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SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 401k Plan overview

Plan NameSUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F
Plan identification number 501

SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F Benefits

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

401k Sponsoring company profile

TRUSTEES OF SUSQUEHANNA LABORERS COMBINED HEALTH has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF SUSQUEHANNA LABORERS COMBINED HEALTH
Employer identification number (EIN):236426910
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01PHILIP AMERIS2024-01-31
5012021-05-01MICHAEL WISE2023-02-09
5012020-05-01MICHAEL WISE2022-02-02
5012019-05-01MICHAEL WISE2021-02-01
5012018-05-01MICHAEL WISE2020-02-13
5012017-05-01
5012016-05-01
5012015-05-01
5012014-05-01
5012013-05-01KATHY SNOKE KATHY SNOKE2015-02-13
5012012-05-01KATHY SNOKE KATHY SNOKE2014-02-12
5012011-05-01KATHY SNOKE KATHY SNOKE2013-02-13
5012010-05-01KATHY SNOKE KATHY SNOKE2012-02-07
5012009-05-01KATHY SNOKE KATHY SNOKE2011-02-14

Plan Statistics for SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F

401k plan membership statisitcs for SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F

Measure Date Value
2022: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2022 401k membership
Total participants, beginning-of-year2022-05-01285
Total number of active participants reported on line 7a of the Form 55002022-05-01102
Number of retired or separated participants receiving benefits2022-05-01155
Total of all active and inactive participants2022-05-01257
Number of employers contributing to the scheme2022-05-0188
2021: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2021 401k membership
Total participants, beginning-of-year2021-05-01227
Total number of active participants reported on line 7a of the Form 55002021-05-01136
Number of retired or separated participants receiving benefits2021-05-01149
Total of all active and inactive participants2021-05-01285
Number of employers contributing to the scheme2021-05-0182
2020: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2020 401k membership
Total participants, beginning-of-year2020-05-01284
Total number of active participants reported on line 7a of the Form 55002020-05-01144
Number of retired or separated participants receiving benefits2020-05-0183
Total of all active and inactive participants2020-05-01227
Number of employers contributing to the scheme2020-05-0153
2019: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2019 401k membership
Total participants, beginning-of-year2019-05-01302
Total number of active participants reported on line 7a of the Form 55002019-05-01187
Number of retired or separated participants receiving benefits2019-05-0197
Total of all active and inactive participants2019-05-01284
Number of employers contributing to the scheme2019-05-0171
2018: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2018 401k membership
Total participants, beginning-of-year2018-05-01392
Total number of active participants reported on line 7a of the Form 55002018-05-01208
Number of retired or separated participants receiving benefits2018-05-0194
Total of all active and inactive participants2018-05-01302
Number of employers contributing to the scheme2018-05-0162
2017: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2017 401k membership
Total participants, beginning-of-year2017-05-01348
Total number of active participants reported on line 7a of the Form 55002017-05-01291
Number of retired or separated participants receiving benefits2017-05-01101
Total of all active and inactive participants2017-05-01392
Number of employers contributing to the scheme2017-05-0166
2016: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2016 401k membership
Total participants, beginning-of-year2016-05-01323
Total number of active participants reported on line 7a of the Form 55002016-05-01248
Number of retired or separated participants receiving benefits2016-05-01100
Total of all active and inactive participants2016-05-01348
Number of employers contributing to the scheme2016-05-0163
2015: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2015 401k membership
Total participants, beginning-of-year2015-05-01294
Total number of active participants reported on line 7a of the Form 55002015-05-01225
Number of retired or separated participants receiving benefits2015-05-0198
Total of all active and inactive participants2015-05-01323
Number of employers contributing to the scheme2015-05-0158
2014: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2014 401k membership
Total participants, beginning-of-year2014-05-01398
Total number of active participants reported on line 7a of the Form 55002014-05-01196
Number of retired or separated participants receiving benefits2014-05-0198
Total of all active and inactive participants2014-05-01294
Number of employers contributing to the scheme2014-05-0162
2013: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2013 401k membership
Total participants, beginning-of-year2013-05-01391
Total number of active participants reported on line 7a of the Form 55002013-05-01293
Number of retired or separated participants receiving benefits2013-05-01105
Total of all active and inactive participants2013-05-01398
Number of employers contributing to the scheme2013-05-0169
2012: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2012 401k membership
Total participants, beginning-of-year2012-05-01395
Total number of active participants reported on line 7a of the Form 55002012-05-01208
Number of retired or separated participants receiving benefits2012-05-01183
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-01391
2011: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2011 401k membership
Total participants, beginning-of-year2011-05-01447
Total number of active participants reported on line 7a of the Form 55002011-05-01278
Number of retired or separated participants receiving benefits2011-05-01117
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-01395
2010: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2010 401k membership
Total participants, beginning-of-year2010-05-01489
Total number of active participants reported on line 7a of the Form 55002010-05-01256
Number of retired or separated participants receiving benefits2010-05-01191
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-01447
2009: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2009 401k membership
Total participants, beginning-of-year2009-05-01551
Total number of active participants reported on line 7a of the Form 55002009-05-01304
Number of retired or separated participants receiving benefits2009-05-01185
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-01489

Financial Data on SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F

Measure Date Value
2023 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$1,346,621
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$1,317,525
Total income from all sources (including contributions)2023-04-30$3,603,398
Total loss/gain on sale of assets2023-04-30$0
