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IBEW LOCAL 812 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameIBEW LOCAL 812 HEALTH AND WELFARE FUND
Plan identification number 501

IBEW LOCAL 812 HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

IBEW LOCAL 812 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:IBEW LOCAL 812 HEALTH AND WELFARE FUND
Employer identification number (EIN):232369223
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL 812 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JAMES BEAMER2023-10-13
5012021-01-01JAMES BEAMER2022-10-07
5012020-01-01JAMES BEAMER2021-10-12
5012019-01-01JAMES BEAMER2020-10-12
5012018-01-01
5012017-01-01JAMES BEAMER
5012017-01-01JAMES BEAMER
5012016-01-01JAMES BEAMER
5012015-01-01JAMES BEAMER
5012014-01-01JAMES BEAMER
5012013-01-01JAMES BEAMER
5012012-01-01JAMES BEAMER
5012011-01-01JAMES BEAMER
5012009-01-01JAMES BEAMER

Plan Statistics for IBEW LOCAL 812 HEALTH AND WELFARE FUND

401k plan membership statisitcs for IBEW LOCAL 812 HEALTH AND WELFARE FUND

Measure Date Value
2022: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01115
Total number of active participants reported on line 7a of the Form 55002022-01-0179
Number of retired or separated participants receiving benefits2022-01-0115
Total of all active and inactive participants2022-01-0194
Number of employers contributing to the scheme2022-01-0127
2021: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01110
Total number of active participants reported on line 7a of the Form 55002021-01-0191
Number of retired or separated participants receiving benefits2021-01-0124
Total of all active and inactive participants2021-01-01115
Number of employers contributing to the scheme2021-01-0121
2020: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01126
Total number of active participants reported on line 7a of the Form 55002020-01-0170
Number of retired or separated participants receiving benefits2020-01-0125
Number of other retired or separated participants entitled to future benefits2020-01-0115
Total of all active and inactive participants2020-01-01110
Number of employers contributing to the scheme2020-01-0123
2019: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0199
Total number of active participants reported on line 7a of the Form 55002019-01-0182
Number of retired or separated participants receiving benefits2019-01-0127
Number of other retired or separated participants entitled to future benefits2019-01-0117
Total of all active and inactive participants2019-01-01126
Number of employers contributing to the scheme2019-01-0124
2018: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01103
Total number of active participants reported on line 7a of the Form 55002018-01-0175
Number of retired or separated participants receiving benefits2018-01-0121
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0199
Number of employers contributing to the scheme2018-01-0123
2017: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01105
Total number of active participants reported on line 7a of the Form 55002017-01-0177
Number of retired or separated participants receiving benefits2017-01-0126
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-01106
Number of employers contributing to the scheme2017-01-0123
2016: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01138
Total number of active participants reported on line 7a of the Form 55002016-01-0177
Number of retired or separated participants receiving benefits2016-01-0125
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-01105
Number of employers contributing to the scheme2016-01-0125
2015: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01143
Total number of active participants reported on line 7a of the Form 55002015-01-01126
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-019
Total of all active and inactive participants2015-01-01138
Number of employers contributing to the scheme2015-01-0125
2014: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01130
Total number of active participants reported on line 7a of the Form 55002014-01-0199
Number of retired or separated participants receiving benefits2014-01-015
Number of other retired or separated participants entitled to future benefits2014-01-0139
Total of all active and inactive participants2014-01-01143
Number of employers contributing to the scheme2014-01-0121
2013: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01125
Total number of active participants reported on line 7a of the Form 55002013-01-0197
Number of retired or separated participants receiving benefits2013-01-0114
Number of other retired or separated participants entitled to future benefits2013-01-0119
Total of all active and inactive participants2013-01-01130
Number of employers contributing to the scheme2013-01-0128
2012: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01144
Total number of active participants reported on line 7a of the Form 55002012-01-0192
Number of retired or separated participants receiving benefits2012-01-0118
Number of other retired or separated participants entitled to future benefits2012-01-0115
Total of all active and inactive participants2012-01-01125
Number of employers contributing to the scheme2012-01-0124
2011: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01149
Total number of active participants reported on line 7a of the Form 55002011-01-0195
Number of retired or separated participants receiving benefits2011-01-0140
Number of other retired or separated participants entitled to future benefits2011-01-019
Total of all active and inactive participants2011-01-01144
Total participants2011-01-01144
Number of employers contributing to the scheme2011-01-0118
2009: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-0189
Total number of active participants reported on line 7a of the Form 55002009-01-0168
Number of retired or separated participants receiving benefits2009-01-0111
Total of all active and inactive participants2009-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-018
Total participants2009-01-0187
Number of employers contributing to the scheme2009-01-0119

Financial Data on IBEW LOCAL 812 HEALTH AND WELFARE FUND

Measure Date Value
2022 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$99,210
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$110,503
Total income from all sources (including contributions)2022-12-31$1,746,330
Total loss/gain on sale of assets2022-12-31$-20
Total of all expenses incurred2022-12-31$1,662,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,525,783
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,845,556
Value of total assets at end of year2022-12-31$1,647,193
Value of total assets at beginning of year2022-12-31$1,574,953
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$137,014
Total interest from all sources2022-12-31$2,014
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$14,326
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$14,326
Administrative expenses professional fees incurred2022-12-31$35,657
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$31,262
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$292,274
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$282,636
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$80,307
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$126,108
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$47,865
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$89,998
Other income not declared elsewhere2022-12-31$746
Administrative expenses (other) incurred2022-12-31$58,575
Liabilities. Value of operating payables at end of year2022-12-31$46,345
Liabilities. Value of operating payables at beginning of year2022-12-31$6,905
Total non interest bearing cash at end of year2022-12-31$777,884
