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OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 401k Plan overview

Plan NameOFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND
Plan identification number 501

OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES, OFFICE AND PROFESSIONAL EMPLOYEES has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, OFFICE AND PROFESSIONAL EMPLOYEES
Employer identification number (EIN):237120690
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01MILLER KAPLAN ARASE LLP
5012016-01-01MILLER KAPLAN ARASE LLP
5012015-01-01MILLER KAPLAN ARASE LLP MILLER KAPLAN ARASE LLP2016-10-05
5012014-01-01SANDY S GARCIA SANDY S GARCIA2015-08-26
5012013-01-01SANDY S. GARCIA SANDY S. GARCIA2014-09-12
5012012-01-01SANDY S. GARCIA SANDY S. GARCIA2013-08-14
5012011-01-01TOM CURTIN
5012009-01-01TOM CURTIN
5012009-01-01TOM CURTIN

Plan Statistics for OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND

401k plan membership statisitcs for OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND

Measure Date Value
2022: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01160
Total number of active participants reported on line 7a of the Form 55002022-01-01125
Number of retired or separated participants receiving benefits2022-01-0145
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01170
Total participants2022-01-01170
Number of employers contributing to the scheme2022-01-0140
2021: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01211
Total number of active participants reported on line 7a of the Form 55002021-01-0184
Number of retired or separated participants receiving benefits2021-01-0145
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01129
Total participants2021-01-01129
Number of employers contributing to the scheme2021-01-0143
2020: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01207
Total number of active participants reported on line 7a of the Form 55002020-01-01157
Number of retired or separated participants receiving benefits2020-01-0154
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01211
Total participants2020-01-01211
Number of employers contributing to the scheme2020-01-0145
2019: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01219
Total number of active participants reported on line 7a of the Form 55002019-01-01151
Number of retired or separated participants receiving benefits2019-01-0156
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01207
Total participants2019-01-01207
Number of employers contributing to the scheme2019-01-0147
2018: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01284
Total number of active participants reported on line 7a of the Form 55002018-01-01158
Number of retired or separated participants receiving benefits2018-01-0161
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01219
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
Number of employers contributing to the scheme2018-01-0147
2017: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01347
Total number of active participants reported on line 7a of the Form 55002017-01-01221
Number of retired or separated participants receiving benefits2017-01-0163
Total of all active and inactive participants2017-01-01284
Total participants2017-01-01284
Number of employers contributing to the scheme2017-01-0161
2016: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01287
Total number of active participants reported on line 7a of the Form 55002016-01-01279
Number of retired or separated participants receiving benefits2016-01-0168
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01347
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01347
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
Number of employers contributing to the scheme2016-01-0161
2015: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01329
Total number of active participants reported on line 7a of the Form 55002015-01-01214
Number of retired or separated participants receiving benefits2015-01-0173
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01287
Total participants2015-01-01287
Number of employers contributing to the scheme2015-01-0147
2014: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01363
Total number of active participants reported on line 7a of the Form 55002014-01-01251
Number of retired or separated participants receiving benefits2014-01-0178
Total of all active and inactive participants2014-01-01329
Total participants2014-01-01329
Number of employers contributing to the scheme2014-01-0153
2013: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01403
Total number of active participants reported on line 7a of the Form 55002013-01-01255
Number of retired or separated participants receiving benefits2013-01-01108
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01363
Total participants2013-01-01363
Number of employers contributing to the scheme2013-01-0154
2012: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01414
Total number of active participants reported on line 7a of the Form 55002012-01-01283
Number of retired or separated participants receiving benefits2012-01-01120
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01403
Total participants2012-01-01403
Number of employers contributing to the scheme2012-01-0163
2011: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01412
Total number of active participants reported on line 7a of the Form 55002011-01-01284
Number of retired or separated participants receiving benefits2011-01-01130
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01414
Total participants2011-01-01414
Number of employers contributing to the scheme2011-01-0169
2009: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01511
Total number of active participants reported on line 7a of the Form 55002009-01-01422
Total of all active and inactive participants2009-01-01422
Total participants2009-01-01422

Financial Data on OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND

Measure Date Value
2022 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$277,108
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$258,234
Total income from all sources (including contributions)2022-12-31$3,204,952
Total of all expenses incurred2022-12-31$3,377,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,186,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,202,067
Value of total assets at end of year2022-12-31$2,133,374
Value of total assets at beginning of year2022-12-31$2,286,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$191,054
Total interest from all sources2022-12-31$2,885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$72,068
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$265,818
Participant contributions at end of year2022-12-31$832
Participant contributions at beginning of year2022-12-31$5,030
Administrative expenses (other) incurred2022-12-31$7,746
Liabilities. Value of operating payables at end of year2022-12-31$13,413
Liabilities. Value of operating payables at beginning of year2022-12-31$13,792
Total non interest bearing cash at end of year2022-12-31$205,844
Total non interest bearing cash at beginning of year2022-12-31$157,857
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-172,494
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,856,266
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,028,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,695,287
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,863,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,863,533
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,885
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$3,186,392
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,936,249