Total of all expenses incurred2023-04-30$3,678,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-30$3,154,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-30$2,763,112
Value of total assets at end of year2023-04-30$1,983,737
Value of total assets at beginning of year2023-04-30$2,029,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-30$524,402
Total interest from all sources2023-04-30$2,373
Total dividends received (eg from common stock, registered investment company shares)2023-04-30$39,806
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-04-30$39,806
Administrative expenses professional fees incurred2023-04-30$195,488
Was this plan covered by a fidelity bond2023-04-30Yes
Value of fidelity bond cover2023-04-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2023-04-30Yes
Amount of non-exempt transactions with any party-in-interest2023-04-30$1,039,107
Contributions received from participants2023-04-30$379,410
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-04-30$888,589
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-04-30$189,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-04-30$1,061,946
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-04-30$974,118
Other income not declared elsewhere2023-04-30$855,479
Administrative expenses (other) incurred2023-04-30$140,566
Liabilities. Value of operating payables at end of year2023-04-30$60,458
Liabilities. Value of operating payables at beginning of year2023-04-30$66,683
Total non interest bearing cash at end of year2023-04-30$177,873
Total non interest bearing cash at beginning of year2023-04-30$413,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Value of net income/loss2023-04-30$-75,053
Value of net assets at end of year (total assets less liabilities)2023-04-30$637,116
Value of net assets at beginning of year (total assets less liabilities)2023-04-30$712,169
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-30No
Were any leases to which the plan was party in default or uncollectible2023-04-30No
Investment advisory and management fees2023-04-30$9,682
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-04-30$621,519
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-04-30$1,097,077
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-30$1,168
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-30$6,654
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-30$6,654
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-30$2,373
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-30$151,039
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-04-30$-57,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-30Yes
Was there a failure to transmit to the plan any participant contributions2023-04-30No
Has the plan failed to provide any benefit when due under the plan2023-04-30No
Contributions received in cash from employer2023-04-30$2,383,702
Employer contributions (assets) at end of year2023-04-30$294,588
Employer contributions (assets) at beginning of year2023-04-30$323,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-30$3,003,010
Contract administrator fees2023-04-30$178,666
Liabilities. Value of benefit claims payable at end of year2023-04-30$224,217
Liabilities. Value of benefit claims payable at beginning of year2023-04-30$276,724
Did the plan have assets held for investment2023-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-30No
Aggregate proceeds on sale of assets2023-04-30$712,760
Aggregate carrying amount (costs) on sale of assets2023-04-30$712,760
Opinion of an independent qualified public accountant for this plan2023-04-30Disclaimer
Accountancy firm name2023-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2023-04-30611436956
2022 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$1,317,525
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$821,520
Total income from all sources (including contributions)2022-04-30$3,250,150
Total loss/gain on sale of assets2022-04-30$0
Total of all expenses incurred2022-04-30$3,186,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$2,726,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$3,314,115
Value of total assets at end of year2022-04-30$2,029,694
Value of total assets at beginning of year2022-04-30$1,469,896
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$459,889
Total interest from all sources2022-04-30$54
Total dividends received (eg from common stock, registered investment company shares)2022-04-30$36,725
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-04-30$36,725
Administrative expenses professional fees incurred2022-04-30$121,438
Was this plan covered by a fidelity bond2022-04-30Yes
Value of fidelity bond cover2022-04-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-04-30Yes
Amount of non-exempt transactions with any party-in-interest2022-04-30$949,077
Contributions received from participants2022-04-30$465,357
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-04-30$189,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-04-30$37,522
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-04-30$974,118
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-04-30$222,292
Administrative expenses (other) incurred2022-04-30$150,280
Liabilities. Value of operating payables at end of year2022-04-30$66,683
Liabilities. Value of operating payables at beginning of year2022-04-30$52,984
Total non interest bearing cash at end of year2022-04-30$413,626
Total non interest bearing cash at beginning of year2022-04-30$3,756
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Value of net income/loss2022-04-30$63,793
Value of net assets at end of year (total assets less liabilities)2022-04-30$712,169
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$648,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-30No
Were any leases to which the plan was party in default or uncollectible2022-04-30No
Investment advisory and management fees2022-04-30$9,497
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-04-30$1,097,077
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-04-30$1,167,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$6,654
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$6,688
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$6,688
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-30$54
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$158,207
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-04-30$-100,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-30Yes
Was there a failure to transmit to the plan any participant contributions2022-04-30No
Has the plan failed to provide any benefit when due under the plan2022-04-30No
Contributions received in cash from employer2022-04-30$2,848,758
Employer contributions (assets) at end of year2022-04-30$323,212
Employer contributions (assets) at beginning of year2022-04-30$254,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$2,568,261
Contract administrator fees2022-04-30$178,674
Liabilities. Value of benefit claims payable at end of year2022-04-30$276,724
Liabilities. Value of benefit claims payable at beginning of year2022-04-30$546,244
Did the plan have assets held for investment2022-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-30No
