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SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 401k Plan overview

Plan NameSHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY
Plan identification number 501

SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 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

SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY has sponsored the creation of one or more 401k plans.

Company Name:SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY
Employer identification number (EIN):236294355
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01DONALD WANAMAKER2019-06-19 DONALD WANAMAKER2019-06-18
5012017-01-01DONALD WANAMAKER JOHN CIERVO2018-09-06
5012016-01-01DONALD WANAMAKER JOHN CIERVO2017-07-25
5012015-01-01DONALD WANAMAKER JOHN CIERVO2016-08-01
5012014-01-01STEPHEN M. DORWART
5012013-01-01DONALD WANAMAKER JOHN CIERVO2014-07-16
5012012-01-01DONALD WANAMAKER JOHN CIERVO2013-10-09
5012011-01-01DONALD WANAMAKER JOHN CIERVO2012-09-14
5012009-01-01DONALD WANAMAKER JOHN CIERVO2010-10-13
5012009-01-012010-10-12 JOHN CIERVO2010-10-11

Plan Statistics for SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY

401k plan membership statisitcs for SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY

Measure Date Value
2022: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2022 401k membership
Total participants, beginning-of-year2022-01-01126
Total number of active participants reported on line 7a of the Form 55002022-01-01127
Total of all active and inactive participants2022-01-01127
Number of employers contributing to the scheme2022-01-0111
2021: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2021 401k membership
Total participants, beginning-of-year2021-01-01132
Total number of active participants reported on line 7a of the Form 55002021-01-01126
Total of all active and inactive participants2021-01-01126
Number of employers contributing to the scheme2021-01-0111
2020: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2020 401k membership
Total participants, beginning-of-year2020-01-01148
Total number of active participants reported on line 7a of the Form 55002020-01-01132
Total of all active and inactive participants2020-01-01132
Number of employers contributing to the scheme2020-01-0111
2019: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2019 401k membership
Total participants, beginning-of-year2019-01-01143
Total number of active participants reported on line 7a of the Form 55002019-01-01148
Total of all active and inactive participants2019-01-01148
Number of employers contributing to the scheme2019-01-0112
2018: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2018 401k membership
Total participants, beginning-of-year2018-01-01139
Total number of active participants reported on line 7a of the Form 55002018-01-01143
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01143
Number of employers contributing to the scheme2018-01-0112
2017: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2017 401k membership
Total participants, beginning-of-year2017-01-01155
Total number of active participants reported on line 7a of the Form 55002017-01-01139
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01139
Number of employers contributing to the scheme2017-01-0115
2016: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2016 401k membership
Total participants, beginning-of-year2016-01-01159
Total number of active participants reported on line 7a of the Form 55002016-01-01155
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01155
Number of employers contributing to the scheme2016-01-0115
2015: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2015 401k membership
Total participants, beginning-of-year2015-01-01257
Total number of active participants reported on line 7a of the Form 55002015-01-01159
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01159
2014: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2014 401k membership
Total participants, beginning-of-year2014-01-01332
Total number of active participants reported on line 7a of the Form 55002014-01-01257
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01257
2013: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2013 401k membership
Total participants, beginning-of-year2013-01-01329
Total number of active participants reported on line 7a of the Form 55002013-01-01332
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01332
2012: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2012 401k membership
Total participants, beginning-of-year2012-01-01449
Total number of active participants reported on line 7a of the Form 55002012-01-01329
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01329
2011: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2011 401k membership
Total participants, beginning-of-year2011-01-01471
Total number of active participants reported on line 7a of the Form 55002011-01-01449
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01449
2009: SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2009 401k membership
Total participants, beginning-of-year2009-01-01580
Total number of active participants reported on line 7a of the Form 55002009-01-01489
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01489
Number of employers contributing to the scheme2009-01-0122

