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MICHIGAN STATE PAINTERS INSURANCE FUND 401k Plan overview

Plan NameMICHIGAN STATE PAINTERS INSURANCE FUND
Plan identification number 501

MICHIGAN STATE PAINTERS INSURANCE FUND Benefits

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

401k Sponsoring company profile

MICHIGAN STATE PAINTERS INS. FUND has sponsored the creation of one or more 401k plans.

Company Name:MICHIGAN STATE PAINTERS INS. FUND
Employer identification number (EIN):237319169
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHIGAN STATE PAINTERS INSURANCE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01
5012020-09-01
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01
5012016-09-01
5012015-09-01ROBERT J. WORLINE
5012014-09-01ROBERT J. WORLINE FRED FREDERICKSON2016-03-24
5012013-09-01ROBERT J. WORLINE TRAVIS CARY2015-06-01
5012012-09-01ROBERT J. WORLINE STEVE A. ELLERY2014-03-05
5012011-09-01TOM NILES BROOKE MANLEY2013-04-10
5012009-09-01ROBERT J. WORLINE STEVE A. ELLERY2011-05-20

Plan Statistics for MICHIGAN STATE PAINTERS INSURANCE FUND

401k plan membership statisitcs for MICHIGAN STATE PAINTERS INSURANCE FUND

Measure Date Value
2021: MICHIGAN STATE PAINTERS INSURANCE FUND 2021 401k membership
Total participants, beginning-of-year2021-09-01596
Total number of active participants reported on line 7a of the Form 55002021-09-01525
Number of retired or separated participants receiving benefits2021-09-0178
Total of all active and inactive participants2021-09-01603
Number of employers contributing to the scheme2021-09-0175
2020: MICHIGAN STATE PAINTERS INSURANCE FUND 2020 401k membership
Total participants, beginning-of-year2020-09-01544
Total number of active participants reported on line 7a of the Form 55002020-09-01515
Number of retired or separated participants receiving benefits2020-09-0181
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01596
Number of employers contributing to the scheme2020-09-0175
2019: MICHIGAN STATE PAINTERS INSURANCE FUND 2019 401k membership
Total participants, beginning-of-year2019-09-01629
Total number of active participants reported on line 7a of the Form 55002019-09-01463
Number of retired or separated participants receiving benefits2019-09-0181
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01544
Number of employers contributing to the scheme2019-09-0175
2018: MICHIGAN STATE PAINTERS INSURANCE FUND 2018 401k membership
Total participants, beginning-of-year2018-09-01611
Total number of active participants reported on line 7a of the Form 55002018-09-01547
Number of retired or separated participants receiving benefits2018-09-0182
Total of all active and inactive participants2018-09-01629
Number of employers contributing to the scheme2018-09-0176
2017: MICHIGAN STATE PAINTERS INSURANCE FUND 2017 401k membership
Total participants, beginning-of-year2017-09-01586
Total number of active participants reported on line 7a of the Form 55002017-09-01532
Number of retired or separated participants receiving benefits2017-09-0179
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-09-010
Number of participants with account balances2017-09-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-09-010
Number of employers contributing to the scheme2017-09-0176
2016: MICHIGAN STATE PAINTERS INSURANCE FUND 2016 401k membership
Total participants, beginning-of-year2016-09-01572
Total number of active participants reported on line 7a of the Form 55002016-09-01508
Number of retired or separated participants receiving benefits2016-09-0178
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01586
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-09-010
Number of participants with account balances2016-09-010
Number of employers contributing to the scheme2016-09-0179
2015: MICHIGAN STATE PAINTERS INSURANCE FUND 2015 401k membership
Total participants, beginning-of-year2015-09-01513
Total number of active participants reported on line 7a of the Form 55002015-09-01469
Number of retired or separated participants receiving benefits2015-09-01103
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01572
Number of employers contributing to the scheme2015-09-0179
2014: MICHIGAN STATE PAINTERS INSURANCE FUND 2014 401k membership
Total participants, beginning-of-year2014-09-01423
Total number of active participants reported on line 7a of the Form 55002014-09-01420
Number of retired or separated participants receiving benefits2014-09-0193
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01513
Number of employers contributing to the scheme2014-09-0179
2013: MICHIGAN STATE PAINTERS INSURANCE FUND 2013 401k membership
Total participants, beginning-of-year2013-09-01445
Total number of active participants reported on line 7a of the Form 55002013-09-01338
Number of retired or separated participants receiving benefits2013-09-0185
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01423
2012: MICHIGAN STATE PAINTERS INSURANCE FUND 2012 401k membership
Total participants, beginning-of-year2012-09-01402
Total number of active participants reported on line 7a of the Form 55002012-09-01367
Number of retired or separated participants receiving benefits2012-09-0178
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-01445
Number of employers contributing to the scheme2012-09-0170
2011: MICHIGAN STATE PAINTERS INSURANCE FUND 2011 401k membership
Total participants, beginning-of-year2011-09-01333
Total number of active participants reported on line 7a of the Form 55002011-09-01330
Number of retired or separated participants receiving benefits2011-09-0172
Number of other retired or separated participants entitled to future benefits2011-09-010
Total of all active and inactive participants2011-09-01402
Number of employers contributing to the scheme2011-09-0177
2009: MICHIGAN STATE PAINTERS INSURANCE FUND 2009 401k membership
Total participants, beginning-of-year2009-09-01338
Total number of active participants reported on line 7a of the Form 55002009-09-01251
Number of retired or separated participants receiving benefits2009-09-0169
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-01320

Financial Data on MICHIGAN STATE PAINTERS INSURANCE FUND

Measure Date Value
2022 : MICHIGAN STATE PAINTERS INSURANCE FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$1,068,156
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$955,481
Total income from all sources (including contributions)2022-08-31$5,826,726
Total loss/gain on sale of assets2022-08-31$0
Total of all expenses incurred2022-08-31$7,798,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$7,415,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$7,960,300