Total non interest bearing cash at beginning of year2022-12-31$493,606
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$83,533
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,547,983
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,464,450
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$1,640
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$671,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$766,240
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$420
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,177
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,177
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,014
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,243,147
Asset value of US Government securities at end of year2022-12-31$1,032
Asset value of US Government securities at beginning of year2022-12-31$7,255
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-116,292
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$1,522,020
Employer contributions (assets) at end of year2022-12-31$115,787
Employer contributions (assets) at beginning of year2022-12-31$180,567
Contract administrator fees2022-12-31$41,142
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$5,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$13,600
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$2,356
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,376
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PACKER THOMAS
Accountancy firm EIN2022-12-31341667340
2021 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$110,503
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$60,873
Total income from all sources (including contributions)2021-12-31$2,122,453
Total loss/gain on sale of assets2021-12-31$7,314
Total of all expenses incurred2021-12-31$1,667,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,521,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,061,328
Value of total assets at end of year2021-12-31$1,574,953
Value of total assets at beginning of year2021-12-31$1,070,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$146,301
Total interest from all sources2021-12-31$61
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$15,343
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$15,343
Administrative expenses professional fees incurred2021-12-31$42,401
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$52,122
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$253,595
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$343,147
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$126,108
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$49,520
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$89,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$22,982
Other income not declared elsewhere2021-12-31$19,663
Administrative expenses (other) incurred2021-12-31$72,346
Liabilities. Value of operating payables at end of year2021-12-31$6,905
Liabilities. Value of operating payables at beginning of year2021-12-31$30,091
Total non interest bearing cash at end of year2021-12-31$493,606
Total non interest bearing cash at beginning of year2021-12-31$207,543
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$454,876
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,464,450
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,009,574
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$6,558
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$766,240
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$731,278
Income. Interest from US Government securities2021-12-31$61
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,177
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,502
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,178,129
Asset value of US Government securities at end of year2021-12-31$7,255
Asset value of US Government securities at beginning of year2021-12-31$2,996
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$18,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,755,611
Employer contributions (assets) at end of year2021-12-31$180,567
Employer contributions (assets) at beginning of year2021-12-31$77,608
Contract administrator fees2021-12-31$24,996
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$13,600
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$7,800
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$30,038
Aggregate carrying amount (costs) on sale of assets2021-12-31$22,724
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PACKER THOMAS
Accountancy firm EIN2021-12-31341667340
2020 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$60,873
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$67,390
Total income from all sources (including contributions)2020-12-31$1,579,452
Total loss/gain on sale of assets2020-12-31$-98,161
Total of all expenses incurred2020-12-31$1,845,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,702,953
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,542,224
Value of total assets at end of year2020-12-31$1,070,447
Value of total assets at beginning of year2020-12-31$1,343,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$142,653
Total interest from all sources2020-12-31$1,311
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$18,763
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$17,348
Administrative expenses professional fees incurred2020-12-31$33,138
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$44,688
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$157,070
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$221,257
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$210,984
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$49,520
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$53,930
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$22,982
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$42,796
Other income not declared elsewhere2020-12-31$108
Administrative expenses (other) incurred2020-12-31$75,828
Liabilities. Value of operating payables at end of year2020-12-31$30,091
Liabilities. Value of operating payables at beginning of year2020-12-31$12,194
Total non interest bearing cash at end of year2020-12-31$207,543
Total non interest bearing cash at beginning of year2020-12-31$112,915
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-266,154
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,009,574
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,275,728
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$6,753
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$731,278
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$451,116
Interest earned on other investments2020-12-31$1,189
Income. Interest from US Government securities2020-12-31$122
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,502
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$32,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$32,060
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,491,969
Asset value of US Government securities at end of year2020-12-31$2,996
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$115,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,276,279
Employer contributions (assets) at end of year2020-12-31$77,608
Employer contributions (assets) at beginning of year2020-12-31$127,176
Income. Dividends from common stock2020-12-31$1,415
Contract administrator fees2020-12-31$26,934
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$408,851
Liabilities. Value of benefit claims payable at end of year2020-12-31$7,800
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$12,400
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$2,639,471
