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IBEW LOCAL 300 HEALTH & WELFARE 401k Plan overview

Plan NameIBEW LOCAL 300 HEALTH & WELFARE
Plan identification number 502

IBEW LOCAL 300 HEALTH & WELFARE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

IBEW LOCAL 300 has sponsored the creation of one or more 401k plans.

Company Name:IBEW LOCAL 300
Employer identification number (EIN):237293087
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL 300 HEALTH & WELFARE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01TIM LOMBARD2023-03-08
5022020-07-01TIM LOMBARD2022-04-13
5022019-07-01KEN DOUGLAS2021-01-20 TIMOTHY LABOMBARD2021-01-20
5022018-07-01KEN DOUGLAS2020-01-23 TIMOTHY LABOMBARD2020-01-27
5022017-07-01
5022016-07-01
5022015-07-01
5022014-07-01
5022013-07-01JEFFREY WIMETTE KENNETH DOUGLAS2015-04-02

Plan Statistics for IBEW LOCAL 300 HEALTH & WELFARE

401k plan membership statisitcs for IBEW LOCAL 300 HEALTH & WELFARE

Measure Date Value
2021: IBEW LOCAL 300 HEALTH & WELFARE 2021 401k membership
Total participants, beginning-of-year2021-07-01347
Total number of active participants reported on line 7a of the Form 55002021-07-01232
Number of retired or separated participants receiving benefits2021-07-0161
Total of all active and inactive participants2021-07-01293
Number of employers contributing to the scheme2021-07-0120
2020: IBEW LOCAL 300 HEALTH & WELFARE 2020 401k membership
Total participants, beginning-of-year2020-07-01340
Total number of active participants reported on line 7a of the Form 55002020-07-01225
Number of retired or separated participants receiving benefits2020-07-0161
Number of other retired or separated participants entitled to future benefits2020-07-0161
Total of all active and inactive participants2020-07-01347
Number of employers contributing to the scheme2020-07-0118
2019: IBEW LOCAL 300 HEALTH & WELFARE 2019 401k membership
Total participants, beginning-of-year2019-07-01300
Total number of active participants reported on line 7a of the Form 55002019-07-01279
Number of retired or separated participants receiving benefits2019-07-0161
Total of all active and inactive participants2019-07-01340
2018: IBEW LOCAL 300 HEALTH & WELFARE 2018 401k membership
Total participants, beginning-of-year2018-07-01332
Total number of active participants reported on line 7a of the Form 55002018-07-01242
Number of retired or separated participants receiving benefits2018-07-0158
Total of all active and inactive participants2018-07-01300
2017: IBEW LOCAL 300 HEALTH & WELFARE 2017 401k membership
Total participants, beginning-of-year2017-07-01395
Total number of active participants reported on line 7a of the Form 55002017-07-01279
Number of retired or separated participants receiving benefits2017-07-0153
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01332
2016: IBEW LOCAL 300 HEALTH & WELFARE 2016 401k membership
Total participants, beginning-of-year2016-07-01434
Total number of active participants reported on line 7a of the Form 55002016-07-01299
Number of retired or separated participants receiving benefits2016-07-0196
Total of all active and inactive participants2016-07-01395
2015: IBEW LOCAL 300 HEALTH & WELFARE 2015 401k membership
Total participants, beginning-of-year2015-07-01406
Total number of active participants reported on line 7a of the Form 55002015-07-01332
Number of retired or separated participants receiving benefits2015-07-01102
Total of all active and inactive participants2015-07-01434
2014: IBEW LOCAL 300 HEALTH & WELFARE 2014 401k membership
Total participants, beginning-of-year2014-07-01410
Total number of active participants reported on line 7a of the Form 55002014-07-01406
Number of retired or separated participants receiving benefits2014-07-010
Total of all active and inactive participants2014-07-01406
2013: IBEW LOCAL 300 HEALTH & WELFARE 2013 401k membership
Total participants, beginning-of-year2013-07-01449
Total number of active participants reported on line 7a of the Form 55002013-07-01340
Number of retired or separated participants receiving benefits2013-07-0170
Total of all active and inactive participants2013-07-01410

