covered elsewhere at end of year2017-12-31$124,384
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$139,609
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$836,474
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$455,722
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$461,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,442
Administrative expenses (other) incurred2017-12-31$223,845
Liabilities. Value of operating payables at end of year2017-12-31$635,827
Liabilities. Value of operating payables at beginning of year2017-12-31$692,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$10,736,441
Value of net assets at end of year (total assets less liabilities)2017-12-31$45,090,490
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$34,354,049
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$145,655
Income. Interest from US Government securities2017-12-31$168,772
Income. Interest from corporate debt instruments2017-12-31$884,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$9,223,280
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$4,109,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$4,109,035
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$29,003
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$478,293
Asset value of US Government securities at end of year2017-12-31$8,582,388
Asset value of US Government securities at beginning of year2017-12-31$8,099,890
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$20,066,694
Employer contributions (assets) at end of year2017-12-31$3,956,245
Employer contributions (assets) at beginning of year2017-12-31$1,590,826
Income. Dividends from common stock2017-12-31$48,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$9,549,171
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$19,574,169
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$17,419,348
Contract administrator fees2017-12-31$490,467
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$3,815,134
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$3,138,751
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$76,022
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$94,951
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$19,985,261
Aggregate carrying amount (costs) on sale of assets2017-12-31$20,133,482
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2017-12-31520959934
2016 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$1,165,681
Total unrealized appreciation/depreciation of assets2016-12-31$1,165,681
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$694,083
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$806,091
Total income from all sources (including contributions)2016-12-31$13,236,577
Total loss/gain on sale of assets2016-12-31$-738,796
Total of all expenses incurred2016-12-31$11,766,631
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,731,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$11,609,582
Value of total assets at end of year2016-12-31$35,048,132
Value of total assets at beginning of year2016-12-31$33,690,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,035,174
Total interest from all sources2016-12-31$1,154,621
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$45,489
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$170,318
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$50,871
Assets. Other investments not covered elsewhere at end of year2016-12-31$139,609
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$113,752
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$455,722
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$384,168
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,442
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$97,132
Administrative expenses (other) incurred2016-12-31$259,477
Liabilities. Value of operating payables at end of year2016-12-31$692,641
Liabilities. Value of operating payables at beginning of year2016-12-31$708,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,469,946
Value of net assets at end of year (total assets less liabilities)2016-12-31$34,354,049
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$32,884,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$122,530
Income. Interest from US Government securities2016-12-31$198,752
Income. Interest from corporate debt instruments2016-12-31$941,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,109,035
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$4,630,990
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$4,630,990
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$14,673
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$476,797
Asset value of US Government securities at end of year2016-12-31$8,099,890
Asset value of US Government securities at beginning of year2016-12-31$8,856,750
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$11,558,711
Employer contributions (assets) at end of year2016-12-31$1,590,826
Employer contributions (assets) at beginning of year2016-12-31$1,293,481
Income. Dividends from common stock2016-12-31$45,489
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$10,254,660
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$17,419,348
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$15,445,485
Contract administrator fees2016-12-31$482,849
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$3,138,751
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$2,850,708
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$94,951
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$114,860
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$15,775,535
Aggregate carrying amount (costs) on sale of assets2016-12-31$16,514,331
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2016-12-31520959934
2015 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-1,225,946
Total unrealized appreciation/depreciation of assets2015-12-31$-1,225,946
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$806,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$631,570
Total income from all sources (including contributions)2015-12-31$12,584,737
Total loss/gain on sale of assets2015-12-31$255,523
Total of all expenses incurred2015-12-31$10,843,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,876,637
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$12,418,129
Value of total assets at end of year2015-12-31$33,690,194
Value of total assets at beginning of year2015-12-31$31,774,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$966,997
Total interest from all sources2015-12-31$1,090,756
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$46,275
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$706
Administrative expenses professional fees incurred2015-12-31$132,506
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$86,434
Assets. Other investments not covered elsewhere at end of year2015-12-31$113,752
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$29,601
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$384,168
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$351,541
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$97,132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$62,806
Administrative expenses (other) incurred2015-12-31$258,123
Liabilities. Value of operating payables at end of year2015-12-31$708,959
Liabilities. Value of operating payables at beginning of year2015-12-31$568,764
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,741,103
