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UNITED INDEPENDENT UNION WELFARE FUND 401k Plan overview

Plan NameUNITED INDEPENDENT UNION WELFARE FUND
Plan identification number 501

UNITED INDEPENDENT UNION WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Prepaid legal

401k Sponsoring company profile

UNITED INDEPENDENT UNION WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:UNITED INDEPENDENT UNION WELFARE FUND
Employer identification number (EIN):231746532
NAIC Classification:485990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED INDEPENDENT UNION WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01RONALD FERGUSON GUY GIORDANO2018-09-26
5012016-01-01RONALD FERGUSON GUY GIORDANO2017-08-24
5012015-01-01RONALD FERGUSON GUY GIORDANO2016-08-09
5012014-01-01RONALD FERGUSON GUY GIORDANO2015-10-02
5012013-01-01RONALD FERGUSON GUY GIORDANO2014-10-09
5012012-01-01RONALD FERGUSON
5012012-01-01RONALD FERGUSON GUY GIORDANO2013-12-12
5012011-01-01RONALD FERGUSON GUY GIORDANO2012-09-28
5012009-01-01FRANCIS J CHIAPPARDI GUY GIORDANO2010-10-08

Plan Statistics for UNITED INDEPENDENT UNION WELFARE FUND

401k plan membership statisitcs for UNITED INDEPENDENT UNION WELFARE FUND

Measure Date Value
2022: UNITED INDEPENDENT UNION WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01238
Total number of active participants reported on line 7a of the Form 55002022-01-01221
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 participants2022-01-01221
Number of employers contributing to the scheme2022-01-017
2021: UNITED INDEPENDENT UNION WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01246
Total number of active participants reported on line 7a of the Form 55002021-01-01238
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 participants2021-01-01238
Number of employers contributing to the scheme2021-01-017
2020: UNITED INDEPENDENT UNION WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01296
Total number of active participants reported on line 7a of the Form 55002020-01-01246
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 participants2020-01-01246
Number of employers contributing to the scheme2020-01-018
2019: UNITED INDEPENDENT UNION WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01361
Total number of active participants reported on line 7a of the Form 55002019-01-01296
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 participants2019-01-01296
Number of employers contributing to the scheme2019-01-019
2018: UNITED INDEPENDENT UNION WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01334
Total number of active participants reported on line 7a of the Form 55002018-01-01361
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 participants2018-01-01361
Number of employers contributing to the scheme2018-01-0110
2017: UNITED INDEPENDENT UNION WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01344
Total number of active participants reported on line 7a of the Form 55002017-01-01334
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01334
Number of employers contributing to the scheme2017-01-0112
2016: UNITED INDEPENDENT UNION WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01349
Total number of active participants reported on line 7a of the Form 55002016-01-01344
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01344
Number of employers contributing to the scheme2016-01-0111
2015: UNITED INDEPENDENT UNION WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01354
Total number of active participants reported on line 7a of the Form 55002015-01-01349
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01349
Number of employers contributing to the scheme2015-01-0114
2014: UNITED INDEPENDENT UNION WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01313
Total number of active participants reported on line 7a of the Form 55002014-01-01354
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 participants2014-01-01354
Number of employers contributing to the scheme2014-01-0114
2013: UNITED INDEPENDENT UNION WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01310
Total number of active participants reported on line 7a of the Form 55002013-01-01313
Total of all active and inactive participants2013-01-01313
Number of employers contributing to the scheme2013-01-0114
2012: UNITED INDEPENDENT UNION WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01303
Total number of active participants reported on line 7a of the Form 55002012-01-01310
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 participants2012-01-01310
Number of employers contributing to the scheme2012-01-0115
2011: UNITED INDEPENDENT UNION WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01393
Total number of active participants reported on line 7a of the Form 55002011-01-01297
Number of retired or separated participants receiving benefits2011-01-016
Total of all active and inactive participants2011-01-01303
2009: UNITED INDEPENDENT UNION WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01464
Total number of active participants reported on line 7a of the Form 55002009-01-01388
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01388