Financial Data on IBEW LOCAL 300 HEALTH & WELFARE

Measure Date Value
2022 : IBEW LOCAL 300 HEALTH & WELFARE 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$327,267
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$414,904
Total income from all sources (including contributions)2022-06-30$3,594,765
Total of all expenses incurred2022-06-30$3,976,941
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$3,371,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$3,783,644
Value of total assets at end of year2022-06-30$3,376,422
Value of total assets at beginning of year2022-06-30$3,846,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$605,445
Total interest from all sources2022-06-30$3,286
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$36,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$36,740
Administrative expenses professional fees incurred2022-06-30$88,150
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$600,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$155,818
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$107,369
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$17,037
Administrative expenses (other) incurred2022-06-30$510,295
Liabilities. Value of operating payables at end of year2022-06-30$94,516
Liabilities. Value of operating payables at beginning of year2022-06-30$127,771
Total non interest bearing cash at end of year2022-06-30$538,317
Total non interest bearing cash at beginning of year2022-06-30$756,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-382,176
Value of net assets at end of year (total assets less liabilities)2022-06-30$3,049,155
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$3,431,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$7,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$1,657,631
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$1,924,773
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$901,034
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$943,249
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$943,249
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$3,286
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$56,605
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-228,905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$3,627,826
Employer contributions (assets) at end of year2022-06-30$169,401
Employer contributions (assets) at beginning of year2022-06-30$201,970
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$3,314,891
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Liabilities. Value of benefit claims payable at end of year2022-06-30$232,751
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$287,133
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$2,670
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-06-30$2,321
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30MANZI & ASSOCIATES LLC
Accountancy firm EIN2022-06-30043508036
2021 : IBEW LOCAL 300 HEALTH & WELFARE 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$414,904
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$164,930
Total income from all sources (including contributions)2021-06-30$3,905,799
Total of all expenses incurred2021-06-30$3,611,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$3,125,398
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$3,691,313
Value of total assets at end of year2021-06-30$3,846,235
Value of total assets at beginning of year2021-06-30$3,302,184
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$486,324
Total interest from all sources2021-06-30$9,362
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$25,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$25,343
Administrative expenses professional fees incurred2021-06-30$59,135
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$600,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$165,998
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$17,037
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$15,800
Administrative expenses (other) incurred2021-06-30$420,189
Liabilities. Value of operating payables at end of year2021-06-30$127,771
Liabilities. Value of operating payables at beginning of year2021-06-30$164,930
Total non interest bearing cash at end of year2021-06-30$756,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$294,077
Value of net assets at end of year (total assets less liabilities)2021-06-30$3,431,331
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$3,137,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$7,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$1,924,773
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$2,602,051
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$943,249
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$487,727
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$487,727
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$9,362
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$93,415
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$179,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$3,525,315
Employer contributions (assets) at end of year2021-06-30$201,970
Employer contributions (assets) at beginning of year2021-06-30$193,734
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$3,031,983
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$287,133
Assets. Value of buildings and other operty used in plan operation at end of year2021-06-30$2,321
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-06-30$2,872
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30MANZI & ASSOCIATES, LLC
Accountancy firm EIN2021-06-30043508036
2020 : IBEW LOCAL 300 HEALTH & WELFARE 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$25,187
Total unrealized appreciation/depreciation of assets2020-06-30$25,187
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$164,930
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$115,239
Total income from all sources (including contributions)2020-06-30$3,858,562
Total of all expenses incurred2020-06-30$3,751,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$3,547,171
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$3,770,603
Value of total assets at end of year2020-06-30$3,302,184
Value of total assets at beginning of year2020-06-30$3,145,604
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$204,502
Total interest from all sources2020-06-30$62,772
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$600,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$113,317
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$15,800
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$43,850
Administrative expenses (other) incurred2020-06-30$204,502
Liabilities. Value of operating payables at end of year2020-06-30$164,930
Liabilities. Value of operating payables at beginning of year2020-06-30$115,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$106,889
Value of net assets at end of year (total assets less liabilities)2020-06-30$3,137,254
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$3,030,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$2,602,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$2,514,092
Interest earned on other investments2020-06-30$62,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$487,727
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$368,647
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$368,647
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$521,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$3,657,286
Employer contributions (assets) at end of year2020-06-30$193,734
Employer contributions (assets) at beginning of year2020-06-30$216,467
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$3,025,597
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2020-06-30$2,872
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-06-30$2,548
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2020-06-30030327374
2019 : IBEW LOCAL 300 HEALTH & WELFARE 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$46,766
Total unrealized appreciation/depreciation of assets2019-06-30$46,766
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$115,239
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$188,351
Total income from all sources (including contributions)2019-06-30$3,835,456
Total of all expenses incurred2019-06-30$3,457,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$3,248,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$3,725,360
Value of total assets at end of year2019-06-30$3,145,604
Value of total assets at beginning of year2019-06-30$2,840,943
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$209,277
Total interest from all sources2019-06-30$63,330
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$600,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$121,580
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$43,850
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$11,435
Administrative expenses (other) incurred2019-06-30$209,277
Liabilities. Value of operating payables at end of year2019-06-30$115,239
Liabilities. Value of operating payables at beginning of year2019-06-30$188,351
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$377,773
Value of net assets at end of year (total assets less liabilities)2019-06-30$3,030,365
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$2,652,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$2,514,092
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$2,009,835
Interest earned on other investments2019-06-30$63,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$368,647
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$638,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$638,750
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$1,589,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$3,603,780
Employer contributions (assets) at end of year2019-06-30$216,467
Employer contributions (assets) at beginning of year2019-06-30$177,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$1,658,463