Aggregate proceeds on sale of assets2022-04-30$109,211
Aggregate carrying amount (costs) on sale of assets2022-04-30$109,211
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30NOVAK FRANCELLA,LLC
Accountancy firm EIN2022-04-30611436956
2021 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$821,520
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$492,242
Total income from all sources (including contributions)2021-04-30$3,212,408
Total loss/gain on sale of assets2021-04-30$0
Total of all expenses incurred2021-04-30$3,815,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$3,325,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$3,074,377
Value of total assets at end of year2021-04-30$1,469,896
Value of total assets at beginning of year2021-04-30$1,743,729
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$489,985
Total interest from all sources2021-04-30$7
Total dividends received (eg from common stock, registered investment company shares)2021-04-30$28,801
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-04-30$28,801
Administrative expenses professional fees incurred2021-04-30$124,768
Was this plan covered by a fidelity bond2021-04-30Yes
Value of fidelity bond cover2021-04-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-04-30No
Contributions received from participants2021-04-30$467,552
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-04-30$37,522
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-04-30$46,130
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-04-30$222,292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-04-30$91,531
Administrative expenses (other) incurred2021-04-30$171,510
Liabilities. Value of operating payables at end of year2021-04-30$52,984
Liabilities. Value of operating payables at beginning of year2021-04-30$62,930
Total non interest bearing cash at end of year2021-04-30$3,756
Total non interest bearing cash at beginning of year2021-04-30$447,209
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Value of net income/loss2021-04-30$-603,111
Value of net assets at end of year (total assets less liabilities)2021-04-30$648,376
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$1,251,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-04-30No
Were any leases to which the plan was party in default or uncollectible2021-04-30No
Investment advisory and management fees2021-04-30$10,212
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-04-30$1,167,902
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-04-30$1,041,358
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$6,688
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$2,802
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$2,802
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-04-30$7
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$188,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-04-30$109,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-04-30Yes
Was there a failure to transmit to the plan any participant contributions2021-04-30No
Has the plan failed to provide any benefit when due under the plan2021-04-30No
Contributions received in cash from employer2021-04-30$2,606,825
Employer contributions (assets) at end of year2021-04-30$254,028
Employer contributions (assets) at beginning of year2021-04-30$206,230
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$3,137,497
Contract administrator fees2021-04-30$183,495
Liabilities. Value of benefit claims payable at end of year2021-04-30$546,244
Liabilities. Value of benefit claims payable at beginning of year2021-04-30$337,781
Did the plan have assets held for investment2021-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-04-30No
Aggregate proceeds on sale of assets2021-04-30$97,793
Aggregate carrying amount (costs) on sale of assets2021-04-30$97,793
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-04-30611436956
2020 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$492,242
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$384,695
Total income from all sources (including contributions)2020-04-30$3,192,723
Total loss/gain on sale of assets2020-04-30$0
Total of all expenses incurred2020-04-30$3,951,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$3,498,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$3,134,527
Value of total assets at end of year2020-04-30$1,743,729
Value of total assets at beginning of year2020-04-30$2,394,909
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$453,129
Total interest from all sources2020-04-30$62
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$31,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-04-30$31,000
Administrative expenses professional fees incurred2020-04-30$180,522
Was this plan covered by a fidelity bond2020-04-30Yes
Value of fidelity bond cover2020-04-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-04-30No
Contributions received from participants2020-04-30$437,175
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-04-30$46,130
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-04-30$688,587
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-04-30$91,531
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-04-30$59,785
Other income not declared elsewhere2020-04-30$9,919
Administrative expenses (other) incurred2020-04-30$106,339
Liabilities. Value of operating payables at end of year2020-04-30$62,930
Liabilities. Value of operating payables at beginning of year2020-04-30$28,545
Total non interest bearing cash at end of year2020-04-30$447,209
Total non interest bearing cash at beginning of year2020-04-30$264,302
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Value of net income/loss2020-04-30$-758,727
Value of net assets at end of year (total assets less liabilities)2020-04-30$1,251,487
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$2,010,214
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No
Were any leases to which the plan was party in default or uncollectible2020-04-30No
Investment advisory and management fees2020-04-30$10,003
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-04-30$1,041,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-04-30$999,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$2,802
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$3,516
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$3,516
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-30$62
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$138,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-04-30$17,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-30Yes
Was there a failure to transmit to the plan any participant contributions2020-04-30No
Has the plan failed to provide any benefit when due under the plan2020-04-30No
Contributions received in cash from employer2020-04-30$2,697,352
Employer contributions (assets) at end of year2020-04-30$206,230
Employer contributions (assets) at beginning of year2020-04-30$438,646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$3,360,222
Contract administrator fees2020-04-30$156,265