Aggregate carrying amount (costs) on sale of assets2020-12-31$2,737,632
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31PACKER THOMAS
Accountancy firm EIN2020-12-31341667340
2019 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$10,777
Total unrealized appreciation/depreciation of assets2019-12-31$10,777
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$67,390
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$428,039
Total income from all sources (including contributions)2019-12-31$2,003,360
Total loss/gain on sale of assets2019-12-31$18,318
Total of all expenses incurred2019-12-31$1,938,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,802,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,908,819
Value of total assets at end of year2019-12-31$1,343,118
Value of total assets at beginning of year2019-12-31$1,638,712
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$136,220
Total interest from all sources2019-12-31$8,098
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$19,784
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$9,557
Administrative expenses professional fees incurred2019-12-31$59,303
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$43,057
Assets. Other investments not covered elsewhere at end of year2019-12-31$157,070
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$154,657
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$290,646
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$325,024
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$53,930
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$99,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$42,796
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$30,018
Other income not declared elsewhere2019-12-31$276
Administrative expenses (other) incurred2019-12-31$27,251
Liabilities. Value of operating payables at end of year2019-12-31$12,194
Liabilities. Value of operating payables at beginning of year2019-12-31$9,211
Total non interest bearing cash at end of year2019-12-31$112,915
Total non interest bearing cash at beginning of year2019-12-31$72,544
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$65,055
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,275,728
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,210,673
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$8,227
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$451,116
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$591,661
Interest earned on other investments2019-12-31$7,925
Income. Interest from US Government securities2019-12-31$173
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$32,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$9,872
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$9,872
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,477,061
Asset value of US Government securities at beginning of year2019-12-31$5,831
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$37,288
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,575,116
Employer contributions (assets) at end of year2019-12-31$127,176
Employer contributions (assets) at beginning of year2019-12-31$209,723
Income. Dividends from common stock2019-12-31$10,227
Contract administrator fees2019-12-31$41,439
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$408,851
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$494,674
Liabilities. Value of benefit claims payable at end of year2019-12-31$12,400
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$388,810
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$203,873
Aggregate carrying amount (costs) on sale of assets2019-12-31$185,555
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31PACKER THOMAS
Accountancy firm EIN2019-12-31341667340
2018 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-163,217
Total unrealized appreciation/depreciation of assets2018-12-31$-163,217
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$428,039
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$267,020
Total income from all sources (including contributions)2018-12-31$1,478,596
Total loss/gain on sale of assets2018-12-31$-37,627
Total of all expenses incurred2018-12-31$2,866,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,745,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,698,087
Value of total assets at end of year2018-12-31$1,638,712
Value of total assets at beginning of year2018-12-31$2,865,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$121,057
Total interest from all sources2018-12-31$8,861
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$37,454
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$21,500
Administrative expenses professional fees incurred2018-12-31$29,852
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$45,433
Assets. Other investments not covered elsewhere at end of year2018-12-31$154,657
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$158,923
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$591,731
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$120,145
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$99,750
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$132,353
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$30,018
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$25,332
Other income not declared elsewhere2018-12-31$992
Administrative expenses (other) incurred2018-12-31$33,118
Liabilities. Value of operating payables at end of year2018-12-31$9,211
Liabilities. Value of operating payables at beginning of year2018-12-31$7,264
Total non interest bearing cash at end of year2018-12-31$72,544
Total non interest bearing cash at beginning of year2018-12-31$164,320
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,387,698
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,210,673
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,598,371
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$14,367
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$591,661
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,178,489
Interest earned on other investments2018-12-31$7,925
Income. Interest from US Government securities2018-12-31$228
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$9,872
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$41,425
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$41,425
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$708
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,625,092
Asset value of US Government securities at end of year2018-12-31$5,831
Asset value of US Government securities at beginning of year2018-12-31$7,765
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-65,954
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,060,923
Employer contributions (assets) at end of year2018-12-31$209,723
Employer contributions (assets) at beginning of year2018-12-31$139,441
Income. Dividends from common stock2018-12-31$15,954
Contract administrator fees2018-12-31$43,720
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$494,674
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$1,042,675
Liabilities. Value of benefit claims payable at end of year2018-12-31$388,810
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$234,424
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$441,217
Aggregate carrying amount (costs) on sale of assets2018-12-31$478,844
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 name2018-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2018-12-31205367494
2017 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$46,466
Total unrealized appreciation/depreciation of assets2017-12-31$46,466
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$267,020
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$233,503