Value of net assets at end of year (total assets less liabilities)2015-12-31$32,884,103
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$31,143,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$128,719
Income. Interest from US Government securities2015-12-31$203,091
Income. Interest from corporate debt instruments2015-12-31$860,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$4,630,990
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,442,174
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,442,174
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$26,991
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$487,946
Asset value of US Government securities at end of year2015-12-31$8,856,750
Asset value of US Government securities at beginning of year2015-12-31$6,861,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$12,331,695
Employer contributions (assets) at end of year2015-12-31$1,293,481
Employer contributions (assets) at beginning of year2015-12-31$1,093,420
Income. Dividends from common stock2015-12-31$45,569
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,388,691
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$15,445,485
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$16,441,552
Contract administrator fees2015-12-31$447,649
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$2,850,708
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$3,440,502
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$114,860
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$114,144
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$15,251,764
Aggregate carrying amount (costs) on sale of assets2015-12-31$14,996,241
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ELLIN & TUCKER, CHARTERED
Accountancy firm EIN2015-12-31520959934
2014 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-215,249
Total unrealized appreciation/depreciation of assets2014-12-31$-215,249
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$631,570
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$536,244
Total income from all sources (including contributions)2014-12-31$12,182,840
Total loss/gain on sale of assets2014-12-31$-53,409
Total of all expenses incurred2014-12-31$11,105,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$10,033,299
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$11,272,703
Value of total assets at end of year2014-12-31$31,774,570
Value of total assets at beginning of year2014-12-31$30,602,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,072,419
Total interest from all sources2014-12-31$1,107,808
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$70,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$357
Administrative expenses professional fees incurred2014-12-31$123,161
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$94,016
Assets. Other investments not covered elsewhere at end of year2014-12-31$29,601
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$90,640
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$351,541
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$369,855
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$62,806
Administrative expenses (other) incurred2014-12-31$366,720
Liabilities. Value of operating payables at end of year2014-12-31$568,764
Liabilities. Value of operating payables at beginning of year2014-12-31$536,244
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,077,122
Value of net assets at end of year (total assets less liabilities)2014-12-31$31,143,000
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$30,065,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$124,229
Income. Interest from US Government securities2014-12-31$195,482
Income. Interest from corporate debt instruments2014-12-31$897,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,442,174
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,079,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,079,885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$15,175
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$511,830
Asset value of US Government securities at end of year2014-12-31$6,861,636
Asset value of US Government securities at beginning of year2014-12-31$6,849,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$11,178,687
Employer contributions (assets) at end of year2014-12-31$1,093,420
Employer contributions (assets) at beginning of year2014-12-31$894,859
Income. Dividends from common stock2014-12-31$70,630
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$9,521,469
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$16,441,552
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$16,091,761
Contract administrator fees2014-12-31$458,309
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$3,440,502
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$3,103,663
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$114,144
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$121,522
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$13,722,503
Aggregate carrying amount (costs) on sale of assets2014-12-31$13,775,912
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KPMG, LLP
Accountancy firm EIN2014-12-31135565207
2013 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$48,704
Total unrealized appreciation/depreciation of assets2013-12-31$48,704
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$536,244
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,511,256
Expenses. Interest paid2013-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
Total income from all sources (including contributions)2013-12-31$13,032,021
Total loss/gain on sale of assets2013-12-31$62,607
Total of all expenses incurred2013-12-31$10,305,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$9,300,834
Expenses. Certain deemed distributions of participant loans2013-12-31$0
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$11,852,258
Value of total assets at end of year2013-12-31$30,602,122
Value of total assets at beginning of year2013-12-31$28,850,618
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,004,671
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$1,013,717
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$54,735
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$8,175
Assets. Real estate other than employer real property at end of year2013-12-31$0
Assets. Real estate other than employer real property at beginning of year2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$160,309
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$2,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$91,540
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$90,640
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$92,495
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$369,855
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$202,741
Assets. Loans (other than to participants) at end of year2013-12-31$0
Assets. Loans (other than to participants) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,084,075
Administrative expenses (other) incurred2013-12-31$220,986
Liabilities. Value of operating payables at end of year2013-12-31$536,244
Liabilities. Value of operating payables at beginning of year2013-12-31$427,181
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$2,726,516
Value of net assets at end of year (total assets less liabilities)2013-12-31$30,065,878