Value of total assets at end of year2022-08-31$18,415,492
Value of total assets at beginning of year2022-08-31$20,274,708
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$383,227
Total interest from all sources2022-08-31$104
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Administrative expenses professional fees incurred2022-08-31$100,175
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$1,118,832
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-08-31$40,157
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-08-31$59,426
Administrative expenses (other) incurred2022-08-31$160,280
Liabilities. Value of operating payables at end of year2022-08-31$233,668
Liabilities. Value of operating payables at beginning of year2022-08-31$94,373
Total non interest bearing cash at end of year2022-08-31$536,265
Total non interest bearing cash at beginning of year2022-08-31$615,084
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$-1,971,891
Value of net assets at end of year (total assets less liabilities)2022-08-31$17,347,336
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$19,319,227
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Investment advisory and management fees2022-08-31$21,287
Value of interest in common/collective trusts at end of year2022-08-31$17,174,821
Value of interest in common/collective trusts at beginning of year2022-08-31$18,930,658
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-08-31$104
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$617,702
Net investment gain or loss from common/collective trusts2022-08-31$-2,133,678
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31Yes
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$6,841,468
Employer contributions (assets) at end of year2022-08-31$592,250
Employer contributions (assets) at beginning of year2022-08-31$600,874
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$6,797,688
Contract administrator fees2022-08-31$101,485
Liabilities. Value of benefit claims payable at end of year2022-08-31$834,488
Liabilities. Value of benefit claims payable at beginning of year2022-08-31$861,108
Assets. Value of buildings and other operty used in plan operation at end of year2022-08-31$71,999
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-08-31$68,666
Did the plan have assets held for investment2022-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31WRUBEL WESLEY & CO CPAS
Accountancy firm EIN2022-08-31382574238
2021 : MICHIGAN STATE PAINTERS INSURANCE FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-08-31$0
Total transfer of assets to this plan2021-08-31$0
Total transfer of assets from this plan2021-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$955,481
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$849,840
Total income from all sources (including contributions)2021-08-31$8,366,514
Total loss/gain on sale of assets2021-08-31$0
Total of all expenses incurred2021-08-31$7,032,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$6,690,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$7,425,076
Value of total assets at end of year2021-08-31$20,274,708
Value of total assets at beginning of year2021-08-31$18,835,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$342,572
Total interest from all sources2021-08-31$3
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Administrative expenses professional fees incurred2021-08-31$94,866
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$1,021,329
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-08-31$59,426
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-08-31$78,652
Administrative expenses (other) incurred2021-08-31$127,691
Liabilities. Value of operating payables at end of year2021-08-31$94,373
Liabilities. Value of operating payables at beginning of year2021-08-31$119,200
Total non interest bearing cash at end of year2021-08-31$615,084
Total non interest bearing cash at beginning of year2021-08-31$577,358
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$1,333,779
Value of net assets at end of year (total assets less liabilities)2021-08-31$19,319,227
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$17,985,448
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Investment advisory and management fees2021-08-31$21,486
Value of interest in common/collective trusts at end of year2021-08-31$18,930,658
Value of interest in common/collective trusts at beginning of year2021-08-31$17,327,194
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$544,035
Net investment gain or loss from common/collective trusts2021-08-31$941,435
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31Yes
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$6,403,747
Employer contributions (assets) at end of year2021-08-31$600,874
Employer contributions (assets) at beginning of year2021-08-31$529,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$6,146,128
Contract administrator fees2021-08-31$98,529
Liabilities. Value of benefit claims payable at end of year2021-08-31$861,108
Liabilities. Value of benefit claims payable at beginning of year2021-08-31$730,640
Assets. Value of buildings and other operty used in plan operation at end of year2021-08-31$68,666
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-08-31$322,852
Did the plan have assets held for investment2021-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31WRUBEL WESLEY & CO CPAS
Accountancy firm EIN2021-08-31382574238
2020 : MICHIGAN STATE PAINTERS INSURANCE FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-08-31$0
Total transfer of assets to this plan2020-08-31$0
Total transfer of assets from this plan2020-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$849,840
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$696,254
Total income from all sources (including contributions)2020-08-31$8,323,095
Total loss/gain on sale of assets2020-08-31$0
Total of all expenses incurred2020-08-31$6,317,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$6,011,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$6,748,718
Value of total assets at end of year2020-08-31$18,835,288
Value of total assets at beginning of year2020-08-31$16,675,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$305,664
Total interest from all sources2020-08-31$155
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Administrative expenses professional fees incurred2020-08-31$123,787
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$945,698
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-08-31$78,652