Liabilities. Value of benefit claims payable at end of year2020-04-30$337,781
Liabilities. Value of benefit claims payable at beginning of year2020-04-30$296,365
Did the plan have assets held for investment2020-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-30No
Aggregate proceeds on sale of assets2020-04-30$255,610
Aggregate carrying amount (costs) on sale of assets2020-04-30$255,610
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-04-30No
Opinion of an independent qualified public accountant for this plan2020-04-30Unqualified
Accountancy firm name2020-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2020-04-30611436956
2019 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$384,695
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$704,056
Total income from all sources (including contributions)2019-04-30$4,316,702
Total loss/gain on sale of assets2019-04-30$0
Total of all expenses incurred2019-04-30$4,334,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$3,987,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$4,244,202
Value of total assets at end of year2019-04-30$2,394,909
Value of total assets at beginning of year2019-04-30$2,732,467
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$347,741
Total interest from all sources2019-04-30$87
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$41,684
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-04-30$41,684
Administrative expenses professional fees incurred2019-04-30$63,566
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Contributions received from participants2019-04-30$466,342
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-04-30$688,587
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-04-30$137,085
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-04-30$59,785
Administrative expenses (other) incurred2019-04-30$104,478
Liabilities. Value of operating payables at end of year2019-04-30$28,545
Liabilities. Value of operating payables at beginning of year2019-04-30$95,889
Total non interest bearing cash at end of year2019-04-30$264,302
Total non interest bearing cash at beginning of year2019-04-30$403,268
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$-18,197
Value of net assets at end of year (total assets less liabilities)2019-04-30$2,010,214
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$2,028,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Investment advisory and management fees2019-04-30$9,837
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-04-30$999,858
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-04-30$1,586,061
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$3,516
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$2,449
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$2,449
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$87
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$250,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-04-30$30,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30Yes
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$3,777,860
Employer contributions (assets) at end of year2019-04-30$438,646
Employer contributions (assets) at beginning of year2019-04-30$603,604
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$3,736,865
Contract administrator fees2019-04-30$169,860
Liabilities. Value of benefit claims payable at end of year2019-04-30$296,365
Liabilities. Value of benefit claims payable at beginning of year2019-04-30$608,167
Did the plan have assets held for investment2019-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30No
Aggregate proceeds on sale of assets2019-04-30$672,165
Aggregate carrying amount (costs) on sale of assets2019-04-30$672,165
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2019-04-30611436956
2018 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$704,056
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$1,121,428
Total income from all sources (including contributions)2018-04-30$5,779,820
Total of all expenses incurred2018-04-30$4,639,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$4,315,741
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$5,750,909
Value of total assets at end of year2018-04-30$2,732,467
Value of total assets at beginning of year2018-04-30$2,009,672
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$323,912
Total interest from all sources2018-04-30$130
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$36,876
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-04-30$36,876
Administrative expenses professional fees incurred2018-04-30$29,945
Was this plan covered by a fidelity bond2018-04-30Yes
Value of fidelity bond cover2018-04-30$500,000
If this is an individual account plan, was there a blackout period2018-04-30No
Were there any nonexempt tranactions with any party-in-interest2018-04-30No
Contributions received from participants2018-04-30$508,534
Income. Received or receivable in cash from other sources (including rollovers)2018-04-30$1,015,216
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-04-30$309,689
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-04-30$137,085
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-04-30$88,567
Other income not declared elsewhere2018-04-30$65
Administrative expenses (other) incurred2018-04-30$111,186
Liabilities. Value of operating payables at end of year2018-04-30$95,889
Liabilities. Value of operating payables at beginning of year2018-04-30$161,710
Total non interest bearing cash at end of year2018-04-30$403,268
Total non interest bearing cash at beginning of year2018-04-30$148,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$1,140,167
Value of net assets at end of year (total assets less liabilities)2018-04-30$2,028,411
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$888,244
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-04-30No
Were any leases to which the plan was party in default or uncollectible2018-04-30No
Investment advisory and management fees2018-04-30$10,686
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-04-30$1,586,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-04-30$1,315,728
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$2,449
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$1,459
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$1,459
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$130
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$234,244
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-04-30$-8,160
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-04-30Yes
Was there a failure to transmit to the plan any participant contributions2018-04-30No
Has the plan failed to provide any benefit when due under the plan2018-04-30No
Contributions received in cash from employer2018-04-30$4,227,159
Employer contributions (assets) at end of year2018-04-30$603,604
Employer contributions (assets) at beginning of year2018-04-30$455,407
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$3,771,808
Contract administrator fees2018-04-30$172,095
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-04-30No
Liabilities. Value of benefit claims payable at end of year2018-04-30$608,167