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$27,339,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$0
Assets. partnership/joint venture interests at beginning of year2013-12-31$0
Investment advisory and management fees2013-12-31$155,260
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$0
Interest on participant loans2013-12-31$0
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$0
Income. Interest from US Government securities2013-12-31$220,488
Income. Interest from corporate debt instruments2013-12-31$787,676
Value of interest in master investment trust accounts at end of year2013-12-31$0
Value of interest in master investment trust accounts at beginning of year2013-12-31$0
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest in common/collective trusts at beginning of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,079,885
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$5,762,584
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$5,762,584
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$5,553
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$584,788
Asset value of US Government securities at end of year2013-12-31$6,849,937
Asset value of US Government securities at beginning of year2013-12-31$7,393,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Assets. Invements in employer securities at end of year2013-12-31$0
Assets. Invements in employer securities at beginning of year2013-12-31$0
Assets. Value of employer real property at end of year2013-12-31$0
Assets. Value of employer real property at beginning of year2013-12-31$0
Contributions received in cash from employer2013-12-31$11,760,718
Employer contributions (assets) at end of year2013-12-31$894,859
Employer contributions (assets) at beginning of year2013-12-31$1,726,780
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$46,560
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$8,716,046
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$16,091,761
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$11,188,140
Contract administrator fees2013-12-31$468,116
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$3,103,663
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$2,378,382
Liabilities. Value of benefit claims payable at end of year2013-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$121,522
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$106,494
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$16,263,308
Aggregate carrying amount (costs) on sale of assets2013-12-31$16,200,701
Liabilities. Value of acquisition indebtedness at end of year2013-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KPMG LLP
Accountancy firm EIN2013-12-31135565207
2012 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$525,383
Total unrealized appreciation/depreciation of assets2012-12-31$525,383
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,511,256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$390,780
Expenses. Interest paid2012-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$0
Total income from all sources (including contributions)2012-12-31$14,417,292
Total loss/gain on sale of assets2012-12-31$148,511
Total of all expenses incurred2012-12-31$8,937,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,045,710
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$13,265,620
Value of total assets at end of year2012-12-31$28,850,618
Value of total assets at beginning of year2012-12-31$22,250,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$891,990
Total interest from all sources2012-12-31$435,457
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$42,321
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$0
Assets. Real estate other than employer real property at end of year2012-12-31$0
Assets. Real estate other than employer real property at beginning of year2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$219,351
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$2,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$65,124
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Assets. Other investments not covered elsewhere at end of year2012-12-31$92,495
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$79,393
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$202,741
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$115,900
Assets. Loans (other than to participants) at end of year2012-12-31$0
Assets. Loans (other than to participants) at beginning of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,084,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$66,625
Administrative expenses (other) incurred2012-12-31$198,652
Liabilities. Value of operating payables at end of year2012-12-31$427,181
Liabilities. Value of operating payables at beginning of year2012-12-31$324,155
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$5,479,592
Value of net assets at end of year (total assets less liabilities)2012-12-31$27,339,362
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$21,859,770
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$0
Assets. partnership/joint venture interests at beginning of year2012-12-31$0
Investment advisory and management fees2012-12-31$72,161
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Interest on participant loans2012-12-31$0
Income. Interest from loans (other than to participants)2012-12-31$0
Interest earned on other investments2012-12-31$0
Income. Interest from US Government securities2012-12-31$221,529
Income. Interest from corporate debt instruments2012-12-31$195,689
Value of interest in master investment trust accounts at end of year2012-12-31$0
Value of interest in master investment trust accounts at beginning of year2012-12-31$0
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$5,762,584
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$5,145,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$5,145,148
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$18,239
Assets. Value of investments in 103.12 investment entities at end of year2012-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$567,920
Asset value of US Government securities at end of year2012-12-31$7,393,002
Asset value of US Government securities at beginning of year2012-12-31$7,449,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$0
Assets. Invements in employer securities at beginning of year2012-12-31$0
Assets. Value of employer real property at end of year2012-12-31$0
Assets. Value of employer real property at beginning of year2012-12-31$0
Contributions received in cash from employer2012-12-31$13,200,496
Employer contributions (assets) at end of year2012-12-31$1,726,780
Employer contributions (assets) at beginning of year2012-12-31$1,344,071
Income. Dividends from preferred stock2012-12-31$0
Income. Dividends from common stock2012-12-31$42,321
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,477,790
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$4,822,525
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$1,585,928
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$6,365,615
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$4,629,203
Contract administrator fees2012-12-31$401,826
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$2,378,382
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,785,656
Liabilities. Value of benefit claims payable at end of year2012-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$106,494