Total income from all sources (including contributions)2017-12-31$1,989,022
Total loss/gain on sale of assets2017-12-31$-16,292
Total of all expenses incurred2017-12-31$2,104,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,982,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,826,854
Value of total assets at end of year2017-12-31$2,864,934
Value of total assets at beginning of year2017-12-31$2,947,084
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$122,689
Total interest from all sources2017-12-31$10,851
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$52,911
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$27,130
Administrative expenses professional fees incurred2017-12-31$26,199
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$62,849
Assets. Other investments not covered elsewhere at end of year2017-12-31$158,923
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$160,554
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$787,953
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$117,202
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$131,896
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$82,243
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$25,332
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$26,411
Other income not declared elsewhere2017-12-31$1,126
Administrative expenses (other) incurred2017-12-31$37,456
Liabilities. Value of operating payables at end of year2017-12-31$7,264
Liabilities. Value of operating payables at beginning of year2017-12-31$7,791
Total non interest bearing cash at end of year2017-12-31$164,320
Total non interest bearing cash at beginning of year2017-12-31$101,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-115,667
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,597,914
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,713,581
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$16,950
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,178,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,242,726
Interest earned on other investments2017-12-31$7,925
Income. Interest from US Government securities2017-12-31$298
Income. Interest from corporate debt instruments2017-12-31$2,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$41,425
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$42,528
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$42,528
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$554
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,864,798
Asset value of US Government securities at end of year2017-12-31$7,765
Asset value of US Government securities at beginning of year2017-12-31$10,198
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$67,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$976,052
Employer contributions (assets) at end of year2017-12-31$139,441
Employer contributions (assets) at beginning of year2017-12-31$91,354
Income. Dividends from common stock2017-12-31$25,781
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$101,511
Contract administrator fees2017-12-31$42,084
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$1,042,675
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$1,114,041
Liabilities. Value of benefit claims payable at end of year2017-12-31$234,424
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$199,301
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$647,199
Aggregate carrying amount (costs) on sale of assets2017-12-31$663,491
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 name2017-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2017-12-31205367494
2016 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$180,407
Total unrealized appreciation/depreciation of assets2016-12-31$180,407
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$233,503
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$111,528
Total income from all sources (including contributions)2016-12-31$1,676,294
Total loss/gain on sale of assets2016-12-31$48,758
Total of all expenses incurred2016-12-31$1,995,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,881,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,324,345
Value of total assets at end of year2016-12-31$2,947,084
Value of total assets at beginning of year2016-12-31$3,144,074
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$113,921
Total interest from all sources2016-12-31$13,831
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$51,158
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$29,448
Administrative expenses professional fees incurred2016-12-31$19,512
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$43,673
Assets. Other investments not covered elsewhere at end of year2016-12-31$160,554
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$163,555
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$253,578
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$98,226
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$82,243
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$54,670
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$26,411
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$28,341
Other income not declared elsewhere2016-12-31$90
Administrative expenses (other) incurred2016-12-31$36,129
Liabilities. Value of operating payables at end of year2016-12-31$7,791
Liabilities. Value of operating payables at beginning of year2016-12-31$14,915
Total non interest bearing cash at end of year2016-12-31$101,929
Total non interest bearing cash at beginning of year2016-12-31$277,539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-318,965
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,713,581
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,032,546
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$17,888
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,242,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,601,524
Interest earned on other investments2016-12-31$7,925
Income. Interest from US Government securities2016-12-31$396
Income. Interest from corporate debt instruments2016-12-31$5,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$42,528
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$134,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$134,151
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$60
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,783,112
Asset value of US Government securities at end of year2016-12-31$10,198
Asset value of US Government securities at beginning of year2016-12-31$13,622
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$57,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,027,094
Employer contributions (assets) at end of year2016-12-31$91,354
Employer contributions (assets) at beginning of year2016-12-31$136,834
Income. Dividends from common stock2016-12-31$21,710
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$101,511
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$105,054
Contract administrator fees2016-12-31$40,392
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$1,114,041
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$657,125
Liabilities. Value of benefit claims payable at end of year2016-12-31$199,301
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$68,272
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$215,121
Aggregate carrying amount (costs) on sale of assets2016-12-31$166,363
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2016-12-31205367494
2015 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-112,873
Total unrealized appreciation/depreciation of assets2015-12-31$-112,873
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$111,528
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$47,711
Total income from all sources (including contributions)2015-12-31$1,427,595