Financial Data on UNITED INDEPENDENT UNION WELFARE FUND

Measure Date Value
2022 : UNITED INDEPENDENT UNION WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,098,733
Total unrealized appreciation/depreciation of assets2022-12-31$-1,098,733
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$69,040
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$100,952
Total income from all sources (including contributions)2022-12-31$1,671,438
Total of all expenses incurred2022-12-31$2,559,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,263,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,485,499
Value of total assets at end of year2022-12-31$8,345,420
Value of total assets at beginning of year2022-12-31$9,265,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$296,533
Total interest from all sources2022-12-31$14,046
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$214,514
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$214,514
Administrative expenses professional fees incurred2022-12-31$48,437
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$433,721
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$56,764
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$62,651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$48,047
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$69,575
Other income not declared elsewhere2022-12-31$56,112
Administrative expenses (other) incurred2022-12-31$148,499
Liabilities. Value of operating payables at end of year2022-12-31$2,209
Liabilities. Value of operating payables at beginning of year2022-12-31$9,631
Total non interest bearing cash at end of year2022-12-31$20,397
Total non interest bearing cash at beginning of year2022-12-31$6,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-888,196
Value of net assets at end of year (total assets less liabilities)2022-12-31$8,276,380
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,164,576
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$25,790
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$5,522,130
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,416,547
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,680,565
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$2,660,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$2,660,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$14,046
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,829,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,485,499
Employer contributions (assets) at end of year2022-12-31$10,321
Employer contributions (assets) at beginning of year2022-12-31$49,006
Contract administrator fees2022-12-31$73,807
Liabilities. Value of benefit claims payable at end of year2022-12-31$18,784
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$21,746
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$55,243
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$70,714
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
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2022-12-31222212404
2021 : UNITED INDEPENDENT UNION WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$88,710
Total unrealized appreciation/depreciation of assets2021-12-31$88,710
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$31,377
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$24,591
Total income from all sources (including contributions)2021-12-31$3,107,267
Total loss/gain on sale of assets2021-12-31$247,368
Total of all expenses incurred2021-12-31$2,519,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,240,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,578,564
Value of total assets at end of year2021-12-31$9,195,953
Value of total assets at beginning of year2021-12-31$8,601,515
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$279,069
Total interest from all sources2021-12-31$250
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$177,906
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$177,906
Administrative expenses professional fees incurred2021-12-31$46,500
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
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$3,031
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$404,812
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$62,651
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$80,195
Other income not declared elsewhere2021-12-31$14,469
Administrative expenses (other) incurred2021-12-31$133,091
Liabilities. Value of operating payables at end of year2021-12-31$9,631
Liabilities. Value of operating payables at beginning of year2021-12-31$24,591
Total non interest bearing cash at end of year2021-12-31$6,363
Total non interest bearing cash at beginning of year2021-12-31$5,003
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$587,652
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,164,576
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,576,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$26,457
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,416,547
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$6,529,455
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,660,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,937,409
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,937,409
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$250
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,835,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$2,575,533
Employer contributions (assets) at end of year2021-12-31$49,006
Employer contributions (assets) at beginning of year2021-12-31$47,807
Contract administrator fees2021-12-31$73,021
Liabilities. Value of benefit claims payable at end of year2021-12-31$21,746
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$1,139
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$1,646
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$625,000
Aggregate carrying amount (costs) on sale of assets2021-12-31$377,632
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2021-12-31222212404
2020 : UNITED INDEPENDENT UNION WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$477,413
Total unrealized appreciation/depreciation of assets2020-12-31$477,413
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$24,591
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$55,804
Total income from all sources (including contributions)2020-12-31$3,180,094
Total loss/gain on sale of assets2020-12-31$-120,491
Total of all expenses incurred2020-12-31$2,265,792
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,000,954
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,644,473
Value of total assets at end of year2020-12-31$8,601,515
Value of total assets at beginning of year2020-12-31$7,718,426
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$264,838
Total interest from all sources2020-12-31$2,704
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$175,995
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$175,995
Administrative expenses professional fees incurred2020-12-31$46,750
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
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
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$421,378
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$80,195
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$144,967
Administrative expenses (other) incurred2020-12-31$123,822
Liabilities. Value of operating payables at end of year2020-12-31$24,591
Liabilities. Value of operating payables at beginning of year2020-12-31$34,268
Total non interest bearing cash at end of year2020-12-31$5,003
Total non interest bearing cash at beginning of year2020-12-31$5,109
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$914,302
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,576,924
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,662,622
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$23,788
