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CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN
Plan identification number 501

CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

CAR MATE TRAILERS, INC has sponsored the creation of one or more 401k plans.

Company Name:CAR MATE TRAILERS, INC
Employer identification number (EIN):251264993
NAIC Classification:336210

Additional information about CAR MATE TRAILERS, INC

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number: 608481

More information about CAR MATE TRAILERS, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-10-01FRED A OCHS
5012016-10-01FRED A OCHS

Plan Statistics for CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2022: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0185
Total number of active participants reported on line 7a of the Form 55002022-01-0185
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0185
2021: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0188
Total number of active participants reported on line 7a of the Form 55002021-01-0185
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0185
2020: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0172
Total number of active participants reported on line 7a of the Form 55002020-01-0188
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0188
2019: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0169
Total number of active participants reported on line 7a of the Form 55002019-01-0172
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0172
2018: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0170
Total number of active participants reported on line 7a of the Form 55002018-01-0168
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0169
2017: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-0169
Total number of active participants reported on line 7a of the Form 55002017-10-0170
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-0170
2016: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0169
Total number of active participants reported on line 7a of the Form 55002016-10-0168
Number of retired or separated participants receiving benefits2016-10-011
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-0169

Financial Data on CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2022 : CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$34,163
Total plan liabilities at beginning of year2022-12-31$91,667
Total income from all sources2022-12-31$711,625
Expenses. Total of all expenses incurred2022-12-31$729,986
Benefits paid (including direct rollovers)2022-12-31$346,536
Total plan assets at end of year2022-12-31$88,680
Total plan assets at beginning of year2022-12-31$164,545
Value of fidelity bond covering the plan2022-12-31$260,000
Total contributions received or receivable from participants2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$274,324
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$364
Net income (gross income less expenses)2022-12-31$-18,361
Net plan assets at end of year (total assets less liabilities)2022-12-31$54,517
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$72,878
Total contributions received or receivable from employer(s)2022-12-31$711,261
Value of corrective distributions2022-12-31$75,961
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$33,165
2021 : CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$91,667
Total plan liabilities at beginning of year2021-12-31$24,423
Total income from all sources2021-12-31$684,350
Expenses. Total of all expenses incurred2021-12-31$734,379
Benefits paid (including direct rollovers)2021-12-31$373,248
Total plan assets at end of year2021-12-31$164,545
Total plan assets at beginning of year2021-12-31$147,330
Value of fidelity bond covering the plan2021-12-31$260,000
Expenses. Other expenses not covered elsewhere2021-12-31$254,263
Other income received2021-12-31$393
Net income (gross income less expenses)2021-12-31$-50,029
Net plan assets at end of year (total assets less liabilities)2021-12-31$72,878
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$122,907
Total contributions received or receivable from employer(s)2021-12-31$683,957
Value of corrective distributions2021-12-31$71,954
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$34,914
2020 : CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$24,423
Total plan liabilities at beginning of year2020-12-31$20,456
Total income from all sources2020-12-31$582,019
Expenses. Total of all expenses incurred2020-12-31$618,814
Benefits paid (including direct rollovers)2020-12-31$262,644
Total plan assets at end of year2020-12-31$147,330
Total plan assets at beginning of year2020-12-31$180,158
Value of fidelity bond covering the plan2020-12-31$260,000
Total contributions received or receivable from participants2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$221,114
Contributions received from other sources (not participants or employers)2020-12-31$849
Other income received2020-12-31$380
Net income (gross income less expenses)2020-12-31$-36,795
Net plan assets at end of year (total assets less liabilities)2020-12-31$122,907
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$159,702
Total contributions received or receivable from employer(s)2020-12-31$580,790
Value of corrective distributions2020-12-31$103,416
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$31,640
2019 : CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$20,456
Total plan liabilities at beginning of year2019-12-31$21,059
Total income from all sources2019-12-31$543,799