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$115,668
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$7,513,785
Aggregate carrying amount (costs) on sale of assets2012-12-31$7,365,274
Liabilities. Value of acquisition indebtedness at end of year2012-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KPMG LLP
Accountancy firm EIN2012-12-31135565207
2011 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$288,761
Total unrealized appreciation/depreciation of assets2011-12-31$288,761
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$390,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$268,186
Expenses. Interest paid2011-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-12-31$0
Total income from all sources (including contributions)2011-12-31$13,170,474
Total loss/gain on sale of assets2011-12-31$-483
Total of all expenses incurred2011-12-31$6,450,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$5,748,651
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$12,446,529
Value of total assets at end of year2011-12-31$22,250,550
Value of total assets at beginning of year2011-12-31$15,407,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$701,850
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$410,227
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$25,440
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Assets. Real estate other than employer real property at end of year2011-12-31$0
Assets. Real estate other than employer real property at beginning of year2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$183,364
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$2,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$114,858
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Assets. Other investments not covered elsewhere at end of year2011-12-31$79,393
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$95,556
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$115,900
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$161,505
Assets. Loans (other than to participants) at end of year2011-12-31$0
Assets. Loans (other than to participants) at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$66,625
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$84,384
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$178,346
Liabilities. Value of operating payables at end of year2011-12-31$324,155
Liabilities. Value of operating payables at beginning of year2011-12-31$183,802
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$6,719,973
Value of net assets at end of year (total assets less liabilities)2011-12-31$21,859,770
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$15,139,797
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$0
Assets. partnership/joint venture interests at beginning of year2011-12-31$0
Investment advisory and management fees2011-12-31$49,596
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$0
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$0
Interest on participant loans2011-12-31$0
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$890
Income. Interest from US Government securities2011-12-31$197,119
Income. Interest from corporate debt instruments2011-12-31$200,279
Value of interest in master investment trust accounts at end of year2011-12-31$0
Value of interest in master investment trust accounts at beginning of year2011-12-31$0
Value of interest in common/collective trusts at end of year2011-12-31$0
Value of interest in common/collective trusts at beginning of year2011-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$5,145,148
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,744,572
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,744,572
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$11,939
Assets. Value of investments in 103.12 investment entities at end of year2011-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$464,636
Asset value of US Government securities at end of year2011-12-31$7,449,583
Asset value of US Government securities at beginning of year2011-12-31$5,160,749
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$0
Net investment gain or loss from common/collective trusts2011-12-31$0
Net gain/loss from 103.12 investment entities2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$0
Assets. Invements in employer securities at beginning of year2011-12-31$0
Assets. Value of employer real property at end of year2011-12-31$0
Assets. Value of employer real property at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$12,331,671
Employer contributions (assets) at end of year2011-12-31$1,344,071
Employer contributions (assets) at beginning of year2011-12-31$738,861
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$25,440
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$5,284,015
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$1,585,928
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$4,629,203
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$5,118,151
Contract administrator fees2011-12-31$290,544
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,785,656
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,294,718
Liabilities. Value of benefit claims payable at end of year2011-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$115,668
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$93,871
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$4,089,468
Aggregate carrying amount (costs) on sale of assets2011-12-31$4,089,951
Liabilities. Value of acquisition indebtedness at end of year2011-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2011-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KPMG LLP
Accountancy firm EIN2011-12-31135565207
2010 : LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$252,814
Total unrealized appreciation/depreciation of assets2010-12-31$252,814
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$268,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$544,309
Total income from all sources (including contributions)2010-12-31$8,656,469
Total loss/gain on sale of assets2010-12-31$43,598
Total of all expenses incurred2010-12-31$5,840,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,031,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$7,966,459
Value of total assets at end of year2010-12-31$15,407,983
Value of total assets at beginning of year2010-12-31$12,868,438
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$809,422
Total interest from all sources2010-12-31$371,766
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$21,832
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$4,171
Administrative expenses professional fees incurred2010-12-31$174,564
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$2,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$244,784
Assets. Other investments not covered elsewhere at end of year2010-12-31$95,556
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$64,931
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$161,505
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$160,733
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$84,384
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$265,934
Administrative expenses (other) incurred2010-12-31$203,858
Liabilities. Value of operating payables at end of year2010-12-31$183,802
Liabilities. Value of operating payables at beginning of year2010-12-31$278,375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,815,668