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$6,529,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$5,824,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,937,409
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,590,085
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,590,085
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2,704
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,579,576
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,644,473
Employer contributions (assets) at end of year2020-12-31$47,807
Employer contributions (assets) at beginning of year2020-12-31$151,718
Contract administrator fees2020-12-31$70,478
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$21,536
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$1,646
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$2,153
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$5,094,516
Aggregate carrying amount (costs) on sale of assets2020-12-31$5,215,007
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2020-12-31222212404
2019 : UNITED INDEPENDENT UNION WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$433,681
Total unrealized appreciation/depreciation of assets2019-12-31$433,681
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$55,804
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$52,248
Total income from all sources (including contributions)2019-12-31$3,712,578
Total loss/gain on sale of assets2019-12-31$-39,731
Total of all expenses incurred2019-12-31$2,854,133
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,577,550
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,153,555
Value of total assets at end of year2019-12-31$7,718,426
Value of total assets at beginning of year2019-12-31$6,856,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$276,583
Total interest from all sources2019-12-31$16,629
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$148,444
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$148,444
Administrative expenses professional fees incurred2019-12-31$56,480
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,023
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$566,869
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$144,967
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$47,522
Administrative expenses (other) incurred2019-12-31$128,264
Liabilities. Value of operating payables at end of year2019-12-31$34,268
Liabilities. Value of operating payables at beginning of year2019-12-31$43,286
Total non interest bearing cash at end of year2019-12-31$5,109
Total non interest bearing cash at beginning of year2019-12-31$6,445
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$858,445
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,662,622
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,804,177
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$22,983
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,824,394
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,259,665
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,590,085
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,493,512
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,493,512
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$16,629
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,010,681
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,152,532
Employer contributions (assets) at end of year2019-12-31$151,718
Employer contributions (assets) at beginning of year2019-12-31$46,623
Contract administrator fees2019-12-31$68,856
Liabilities. Value of benefit claims payable at end of year2019-12-31$21,536
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$8,962
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$2,153
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$2,658
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$1,113,352
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,153,083
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2019-12-31222212404
2018 : UNITED INDEPENDENT UNION WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-224,833
Total unrealized appreciation/depreciation of assets2018-12-31$-224,833
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$52,248
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$65,024
Total income from all sources (including contributions)2018-12-31$3,558,599
Total of all expenses incurred2018-12-31$3,443,807
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,168,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,578,258
Value of total assets at end of year2018-12-31$6,856,425
Value of total assets at beginning of year2018-12-31$6,754,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$275,228
Total interest from all sources2018-12-31$11,848
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$193,326
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$193,326
Administrative expenses professional fees incurred2018-12-31$56,195
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
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$866
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$575,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$47,522
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$41,935
Administrative expenses (other) incurred2018-12-31$129,226
Liabilities. Value of operating payables at end of year2018-12-31$43,286
Liabilities. Value of operating payables at beginning of year2018-12-31$42,410
Total non interest bearing cash at end of year2018-12-31$6,445
Total non interest bearing cash at beginning of year2018-12-31$5,100
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$114,792
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,804,177
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$6,689,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$22,214
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$5,259,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$5,095,120
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,493,512
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,589,771
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,589,771
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$11,848
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,592,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,577,392
Employer contributions (assets) at end of year2018-12-31$46,623
Employer contributions (assets) at beginning of year2018-12-31$19,318
Contract administrator fees2018-12-31$67,593
Liabilities. Value of benefit claims payable at end of year2018-12-31$8,962
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$22,614
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$2,658
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$3,165
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2018-12-31222212404
2017 : UNITED INDEPENDENT UNION WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$32,108
Total unrealized appreciation/depreciation of assets2017-12-31$32,108
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$65,024
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$52,697
Total income from all sources (including contributions)2017-12-31$3,640,635
Total of all expenses incurred2017-12-31$3,167,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,859,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,427,204
Value of total assets at end of year2017-12-31$6,754,409
Value of total assets at beginning of year2017-12-31$6,269,384
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$308,608
Total interest from all sources2017-12-31$4,355
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$176,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$176,968
Administrative expenses professional fees incurred2017-12-31$100,304
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
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$2,007
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$30,529