Financial Data on SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY

Measure Date Value
2022 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,672
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$21,954
Total income from all sources (including contributions)2022-12-31$1,800,627
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,608,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,373,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,456,397
Value of total assets at end of year2022-12-31$3,900,415
Value of total assets at beginning of year2022-12-31$4,717,418
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$235,130
Total interest from all sources2022-12-31$1,633
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$73,715
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$56,342
Administrative expenses professional fees incurred2022-12-31$69,968
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$37,728
Participant contributions at end of year2022-12-31$3,083
Participant contributions at beginning of year2022-12-31$3,435
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$15,949
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$22,089
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$78,821
Other income not declared elsewhere2022-12-31$3,675
Administrative expenses (other) incurred2022-12-31$136,500
Liabilities. Value of operating payables at end of year2022-12-31$772
Liabilities. Value of operating payables at beginning of year2022-12-31$2,854
Total non interest bearing cash at end of year2022-12-31$157,087
Total non interest bearing cash at beginning of year2022-12-31$109,189
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-807,721
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,887,743
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,695,464
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$28,662
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,746,978
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,232,219
Income. Interest from US Government securities2022-12-31$375
Income. Interest from corporate debt instruments2022-12-31$1,230
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$325,760
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$28
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,192,725
Asset value of US Government securities at end of year2022-12-31$1,138,753
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-734,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,402,720
Employer contributions (assets) at end of year2022-12-31$208,941
Employer contributions (assets) at beginning of year2022-12-31$199,540
Income. Dividends from common stock2022-12-31$17,373
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$180,493
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$207,594
Liabilities. Value of benefit claims payable at end of year2022-12-31$11,900
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$19,100
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$90,130
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$94,214
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2022-12-31232247478
2021 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$21,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$20,290
Total income from all sources (including contributions)2021-12-31$2,620,941
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,714,417
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,510,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,420,664
Value of total assets at end of year2021-12-31$4,717,418
Value of total assets at beginning of year2021-12-31$4,809,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$204,018
Total interest from all sources2021-12-31$158
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$106,802
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$106,802
Administrative expenses professional fees incurred2021-12-31$72,890
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$39,850
Participant contributions at end of year2021-12-31$3,435
Participant contributions at beginning of year2021-12-31$4,130
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$41,638
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$78,821
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$48,102
Other income not declared elsewhere2021-12-31$6,300
Administrative expenses (other) incurred2021-12-31$115,036
Liabilities. Value of operating payables at end of year2021-12-31$2,854
Liabilities. Value of operating payables at beginning of year2021-12-31$790
Total non interest bearing cash at end of year2021-12-31$109,189
Total non interest bearing cash at beginning of year2021-12-31$130,967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-93,476
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,695,464
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,788,940
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$16,092
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,232,219
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$4,304,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$158
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,277,742
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$87,017
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$2,339,176
Employer contributions (assets) at end of year2021-12-31$199,540
Employer contributions (assets) at beginning of year2021-12-31$223,241
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$232,657
Liabilities. Value of benefit claims payable at end of year2021-12-31$19,100
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$19,500
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$94,214
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$98,298
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
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2021-12-31232247478
2020 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$20,290
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$34,179
Total income from all sources (including contributions)2020-12-31$2,986,328
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,715,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,515,419
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,469,895
Value of total assets at end of year2020-12-31$4,809,230
Value of total assets at beginning of year2020-12-31$4,552,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$200,374
Total interest from all sources2020-12-31$244
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$122,865
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$122,865
Administrative expenses professional fees incurred2020-12-31$63,116
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$45,860
Participant contributions at end of year2020-12-31$4,130
Participant contributions at beginning of year2020-12-31$4,385
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$33,532
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$48,102
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$15,103
Other income not declared elsewhere2020-12-31$6,300
Administrative expenses (other) incurred2020-12-31$121,621
Liabilities. Value of operating payables at end of year2020-12-31$790
Liabilities. Value of operating payables at beginning of year2020-12-31$4,879
Total non interest bearing cash at end of year2020-12-31$130,967
Total non interest bearing cash at beginning of year2020-12-31$182,037
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$270,535
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,788,940
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,518,405
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$15,637
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,304,492
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,010,239
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$244
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,403,096
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$387,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,390,503
Employer contributions (assets) at end of year2020-12-31$223,241
Employer contributions (assets) at beginning of year2020-12-31$238,300
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$112,323
Liabilities. Value of benefit claims payable at end of year2020-12-31$19,500
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$29,300
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$98,298
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$102,520
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
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31FISCHER DORWART, PC
Accountancy firm EIN2020-12-31232247478
2019 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$34,179
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$24,038
Total income from all sources (including contributions)2019-12-31$3,123,113
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,020,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,811,995
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,605,810
Value of total assets at end of year2019-12-31$4,552,584
Value of total assets at beginning of year2019-12-31$4,440,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$208,919