Liabilities. Value of benefit claims payable at beginning of year2018-04-30$959,718
Did the plan have assets held for investment2018-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30ALAN ROSS & COMPANY PC
Accountancy firm EIN2018-04-30205367494
2017 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$1,121,428
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$619,368
Total income from all sources (including contributions)2017-04-30$5,414,185
Total of all expenses incurred2017-04-30$5,641,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$5,310,201
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$5,377,724
Value of total assets at end of year2017-04-30$2,009,672
Value of total assets at beginning of year2017-04-30$1,735,247
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$331,619
Total interest from all sources2017-04-30$1,102
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$32,975
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-04-30$32,975
Administrative expenses professional fees incurred2017-04-30$20,929
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$518,018
Income. Received or receivable in cash from other sources (including rollovers)2017-04-30$309,550
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-04-30$684,944
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-04-30$88,567
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$80,169
Other income not declared elsewhere2017-04-30$71
Administrative expenses (other) incurred2017-04-30$133,316
Liabilities. Value of operating payables at end of year2017-04-30$161,710
Liabilities. Value of operating payables at beginning of year2017-04-30$145,901
Total non interest bearing cash at end of year2017-04-30$148,511
Total non interest bearing cash at beginning of year2017-04-30$729,663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$-227,635
Value of net assets at end of year (total assets less liabilities)2017-04-30$888,244
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$1,115,879
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Investment advisory and management fees2017-04-30$7,449
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-04-30$1,315,728
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-04-30$333,611
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$1,459
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$5,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$5,612
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$1,102
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$226,068
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-04-30$2,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30Yes
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$4,550,156
Employer contributions (assets) at end of year2017-04-30$455,407
Employer contributions (assets) at beginning of year2017-04-30$586,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$4,399,189
Contract administrator fees2017-04-30$169,925
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-04-30No
Liabilities. Value of benefit claims payable at end of year2017-04-30$959,718
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$473,467
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30ALAN ROSS & COMPANY PC
Accountancy firm EIN2017-04-30205367494
2016 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$619,368
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$710,182
Total income from all sources (including contributions)2016-04-30$4,778,677
Total of all expenses incurred2016-04-30$4,505,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$4,244,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$4,776,952
Value of total assets at end of year2016-04-30$1,735,247
Value of total assets at beginning of year2016-04-30$1,553,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$260,709
Total interest from all sources2016-04-30$1
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-04-30$814
Administrative expenses professional fees incurred2016-04-30$20,274
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$534,342
Income. Received or receivable in cash from other sources (including rollovers)2016-04-30$308,366
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-04-30$575,185
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$80,169
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$106,338
Other income not declared elsewhere2016-04-30$910
Administrative expenses (other) incurred2016-04-30$99,504
Liabilities. Value of operating payables at end of year2016-04-30$145,901
Liabilities. Value of operating payables at beginning of year2016-04-30$88,597
Total non interest bearing cash at end of year2016-04-30$729,663
Total non interest bearing cash at beginning of year2016-04-30$861,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$273,052
Value of net assets at end of year (total assets less liabilities)2016-04-30$1,115,879
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$842,827
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Investment advisory and management fees2016-04-30$50
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-04-30$333,611
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-04-30$332,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$5,612
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$5,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$5,662
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$1
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$160,693
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30No
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$3,934,244
Employer contributions (assets) at end of year2016-04-30$586,192
Employer contributions (assets) at beginning of year2016-04-30$247,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$3,509,038
Contract administrator fees2016-04-30$140,881
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-04-30No
Liabilities. Value of benefit claims payable at end of year2016-04-30$473,467
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$621,585
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30ALAN ROSS & COMPANY, PC
Accountancy firm EIN2016-04-30205367494
2015 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$710,182
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$503,722
Total income from all sources (including contributions)2015-04-30$3,858,909
Total of all expenses incurred2015-04-30$4,029,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$3,760,713
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$3,858,172
Value of total assets at end of year2015-04-30$1,553,009
Value of total assets at beginning of year2015-04-30$1,517,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$268,768
Total interest from all sources2015-04-30$1
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-04-30$254
Administrative expenses professional fees incurred2015-04-30$20,236
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$558,757
Income. Received or receivable in cash from other sources (including rollovers)2015-04-30$398,657