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$665,335
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$41,935
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$32,638
Administrative expenses (other) incurred2017-12-31$112,886
Liabilities. Value of operating payables at end of year2017-12-31$42,410
Liabilities. Value of operating payables at beginning of year2017-12-31$29,429
Total non interest bearing cash at end of year2017-12-31$5,100
Total non interest bearing cash at beginning of year2017-12-31$5,100
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$472,698
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,689,385
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,216,687
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$21,901
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$5,095,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,888,257
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,589,771
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,222,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,222,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,355
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,193,994
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,394,668
Employer contributions (assets) at end of year2017-12-31$19,318
Employer contributions (assets) at beginning of year2017-12-31$118,676
Contract administrator fees2017-12-31$73,517
Liabilities. Value of benefit claims payable at end of year2017-12-31$22,614
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$23,268
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$3,165
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$2,068
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2017-12-31222212404
2016 : UNITED INDEPENDENT UNION WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$35,579
Total unrealized appreciation/depreciation of assets2016-12-31$35,579
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$52,697
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$59,183
Total income from all sources (including contributions)2016-12-31$3,383,500
Total loss/gain on sale of assets2016-12-31$-24,218
Total of all expenses incurred2016-12-31$3,336,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,003,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,212,728
Value of total assets at end of year2016-12-31$6,269,384
Value of total assets at beginning of year2016-12-31$6,229,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$333,298
Total interest from all sources2016-12-31$2,318
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$157,093
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$157,093
Administrative expenses professional fees incurred2016-12-31$117,252
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
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$17,753
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$675,709
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$32,638
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$8,472
Administrative expenses (other) incurred2016-12-31$123,204
Liabilities. Value of operating payables at end of year2016-12-31$29,429
Liabilities. Value of operating payables at beginning of year2016-12-31$31,994
Total non interest bearing cash at end of year2016-12-31$5,100
Total non interest bearing cash at beginning of year2016-12-31$4,216
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$46,701
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,216,687
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,169,986
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$21,294
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$4,888,257
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,037,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,222,645
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,156,614
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,156,614
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,318
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,327,792
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$3,194,975
Employer contributions (assets) at end of year2016-12-31$118,676
Employer contributions (assets) at beginning of year2016-12-31$18,042
Contract administrator fees2016-12-31$71,548
Liabilities. Value of benefit claims payable at end of year2016-12-31$23,268
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$27,189
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$2,068
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$4,202
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$317,759
Aggregate carrying amount (costs) on sale of assets2016-12-31$341,977
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2016-12-31222212404
2015 : UNITED INDEPENDENT UNION WELFARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$59,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$45,792
Total income from all sources (including contributions)2015-12-31$3,135,511
Total of all expenses incurred2015-12-31$3,061,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,804,453
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,211,774
Value of total assets at end of year2015-12-31$6,229,169
Value of total assets at beginning of year2015-12-31$6,141,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$256,932
Total interest from all sources2015-12-31$1,754
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$134,809
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$134,809
Administrative expenses professional fees incurred2015-12-31$103,186
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
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$6,592
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$520,209
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$8,472
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$42,012
Administrative expenses (other) incurred2015-12-31$56,830
Liabilities. Value of operating payables at end of year2015-12-31$31,994
Liabilities. Value of operating payables at beginning of year2015-12-31$24,195
Total non interest bearing cash at end of year2015-12-31$4,216
Total non interest bearing cash at beginning of year2015-12-31$5,599
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$74,126
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,169,986
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,095,860
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$21,296
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$5,037,623
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,826,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,156,614
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,246,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,246,730
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,754
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,275,944
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-212,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,205,182
Employer contributions (assets) at end of year2015-12-31$18,042
Employer contributions (assets) at beginning of year2015-12-31$15,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,300
Contract administrator fees2015-12-31$75,620
Liabilities. Value of benefit claims payable at end of year2015-12-31$27,189
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$21,597
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$4,202
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$5,243
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2015-12-31222212404
2014 : UNITED INDEPENDENT UNION WELFARE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$45,792
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$47,668
Total income from all sources (including contributions)2014-12-31$3,131,500
Total of all expenses incurred2014-12-31$2,751,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,519,626
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,119,771