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-08-31$37,414
Administrative expenses (other) incurred2020-08-31$63,770
Liabilities. Value of operating payables at end of year2020-08-31$119,200
Liabilities. Value of operating payables at beginning of year2020-08-31$92,008
Total non interest bearing cash at end of year2020-08-31$577,358
Total non interest bearing cash at beginning of year2020-08-31$839,588
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$2,005,782
Value of net assets at end of year (total assets less liabilities)2020-08-31$17,985,448
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$15,979,666
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Investment advisory and management fees2020-08-31$19,578
Value of interest in common/collective trusts at end of year2020-08-31$17,327,194
Value of interest in common/collective trusts at beginning of year2020-08-31$14,961,752
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-08-31$155
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$585,367
Net investment gain or loss from common/collective trusts2020-08-31$1,574,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31Yes
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$5,803,020
Employer contributions (assets) at end of year2020-08-31$529,232
Employer contributions (assets) at beginning of year2020-08-31$670,355
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-08-31$5,426,282
Contract administrator fees2020-08-31$98,529
Liabilities. Value of benefit claims payable at end of year2020-08-31$730,640
Liabilities. Value of benefit claims payable at beginning of year2020-08-31$604,246
Assets. Value of buildings and other operty used in plan operation at end of year2020-08-31$322,852
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-08-31$166,811
Did the plan have assets held for investment2020-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31No
Opinion of an independent qualified public accountant for this plan2020-08-31Unqualified
Accountancy firm name2020-08-31WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2020-08-31382574238
2019 : MICHIGAN STATE PAINTERS INSURANCE FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$696,254
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$960,945
Total income from all sources (including contributions)2019-08-31$8,481,567
Total loss/gain on sale of assets2019-08-31$0
Total of all expenses incurred2019-08-31$6,796,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$6,493,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$7,272,199
Value of total assets at end of year2019-08-31$16,675,920
Value of total assets at beginning of year2019-08-31$15,255,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$303,723
Total interest from all sources2019-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Administrative expenses professional fees incurred2019-08-31$76,002
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$850,063
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-08-31$37,414
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-08-31$81,631
Administrative expenses (other) incurred2019-08-31$113,010
Liabilities. Value of operating payables at end of year2019-08-31$92,008
Liabilities. Value of operating payables at beginning of year2019-08-31$259,463
Total non interest bearing cash at end of year2019-08-31$839,588
Total non interest bearing cash at beginning of year2019-08-31$458,244
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$1,684,682
Value of net assets at end of year (total assets less liabilities)2019-08-31$15,979,666
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$14,294,984
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Investment advisory and management fees2019-08-31$16,182
Value of interest in common/collective trusts at end of year2019-08-31$14,961,752
Value of interest in common/collective trusts at beginning of year2019-08-31$13,990,721
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$6,590,398
Net investment gain or loss from common/collective trusts2019-08-31$1,209,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31No
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$6,422,136
Employer contributions (assets) at end of year2019-08-31$670,355
Employer contributions (assets) at beginning of year2019-08-31$687,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-08-31$-97,236
Contract administrator fees2019-08-31$98,529
Liabilities. Value of benefit claims payable at end of year2019-08-31$604,246
Liabilities. Value of benefit claims payable at beginning of year2019-08-31$701,482
Assets. Value of buildings and other operty used in plan operation at end of year2019-08-31$166,811
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-08-31$37,548
Did the plan have assets held for investment2019-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31No
Opinion of an independent qualified public accountant for this plan2019-08-31Unqualified
Accountancy firm name2019-08-31WRUBEL WESLEY & CO CPAS
Accountancy firm EIN2019-08-31382574238
2018 : MICHIGAN STATE PAINTERS INSURANCE FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-08-31$0
Total transfer of assets to this plan2018-08-31$0
Total transfer of assets from this plan2018-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$960,945
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$644,144
Total income from all sources (including contributions)2018-08-31$7,740,366
Total loss/gain on sale of assets2018-08-31$0
Total of all expenses incurred2018-08-31$8,099,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$7,814,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$6,918,438
Value of total assets at end of year2018-08-31$15,255,929
Value of total assets at beginning of year2018-08-31$15,297,898
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$284,140
Total interest from all sources2018-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Administrative expenses professional fees incurred2018-08-31$67,137
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$848,237
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-08-31$81,631
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$95,551
Other income not declared elsewhere2018-08-31$432,778
Administrative expenses (other) incurred2018-08-31$104,786
Liabilities. Value of operating payables at end of year2018-08-31$259,463
Liabilities. Value of operating payables at beginning of year2018-08-31$29,304
Total non interest bearing cash at end of year2018-08-31$458,244
Total non interest bearing cash at beginning of year2018-08-31$394,847