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-04-30$545,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$106,338
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$62,870
Other income not declared elsewhere2015-04-30$482
Administrative expenses (other) incurred2015-04-30$105,654
Liabilities. Value of operating payables at end of year2015-04-30$88,597
Liabilities. Value of operating payables at beginning of year2015-04-30$51,337
Total non interest bearing cash at end of year2015-04-30$861,107
Total non interest bearing cash at beginning of year2015-04-30$888,820
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-170,572
Value of net assets at end of year (total assets less liabilities)2015-04-30$842,827
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$1,013,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Investment advisory and management fees2015-04-30$50
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-04-30$332,797
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-04-30$332,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$5,662
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$5,711
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$5,711
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$1
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$155,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$2,900,758
Employer contributions (assets) at end of year2015-04-30$247,105
Employer contributions (assets) at beginning of year2015-04-30$227,177
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$3,059,355
Contract administrator fees2015-04-30$142,828
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-04-30No
Liabilities. Value of benefit claims payable at end of year2015-04-30$621,585
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$452,385
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30ALAN ROSS & COMPANY, INC
Accountancy firm EIN2015-04-30205367494
2014 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$503,722
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$972,900
Total income from all sources (including contributions)2014-04-30$3,738,571
Total loss/gain on sale of assets2014-04-30$0
Total of all expenses incurred2014-04-30$3,523,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$3,276,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$3,738,188
Value of total assets at end of year2014-04-30$1,517,121
Value of total assets at beginning of year2014-04-30$1,771,402
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$246,923
Total interest from all sources2014-04-30$252
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$64,789
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$612,201
Income. Received or receivable in cash from other sources (including rollovers)2014-04-30$274,613
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-04-30$512,041
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$62,870
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$80,388
Other income not declared elsewhere2014-04-30$131
Administrative expenses (other) incurred2014-04-30$34,163
Liabilities. Value of operating payables at end of year2014-04-30$51,337
Liabilities. Value of operating payables at beginning of year2014-04-30$50,213
Total non interest bearing cash at end of year2014-04-30$888,820
Total non interest bearing cash at beginning of year2014-04-30$1,142,646
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$214,897
Value of net assets at end of year (total assets less liabilities)2014-04-30$1,013,399
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$798,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$338,254
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$338,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$338,002
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$252
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$147,203
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30No
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$2,851,374
Employer contributions (assets) at end of year2014-04-30$227,177
Employer contributions (assets) at beginning of year2014-04-30$210,366
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$2,617,507
Contract administrator fees2014-04-30$147,971
Liabilities. Value of benefit claims payable at end of year2014-04-30$452,385
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$922,687
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30ALAN ROSS AND COMPANY
Accountancy firm EIN2014-04-30205367494
2013 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$972,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$543,882
Total income from all sources (including contributions)2013-04-30$4,206,958
Total loss/gain on sale of assets2013-04-30$0
Total of all expenses incurred2013-04-30$4,027,894
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$3,736,256
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$4,204,853
Value of total assets at end of year2013-04-30$1,771,402
Value of total assets at beginning of year2013-04-30$1,163,320
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$291,638
Total interest from all sources2013-04-30$522
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$26,117
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$648,513
Income. Received or receivable in cash from other sources (including rollovers)2013-04-30$448,959
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-04-30$514,558
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$80,388
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$46,679
Other income not declared elsewhere2013-04-30$1,583
Administrative expenses (other) incurred2013-04-30$106,143
Liabilities. Value of operating payables at end of year2013-04-30$50,213
Liabilities. Value of operating payables at beginning of year2013-04-30$67,820
Total non interest bearing cash at end of year2013-04-30$1,142,646
Total non interest bearing cash at beginning of year2013-04-30$215,027
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$179,064
Value of net assets at end of year (total assets less liabilities)2013-04-30$798,502
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$619,438
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$338,002
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$587,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$587,407
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$522
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$144,882
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$3,107,381
Employer contributions (assets) at end of year2013-04-30$210,366
Employer contributions (assets) at beginning of year2013-04-30$314,207
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$3,076,816
Contract administrator fees2013-04-30$159,378
Liabilities. Value of benefit claims payable at end of year2013-04-30$922,687
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$476,062
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30ALAN ROSS AND COMPANY PC
Accountancy firm EIN2013-04-30205367494
2012 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$543,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$460,428