Value of total assets at end of year2014-12-31$6,141,652
Value of total assets at beginning of year2014-12-31$5,763,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$232,033
Total interest from all sources2014-12-31$1,186
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$76,140
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$98,026
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
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$3,536
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$410,143
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$42,012
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$12,385
Administrative expenses (other) incurred2014-12-31$50,759
Liabilities. Value of operating payables at end of year2014-12-31$24,195
Liabilities. Value of operating payables at beginning of year2014-12-31$21,913
Total non interest bearing cash at end of year2014-12-31$5,599
Total non interest bearing cash at beginning of year2014-12-31$5,100
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$379,841
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,095,860
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,716,019
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$21,421
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,826,192
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,828,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,246,730
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,757,377
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,757,377
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,186
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,101,358
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-65,597
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
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$3,116,235
Employer contributions (assets) at end of year2014-12-31$15,876
Employer contributions (assets) at beginning of year2014-12-31$153,819
Income. Dividends from common stock2014-12-31$76,140
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,125
Contract administrator fees2014-12-31$61,827
Liabilities. Value of benefit claims payable at end of year2014-12-31$21,597
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$25,755
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$5,243
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$6,843
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2014-12-31222212404
2013 : UNITED INDEPENDENT UNION WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-6,730
Total unrealized appreciation/depreciation of assets2013-12-31$-6,730
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$47,668
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$70,209
Total income from all sources (including contributions)2013-12-31$3,111,209
Total loss/gain on sale of assets2013-12-31$20,263
Total of all expenses incurred2013-12-31$2,717,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,520,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,030,391
Value of total assets at end of year2013-12-31$5,763,687
Value of total assets at beginning of year2013-12-31$5,392,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$197,209
Total interest from all sources2013-12-31$826
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$19,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$95,082
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$43,316
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$448,897
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$12,385
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$50,243
Administrative expenses (other) incurred2013-12-31$13,129
Liabilities. Value of operating payables at end of year2013-12-31$21,913
Liabilities. Value of operating payables at beginning of year2013-12-31$26,804
Total non interest bearing cash at end of year2013-12-31$5,100
Total non interest bearing cash at beginning of year2013-12-31$5,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$393,916
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,716,019
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,322,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$30,135
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,828,163
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$548,748
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,757,377
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$250,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$250,552
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$826
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$2,064,830
Asset value of US Government securities at end of year2013-12-31$0
Asset value of US Government securities at beginning of year2013-12-31$2,230,896
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$46,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$3,030,391
Employer contributions (assets) at end of year2013-12-31$153,819
Employer contributions (assets) at beginning of year2013-12-31$122,875
Income. Dividends from common stock2013-12-31$19,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$6,357
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$2,128,463
Contract administrator fees2013-12-31$58,863
Liabilities. Value of benefit claims payable at end of year2013-12-31$25,755
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$43,405
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$6,843
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$12,119
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$4,455,887
Aggregate carrying amount (costs) on sale of assets2013-12-31$4,435,624
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2013-12-31222212404
2012 : UNITED INDEPENDENT UNION WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-17,135
Total unrealized appreciation/depreciation of assets2012-12-31$-17,135
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$70,209
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$133,138
Total income from all sources (including contributions)2012-12-31$2,959,713
Total loss/gain on sale of assets2012-12-31$-6,036
Total of all expenses incurred2012-12-31$2,769,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,531,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,804,354
Value of total assets at end of year2012-12-31$5,392,312
Value of total assets at beginning of year2012-12-31$5,264,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$237,475
Total interest from all sources2012-12-31$161,463
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$17,067
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$95,630
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$11,796
Assets. Other investments not covered elsewhere at end of year2012-12-31$43,316
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$50,333
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$100,188
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$50,243
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$64,912
Administrative expenses (other) incurred2012-12-31$34,049
Liabilities. Value of operating payables at end of year2012-12-31$26,804
Liabilities. Value of operating payables at beginning of year2012-12-31$27,749
Total non interest bearing cash at end of year2012-12-31$5,100
Total non interest bearing cash at beginning of year2012-12-31$100
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$190,502
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,322,103
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,131,601
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$45,427
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$548,748
Income. Interest from US Government securities2012-12-31$40,642
Income. Interest from corporate debt instruments2012-12-31$120,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$250,552
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$698,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$698,225