Total loss/gain on sale of assets2015-12-31$2,655
Total of all expenses incurred2015-12-31$1,415,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,283,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,530,008
Value of total assets at end of year2015-12-31$3,144,074
Value of total assets at beginning of year2015-12-31$3,068,352
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$131,773
Total interest from all sources2015-12-31$17,209
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$53,164
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$38,377
Administrative expenses professional fees incurred2015-12-31$39,190
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$45,481
Assets. Other investments not covered elsewhere at end of year2015-12-31$163,555
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$269,568
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$216,099
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$138,048
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$54,670
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$58,673
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$28,341
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$14,612
Other income not declared elsewhere2015-12-31$191
Administrative expenses (other) incurred2015-12-31$38,533
Liabilities. Value of operating payables at end of year2015-12-31$14,915
Liabilities. Value of operating payables at beginning of year2015-12-31$9,070
Total non interest bearing cash at end of year2015-12-31$277,539
Total non interest bearing cash at beginning of year2015-12-31$155,757
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$11,905
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,032,546
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,020,641
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$18,056
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,601,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,388,989
Interest earned on other investments2015-12-31$11,232
Income. Interest from US Government securities2015-12-31$509
Income. Interest from corporate debt instruments2015-12-31$5,450
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$134,151
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$263,239
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$263,239
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$18
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$571,387
Asset value of US Government securities at end of year2015-12-31$13,622
Asset value of US Government securities at beginning of year2015-12-31$17,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-62,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,268,428
Employer contributions (assets) at end of year2015-12-31$136,834
Employer contributions (assets) at beginning of year2015-12-31$73,431
Income. Dividends from common stock2015-12-31$14,787
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$574,482
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$105,054
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$109,110
Contract administrator fees2015-12-31$35,994
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$657,125
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$732,116
Liabilities. Value of benefit claims payable at end of year2015-12-31$68,272
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$24,029
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$415,343
Aggregate carrying amount (costs) on sale of assets2015-12-31$412,688
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2015-12-31205367494
2014 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-26,308
Total unrealized appreciation/depreciation of assets2014-12-31$-26,308
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$47,711
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$55,087
Total income from all sources (including contributions)2014-12-31$1,344,404
Total loss/gain on sale of assets2014-12-31$39,716
Total of all expenses incurred2014-12-31$1,332,612
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,229,987
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,147,059
Value of total assets at end of year2014-12-31$3,068,352
Value of total assets at beginning of year2014-12-31$3,063,936
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$102,625
Total interest from all sources2014-12-31$22,408
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$54,446
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$36,031
Administrative expenses professional fees incurred2014-12-31$25,060
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$69,537
Assets. Other investments not covered elsewhere at end of year2014-12-31$269,568
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$184,809
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$72,260
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$58,673
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$11,909
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$14,612
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$17,601
Other income not declared elsewhere2014-12-31$3,992
Administrative expenses (other) incurred2014-12-31$37,081
Liabilities. Value of operating payables at end of year2014-12-31$9,070
Liabilities. Value of operating payables at beginning of year2014-12-31$17,270
Total non interest bearing cash at end of year2014-12-31$155,757
Total non interest bearing cash at beginning of year2014-12-31$10,000
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$11,792
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,020,641
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,008,849
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$17,921
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,388,989
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,474,933
Interest earned on other investments2014-12-31$12,725
Income. Interest from US Government securities2014-12-31$642
Income. Interest from corporate debt instruments2014-12-31$8,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$263,239
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$263,392
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$263,392
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$63
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$860,790
Asset value of US Government securities at end of year2014-12-31$17,469
Asset value of US Government securities at beginning of year2014-12-31$272,825
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$103,091
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$892,713
Employer contributions (assets) at end of year2014-12-31$73,431
Employer contributions (assets) at beginning of year2014-12-31$70,611
Income. Dividends from common stock2014-12-31$18,415
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$296,937
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$109,110
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$214,620
Contract administrator fees2014-12-31$22,563
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$732,116
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$745,646
Liabilities. Value of benefit claims payable at end of year2014-12-31$24,029
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$20,216
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$331,558
Aggregate carrying amount (costs) on sale of assets2014-12-31$291,842
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 name2014-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2014-12-31205367494
2013 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$88,252
Total unrealized appreciation/depreciation of assets2013-12-31$88,252
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$55,087