Total interest from all sources2019-12-31$106,521
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$75,810
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$47,770
Participant contributions at end of year2019-12-31$4,385
Participant contributions at beginning of year2019-12-31$3,940
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$36,190
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$15,103
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$14,902
Other income not declared elsewhere2019-12-31$8,214
Administrative expenses (other) incurred2019-12-31$117,442
Liabilities. Value of operating payables at end of year2019-12-31$4,879
Liabilities. Value of operating payables at beginning of year2019-12-31$3,252
Total non interest bearing cash at end of year2019-12-31$182,037
Total non interest bearing cash at beginning of year2019-12-31$284,642
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$102,199
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,518,405
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,416,206
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$15,667
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,010,239
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,812,070
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$106,521
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,699,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$402,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,521,850
Employer contributions (assets) at end of year2019-12-31$238,300
Employer contributions (assets) at beginning of year2019-12-31$219,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$112,522
Liabilities. Value of benefit claims payable at end of year2019-12-31$29,300
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$20,786
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$102,520
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$104,775
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
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 name2019-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2019-12-31232247478
2018 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$24,038
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$28,592
Total income from all sources (including contributions)2018-12-31$2,624,090
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,770,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,533,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,644,627
Value of total assets at end of year2018-12-31$4,440,244
Value of total assets at beginning of year2018-12-31$4,591,677
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$237,074
Total interest from all sources2018-12-31$119,751
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$81,717
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$47,579
Participant contributions at end of year2018-12-31$3,940
Participant contributions at beginning of year2018-12-31$4,830
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$38,008
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$14,902
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$28,478
Other income not declared elsewhere2018-12-31$11,962
Administrative expenses (other) incurred2018-12-31$139,733
Liabilities. Value of operating payables at end of year2018-12-31$3,252
Liabilities. Value of operating payables at beginning of year2018-12-31$7,465
Total non interest bearing cash at end of year2018-12-31$284,642
Total non interest bearing cash at beginning of year2018-12-31$262,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-146,879
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,416,206
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,563,085
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$15,624
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,812,070
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,940,567
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$119,751
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,455,453
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-152,250
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,559,040
Employer contributions (assets) at end of year2018-12-31$219,915
Employer contributions (assets) at beginning of year2018-12-31$246,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$78,442
Liabilities. Value of benefit claims payable at end of year2018-12-31$20,786
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$21,127
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$104,775
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$108,774
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2018-12-31232247478
2017 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$28,592
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$23,580
Total income from all sources (including contributions)2017-12-31$2,733,454
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,619,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,400,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,419,298
Value of total assets at end of year2017-12-31$4,591,677
Value of total assets at beginning of year2017-12-31$4,472,907
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$219,306
Total interest from all sources2017-12-31$326
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$92,267
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$92,267
Administrative expenses professional fees incurred2017-12-31$75,710
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$50,990
Participant contributions at end of year2017-12-31$4,830
Participant contributions at beginning of year2017-12-31$3,925
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$35,039
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$28,478
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$26,228
Other income not declared elsewhere2017-12-31$16,585
Administrative expenses (other) incurred2017-12-31$128,344
Liabilities. Value of operating payables at end of year2017-12-31$7,465
Liabilities. Value of operating payables at beginning of year2017-12-31$4,003
Total non interest bearing cash at end of year2017-12-31$262,935
Total non interest bearing cash at beginning of year2017-12-31$465,366
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$113,758
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,563,085
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,449,327
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$15,252
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$3,940,567
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,678,573
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$326
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,338,436
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$204,978
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,333,269
Employer contributions (assets) at end of year2017-12-31$246,093
Employer contributions (assets) at beginning of year2017-12-31$185,934
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$61,954
Liabilities. Value of benefit claims payable at end of year2017-12-31$21,127
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$19,577
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$108,774
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$112,881
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2017-12-31232247478
2016 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$23,580
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$30,627
Total income from all sources (including contributions)2016-12-31$2,592,220
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,549,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,324,707
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,384,418
Value of total assets at end of year2016-12-31$4,472,907
Value of total assets at beginning of year2016-12-31$4,437,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$224,758
Total interest from all sources2016-12-31$438
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$66,553
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$52,271
Participant contributions at end of year2016-12-31$3,925
Participant contributions at beginning of year2016-12-31$5,970
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$26,803
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$26,228
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$27,334
Other income not declared elsewhere2016-12-31$18,881
Administrative expenses (other) incurred2016-12-31$143,556
Liabilities. Value of operating payables at end of year2016-12-31$4,003
Liabilities. Value of operating payables at beginning of year2016-12-31$2,037
Total non interest bearing cash at end of year2016-12-31$465,366
Total non interest bearing cash at beginning of year2016-12-31$540,307
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$42,755
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,449,327
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,406,572
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$14,649
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,678,573
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,504,739
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$438
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,264,887