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$-358,770
Value of net assets at end of year (total assets less liabilities)2018-08-31$14,294,984
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$14,653,754
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Investment advisory and management fees2018-08-31$17,207
Value of interest in common/collective trusts at end of year2018-08-31$13,990,721
Value of interest in common/collective trusts at beginning of year2018-08-31$14,107,262
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$7,728,354
Net investment gain or loss from common/collective trusts2018-08-31$389,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31No
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$6,070,201
Employer contributions (assets) at end of year2018-08-31$687,785
Employer contributions (assets) at beginning of year2018-08-31$660,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$86,642
Contract administrator fees2018-08-31$95,010
Liabilities. Value of benefit claims payable at end of year2018-08-31$701,482
Liabilities. Value of benefit claims payable at beginning of year2018-08-31$614,840
Assets. Value of buildings and other operty used in plan operation at end of year2018-08-31$37,548
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-08-31$39,309
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31WRUBEL, WESLEY & CO CPAS
Accountancy firm EIN2018-08-31382574238
2017 : MICHIGAN STATE PAINTERS INSURANCE FUND 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-08-31$0
Total transfer of assets to this plan2017-08-31$0
Total transfer of assets from this plan2017-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$644,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$544,369
Total income from all sources (including contributions)2017-08-31$7,780,617
Total loss/gain on sale of assets2017-08-31$0
Total of all expenses incurred2017-08-31$7,280,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$6,945,364
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$6,751,984
Value of total assets at end of year2017-08-31$15,297,898
Value of total assets at beginning of year2017-08-31$14,697,670
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$334,800
Total interest from all sources2017-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Administrative expenses professional fees incurred2017-08-31$140,523
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$791,670
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$95,551
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$72,082
Other income not declared elsewhere2017-08-31$540,625
Administrative expenses (other) incurred2017-08-31$83,605
Liabilities. Value of operating payables at end of year2017-08-31$29,304
Liabilities. Value of operating payables at beginning of year2017-08-31$39,892
Total non interest bearing cash at end of year2017-08-31$394,847
Total non interest bearing cash at beginning of year2017-08-31$247,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$500,453
Value of net assets at end of year (total assets less liabilities)2017-08-31$14,653,754
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$14,153,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Investment advisory and management fees2017-08-31$16,835
Value of interest in common/collective trusts at end of year2017-08-31$14,107,262
Value of interest in common/collective trusts at beginning of year2017-08-31$13,815,346
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$6,885,065
Net investment gain or loss from common/collective trusts2017-08-31$488,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31Yes
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$5,960,314
Employer contributions (assets) at end of year2017-08-31$660,929
Employer contributions (assets) at beginning of year2017-08-31$538,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$60,299
Contract administrator fees2017-08-31$93,837
Liabilities. Value of benefit claims payable at end of year2017-08-31$614,840
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$504,477
Assets. Value of buildings and other operty used in plan operation at end of year2017-08-31$39,309
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-08-31$25,049
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31WRUBEL, WESLEY & CO CPA'S
Accountancy firm EIN2017-08-31382574238
2016 : MICHIGAN STATE PAINTERS INSURANCE FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-08-31$0
Total transfer of assets to this plan2016-08-31$0
Total transfer of assets from this plan2016-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$544,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$696,315
Total income from all sources (including contributions)2016-08-31$7,312,830
Total loss/gain on sale of assets2016-08-31$0
Total of all expenses incurred2016-08-31$6,312,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$5,999,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$6,352,793
Value of total assets at end of year2016-08-31$14,697,670
Value of total assets at beginning of year2016-08-31$13,849,088
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$312,347
Total interest from all sources2016-08-31$13
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Administrative expenses professional fees incurred2016-08-31$118,506
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$500,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$695,974
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$72,082
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-08-31$71,458
Administrative expenses (other) incurred2016-08-31$83,775
Liabilities. Value of operating payables at end of year2016-08-31$39,892
Liabilities. Value of operating payables at beginning of year2016-08-31$83,900
Total non interest bearing cash at end of year2016-08-31$247,072
Total non interest bearing cash at beginning of year2016-08-31$511,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$1,000,528
Value of net assets at end of year (total assets less liabilities)2016-08-31$14,153,301
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$13,152,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Investment advisory and management fees2016-08-31$16,229
Value of interest in common/collective trusts at end of year2016-08-31$13,815,346
Value of interest in common/collective trusts at beginning of year2016-08-31$12,764,081
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$13
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$5,966,275