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$104,457
Total income from all sources (including contributions)2013-12-31$1,647,290
Total loss/gain on sale of assets2013-12-31$35,284
Total of all expenses incurred2013-12-31$1,556,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,442,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,461,714
Value of total assets at end of year2013-12-31$3,063,936
Value of total assets at beginning of year2013-12-31$3,022,906
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$114,052
Total interest from all sources2013-12-31$27,889
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$39,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$25,181
Administrative expenses professional fees incurred2013-12-31$36,466
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$64,715
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$66,191
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$167,707
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$11,909
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$16,488
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$17,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$79,545
Administrative expenses (other) incurred2013-12-31$42,646
Liabilities. Value of operating payables at end of year2013-12-31$17,270
Liabilities. Value of operating payables at beginning of year2013-12-31$22,850
Total non interest bearing cash at end of year2013-12-31$10,000
Total non interest bearing cash at beginning of year2013-12-31$9,936
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$90,400
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,008,849
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,918,449
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$17,057
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,474,933
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,123,422
Income. Interest from US Government securities2013-12-31$13,552
Income. Interest from corporate debt instruments2013-12-31$14,119
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$263,392
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$632,739
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$632,739
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$218
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$914,963
Asset value of US Government securities at end of year2013-12-31$272,825
Asset value of US Government securities at beginning of year2013-12-31$306,348
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-4,900
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$1,330,808
Employer contributions (assets) at end of year2013-12-31$70,611
Employer contributions (assets) at beginning of year2013-12-31$129,901
Income. Dividends from common stock2013-12-31$13,870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$360,168
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$214,620
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$421,342
Contract administrator fees2013-12-31$17,883
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$745,646
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$382,730
Liabilities. Value of benefit claims payable at end of year2013-12-31$20,216
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$2,062
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$896,496
Aggregate carrying amount (costs) on sale of assets2013-12-31$861,212
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 name2013-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2013-12-31205367494
2012 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$43,188
Total unrealized appreciation/depreciation of assets2012-12-31$43,188
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$104,457
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$112,045
Total income from all sources (including contributions)2012-12-31$1,966,008
Total loss/gain on sale of assets2012-12-31$1,601
Total of all expenses incurred2012-12-31$1,787,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,666,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,820,162
Value of total assets at end of year2012-12-31$3,022,906
Value of total assets at beginning of year2012-12-31$2,851,937
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$121,386
Total interest from all sources2012-12-31$38,401
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$31,203
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$23,528
Administrative expenses professional fees incurred2012-12-31$51,350
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$71,693
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$88,940
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$464,986
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$16,488
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$22,881
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$79,545
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$91,261
Administrative expenses (other) incurred2012-12-31$38,299
Liabilities. Value of operating payables at end of year2012-12-31$22,850
Liabilities. Value of operating payables at beginning of year2012-12-31$20,784
Total non interest bearing cash at end of year2012-12-31$9,936
Total non interest bearing cash at beginning of year2012-12-31$10,000
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$178,557
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,918,449
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,739,892
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$14,907
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,123,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$159,087
Income. Interest from US Government securities2012-12-31$13,980
Income. Interest from corporate debt instruments2012-12-31$24,036
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$632,739
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$685,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$685,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$385
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$824,612
Asset value of US Government securities at end of year2012-12-31$306,348
Asset value of US Government securities at beginning of year2012-12-31$752,703
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$31,453
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$1,659,529
Employer contributions (assets) at end of year2012-12-31$129,901
Employer contributions (assets) at beginning of year2012-12-31$165,476
Income. Dividends from common stock2012-12-31$7,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$376,467
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$421,342
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$657,805
Contract administrator fees2012-12-31$16,830
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$382,730
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$398,854
Liabilities. Value of benefit claims payable at end of year2012-12-31$2,062
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$983,085
Aggregate carrying amount (costs) on sale of assets2012-12-31$981,484
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ALAN ROSS & COMPANY, PC
Accountancy firm EIN2012-12-31205367494
2011 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-2,011
Total unrealized appreciation/depreciation of assets2011-12-31$-2,011
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$112,045
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$35,536
Total income from all sources (including contributions)2011-12-31$1,522,319
Total loss/gain on sale of assets2011-12-31$47,437
Total of all expenses incurred2011-12-31$1,160,015
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,049,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,438,776