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$188,483
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,305,344
Employer contributions (assets) at end of year2016-12-31$185,934
Employer contributions (assets) at beginning of year2016-12-31$241,680
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$59,820
Liabilities. Value of benefit claims payable at end of year2016-12-31$19,577
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$28,590
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$112,881
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$117,169
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
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 name2016-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2016-12-31232247478
2015 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$30,627
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$34,263
Total income from all sources (including contributions)2015-12-31$2,737,490
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,694,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,447,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,686,130
Value of total assets at end of year2015-12-31$4,437,199
Value of total assets at beginning of year2015-12-31$4,398,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$247,455
Total interest from all sources2015-12-31$628
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$87,768
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$87,768
Administrative expenses professional fees incurred2015-12-31$83,966
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$64,361
Participant contributions at end of year2015-12-31$5,970
Participant contributions at beginning of year2015-12-31$9,405
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$25,030
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$27,334
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$24,565
Other income not declared elsewhere2015-12-31$24,977
Administrative expenses (other) incurred2015-12-31$149,473
Liabilities. Value of operating payables at end of year2015-12-31$2,037
Liabilities. Value of operating payables at beginning of year2015-12-31$2,938
Total non interest bearing cash at end of year2015-12-31$540,307
Total non interest bearing cash at beginning of year2015-12-31$594,758
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$42,491
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,406,572
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,364,081
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$14,016
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,504,739
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,293,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$628
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,359,907
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-62,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,596,739
Employer contributions (assets) at end of year2015-12-31$241,680
Employer contributions (assets) at beginning of year2015-12-31$356,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$87,637
Liabilities. Value of benefit claims payable at end of year2015-12-31$28,590
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$31,325
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$117,169
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$119,942
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2015-12-31232247478
2014 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$34,263
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$47,169
Total income from all sources (including contributions)2014-12-31$4,388,135
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$4,044,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,828,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,175,442
Value of total assets at end of year2014-12-31$4,398,344
Value of total assets at beginning of year2014-12-31$4,068,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$216,064
Total interest from all sources2014-12-31$927
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$85,468
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$85,468
Administrative expenses professional fees incurred2014-12-31$67,617
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$110,351
Participant contributions at end of year2014-12-31$9,405
Participant contributions at beginning of year2014-12-31$11,445
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$53,093
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$95,114
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$24,565
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$24,998
Other income not declared elsewhere2014-12-31$6,000
Administrative expenses (other) incurred2014-12-31$136,175
Liabilities. Value of operating payables at end of year2014-12-31$2,938
Liabilities. Value of operating payables at beginning of year2014-12-31$3,285
Total non interest bearing cash at end of year2014-12-31$594,758
Total non interest bearing cash at beginning of year2014-12-31$587,645
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$343,142
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,364,081
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,020,939
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$12,272
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,293,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,899,506
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$927
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,604,961
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$120,298
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$4,011,998
Employer contributions (assets) at end of year2014-12-31$356,674
Employer contributions (assets) at beginning of year2014-12-31$424,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$128,854
Liabilities. Value of benefit claims payable at end of year2014-12-31$31,325
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$43,884
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$119,942
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$119,788
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2014-12-31232247478
2013 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$47,169
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$106,514
Total income from all sources (including contributions)2013-12-31$4,825,917
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,413,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,196,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,626,002
Value of total assets at end of year2013-12-31$4,068,108
Value of total assets at beginning of year2013-12-31$3,715,036
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$216,518
Total interest from all sources2013-12-31$1,890
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$81,710
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$81,710
Administrative expenses professional fees incurred2013-12-31$67,541
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$130,190
Participant contributions at end of year2013-12-31$11,445
Participant contributions at beginning of year2013-12-31$9,765
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$69,773
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$229,423
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$24,998
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$63,941
Other income not declared elsewhere2013-12-31$6,000
Administrative expenses (other) incurred2013-12-31$137,133
Liabilities. Value of operating payables at end of year2013-12-31$3,569
Liabilities. Value of operating payables at beginning of year2013-12-31$3,139
Total non interest bearing cash at end of year2013-12-31$587,645
Total non interest bearing cash at beginning of year2013-12-31$691,915
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$412,417
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,020,939
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,608,522
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$11,844
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,899,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,519,324
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,890
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,781,657
Asset value of US Government securities at beginning of year2013-12-31$10
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$110,315
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$4,426,039
Employer contributions (assets) at end of year2013-12-31$424,726
Employer contributions (assets) at beginning of year2013-12-31$305,442
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$185,902
Liabilities. Value of benefit claims payable at end of year2013-12-31$43,600
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$103,375
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$119,788
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$124,636
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
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 name2013-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2013-12-31232247478
2012 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$106,514