Net investment gain or loss from common/collective trusts2016-08-31$960,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31Yes
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$5,656,819
Employer contributions (assets) at end of year2016-08-31$538,121
Employer contributions (assets) at beginning of year2016-08-31$495,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$33,680
Contract administrator fees2016-08-31$93,837
Liabilities. Value of benefit claims payable at end of year2016-08-31$504,477
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$612,415
Assets. Value of buildings and other operty used in plan operation at end of year2016-08-31$25,049
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-08-31$6,305
Did the plan have assets held for investment2016-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31WRUBEL,WESLEY & CO CPA'S
Accountancy firm EIN2016-08-31382574238
2015 : MICHIGAN STATE PAINTERS INSURANCE FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-08-31$0
Total transfer of assets to this plan2015-08-31$0
Total transfer of assets from this plan2015-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$696,315
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$797,900
Total income from all sources (including contributions)2015-08-31$5,744,449
Total loss/gain on sale of assets2015-08-31$0
Total of all expenses incurred2015-08-31$5,242,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$4,936,630
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$5,559,668
Value of total assets at end of year2015-08-31$13,849,088
Value of total assets at beginning of year2015-08-31$13,448,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$306,071
Total interest from all sources2015-08-31$2
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Administrative expenses professional fees incurred2015-08-31$117,396
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$563,559
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-08-31$71,458
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-08-31$82,057
Administrative expenses (other) incurred2015-08-31$79,124
Liabilities. Value of operating payables at end of year2015-08-31$83,900
Liabilities. Value of operating payables at beginning of year2015-08-31$12,890
Total non interest bearing cash at end of year2015-08-31$511,284
Total non interest bearing cash at beginning of year2015-08-31$479,787
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$501,748
Value of net assets at end of year (total assets less liabilities)2015-08-31$13,152,773
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$12,651,025
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Investment advisory and management fees2015-08-31$15,714
Value of interest in common/collective trusts at end of year2015-08-31$12,764,081
Value of interest in common/collective trusts at beginning of year2015-08-31$11,949,989
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$2
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$4,915,430
Net investment gain or loss from common/collective trusts2015-08-31$184,779
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31Yes
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$4,996,109
Employer contributions (assets) at end of year2015-08-31$495,960
Employer contributions (assets) at beginning of year2015-08-31$433,824
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$21,200
Contract administrator fees2015-08-31$93,837
Liabilities. Value of benefit claims payable at end of year2015-08-31$612,415
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$785,010
Assets. Value of buildings and other operty used in plan operation at end of year2015-08-31$6,305
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-08-31$503,268
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2015-08-31382574238
2014 : MICHIGAN STATE PAINTERS INSURANCE FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-08-31$0
Total transfer of assets to this plan2014-08-31$0
Total transfer of assets from this plan2014-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$797,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$514,310
Total income from all sources (including contributions)2014-08-31$5,663,678
Total loss/gain on sale of assets2014-08-31$0
Total of all expenses incurred2014-08-31$5,420,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$5,127,201
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$4,588,007
Value of total assets at end of year2014-08-31$13,448,925
Value of total assets at beginning of year2014-08-31$12,921,766
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$292,908
Total interest from all sources2014-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Administrative expenses professional fees incurred2014-08-31$134,292
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$588,213
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-08-31$82,057
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-08-31$70,674
Administrative expenses (other) incurred2014-08-31$52,275
Liabilities. Value of operating payables at end of year2014-08-31$12,890
Liabilities. Value of operating payables at beginning of year2014-08-31$20,043
Total non interest bearing cash at end of year2014-08-31$479,787
Total non interest bearing cash at beginning of year2014-08-31$287,847
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$243,569
Value of net assets at end of year (total assets less liabilities)2014-08-31$12,651,025
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$12,407,456
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Investment advisory and management fees2014-08-31$15,237
Value of interest in common/collective trusts at end of year2014-08-31$11,949,989
Value of interest in common/collective trusts at beginning of year2014-08-31$11,874,912
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$5,080,497
Net investment gain or loss from common/collective trusts2014-08-31$1,075,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31Yes
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$3,999,794
Employer contributions (assets) at end of year2014-08-31$433,824
Employer contributions (assets) at beginning of year2014-08-31$292,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$46,704
Contract administrator fees2014-08-31$91,104
Liabilities. Value of benefit claims payable at end of year2014-08-31$785,010
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$494,267
Assets. Value of buildings and other operty used in plan operation at end of year2014-08-31$503,268
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-08-31$395,757