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$2,548
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$3,057
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2019-06-30030327374
2018 : IBEW LOCAL 300 HEALTH & WELFARE 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$3,488
Total unrealized appreciation/depreciation of assets2018-06-30$3,488
Total transfer of assets to this plan2018-06-30$1,119,928
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$188,351
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$124,746
Total income from all sources (including contributions)2018-06-30$4,947,562
Total of all expenses incurred2018-06-30$4,530,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$4,434,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$4,926,044
Value of total assets at end of year2018-06-30$2,840,943
Value of total assets at beginning of year2018-06-30$1,239,948
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$95,608
Total interest from all sources2018-06-30$18,030
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$600,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$131,307
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$11,435
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$38,840
Administrative expenses (other) incurred2018-06-30$95,608
Liabilities. Value of operating payables at end of year2018-06-30$188,351
Liabilities. Value of operating payables at beginning of year2018-06-30$124,746
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$417,462
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,652,592
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$1,115,202
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$2,009,835
Interest earned on other investments2018-06-30$18,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$638,750
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$1,178,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$1,178,091
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$3,115,269
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$4,794,737
Employer contributions (assets) at end of year2018-06-30$177,866
Employer contributions (assets) at beginning of year2018-06-30$23,017
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$1,319,223
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$3,057
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2018-06-30030327374
2017 : IBEW LOCAL 300 HEALTH & WELFARE 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$124,746
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$484,602
Total income from all sources (including contributions)2017-06-30$6,066,854
Total of all expenses incurred2017-06-30$6,022,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$5,946,272
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$6,066,854
Value of total assets at end of year2017-06-30$1,239,948
Value of total assets at beginning of year2017-06-30$1,555,756
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$76,534
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$600,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$134,558
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$38,840
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$73,147
Administrative expenses (other) incurred2017-06-30$76,534
Liabilities. Value of operating payables at end of year2017-06-30$124,746
Liabilities. Value of operating payables at beginning of year2017-06-30$484,602
Total non interest bearing cash at end of year2017-06-30$0
Total non interest bearing cash at beginning of year2017-06-30$135,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$44,048
Value of net assets at end of year (total assets less liabilities)2017-06-30$1,115,202
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$1,071,154
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$1,178,091
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$1,099,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$1,099,575
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$5,395,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$5,932,296
Employer contributions (assets) at end of year2017-06-30$23,017
Employer contributions (assets) at beginning of year2017-06-30$248,034
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$550,920
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2017-06-30030327374
2016 : IBEW LOCAL 300 HEALTH & WELFARE 2016 401k financial data
Total transfer of assets to this plan2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$484,602
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$102,188
Total income from all sources (including contributions)2016-06-30$6,395,318
Total of all expenses incurred2016-06-30$7,122,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$6,995,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$6,395,318
Value of total assets at end of year2016-06-30$1,555,756
Value of total assets at beginning of year2016-06-30$1,900,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$127,627
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$600,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$249,338
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$5
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$73,147
Administrative expenses (other) incurred2016-06-30$127,627
Liabilities. Value of operating payables at end of year2016-06-30$484,602
Liabilities. Value of operating payables at beginning of year2016-06-30$102,188
Total non interest bearing cash at end of year2016-06-30$135,000
Total non interest bearing cash at beginning of year2016-06-30$135,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-727,494
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,071,154
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,798,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$1,099,575
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$1,578,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$1,578,210
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$2,436,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$6,145,975
Employer contributions (assets) at end of year2016-06-30$248,034
Employer contributions (assets) at beginning of year2016-06-30$187,626
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$4,558,444
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2016-06-30030327374
2015 : IBEW LOCAL 300 HEALTH & WELFARE 2015 401k financial data
Total transfer of assets to this plan2015-06-30$962,425
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$102,188
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$38,809
Total income from all sources (including contributions)2015-06-30$2,385,654
Total of all expenses incurred2015-06-30$1,864,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$1,823,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$2,385,654
Value of total assets at end of year2015-06-30$1,900,836
Value of total assets at beginning of year2015-06-30$353,966
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$41,231
Total interest from all sources2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$600,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$78,346
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$425
Administrative expenses (other) incurred2015-06-30$41,231
Liabilities. Value of operating payables at end of year2015-06-30$102,188
Liabilities. Value of operating payables at beginning of year2015-06-30$38,809
Total non interest bearing cash at end of year2015-06-30$135,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$521,066
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,798,648
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$315,157
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Interest earned on other investments2015-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$1,578,210
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$146,057
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$146,057
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,562,595
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$2,306,883
Employer contributions (assets) at end of year2015-06-30$187,626
Employer contributions (assets) at beginning of year2015-06-30$207,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$260,762
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2015-06-30030327374
2014 : IBEW LOCAL 300 HEALTH & WELFARE 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$38,809
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$111,061
Total income from all sources (including contributions)2014-06-30$1,754,985
Total of all expenses incurred2014-06-30$1,720,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,687,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,754,985
Value of total assets at end of year2014-06-30$353,966
Value of total assets at beginning of year2014-06-30$392,007
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$32,929
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$600,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$91,384
Administrative expenses (other) incurred2014-06-30$32,929
Liabilities. Value of operating payables at end of year2014-06-30$38,809
Liabilities. Value of operating payables at beginning of year2014-06-30$111,061
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$34,211
Value of net assets at end of year (total assets less liabilities)2014-06-30$315,157
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$280,946
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$146,057
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$201,001
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$201,001
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$1,554,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,663,601
Employer contributions (assets) at end of year2014-06-30$207,909
Employer contributions (assets) at beginning of year2014-06-30$191,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$133,591
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30MCSOLEY MCCOY & CO.
Accountancy firm EIN2014-06-30030327374