Employer contributions (assets) at end of year2022-12-31$231,411
Employer contributions (assets) at beginning of year2022-12-31$255,575
Contract administrator fees2022-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2022-12-31$263,695
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$244,442
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$4,999
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-12-31952036255
2021 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$258,234
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$277,185
Total income from all sources (including contributions)2021-12-31$3,355,374
Total of all expenses incurred2021-12-31$3,419,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,228,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,342,370
Value of total assets at end of year2021-12-31$2,286,994
Value of total assets at beginning of year2021-12-31$2,370,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$191,019
Total interest from all sources2021-12-31$13,004
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$68,117
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$322,719
Participant contributions at end of year2021-12-31$5,030
Participant contributions at beginning of year2021-12-31$3,999
Administrative expenses (other) incurred2021-12-31$11,662
Liabilities. Value of operating payables at end of year2021-12-31$13,792
Liabilities. Value of operating payables at beginning of year2021-12-31$10,849
Total non interest bearing cash at end of year2021-12-31$157,857
Total non interest bearing cash at beginning of year2021-12-31$362,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-64,088
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,028,760
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,092,848
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,863,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,782,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,782,398
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$13,004
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$3,228,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,019,651
Employer contributions (assets) at end of year2021-12-31$255,575
Employer contributions (assets) at beginning of year2021-12-31$221,008
Contract administrator fees2021-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2021-12-31$244,442
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$266,336
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$4,999
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$0
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2021-12-31952036255
2020 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$277,185
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$322,764
Total income from all sources (including contributions)2020-12-31$3,608,700
Total of all expenses incurred2020-12-31$3,621,600
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,443,533
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,594,452
Value of total assets at end of year2020-12-31$2,370,033
Value of total assets at beginning of year2020-12-31$2,428,512
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$178,067
Total interest from all sources2020-12-31$14,248
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$59,735
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$386,415
Participant contributions at end of year2020-12-31$3,999
Participant contributions at beginning of year2020-12-31$3,116
Administrative expenses (other) incurred2020-12-31$7,092
Liabilities. Value of operating payables at end of year2020-12-31$10,849
Liabilities. Value of operating payables at beginning of year2020-12-31$13,493
Total non interest bearing cash at end of year2020-12-31$362,628
Total non interest bearing cash at beginning of year2020-12-31$240,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-12,900
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,092,848
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,105,748
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,782,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,900,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,900,526
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$14,248
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$3,443,533
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,208,037
Employer contributions (assets) at end of year2020-12-31$221,008
Employer contributions (assets) at beginning of year2020-12-31$279,675
Contract administrator fees2020-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2020-12-31$266,336
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$309,271
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$4,756
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2020-12-31952036255
2019 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$322,764
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$322,764
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$356,176
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$356,176
Total income from all sources (including contributions)2019-12-31$3,980,497
Total income from all sources (including contributions)2019-12-31$3,980,497
Total of all expenses incurred2019-12-31$3,881,442
Total of all expenses incurred2019-12-31$3,881,442
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,694,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,694,362
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,952,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,952,852
Value of total assets at end of year2019-12-31$2,428,512
Value of total assets at end of year2019-12-31$2,428,512
Value of total assets at beginning of year2019-12-31$2,362,869
Value of total assets at beginning of year2019-12-31$2,362,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$187,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$187,080
Total interest from all sources2019-12-31$27,645
Total interest from all sources2019-12-31$27,645
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$69,405
Administrative expenses professional fees incurred2019-12-31$69,405
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$434,637
Contributions received from participants2019-12-31$434,637
Participant contributions at end of year2019-12-31$3,116
Participant contributions at end of year2019-12-31$3,116
Participant contributions at beginning of year2019-12-31$3,841
Participant contributions at beginning of year2019-12-31$3,841
Administrative expenses (other) incurred2019-12-31$6,435
Administrative expenses (other) incurred2019-12-31$6,435
Liabilities. Value of operating payables at end of year2019-12-31$13,493
Liabilities. Value of operating payables at end of year2019-12-31$13,493
Liabilities. Value of operating payables at beginning of year2019-12-31$15,886
Liabilities. Value of operating payables at beginning of year2019-12-31$15,886
Total non interest bearing cash at end of year2019-12-31$240,439
Total non interest bearing cash at end of year2019-12-31$240,439
Total non interest bearing cash at beginning of year2019-12-31$307,626
Total non interest bearing cash at beginning of year2019-12-31$307,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$99,055
Value of net income/loss2019-12-31$99,055
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,105,748
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,105,748
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,006,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,900,526
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,900,526