Did the plan have assets held for investment2014-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2014-08-31382574238
2013 : MICHIGAN STATE PAINTERS INSURANCE FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-08-31$0
Total transfer of assets to this plan2013-08-31$0
Total transfer of assets from this plan2013-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$514,310
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$360,852
Total income from all sources (including contributions)2013-08-31$4,700,300
Total loss/gain on sale of assets2013-08-31$0
Total of all expenses incurred2013-08-31$4,794,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$4,543,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$4,530,595
Value of total assets at end of year2013-08-31$12,921,766
Value of total assets at beginning of year2013-08-31$12,862,046
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$250,851
Total interest from all sources2013-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Administrative expenses professional fees incurred2013-08-31$92,557
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$519,822
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-08-31$70,674
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-08-31$87,096
Administrative expenses (other) incurred2013-08-31$42,796
Liabilities. Value of operating payables at end of year2013-08-31$20,043
Liabilities. Value of operating payables at beginning of year2013-08-31$25,387
Total non interest bearing cash at end of year2013-08-31$287,847
Total non interest bearing cash at beginning of year2013-08-31$320,505
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$-93,738
Value of net assets at end of year (total assets less liabilities)2013-08-31$12,407,456
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$12,501,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Investment advisory and management fees2013-08-31$14,859
Value of interest in common/collective trusts at end of year2013-08-31$11,874,912
Value of interest in common/collective trusts at beginning of year2013-08-31$11,807,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-08-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$4,490,214
Net investment gain or loss from common/collective trusts2013-08-31$169,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31Yes
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$4,010,773
Employer contributions (assets) at end of year2013-08-31$292,576
Employer contributions (assets) at beginning of year2013-08-31$371,114
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$52,973
Contract administrator fees2013-08-31$100,639
Liabilities. Value of benefit claims payable at end of year2013-08-31$494,267
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$335,465
Assets. Value of buildings and other operty used in plan operation at end of year2013-08-31$395,757
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-08-31$276,263
Did the plan have assets held for investment2013-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2013-08-31382574238
2012 : MICHIGAN STATE PAINTERS INSURANCE FUND 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-08-31$0
Total transfer of assets to this plan2012-08-31$0
Total transfer of assets from this plan2012-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$360,852
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$270,408
Total income from all sources (including contributions)2012-08-31$5,195,934
Total loss/gain on sale of assets2012-08-31$0
Total of all expenses incurred2012-08-31$5,323,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$5,102,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$4,221,312
Value of total assets at end of year2012-08-31$12,862,046
Value of total assets at beginning of year2012-08-31$12,899,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$221,246
Total interest from all sources2012-08-31$1
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Administrative expenses professional fees incurred2012-08-31$71,691
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$540,822
Participant contributions at beginning of year2012-08-31$5,088
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-08-31$87,096
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-08-31$89,108
Administrative expenses (other) incurred2012-08-31$37,291
Liabilities. Value of operating payables at end of year2012-08-31$25,387
Liabilities. Value of operating payables at beginning of year2012-08-31$17,708
Total non interest bearing cash at end of year2012-08-31$320,505
Total non interest bearing cash at beginning of year2012-08-31$290,965
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$-127,642
Value of net assets at end of year (total assets less liabilities)2012-08-31$12,501,194
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$12,628,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Investment advisory and management fees2012-08-31$15,466
Value of interest in common/collective trusts at end of year2012-08-31$11,807,068
Value of interest in common/collective trusts at beginning of year2012-08-31$11,790,881
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-08-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-08-31$101,205
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-08-31$101,205
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-08-31$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$322,520
Net investment gain or loss from common/collective trusts2012-08-31$974,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31Yes
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$3,680,490
Employer contributions (assets) at end of year2012-08-31$371,114
Employer contributions (assets) at beginning of year2012-08-31$412,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$4,779,810
Contract administrator fees2012-08-31$96,798
Liabilities. Value of benefit claims payable at end of year2012-08-31$335,465
Liabilities. Value of benefit claims payable at beginning of year2012-08-31$252,700
Assets. Value of buildings and other operty used in plan operation at end of year2012-08-31$276,263
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-08-31$209,329
Did the plan have assets held for investment2012-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Unqualified
Accountancy firm name2012-08-31WRUBEL, WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2012-08-31382574238
2011 : MICHIGAN STATE PAINTERS INSURANCE FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-08-31$0
Total transfer of assets to this plan2011-08-31$0