Expenses. Total of all expenses incurred2019-12-31$593,912
Benefits paid (including direct rollovers)2019-12-31$273,504
Total plan assets at end of year2019-12-31$180,158
Total plan assets at beginning of year2019-12-31$230,874
Value of fidelity bond covering the plan2019-12-31$260,000
Total contributions received or receivable from participants2019-12-31$0
Expenses. Other expenses not covered elsewhere2019-12-31$155,182
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$457
Net income (gross income less expenses)2019-12-31$-50,113
Net plan assets at end of year (total assets less liabilities)2019-12-31$159,702
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$209,815
Total contributions received or receivable from employer(s)2019-12-31$543,342
Value of corrective distributions2019-12-31$125,914
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$39,312
2018 : CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$21,059
Total plan liabilities at beginning of year2018-12-31$24,494
Total income from all sources2018-12-31$582,779
Expenses. Total of all expenses incurred2018-12-31$493,685
Benefits paid (including direct rollovers)2018-12-31$203,260
Total plan assets at end of year2018-12-31$230,874
Total plan assets at beginning of year2018-12-31$145,215
Value of fidelity bond covering the plan2018-12-31$260,000
Total contributions received or receivable from participants2018-12-31$0
Expenses. Other expenses not covered elsewhere2018-12-31$169,685
Contributions received from other sources (not participants or employers)2018-12-31$4,209
Other income received2018-12-31$550
Net income (gross income less expenses)2018-12-31$89,094
Net plan assets at end of year (total assets less liabilities)2018-12-31$209,815
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$120,721
Total contributions received or receivable from employer(s)2018-12-31$578,020
Value of corrective distributions2018-12-31$83,329
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$37,411
2017 : CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$24,494
Total plan liabilities at beginning of year2017-12-31$28,993
Total income from all sources2017-12-31$119,535
Expenses. Total of all expenses incurred2017-12-31$68,977
Benefits paid (including direct rollovers)2017-12-31$26,435
Total plan assets at end of year2017-12-31$145,215
Total plan assets at beginning of year2017-12-31$99,156
Value of fidelity bond covering the plan2017-12-31$260,000
Expenses. Other expenses not covered elsewhere2017-12-31$33,265
Contributions received from other sources (not participants or employers)2017-12-31$1,653
Other income received2017-12-31$68
Net income (gross income less expenses)2017-12-31$50,558
Net plan assets at end of year (total assets less liabilities)2017-12-31$120,721
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$70,163
Total contributions received or receivable from employer(s)2017-12-31$117,814
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$9,277
Total plan liabilities at end of year2017-09-30$28,993
Total plan liabilities at beginning of year2017-09-30$0
Total income from all sources2017-09-30$465,352
Expenses. Total of all expenses incurred2017-09-30$395,189
Benefits paid (including direct rollovers)2017-09-30$230,173
Total plan assets at end of year2017-09-30$99,156
Total plan assets at beginning of year2017-09-30$0
Value of fidelity bond covering the plan2017-09-30$260,000
Total contributions received or receivable from participants2017-09-30$0
Expenses. Other expenses not covered elsewhere2017-09-30$129,864
Contributions received from other sources (not participants or employers)2017-09-30$5,101
Other income received2017-09-30$35
Net income (gross income less expenses)2017-09-30$70,163
Net plan assets at end of year (total assets less liabilities)2017-09-30$70,163
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$0
Total contributions received or receivable from employer(s)2017-09-30$460,216
Expenses. Administrative service providers (salaries,fees and commissions)2017-09-30$35,152

Form 5500 Responses for CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN

2022: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: CAR MATE TRAILERS, INC. HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01First time form 5500 has been submittedYes
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500219
Policy instance 1
Insurance contract or identification number30500219
Number of Individuals Covered85
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $-789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number203150
Policy instance 2
Insurance contract or identification number203150
Number of Individuals Covered85
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $231,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500219
Policy instance 1
Insurance contract or identification number30500219
Number of Individuals Covered85
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $208,776
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500219
Policy instance 1
Insurance contract or identification number30500219
Number of Individuals Covered88
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $179,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered72
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 $137,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered70
Insurance policy start date2017-10-01
Insurance policy end date2017-12-31
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 $24,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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