Total income from all sources (including contributions)2012-04-30$3,684,483
Total loss/gain on sale of assets2012-04-30$0
Total of all expenses incurred2012-04-30$4,607,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$4,268,404
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$3,681,260
Value of total assets at end of year2012-04-30$1,163,320
Value of total assets at beginning of year2012-04-30$2,002,719
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$338,932
Total interest from all sources2012-04-30$2,028
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$128,621
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$519,247
Income. Received or receivable in cash from other sources (including rollovers)2012-04-30$632,239
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-04-30$370,637
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$46,679
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$85,162
Other income not declared elsewhere2012-04-30$1,195
Administrative expenses (other) incurred2012-04-30$36,646
Liabilities. Value of operating payables at end of year2012-04-30$67,820
Liabilities. Value of operating payables at beginning of year2012-04-30$98,408
Total non interest bearing cash at end of year2012-04-30$215,027
Total non interest bearing cash at beginning of year2012-04-30$179,686
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$-922,853
Value of net assets at end of year (total assets less liabilities)2012-04-30$619,438
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$1,542,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$587,407
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$1,428,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$1,428,750
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$2,028
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$158,461
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30No
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$2,529,774
Employer contributions (assets) at end of year2012-04-30$314,207
Employer contributions (assets) at beginning of year2012-04-30$309,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$3,739,306
Contract administrator fees2012-04-30$173,665
Liabilities. Value of benefit claims payable at end of year2012-04-30$476,062
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$362,020
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30ALAN ROSS AND COMPANY
Accountancy firm EIN2012-04-30205367494
2011 : SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-04-30$-266,970
Total unrealized appreciation/depreciation of assets2011-04-30$-266,970
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$460,428
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$345,717
Total income from all sources (including contributions)2011-04-30$3,245,311
Total loss/gain on sale of assets2011-04-30$388,435
Total of all expenses incurred2011-04-30$4,173,289
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$3,846,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$3,079,844
Value of total assets at end of year2011-04-30$2,002,719
Value of total assets at beginning of year2011-04-30$2,815,986
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$326,334
Total interest from all sources2011-04-30$14,021
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$32,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-04-30$15,696
Administrative expenses professional fees incurred2011-04-30$115,833
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$555,760
Income. Received or receivable in cash from other sources (including rollovers)2011-04-30$260,296
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-04-30$214,698
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$85,162
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$75,393
Administrative expenses (other) incurred2011-04-30$32,327
Liabilities. Value of operating payables at end of year2011-04-30$98,408
Liabilities. Value of operating payables at beginning of year2011-04-30$78,004
Total non interest bearing cash at end of year2011-04-30$179,686
Total non interest bearing cash at beginning of year2011-04-30$104,359
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$-927,978
Value of net assets at end of year (total assets less liabilities)2011-04-30$1,542,291
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$2,470,269
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Investment advisory and management fees2011-04-30$15,414
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-04-30$549,135
Interest earned on other investments2011-04-30$1,777
Income. Interest from US Government securities2011-04-30$5,999
Income. Interest from corporate debt instruments2011-04-30$5,484
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$1,428,750
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$67,290
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$67,290
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$761
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$124,706
Asset value of US Government securities at beginning of year2011-04-30$221,189
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-04-30$-2,492
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30No
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$2,263,788
Employer contributions (assets) at end of year2011-04-30$309,121
Employer contributions (assets) at beginning of year2011-04-30$339,646
Income. Dividends from common stock2011-04-30$16,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$3,507,551
Asset. Corporate debt instrument debt (other) at beginning of year2011-04-30$135,290
Contract administrator fees2011-04-30$162,760
Assets. Corporate common stocks other than exployer securities at beginning of year2011-04-30$1,323,684
Liabilities. Value of benefit claims payable at end of year2011-04-30$362,020
Liabilities. Value of benefit claims payable at beginning of year2011-04-30$267,713
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Aggregate proceeds on sale of assets2011-04-30$2,579,172
Aggregate carrying amount (costs) on sale of assets2011-04-30$2,190,737
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30ALAN ROSS AND COMPANY
Accountancy firm EIN2011-04-30205367494

Form 5500 Responses for SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F

2022: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2022 form 5500 responses
2022-05-01Type of plan entityMulti-employer plan
2022-05-01Plan is a collectively bargained planYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2021 form 5500 responses
2021-05-01Type of plan entityMulti-employer plan
2021-05-01Plan is a collectively bargained planYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2020 form 5500 responses
2020-05-01Type of plan entityMulti-employer plan
2020-05-01Plan is a collectively bargained planYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2019 form 5500 responses
2019-05-01Type of plan entityMulti-employer plan
2019-05-01Plan is a collectively bargained planYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2018 form 5500 responses
2018-05-01Type of plan entityMulti-employer plan