Total transfer of assets from this plan2011-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$270,408
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$374,705
Total income from all sources (including contributions)2011-08-31$5,016,767
Total loss/gain on sale of assets2011-08-31$0
Total of all expenses incurred2011-08-31$3,892,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$3,660,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$4,167,996
Value of total assets at end of year2011-08-31$12,899,244
Value of total assets at beginning of year2011-08-31$11,879,580
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$232,036
Total interest from all sources2011-08-31$1,667
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Administrative expenses professional fees incurred2011-08-31$78,529
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$509,678
Participant contributions at end of year2011-08-31$5,088
Participant contributions at beginning of year2011-08-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$89,108
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$99,481
Administrative expenses (other) incurred2011-08-31$50,402
Liabilities. Value of operating payables at end of year2011-08-31$17,708
Liabilities. Value of operating payables at beginning of year2011-08-31$13,278
Total non interest bearing cash at end of year2011-08-31$290,965
Total non interest bearing cash at beginning of year2011-08-31$108,761
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$1,123,961
Value of net assets at end of year (total assets less liabilities)2011-08-31$12,628,836
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$11,504,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Investment advisory and management fees2011-08-31$14,629
Value of interest in common/collective trusts at end of year2011-08-31$11,790,881
Value of interest in common/collective trusts at beginning of year2011-08-31$10,941,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-08-31$101,205
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-08-31$100,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-08-31$100,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$1,667
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$189,862
Net investment gain or loss from common/collective trusts2011-08-31$847,104
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31Yes
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$3,658,318
Employer contributions (assets) at end of year2011-08-31$412,668
Employer contributions (assets) at beginning of year2011-08-31$291,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$3,470,908
Contract administrator fees2011-08-31$88,476
Liabilities. Value of benefit claims payable at end of year2011-08-31$252,700
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$361,427
Assets. Value of buildings and other operty used in plan operation at end of year2011-08-31$209,329
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-08-31$338,010
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31WRUBEL, WESLEY & COMPANY C.P.A.'S
Accountancy firm EIN2011-08-31382574238

Form 5500 Responses for MICHIGAN STATE PAINTERS INSURANCE FUND

2021: MICHIGAN STATE PAINTERS INSURANCE FUND 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: MICHIGAN STATE PAINTERS INSURANCE FUND 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: MICHIGAN STATE PAINTERS INSURANCE FUND 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: MICHIGAN STATE PAINTERS INSURANCE FUND 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: MICHIGAN STATE PAINTERS INSURANCE FUND 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: MICHIGAN STATE PAINTERS INSURANCE FUND 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: MICHIGAN STATE PAINTERS INSURANCE FUND 2015 form 5500 responses
2015-09-01Type of plan entityMulti-employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: MICHIGAN STATE PAINTERS INSURANCE FUND 2014 form 5500 responses
2014-09-01Type of plan entityMulti-employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: MICHIGAN STATE PAINTERS INSURANCE FUND 2013 form 5500 responses
2013-09-01Type of plan entityMulti-employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: MICHIGAN STATE PAINTERS INSURANCE FUND 2012 form 5500 responses
2012-09-01Type of plan entityMulti-employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: MICHIGAN STATE PAINTERS INSURANCE FUND 2011 form 5500 responses
2011-09-01Type of plan entityMulti-employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2009: MICHIGAN STATE PAINTERS INSURANCE FUND 2009 form 5500 responses
2009-09-01Type of plan entityMulti-employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan 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 numberG3325-C4588
Policy instance 3
Insurance contract or identification numberG3325-C4588
Number of Individuals Covered548
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $25,710
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number261059
Policy instance 2
Insurance contract or identification number261059
Number of Individuals Covered550
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $15,408
Total amount of fees paid to insurance companyUSD $7,491
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $439,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,408
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerCOMMISSION
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number35692-600
Policy instance 1
Insurance contract or identification number35692-600
Number of Individuals Covered81
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $114,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,000
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number35692-600
Policy instance 1
Insurance contract or identification number35692-600
Number of Individuals Covered81
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $114,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,000
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number261059
Policy instance 2
Insurance contract or identification number261059
Number of Individuals Covered545
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $13,923
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $366,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,923
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3325-C4588
Policy instance 3
Insurance contract or identification numberG3325-C4588
Number of Individuals Covered620
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $27,277
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 numberG3325-C4588