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$518
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$2,427,784
Asset value of US Government securities at end of year2012-12-31$2,230,896
Asset value of US Government securities at beginning of year2012-12-31$1,899,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,792,558
Employer contributions (assets) at end of year2012-12-31$122,875
Employer contributions (assets) at beginning of year2012-12-31$126,942
Income. Dividends from common stock2012-12-31$17,067
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,764
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$2,128,463
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$2,414,178
Contract administrator fees2012-12-31$62,369
Liabilities. Value of benefit claims payable at end of year2012-12-31$43,405
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$105,389
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$12,119
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$10,619
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$1,150,978
Aggregate carrying amount (costs) on sale of assets2012-12-31$1,157,014
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2012-12-31210738076
2011 : UNITED INDEPENDENT UNION WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$31,989
Total unrealized appreciation/depreciation of assets2011-12-31$31,989
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$133,138
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$84,915
Total income from all sources (including contributions)2011-12-31$3,212,722
Total loss/gain on sale of assets2011-12-31$-10,067
Total of all expenses incurred2011-12-31$2,883,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,637,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,011,496
Value of total assets at end of year2011-12-31$5,264,739
Value of total assets at beginning of year2011-12-31$4,887,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$246,371
Total interest from all sources2011-12-31$179,289
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$15
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$105,275
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$34,452
Assets. Other investments not covered elsewhere at end of year2011-12-31$50,333
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$97,759
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$64,912
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$59,212
Administrative expenses (other) incurred2011-12-31$31,598
Liabilities. Value of operating payables at end of year2011-12-31$27,749
Liabilities. Value of operating payables at beginning of year2011-12-31$27,850
Total non interest bearing cash at end of year2011-12-31$100
Total non interest bearing cash at beginning of year2011-12-31$100
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$329,154
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,131,601
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,802,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$41,692
Income. Interest from US Government securities2011-12-31$80,766
Income. Interest from corporate debt instruments2011-12-31$96,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$698,225
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$327,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$327,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$2,017
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,528,292
Asset value of US Government securities at end of year2011-12-31$1,899,430
Asset value of US Government securities at beginning of year2011-12-31$2,205,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,977,044
Employer contributions (assets) at end of year2011-12-31$126,942
Employer contributions (assets) at beginning of year2011-12-31$166,280
Income. Dividends from common stock2011-12-31$15
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$11,146
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$2,414,178
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$2,112,356
Contract administrator fees2011-12-31$67,806
Liabilities. Value of benefit claims payable at end of year2011-12-31$105,389
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$57,065
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$10,619
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$16,493
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$1,188,649
Aggregate carrying amount (costs) on sale of assets2011-12-31$1,198,716
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2011-12-31210738076
2010 : UNITED INDEPENDENT UNION WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-11,481
Total unrealized appreciation/depreciation of assets2010-12-31$-11,481
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$84,915
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$83,876
Total income from all sources (including contributions)2010-12-31$3,514,134
Total loss/gain on sale of assets2010-12-31$-8,654
Total of all expenses incurred2010-12-31$3,015,991
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,839,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,346,932
Value of total assets at end of year2010-12-31$4,887,362
Value of total assets at beginning of year2010-12-31$4,388,180
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$176,975
Total interest from all sources2010-12-31$187,327
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$10
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$42,215
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$100,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$14,921
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$100,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$59,212
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$39,372
Administrative expenses (other) incurred2010-12-31$36,259
Liabilities. Value of operating payables at end of year2010-12-31$27,850
Liabilities. Value of operating payables at beginning of year2010-12-31$31,654
Total non interest bearing cash at end of year2010-12-31$100
Total non interest bearing cash at beginning of year2010-12-31$100
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$498,143
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,802,447
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,304,304
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$38,405
Income. Interest from US Government securities2010-12-31$57,138
Income. Interest from corporate debt instruments2010-12-31$129,373
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$327,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$270,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$270,315
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$816
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,723,649
Asset value of US Government securities at end of year2010-12-31$2,205,425
Asset value of US Government securities at beginning of year2010-12-31$1,761,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$3,332,011
Employer contributions (assets) at end of year2010-12-31$166,280
Employer contributions (assets) at beginning of year2010-12-31$280,733
Income. Dividends from common stock2010-12-31$10
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$15,367
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$2,112,356
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$2,014,011
Contract administrator fees2010-12-31$60,096
Liabilities. Value of benefit claims payable at end of year2010-12-31$57,065
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$52,222
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$16,493
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$22,595
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$804,089
Aggregate carrying amount (costs) on sale of assets2010-12-31$812,743
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2010-12-31210738076