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$96,124
Total income from all sources (including contributions)2012-12-31$4,614,121
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$4,484,308
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,271,470
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,431,461
Value of total assets at end of year2012-12-31$3,715,036
Value of total assets at beginning of year2012-12-31$3,574,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$212,838
Total interest from all sources2012-12-31$2,309
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$75,561
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$75,561
Administrative expenses professional fees incurred2012-12-31$72,345
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$135,830
Participant contributions at end of year2012-12-31$9,765
Participant contributions at beginning of year2012-12-31$11,185
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$68,128
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$63,941
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$73,787
Other income not declared elsewhere2012-12-31$6,000
Administrative expenses (other) incurred2012-12-31$130,161
Liabilities. Value of operating payables at end of year2012-12-31$3,139
Liabilities. Value of operating payables at beginning of year2012-12-31$2,675
Total non interest bearing cash at end of year2012-12-31$691,915
Total non interest bearing cash at beginning of year2012-12-31$669,450
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$129,813
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,608,522
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,478,709
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$10,332
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$2,519,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,456,207
Income. Interest from US Government securities2012-12-31$7
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$898,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$898,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,302
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$795,846
Asset value of US Government securities at end of year2012-12-31$10
Asset value of US Government securities at beginning of year2012-12-31$41
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$98,790
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$4,227,503
Employer contributions (assets) at end of year2012-12-31$305,442
Employer contributions (assets) at beginning of year2012-12-31$336,405
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,475,624
Liabilities. Value of benefit claims payable at end of year2012-12-31$103,375
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$93,449
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$124,636
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$129,054
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
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 name2012-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2012-12-31232247478
2011 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$96,124
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$115,512
Total income from all sources (including contributions)2011-12-31$4,560,091
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,512,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,314,420
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,519,549
Value of total assets at end of year2011-12-31$3,574,833
Value of total assets at beginning of year2011-12-31$3,546,967
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$198,417
Total interest from all sources2011-12-31$14,264
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$24,564
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$24,564
Administrative expenses professional fees incurred2011-12-31$66,085
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$140,664
Participant contributions at end of year2011-12-31$11,185
Participant contributions at beginning of year2011-12-31$12,265
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$101,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$73,787
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$98,779
Other income not declared elsewhere2011-12-31$6,000
Administrative expenses (other) incurred2011-12-31$127,871
Liabilities. Value of operating payables at end of year2011-12-31$2,675
Liabilities. Value of operating payables at beginning of year2011-12-31$2,819
Total non interest bearing cash at end of year2011-12-31$669,450
Total non interest bearing cash at beginning of year2011-12-31$618,101
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$47,254
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,478,709
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,431,455
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$4,461
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,456,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$579,378
Income. Interest from US Government securities2011-12-31$8
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$898,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,759,717
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,759,717
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$14,256
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$813,308
Asset value of US Government securities at end of year2011-12-31$41
Asset value of US Government securities at beginning of year2011-12-31$82
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-4,286
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$4,277,111
Employer contributions (assets) at end of year2011-12-31$336,405
Employer contributions (assets) at beginning of year2011-12-31$344,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,501,112
Liabilities. Value of benefit claims payable at end of year2011-12-31$93,449
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$112,693
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$129,054
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$134,325
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2011-12-31232247478
2010 : SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$115,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$140,572
Total income from all sources (including contributions)2010-12-31$4,423,739
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$4,359,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,161,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,314,894
Value of total assets at end of year2010-12-31$3,546,967
Value of total assets at beginning of year2010-12-31$3,507,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$197,854
Total interest from all sources2010-12-31$26,569
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$12,163
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$12,163
Administrative expenses professional fees incurred2010-12-31$68,149
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
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$139,275
Participant contributions at end of year2010-12-31$12,265
Participant contributions at beginning of year2010-12-31$13,050
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$174,508
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$98,779
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$98,690
Other income not declared elsewhere2010-12-31$6,000
Administrative expenses (other) incurred2010-12-31$126,246
Liabilities. Value of operating payables at end of year2010-12-31$2,819
Liabilities. Value of operating payables at beginning of year2010-12-31$4,086
Total non interest bearing cash at end of year2010-12-31$618,101
Total non interest bearing cash at beginning of year2010-12-31$619,209
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$64,461
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,431,455
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,366,994
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$3,459
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$579,378
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$506,509
Income. Interest from US Government securities2010-12-31$8
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,759,717
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,759,716
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,759,716
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$26,561
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$795,546
Asset value of US Government securities at end of year2010-12-31$82
Asset value of US Government securities at beginning of year2010-12-31$110
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$64,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,001,111
Employer contributions (assets) at end of year2010-12-31$344,320
Employer contributions (assets) at beginning of year2010-12-31$370,726
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,365,878
Liabilities. Value of benefit claims payable at end of year2010-12-31$112,693
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$136,486
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$134,325
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$139,556
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2010-12-31232247478