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,755,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,755,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,755,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,755,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$27,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$27,645
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$3,694,362
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$3,694,362
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,518,215
Contributions received in cash from employer2019-12-31$3,518,215
Employer contributions (assets) at end of year2019-12-31$279,675
Employer contributions (assets) at beginning of year2019-12-31$296,402
Employer contributions (assets) at beginning of year2019-12-31$296,402
Contract administrator fees2019-12-31$111,240
Contract administrator fees2019-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2019-12-31$309,271
Liabilities. Value of benefit claims payable at end of year2019-12-31$309,271
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$340,290
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$340,290
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$4,756
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-12-31952036255
Accountancy firm EIN2019-12-31952036255
2018 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$356,176
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$359,464
Total income from all sources (including contributions)2018-12-31$4,019,082
Total of all expenses incurred2018-12-31$4,073,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,886,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,006,855
Value of total assets at end of year2018-12-31$2,362,869
Value of total assets at beginning of year2018-12-31$2,420,915
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$187,184
Total interest from all sources2018-12-31$12,227
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$65,845
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$429,840
Participant contributions at end of year2018-12-31$3,841
Participant contributions at beginning of year2018-12-31$797
Administrative expenses (other) incurred2018-12-31$10,099
Liabilities. Value of operating payables at end of year2018-12-31$15,886
Liabilities. Value of operating payables at beginning of year2018-12-31$16,229
Total non interest bearing cash at end of year2018-12-31$307,626
Total non interest bearing cash at beginning of year2018-12-31$297,467
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-54,758
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,006,693
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,061,451
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,755,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,821,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,821,054
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$12,227
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$3,875,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,577,015
Employer contributions (assets) at end of year2018-12-31$296,402
Employer contributions (assets) at beginning of year2018-12-31$301,597
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,756
Contract administrator fees2018-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2018-12-31$340,290
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$343,235
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-12-31952036255
2017 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$359,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$443,810
Total income from all sources (including contributions)2017-12-31$4,894,742
Total of all expenses incurred2017-12-31$4,818,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,618,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,887,068
Value of total assets at end of year2017-12-31$2,420,915
Value of total assets at beginning of year2017-12-31$2,429,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$199,781
Total interest from all sources2017-12-31$7,674
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$60,407
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$454,132
Participant contributions at end of year2017-12-31$797
Participant contributions at beginning of year2017-12-31$2,387
Administrative expenses (other) incurred2017-12-31$28,134
Liabilities. Value of operating payables at end of year2017-12-31$16,229
Liabilities. Value of operating payables at beginning of year2017-12-31$9,495
Total non interest bearing cash at end of year2017-12-31$297,467
Total non interest bearing cash at beginning of year2017-12-31$141,532
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$75,985
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,061,451
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,985,466
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,821,054
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,910,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,910,958
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$7,674
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,605,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,432,936
Employer contributions (assets) at end of year2017-12-31$301,597
Employer contributions (assets) at beginning of year2017-12-31$374,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$13,952
Contract administrator fees2017-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2017-12-31$343,235
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$434,315
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2017-12-31952036255
2016 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$443,810
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$806,219
Total income from all sources (including contributions)2016-12-31$5,084,604
Total of all expenses incurred2016-12-31$5,066,654
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,879,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,082,333
Value of total assets at end of year2016-12-31$2,429,276
Value of total assets at beginning of year2016-12-31$2,773,735
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$187,632
Total interest from all sources2016-12-31$2,271
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$56,531
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$460,209
Participant contributions at end of year2016-12-31$2,387
Participant contributions at beginning of year2016-12-31$3,046
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$181,544
Administrative expenses (other) incurred2016-12-31$19,720
Liabilities. Value of operating payables at end of year2016-12-31$9,495
Liabilities. Value of operating payables at beginning of year2016-12-31$12,944
Total non interest bearing cash at end of year2016-12-31$141,532
Total non interest bearing cash at beginning of year2016-12-31$47,987
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$17,950
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,985,466
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,967,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,910,958
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,151,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,151,847
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,271
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,864,436
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,622,124
Employer contributions (assets) at end of year2016-12-31$374,399
Employer contributions (assets) at beginning of year2016-12-31$389,311
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$14,586
Contract administrator fees2016-12-31$111,381
Liabilities. Value of benefit claims payable at end of year2016-12-31$434,315
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$793,275