Form 5500 Responses for UNITED INDEPENDENT UNION WELFARE FUND

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

Insurance Providers Used on plan

AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number916281
Policy instance 5
Insurance contract or identification number916281
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $629
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $629
Insurance broker organization code?5
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered297
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $48
Welfare Benefit Premiums Paid to CarrierUSD $967
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48
Insurance broker organization code?5
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered294
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered395
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $46
Welfare Benefit Premiums Paid to CarrierUSD $770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46
Insurance broker organization code?5
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered403
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $596
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $596
Insurance broker organization code?5
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered395
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $54
Welfare Benefit Premiums Paid to CarrierUSD $1,073
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54
Insurance broker organization code?5
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered403
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $698
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $698
Insurance broker organization code?5
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered395
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $58
Welfare Benefit Premiums Paid to CarrierUSD $1,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58
Insurance broker organization code?5
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered403
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $724
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $724
Insurance broker organization code?5
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered397
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $78
Other welfare benefits providedACCIDENTIAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78
Insurance broker organization code?5
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered403
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $84,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $888
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,751
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $888
Insurance broker organization code?5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $812
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $812
Insurance broker organization code?5
Insurance broker nameBENEFITS PROCESSING INC
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered403
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $71
Other welfare benefits providedACCIDENTIAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71
Insurance broker organization code?5
Insurance broker nameBENEFITS PROCESSING INC
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered480
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered459
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $11,954
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,954
Insurance broker organization code?3
Insurance broker nameKISTLER-TIFFANY BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Number of Individuals Covered333
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $80
Other welfare benefits providedACCIDENTIAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80
Insurance broker organization code?5
Insurance broker nameBENEFITS PROCESSING INC
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered402
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Number of Individuals Covered333
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $742
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $742
Insurance broker organization code?5
Insurance broker nameBENEFITS PROCESSING INC
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered440
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $7,905
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,905
Insurance broker organization code?3
Insurance broker nameKISTLER-TIFFANY BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 2
Insurance contract or identification numberOK961173
Number of Individuals Covered333
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $80
Other welfare benefits providedACCIDENTIAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,595
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80
Insurance broker organization code?5
Insurance broker nameBENEFITS PROCESSING INC
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 3
Insurance contract or identification number251851-000
Number of Individuals Covered396
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Number of Individuals Covered333
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $738
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $738
Insurance broker organization code?5
Insurance broker nameBENEFITS PROCESSING INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Number of Individuals Covered291
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $719
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 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 $14,378
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $719
Insurance broker organization code?5
Insurance broker nameBENEFIT PROCESSING INC
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 1
Insurance contract or identification number251851-000
Number of Individuals Covered389
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $71,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 2
Insurance contract or identification number916281
Number of Individuals Covered438
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,465
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,465
Insurance broker organization code?3
Insurance broker nameKISTLER-TIFFANY BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 3
Insurance contract or identification numberOK961173
Number of Individuals Covered291
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $78
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $1,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78
Insurance broker organization code?5
Insurance broker nameBENEFIT PROCESSING INC
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 2
Insurance contract or identification number916281
Number of Individuals Covered429
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $10,188
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,188
Insurance broker organization code?3
Insurance broker nameKISTLER-TIFFANY BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 3
Insurance contract or identification numberOK961173
Number of Individuals Covered288
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $69
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $1,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $69
Insurance broker organization code?5
Insurance broker nameBENEFIT PROCESSING INC
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 1
Insurance contract or identification number251851-000
Number of Individuals Covered380
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $69,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker name
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 4
Insurance contract or identification numberFLX961119
Number of Individuals Covered288
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $638
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 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 $12,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $638
Insurance broker organization code?5
Insurance broker nameBENEFIT PROCESSING INC
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 4
Insurance contract or identification number251851-000
Number of Individuals Covered481
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $258
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 3
Insurance contract or identification numberOK961173
Number of Individuals Covered348
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $78
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $1,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 2
Insurance contract or identification numberFLX961119
Number of Individuals Covered348
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $722
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 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 $14,430
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered420
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,016
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA, INC. (National Association of Insurance Commissioners NAIC id number: 47089 )
Policy contract number251851-000
Policy instance 4
Insurance contract or identification number251851-000
Number of Individuals Covered488
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,250
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $3,250
Insurance broker organization code?3
Insurance broker nameKISTLER-TIFFANY BENEFITS
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK961173
Policy instance 3
Insurance contract or identification numberOK961173
Number of Individuals Covered368
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $89
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $1,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89
Insurance broker organization code?5
Insurance broker nameBENEFIT PROCESSING INC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961119
Policy instance 2
Insurance contract or identification numberFLX961119
Number of Individuals Covered368
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $827
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 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 $16,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $827
Insurance broker organization code?5
Insurance broker nameBENEFIT PROCESSING INC
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number916281
Policy instance 1
Insurance contract or identification number916281
Number of Individuals Covered522
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $87,352
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87,352
Insurance broker organization code?3
Insurance broker nameKISTLER-TIFFANY BENEFITS

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