Form 5500 Responses for IBEW LOCAL 300 HEALTH & WELFARE

2021: IBEW LOCAL 300 HEALTH & WELFARE 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: IBEW LOCAL 300 HEALTH & WELFARE 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: IBEW LOCAL 300 HEALTH & WELFARE 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: IBEW LOCAL 300 HEALTH & WELFARE 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: IBEW LOCAL 300 HEALTH & WELFARE 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: IBEW LOCAL 300 HEALTH & WELFARE 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: IBEW LOCAL 300 HEALTH & WELFARE 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL 300 HEALTH & WELFARE 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL 300 HEALTH & WELFARE 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10513
Policy instance 4
Insurance contract or identification numberSL10513
Number of Individuals Covered223
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,084
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $347,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,084
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC4577
Policy instance 3
Insurance contract or identification numberC4577
Number of Individuals Covered223
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3312
Policy instance 2
Insurance contract or identification numberG3312
Number of Individuals Covered256
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number50738
Policy instance 1
Insurance contract or identification number50738
Number of Individuals Covered200
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $107,612
Welfare Benefit Premiums Paid to CarrierUSD $317,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees107612
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number50738
Policy instance 1
Insurance contract or identification number50738
Number of Individuals Covered216
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $80,213
Welfare Benefit Premiums Paid to CarrierUSD $303,413
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees80213
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3312
Policy instance 2
Insurance contract or identification numberG3312
Number of Individuals Covered253
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC4577
Policy instance 3
Insurance contract or identification numberC4577
Number of Individuals Covered220
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30035871
Policy instance 4
Insurance contract or identification number30035871
Number of Individuals Covered277
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $41,046
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC4577
Policy instance 4
Insurance contract or identification numberC4577
Number of Individuals Covered259
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract number50738
Policy instance 3
Insurance contract or identification number50738
Number of Individuals Covered243
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $76,090
Welfare Benefit Premiums Paid to CarrierUSD $311,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees76090
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3312
Policy instance 2
Insurance contract or identification numberG3312
Number of Individuals Covered294
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30035871
Policy instance 1
Insurance contract or identification number30035871
Number of Individuals Covered285
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
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 $38,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract numberZ451
Policy instance 3
Insurance contract or identification numberZ451
Number of Individuals Covered551
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $514,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3312
Policy instance 2
Insurance contract or identification numberG3312
Number of Individuals Covered267
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $73,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30035871
Policy instance 1
Insurance contract or identification number30035871
Number of Individuals Covered270
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 $36,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30035871
Policy instance 2
Insurance contract or identification number30035871
Number of Individuals Covered370
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $44,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameNFP CORPORATE SERVICES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05995085
Policy instance 3
Insurance contract or identification numberTM05995085
Number of Individuals Covered479
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $55,705
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number30119
Policy instance 4
Insurance contract or identification number30119
Number of Individuals Covered0
Insurance policy start date2017-06-01
Insurance policy end date2018-05-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,551,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS AND BLUE SHIELD OF VERMONT (National Association of Insurance Commissioners NAIC id number: 53295 )
Policy contract number25363
Policy instance 5
Insurance contract or identification number25363
Number of Individuals Covered290
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,177
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,247,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,177
Insurance broker organization code?3
Insurance broker nameHICKOK & BOARDMAN FINANCIAL
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05928837
Policy instance 1
Insurance contract or identification numberTM05928837
Number of Individuals Covered419
Insurance policy start date2017-06-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,771
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $20,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,210
Insurance broker organization code?3
Insurance broker nameNFP INS SERVICES INC

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