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-12-31952036255
2015 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$806,219
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$807,834
Total income from all sources (including contributions)2015-12-31$4,979,336
Total of all expenses incurred2015-12-31$5,003,832
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,802,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,975,542
Value of total assets at end of year2015-12-31$2,773,735
Value of total assets at beginning of year2015-12-31$2,799,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$201,504
Total interest from all sources2015-12-31$3,794
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$61,720
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$464,683
Participant contributions at end of year2015-12-31$3,046
Participant contributions at beginning of year2015-12-31$6,527
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$181,544
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$187,986
Administrative expenses (other) incurred2015-12-31$28,544
Liabilities. Value of operating payables at end of year2015-12-31$12,944
Liabilities. Value of operating payables at beginning of year2015-12-31$9,656
Total non interest bearing cash at end of year2015-12-31$47,987
Total non interest bearing cash at beginning of year2015-12-31$30,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-24,496
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,967,516
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,992,012
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,151,847
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,179,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,179,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,794
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$4,802,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$4,510,859
Employer contributions (assets) at end of year2015-12-31$389,311
Employer contributions (assets) at beginning of year2015-12-31$395,430
Contract administrator fees2015-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2015-12-31$793,275
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$798,178
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-12-31952036255
2014 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$807,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$832,398
Total income from all sources (including contributions)2014-12-31$5,160,178
Total of all expenses incurred2014-12-31$5,066,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,870,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,154,416
Value of total assets at end of year2014-12-31$2,799,846
Value of total assets at beginning of year2014-12-31$2,730,937
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$196,142
Total interest from all sources2014-12-31$4,790
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$60,933
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$514,039
Participant contributions at end of year2014-12-31$6,527
Participant contributions at beginning of year2014-12-31$5,413
Other income not declared elsewhere2014-12-31$972
Administrative expenses (other) incurred2014-12-31$23,969
Liabilities. Value of operating payables at end of year2014-12-31$9,656
Liabilities. Value of operating payables at beginning of year2014-12-31$15,190
Total non interest bearing cash at end of year2014-12-31$30,400
Total non interest bearing cash at beginning of year2014-12-31$31,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$93,473
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,992,012
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,898,539
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,179,503
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$2,119,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$2,119,788
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$4,790
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$4,870,563
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,640,377
Employer contributions (assets) at end of year2014-12-31$395,430
Employer contributions (assets) at beginning of year2014-12-31$392,319
Contract administrator fees2014-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2014-12-31$798,178
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$817,208
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$187,986
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$181,544
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-12-31952036255
2013 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$832,398
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$885,842
Total income from all sources (including contributions)2013-12-31$5,225,392
Total of all expenses incurred2013-12-31$5,087,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,892,958
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$5,223,491
Value of total assets at end of year2013-12-31$2,730,937
Value of total assets at beginning of year2013-12-31$2,646,260
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$194,313
Total interest from all sources2013-12-31$1,901
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$59,056
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$566,126
Participant contributions at end of year2013-12-31$5,413
Participant contributions at beginning of year2013-12-31$6,220
Administrative expenses (other) incurred2013-12-31$24,017
Liabilities. Value of operating payables at end of year2013-12-31$15,190
Liabilities. Value of operating payables at beginning of year2013-12-31$12,637
Total non interest bearing cash at end of year2013-12-31$31,873
Total non interest bearing cash at beginning of year2013-12-31$44,073
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$138,121
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,898,539
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,760,418
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$2,119,788
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,971,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,971,374
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,901
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$4,892,958
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,657,365
Employer contributions (assets) at end of year2013-12-31$392,319
Employer contributions (assets) at beginning of year2013-12-31$437,572
Contract administrator fees2013-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2013-12-31$817,208
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$873,205
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$181,544
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$187,021
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2013-12-31952036255
2012 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$885,842
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$856,213
Total income from all sources (including contributions)2012-12-31$5,619,102
Total of all expenses incurred2012-12-31$5,448,639
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$5,258,754
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,617,063
Value of total assets at end of year2012-12-31$2,646,260
Value of total assets at beginning of year2012-12-31$2,446,168
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$189,885
Total interest from all sources2012-12-31$2,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$56,810
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$649,844
Participant contributions at end of year2012-12-31$6,220
Participant contributions at beginning of year2012-12-31$3,975
Administrative expenses (other) incurred2012-12-31$21,835
Liabilities. Value of operating payables at end of year2012-12-31$12,637