Value of net assets at end of year (total assets less liabilities)2010-12-31$15,139,797
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$12,324,129
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$53,560
Interest earned on other investments2010-12-31$4,470
Income. Interest from US Government securities2010-12-31$153,437
Income. Interest from corporate debt instruments2010-12-31$213,127
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,744,572
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,136,182
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,136,182
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$732
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$355,440
Asset value of US Government securities at end of year2010-12-31$5,160,749
Asset value of US Government securities at beginning of year2010-12-31$4,180,460
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$7,721,675
Employer contributions (assets) at end of year2010-12-31$738,861
Employer contributions (assets) at beginning of year2010-12-31$522,702
Income. Dividends from common stock2010-12-31$17,661
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$4,675,939
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$5,118,151
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$4,560,691
Contract administrator fees2010-12-31$377,440
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,294,718
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$1,122,257
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$93,871
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$120,482
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$3,301,351
Aggregate carrying amount (costs) on sale of assets2010-12-31$3,257,753
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31KPMG LLP
Accountancy firm EIN2010-12-31135565207

Form 5500 Responses for LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN

2022: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LABORERS LOCAL UNION NO. 158 HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered755
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $449,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 1
Insurance contract or identification numberTM05993401
Number of Individuals Covered740
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $173,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered1845
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $464,238
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 1
Insurance contract or identification numberTM05993401
Number of Individuals Covered868
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $248,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered1047
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $441,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 1
Insurance contract or identification numberTM05993401
Number of Individuals Covered985
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $218,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 1
Insurance contract or identification numberTM05993401
Number of Individuals Covered1038
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $236,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered1466
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 $528,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 1
Insurance contract or identification numberTM05993401
Number of Individuals Covered1194
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $205,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered1411
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 $387,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 3
Insurance contract or identification number00521905
Number of Individuals Covered796
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 $298,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 2
Insurance contract or identification numberTM05993401
Number of Individuals Covered1194
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $205,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00521905
Policy instance 1
Insurance contract or identification number00521905
Number of Individuals Covered796
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 1
Insurance contract or identification number00521905
Number of Individuals Covered824
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 $356,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 3
Insurance contract or identification numberTM05993401
Number of Individuals Covered811
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTIAL DEATH & DISMEMBERMENT
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 $155,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered824
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 1
Insurance contract or identification number00521905
Number of Individuals Covered966
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 $374,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 2
Insurance contract or identification numberTM05993401
Number of Individuals Covered961
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $138,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05993401
Policy instance 1
Insurance contract or identification numberTM05993401
Number of Individuals Covered960
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $146,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered966
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 $461,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered964
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 $397,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMG15849
Policy instance 1
Insurance contract or identification numberMG15849
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,449
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $86,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,449
Insurance broker organization code?3
Insurance broker nameCONSOLIDATED BENEFITS, INC.
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMG15849
Policy instance 1
Insurance contract or identification numberMG15849
Number of Individuals Covered944
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,492
Total amount of fees paid to insurance companyUSD $216
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $124,577
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521905
Policy instance 2
Insurance contract or identification number00521905
Number of Individuals Covered677
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 $296,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberMG15849
Policy instance 1
Insurance contract or identification numberMG15849
Number of Individuals Covered696
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,276
Total amount of fees paid to insurance companyUSD $225
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $113,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,276
Amount paid for insurance broker fees225
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameCONSOLIDATED BENEFITS, INC.
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-011112-00
Policy instance 2
Insurance contract or identification number16-011112-00
Number of Individuals Covered588
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $17,029
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $243,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,029
Insurance broker nameCONSOLIDATED BENEFITS, INC.

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