Form 5500 Responses for SHOPMEN IRON WORKERS WELFARE PLAN OF PHILADELPHIA & VICINITY

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

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343180
Policy instance 2
Insurance contract or identification number3343180
Number of Individuals Covered127
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,203,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804076G
Policy instance 1
Insurance contract or identification number804076G
Number of Individuals Covered134
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804076G
Policy instance 1
Insurance contract or identification number804076G
Number of Individuals Covered143
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343180
Policy instance 2
Insurance contract or identification number3343180
Number of Individuals Covered125
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,282,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804076G
Policy instance 2
Insurance contract or identification number804076G
Number of Individuals Covered150
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343180
Policy instance 1
Insurance contract or identification number3343180
Number of Individuals Covered133
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,285,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0866118
Policy instance 1
Insurance contract or identification number0866118
Number of Individuals Covered83
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0866118HNO
Policy instance 2
Insurance contract or identification number0866118HNO
Number of Individuals Covered312
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,611,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0866118HNO
Policy instance 2
Insurance contract or identification number0866118HNO
Number of Individuals Covered139
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,400,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0866118
Policy instance 1
Insurance contract or identification number0866118
Number of Individuals Covered139
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0866118HNO
Policy instance 1
Insurance contract or identification number0866118HNO
Number of Individuals Covered319
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,263,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0866118
Policy instance 2
Insurance contract or identification number0866118
Number of Individuals Covered139
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number737454-10
Policy instance 3
Insurance contract or identification number737454-10
Number of Individuals Covered159
Insurance policy start date2015-09-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,783
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 numberG/C 8161
Policy instance 2
Insurance contract or identification numberG/C 8161
Number of Individuals Covered175
Insurance policy start date2014-10-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract numberUS429401
Policy instance 1
Insurance contract or identification numberUS429401
Number of Individuals Covered159
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,273,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract numberUS429401
Policy instance 2
Insurance contract or identification numberUS429401
Number of Individuals Covered634
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,607,264
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 numberG/C 8161
Policy instance 1
Insurance contract or identification numberG/C 8161
Number of Individuals Covered283
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract numberUS429401
Policy instance 1
Insurance contract or identification numberUS429401
Number of Individuals Covered765
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,776,561
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 numberG/C 8161
Policy instance 2
Insurance contract or identification numberG/C 8161
Number of Individuals Covered328
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract numberUS429401
Policy instance 1
Insurance contract or identification numberUS429401
Number of Individuals Covered724
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,496,729
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 numberG/C 8161
Policy instance 2
Insurance contract or identification numberG/C 8161
Number of Individuals Covered338
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number068496
Policy instance 3
Insurance contract or identification number068496
Number of Individuals Covered6
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract numberUS429401
Policy instance 1
Insurance contract or identification numberUS429401
Number of Individuals Covered761
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,489,622
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 numberG/C 8161
Policy instance 2
Insurance contract or identification numberG/C 8161
Number of Individuals Covered346
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,203
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 numberG/C 8161
Policy instance 4
Insurance contract or identification numberG/C 8161
Number of Individuals Covered366
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number0000045803
Policy instance 3
Insurance contract or identification number0000045803
Number of Individuals Covered756
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number0000045803
Policy instance 2
Insurance contract or identification number0000045803
Number of Individuals Covered58
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number068496
Policy instance 1
Insurance contract or identification number068496
Number of Individuals Covered7
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $28,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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