Value of total assets at end of year2011-12-31$2,851,937
Value of total assets at beginning of year2011-12-31$2,413,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$110,321
Total interest from all sources2011-12-31$51,542
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$11,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$2,829
Administrative expenses professional fees incurred2011-12-31$68,052
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$82,291
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$261,090
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$7,352
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$14,105
Administrative expenses (other) incurred2011-12-31$13,095
Liabilities. Value of operating payables at end of year2011-12-31$112,045
Liabilities. Value of operating payables at beginning of year2011-12-31$35,536
Total non interest bearing cash at end of year2011-12-31$10,000
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$362,304
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,739,892
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,377,588
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$13,124
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$159,087
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$242,563
Income. Interest from US Government securities2011-12-31$26,730
Income. Interest from corporate debt instruments2011-12-31$24,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$685,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$443,311
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$443,311
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$351
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$763,461
Asset value of US Government securities at end of year2011-12-31$752,703
Asset value of US Government securities at beginning of year2011-12-31$725,028
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-25,096
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,356,485
Employer contributions (assets) at end of year2011-12-31$181,005
Employer contributions (assets) at beginning of year2011-12-31$124,281
Income. Dividends from common stock2011-12-31$8,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$25,143
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$657,805
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$525,512
Contract administrator fees2011-12-31$16,050
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$398,854
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$338,324
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$1,550,908
Aggregate carrying amount (costs) on sale of assets2011-12-31$1,503,471
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BUCKNO, LISICKY & COMPANY PC
Accountancy firm EIN2011-12-31232426656
2010 : IBEW LOCAL 812 HEALTH AND WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$50,117
Total unrealized appreciation/depreciation of assets2010-12-31$50,117
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$35,536
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$30,773
Total income from all sources (including contributions)2010-12-31$1,283,481
Total loss/gain on sale of assets2010-12-31$11,833
Total of all expenses incurred2010-12-31$1,046,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$944,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,132,110
Value of total assets at end of year2010-12-31$2,413,124
Value of total assets at beginning of year2010-12-31$2,171,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$102,206
Total interest from all sources2010-12-31$52,794
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$10,868
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$3,699
Administrative expenses professional fees incurred2010-12-31$57,324
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$300,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$94,121
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$18,062
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$263,337
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$14,105
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$7,815
Administrative expenses (other) incurred2010-12-31$14,981
Liabilities. Value of operating payables at end of year2010-12-31$35,536
Liabilities. Value of operating payables at beginning of year2010-12-31$30,773
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$237,166
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,377,588
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,140,422
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$14,601
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$242,563
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$178,889
Income. Interest from US Government securities2010-12-31$23,394
Income. Interest from corporate debt instruments2010-12-31$29,290
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$443,311
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$355,435
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$355,435
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$110
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$625,772
Asset value of US Government securities at end of year2010-12-31$725,028
Asset value of US Government securities at beginning of year2010-12-31$528,026
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$25,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,019,927
Employer contributions (assets) at end of year2010-12-31$124,281
Employer contributions (assets) at beginning of year2010-12-31$101,602
Income. Dividends from common stock2010-12-31$7,169
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$55,000
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$525,512
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$650,534
Contract administrator fees2010-12-31$15,300
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$338,324
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$348,894
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$1,320,734
Aggregate carrying amount (costs) on sale of assets2010-12-31$1,308,901
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BUCKNO, LISICKY & COMPANY PC
Accountancy firm EIN2010-12-31232426656

Form 5500 Responses for IBEW LOCAL 812 HEALTH AND WELFARE FUND

2022: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: IBEW LOCAL 812 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: IBEW LOCAL 812 HEALTH AND 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number276133
Policy instance 4
Insurance contract or identification number276133
Number of Individuals Covered77
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,250,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51950
Policy instance 3
Insurance contract or identification number51950
Number of Individuals Covered71
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 2
Insurance contract or identification number00498094
Number of Individuals Covered70
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,519
Total amount of fees paid to insurance companyUSD $1,197
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,494
Amount paid for insurance broker fees1197
Additional information about fees paid to insurance brokerCONTRACT FEES
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3296/C4562
Policy instance 1
Insurance contract or identification numberG3296/C4562
Number of Individuals Covered87
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $18,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51950
Policy instance 3
Insurance contract or identification number51950
Number of Individuals Covered65
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 2
Insurance contract or identification number00498094