Policy instance 4
Insurance contract or identification numberG3325-C4588
Number of Individuals Covered620
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $28,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number261059
Policy instance 1
Insurance contract or identification number261059
Number of Individuals Covered463
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $12,949
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $369,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,949
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number35692-600
Policy instance 2
Insurance contract or identification number35692-600
Number of Individuals Covered81
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $8,133
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $172,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,133
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number1655
Policy instance 3
Insurance contract or identification number1655
Number of Individuals Covered1364
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered594
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $14,931
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $428,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,931
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number1655
Policy instance 2
Insurance contract or identification number1655
Number of Individuals Covered1488
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877554G
Policy instance 3
Insurance contract or identification number877554G
Number of Individuals Covered599
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,820
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,820
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number877554G
Policy instance 2
Insurance contract or identification number877554G
Number of Individuals Covered599
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,820
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered594
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $21,509
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $516,734
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961501
Policy instance 3
Insurance contract or identification numberFLX961501
Number of Individuals Covered315
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $19,008
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961592
Policy instance 2
Insurance contract or identification numberOK 961592
Number of Individuals Covered315
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,541
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered1050
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $27,698
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $410,028
Commission paid to Insurance BrokerUSD $15,395
Insurance broker organization code?3
Insurance broker nameASSOCIATION BENEFITS CO
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961592
Policy instance 2
Insurance contract or identification numberOK 961592
Number of Individuals Covered310
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,904
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961501
Policy instance 4
Insurance contract or identification numberFLX961501
Number of Individuals Covered850
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,964
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number1655
Policy instance 3
Insurance contract or identification number1655
Number of Individuals Covered1041
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered1000
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $371,641
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered1014
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $373,520
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961592
Policy instance 2
Insurance contract or identification numberOK 961592
Number of Individuals Covered310
Insurance policy start date2011-10-01
Insurance policy end date2012-10-01
Total amount of commissions paid to insurance brokerUSD $230
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,535
Commission paid to Insurance BrokerUSD $230
Insurance broker organization code?3
Insurance broker nameASSOCIATION BENEFITS COMPANY
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number1655
Policy instance 3
Insurance contract or identification number1655
Number of Individuals Covered1112
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961501
Policy instance 4
Insurance contract or identification numberFLX961501
Number of Individuals Covered850
Insurance policy start date2011-10-01
Insurance policy end date2012-10-01
Total amount of commissions paid to insurance brokerUSD $1,158
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,649
Commission paid to Insurance BrokerUSD $1,158
Insurance broker organization code?3
Insurance broker nameASSOCIATION BENEFITS COMPANY
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961501
Policy instance 4
Insurance contract or identification numberFLX961501
Number of Individuals Covered310
Insurance policy start date2010-10-01
Insurance policy end date2011-10-01
Total amount of commissions paid to insurance brokerUSD $1,116
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,299
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number1655
Policy instance 3
Insurance contract or identification number1655
Number of Individuals Covered1014
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered850
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $292,718
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961592
Policy instance 2
Insurance contract or identification numberOK 961592
Number of Individuals Covered310
Insurance policy start date2010-10-01
Insurance policy end date2011-10-01
Total amount of commissions paid to insurance brokerUSD $222
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,479
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number68423
Policy instance 1
Insurance contract or identification number68423
Number of Individuals Covered861
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $166,351
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number1655
Policy instance 3
Insurance contract or identification number1655
Number of Individuals Covered875
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961592
Policy instance 2
Insurance contract or identification numberOK 961592
Number of Individuals Covered308
Insurance policy start date2009-10-01
Insurance policy end date2010-10-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,078

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