Liabilities. Value of operating payables at beginning of year2012-12-31$11,413
Total non interest bearing cash at end of year2012-12-31$44,073
Total non interest bearing cash at beginning of year2012-12-31$58,818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$170,463
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,760,418
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,589,955
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,971,374
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,797,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,797,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,039
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$5,258,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$4,967,219
Employer contributions (assets) at end of year2012-12-31$437,572
Employer contributions (assets) at beginning of year2012-12-31$404,831
Contract administrator fees2012-12-31$111,240
Liabilities. Value of benefit claims payable at end of year2012-12-31$873,205
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$844,800
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$187,021
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$181,544
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2012-12-31952036255
2011 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$856,213
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$838,402
Total income from all sources (including contributions)2011-12-31$5,251,808
Total of all expenses incurred2011-12-31$5,181,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,990,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,248,266
Value of total assets at end of year2011-12-31$2,446,168
Value of total assets at beginning of year2011-12-31$2,358,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$191,295
Total interest from all sources2011-12-31$3,542
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$58,190
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$613,682
Participant contributions at end of year2011-12-31$3,975
Participant contributions at beginning of year2011-12-31$65,904
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$3,661
Administrative expenses (other) incurred2011-12-31$22,945
Liabilities. Value of operating payables at end of year2011-12-31$11,413
Liabilities. Value of operating payables at beginning of year2011-12-31$15,249
Total non interest bearing cash at end of year2011-12-31$58,818
Total non interest bearing cash at beginning of year2011-12-31$15,529
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$69,846
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,589,955
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,520,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,797,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,677,665
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,677,665
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,542
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$4,990,667
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$4,634,584
Employer contributions (assets) at end of year2011-12-31$404,831
Employer contributions (assets) at beginning of year2011-12-31$409,361
Contract administrator fees2011-12-31$110,160
Liabilities. Value of benefit claims payable at end of year2011-12-31$844,800
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$823,153
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$181,544
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$186,391
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2011-12-31952036255
2010 : OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$838,402
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$876,330
Total income from all sources (including contributions)2010-12-31$5,263,327
Total of all expenses incurred2010-12-31$5,066,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,863,755
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$5,237,479
Value of total assets at end of year2010-12-31$2,358,511
Value of total assets at beginning of year2010-12-31$2,199,561
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$202,694
Total interest from all sources2010-12-31$8,288
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$64,575
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$653,996
Participant contributions at end of year2010-12-31$65,904
Participant contributions at beginning of year2010-12-31$54,727
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$3,661
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$23,264
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$3,825
Other income not declared elsewhere2010-12-31$17,560
Administrative expenses (other) incurred2010-12-31$30,119
Liabilities. Value of operating payables at end of year2010-12-31$15,249
Liabilities. Value of operating payables at beginning of year2010-12-31$15,592
Total non interest bearing cash at end of year2010-12-31$15,529
Total non interest bearing cash at beginning of year2010-12-31$7,849
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$196,878
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,520,109
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,323,231
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,677,665
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,521,077
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,521,077
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$8,288
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$4,863,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,583,483
Employer contributions (assets) at end of year2010-12-31$409,361
Employer contributions (assets) at beginning of year2010-12-31$403,904
Contract administrator fees2010-12-31$108,000
Liabilities. Value of benefit claims payable at end of year2010-12-31$823,153
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$856,913
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$186,391
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$188,740
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2010-12-31952036255

Form 5500 Responses for OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND

2022: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: OFFICE AND PROFESSIONAL EMPLOYEES WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered276
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,328,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 6
Insurance contract or identification number95-002
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 5
Insurance contract or identification numberW0053647
Number of Individuals Covered34
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,013,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number917063
Policy instance 4
Insurance contract or identification number917063
Number of Individuals Covered30
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,382,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification numberGA-805394
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-01-03
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered150
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered267
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,511,673
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 5
Insurance contract or identification number95-002
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 6
Insurance contract or identification numberW0053647
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,134,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,176
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered157
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered288