Number of Individuals Covered64
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,581
Total amount of fees paid to insurance companyUSD $4,082
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,555
Amount paid for insurance broker fees4082
Additional information about fees paid to insurance brokerCONTRACT FEES
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3296
Policy instance 1
Insurance contract or identification numberG3296
Number of Individuals Covered96
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $18,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3296
Policy instance 1
Insurance contract or identification numberG3296
Number of Individuals Covered94
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $22,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 2
Insurance contract or identification number00498094
Number of Individuals Covered68
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,728
Total amount of fees paid to insurance companyUSD $3,445
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,701
Amount paid for insurance broker fees3445
Additional information about fees paid to insurance brokerCONTRACT FEES
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51950
Policy instance 3
Insurance contract or identification number51950
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51950
Policy instance 3
Insurance contract or identification number51950
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 2
Insurance contract or identification number00498094
Number of Individuals Covered72
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,727
Total amount of fees paid to insurance companyUSD $3,666
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,700
Amount paid for insurance broker fees3666
Additional information about fees paid to insurance brokerCONTRACT FEES
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3296
Policy instance 1
Insurance contract or identification numberG3296
Number of Individuals Covered116
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $23,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51950
Policy instance 3
Insurance contract or identification number51950
Number of Individuals Covered176
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 2
Insurance contract or identification number00498094
Number of Individuals Covered71
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,828
Total amount of fees paid to insurance companyUSD $3,834
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3834
Additional information about fees paid to insurance brokerCONTRACT FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $2,800
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3296
Policy instance 1
Insurance contract or identification numberG3296
Number of Individuals Covered116
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $25,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31768
Policy instance 4
Insurance contract or identification numberHCL31768
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $108,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameCREATIVE BENEFITS INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51950
Policy instance 3
Insurance contract or identification number51950
Number of Individuals Covered189
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameINDEPENDENCE PLANNING GROUP, LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 2
Insurance contract or identification number00498094
Number of Individuals Covered77
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,929
Total amount of fees paid to insurance companyUSD $2,359
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,900
Insurance broker organization code?3
Amount paid for insurance broker fees2359
Insurance broker nameINDEPENDENCE PLANNING GROUP, LLC
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3296
Policy instance 1
Insurance contract or identification numberG3296
Number of Individuals Covered127
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $24,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number052060
Policy instance 1
Insurance contract or identification number052060
Number of Individuals Covered188
Insurance policy start date2015-03-01
Insurance policy end date2016-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010123629
Policy instance 2
Insurance contract or identification number000010123629
Number of Individuals Covered134
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,182
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $23,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,182
Insurance broker organization code?3
Insurance broker nameCREATIVE BENEFITS INC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 3
Insurance contract or identification number00498094
Number of Individuals Covered80
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,769
Total amount of fees paid to insurance companyUSD $3,027
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,736
Amount paid for insurance broker fees3027
Insurance broker organization code?3
Insurance broker nameINDEPENDENCE PLANNING GROUP, LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010123629
Policy instance 2
Insurance contract or identification number000010123629
Number of Individuals Covered130
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,018
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,018
Insurance broker organization code?3
Insurance broker nameCREATIVE BENEFITS INC
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number052060
Policy instance 1
Insurance contract or identification number052060
Number of Individuals Covered189
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00498094
Policy instance 3
Insurance contract or identification number00498094
Number of Individuals Covered78
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,679
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,581
Insurance broker nameINDEPENDENCE PLANNING GROUP, LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010123629
Policy instance 2
Insurance contract or identification number000010123629
Number of Individuals Covered152
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,315
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,315
Insurance broker organization code?3
Insurance broker nameCREATIVE BENEFITS INC
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number052060
Policy instance 1
Insurance contract or identification number052060
Number of Individuals Covered218
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number052060
Policy instance 1
Insurance contract or identification number052060
Number of Individuals Covered212
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010123629
Policy instance 2
Insurance contract or identification number000010123629
Number of Individuals Covered164
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010123629
Policy instance 2
Insurance contract or identification number000010123629
Number of Individuals Covered157
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number052055, 052060
Policy instance 1
Insurance contract or identification number052055, 052060
Number of Individuals Covered212
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010123629
Policy instance 2
Insurance contract or identification number000010123629
Number of Individuals Covered145
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF NORTHEASTERN PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54747 )
Policy contract number052055, 052060
Policy instance 1
Insurance contract or identification number052055, 052060
Number of Individuals Covered200
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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