2018-05-01Plan is a collectively bargained planYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2017 form 5500 responses
2017-05-01Type of plan entityMulti-employer plan
2017-05-01Plan is a collectively bargained planYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2016 form 5500 responses
2016-05-01Type of plan entityMulti-employer plan
2016-05-01Plan is a collectively bargained planYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2015 form 5500 responses
2015-05-01Type of plan entityMulti-employer plan
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2014 form 5500 responses
2014-05-01Type of plan entityMulti-employer plan
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2013 form 5500 responses
2013-05-01Type of plan entityMulti-employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2012 form 5500 responses
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2011 form 5500 responses
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2010 form 5500 responses
2010-05-01Type of plan entityMulti-employer plan
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes
2009: SUSQUEHANNA LABORERS COMBINED HEALTH AND WELFARE F 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT MIDWEST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract numberGMICMSL 2022
Policy instance 2
Insurance contract or identification numberGMICMSL 2022
Number of Individuals Covered179
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $106,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered414
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,114
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $48,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6114
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
GREAT MIDWEST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract numberGMICMSL 2021
Policy instance 2
Insurance contract or identification numberGMICMSL 2021
Number of Individuals Covered289
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $115,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered254
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $4,956
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $42,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,956
Insurance broker organization code?5
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered236
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,204
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $37,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4204
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10395
Policy instance 2
Insurance contract or identification numberSL10395
Number of Individuals Covered224
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $177,896
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 numberSL10395
Policy instance 2
Insurance contract or identification numberSL10395
Number of Individuals Covered177
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $137,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered371
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,718
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $41,030
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4718
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
LIBERTY INSURANCE UNDERWRITERS, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberTRU000126-01
Policy instance 2
Insurance contract or identification numberTRU000126-01
Number of Individuals Covered337
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $209,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered427
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,748
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $41,289
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4748
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31831
Policy instance 2
Insurance contract or identification numberHCL31831
Number of Individuals Covered409
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $206,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered449
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,150
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,391
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MADISON NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65781 )
Policy contract number9173-MNL
Policy instance 1
Insurance contract or identification number9173-MNL
Number of Individuals Covered412
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,275
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2275
Insurance broker organization code?5
Insurance broker nameNORTH AMERCIAN BENEFITS COMPANY
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31831
Policy instance 2
Insurance contract or identification numberHCL31831
Number of Individuals Covered330
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $140,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract number9173-4EL
Policy instance 1
Insurance contract or identification number9173-4EL
Number of Individuals Covered196
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,231
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2231
Insurance broker organization code?5
Insurance broker nameNORTH AMERCIAN BENEFITS COMPANY
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract number9173-4EL
Policy instance 1
Insurance contract or identification number9173-4EL
Number of Individuals Covered399
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $21,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 )
Policy contract numberIIS2157
Policy instance 2
Insurance contract or identification numberIIS2157
Number of Individuals Covered329
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $125,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 )
Policy contract numberIIS2157
Policy instance 2
Insurance contract or identification numberIIS2157
Number of Individuals Covered328
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $125,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberLO 9173
Policy instance 1
Insurance contract or identification numberLO 9173
Number of Individuals Covered391
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $19,674
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberPF003070-01
Policy instance 1
Insurance contract or identification numberPF003070-01
Number of Individuals Covered390
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $139,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberLO 9173
Policy instance 2
Insurance contract or identification numberLO 9173
Number of Individuals Covered458
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $18,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberPF003070-01
Policy instance 1
Insurance contract or identification numberPF003070-01
Number of Individuals Covered369
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $126,341
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberLO 9173
Policy instance 2
Insurance contract or identification numberLO 9173
Number of Individuals Covered447
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $17,613

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