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,823,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered133
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $93,811
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 5
Insurance contract or identification number95-002
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,711
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 6
Insurance contract or identification numberW0053647
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,283,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 6
Insurance contract or identification numberW0053647
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,223,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $278,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number318
Policy instance 2
Insurance contract or identification number318
Number of Individuals Covered329
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,088,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 5
Insurance contract or identification number95-002
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered198
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 5
Insurance contract or identification number95-002
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 6
Insurance contract or identification numberW0053647
Number of Individuals Covered122
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,921,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number318
Policy instance 2
Insurance contract or identification number318
Number of Individuals Covered318
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,031,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered498
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $332,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered211
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 6
Insurance contract or identification numberW0053647
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 5
Insurance contract or identification number95-002
Number of Individuals Covered161
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,778
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered511
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $395,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered370
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,319,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered218
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100906, 07
Policy instance 4
Insurance contract or identification number100906, 07
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $218,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 )
Policy contract numberW0053647
Policy instance 5
Insurance contract or identification numberW0053647
Number of Individuals Covered217
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,767,182
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberSEE FOOTNOTE
Policy instance 5
Insurance contract or identification numberSEE FOOTNOTE
Number of Individuals Covered95
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,988,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Number of Individuals Covered30
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered228
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered398
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,326,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered537
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718698
Policy instance 6
Insurance contract or identification number0718698
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberSEE FOOTNOTE 2
Policy instance 5
Insurance contract or identification numberSEE FOOTNOTE 2
Number of Individuals Covered111
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,188,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Number of Individuals Covered66
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718698
Policy instance 6
Insurance contract or identification number0718698
Number of Individuals Covered36
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered226
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered543
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered394
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,195,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered617
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718698
Policy instance 6
Insurance contract or identification number0718698
Number of Individuals Covered36
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $179,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100907
Policy instance 5
Insurance contract or identification number100907
Number of Individuals Covered132
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,453,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 4
Insurance contract or identification number0711859
Number of Individuals Covered35
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered259
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 2
Insurance contract or identification number328
Number of Individuals Covered418
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,207,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 1
Insurance contract or identification number9518
Number of Individuals Covered253
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 2
Insurance contract or identification number0711859
Number of Individuals Covered74
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 3
Insurance contract or identification number631812
Number of Individuals Covered263
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718698
Policy instance 4
Insurance contract or identification number0718698
Number of Individuals Covered36
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100906
Policy instance 5
Insurance contract or identification number100906
Number of Individuals Covered130
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,944,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 6
Insurance contract or identification number328
Number of Individuals Covered432
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,078,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFICARE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70785 )
Policy contract number00014817
Policy instance 1
Insurance contract or identification number00014817
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract number95-002
Policy instance 2
Insurance contract or identification number95-002
Number of Individuals Covered314
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9518
Policy instance 3
Insurance contract or identification number9518
Number of Individuals Covered278
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100906
Policy instance 4
Insurance contract or identification number100906
Number of Individuals Covered153
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,180,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number631812
Policy instance 6
Insurance contract or identification number631812
Number of Individuals Covered289
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711859
Policy instance 7
Insurance contract or identification number0711859
Number of Individuals Covered72
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number328
Policy instance 8
Insurance contract or identification number328
Number of Individuals Covered239
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,963,655
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0718698
Policy instance 5
Insurance contract or identification number0718698
Number of Individuals Covered30
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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