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ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 401k Plan overview

Plan NameILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN
Plan identification number 501

ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES OF ILWU LOCAL 142 GENERAL HEALTH & WELFARE has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF ILWU LOCAL 142 GENERAL HEALTH & WELFARE
Employer identification number (EIN):270456048
NAIC Classification:561490

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ILWU LOCAL 142 GENERAL HEALTH & 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
5012017-01-01CORINNA SALMO KEITH GOTO2018-10-10
5012016-01-01GUY FUJIMURA KEITH GOTO2017-10-11
5012015-01-01GUY FUJIMURA KEITH GOTO2016-10-12
5012014-01-01GUY FUJIMURA KEITH GOTO2015-10-13
5012014-01-01GUY FUJIMURA KEITH GOTO2015-10-13
5012013-01-01GUY FUJIMURA KEITH GOTO2014-10-08
5012012-01-01GUY FUJIMURA KEITH GOTO2013-10-11
5012011-01-01GUY FUJIMURA KEITH GOTO2012-10-12
5012009-01-01GUY FUJIMURA KEITH GOTO2010-10-12

Plan Statistics for ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN

401k plan membership statisitcs for ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN

Measure Date Value
2022: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01634
Total number of active participants reported on line 7a of the Form 55002022-01-01579
Total of all active and inactive participants2022-01-01579
Number of employers contributing to the scheme2022-01-0126
2021: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01841
Total number of active participants reported on line 7a of the Form 55002021-01-01634
Total of all active and inactive participants2021-01-01634
Number of employers contributing to the scheme2021-01-0126
2020: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01843
Total number of active participants reported on line 7a of the Form 55002020-01-01841
Total of all active and inactive participants2020-01-01841
Number of employers contributing to the scheme2020-01-0126
2019: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01885
Total number of active participants reported on line 7a of the Form 55002019-01-01843
Total of all active and inactive participants2019-01-01843
Number of employers contributing to the scheme2019-01-0128
2018: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01882
Total number of active participants reported on line 7a of the Form 55002018-01-01885
Total of all active and inactive participants2018-01-01885
Number of employers contributing to the scheme2018-01-0126
2017: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,367
Total number of active participants reported on line 7a of the Form 55002017-01-01882
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-01883
Number of employers contributing to the scheme2017-01-0126
2016: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,667
Total number of active participants reported on line 7a of the Form 55002016-01-011,362
Number of retired or separated participants receiving benefits2016-01-015
Total of all active and inactive participants2016-01-011,367
Number of employers contributing to the scheme2016-01-0127
2015: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,780
Total number of active participants reported on line 7a of the Form 55002015-01-011,667
Total of all active and inactive participants2015-01-011,667
Number of employers contributing to the scheme2015-01-0127
2014: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,859
Total number of active participants reported on line 7a of the Form 55002014-01-011,762
Number of retired or separated participants receiving benefits2014-01-0118
Total of all active and inactive participants2014-01-011,780
Number of employers contributing to the scheme2014-01-0130
2013: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,842
Total number of active participants reported on line 7a of the Form 55002013-01-011,835
Number of retired or separated participants receiving benefits2013-01-0124
Total of all active and inactive participants2013-01-011,859
Number of employers contributing to the scheme2013-01-0130
2012: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,567
Total number of active participants reported on line 7a of the Form 55002012-01-011,821
Number of retired or separated participants receiving benefits2012-01-0121
Total of all active and inactive participants2012-01-011,842
Number of employers contributing to the scheme2012-01-0128
2011: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,351
Total number of active participants reported on line 7a of the Form 55002011-01-011,545
Number of retired or separated participants receiving benefits2011-01-0122
Total of all active and inactive participants2011-01-011,567
Number of employers contributing to the scheme2011-01-0125
2009: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01986
Total number of active participants reported on line 7a of the Form 55002009-01-012,200
Total of all active and inactive participants2009-01-012,200
Number of employers contributing to the scheme2009-01-0111

Financial Data on ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN

Measure Date Value
2022 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-228,585
Total unrealized appreciation/depreciation of assets2022-12-31$-228,585
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$33,673
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$44,969
Total income from all sources (including contributions)2022-12-31$7,994,113
Total loss/gain on sale of assets2022-12-31$-124,940
Total of all expenses incurred2022-12-31$7,255,182
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,997,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$8,220,611
Value of total assets at end of year2022-12-31$9,383,839
Value of total assets at beginning of year2022-12-31$8,656,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$258,019
Total interest from all sources2022-12-31$117,548
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$108,258
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$35,693
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$411,285
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$693,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$3,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$18,303
Other income not declared elsewhere2022-12-31$9,479
Administrative expenses (other) incurred2022-12-31$41,564
Liabilities. Value of operating payables at end of year2022-12-31$16,823
Liabilities. Value of operating payables at beginning of year2022-12-31$11,716
Total non interest bearing cash at end of year2022-12-31$627,727
Total non interest bearing cash at beginning of year2022-12-31$623,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$738,931
Value of net assets at end of year (total assets less liabilities)2022-12-31$9,350,166
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$8,611,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$31,288
Interest earned on other investments2022-12-31$324
Income. Interest from US Government securities2022-12-31$45,112
Income. Interest from corporate debt instruments2022-12-31$70,011
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$14,592
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$47,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$47,885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,101
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$6,717,038
Asset value of US Government securities at end of year2022-12-31$4,135,204
Asset value of US Government securities at beginning of year2022-12-31$3,068,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$8,184,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$280,125
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$4,195,031
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$4,222,094
Contract administrator fees2022-12-31$76,909
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$13,850
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$14,950
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$9,292,436
Aggregate carrying amount (costs) on sale of assets2022-12-31$9,417,376
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31LEMKE, CHINEN, TANAKA, C.P.A., INC.
Accountancy firm EIN2022-12-31990155373
2021 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-74,200
Total unrealized appreciation/depreciation of assets2021-12-31$-74,200
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$44,969
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$29,130
Total income from all sources (including contributions)2021-12-31$9,496,134
Total loss/gain on sale of assets2021-12-31$-11,521
Total of all expenses incurred2021-12-31$9,544,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,295,686
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$9,477,362
Value of total assets at end of year2021-12-31$8,656,204
Value of total assets at beginning of year2021-12-31$8,688,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$248,611
Total interest from all sources2021-12-31$66,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$113,180
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$15,536
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$491,387
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$693,990
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$290,932
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$18,303
Other income not declared elsewhere2021-12-31$37,679
Administrative expenses (other) incurred2021-12-31$22,362
Liabilities. Value of operating payables at end of year2021-12-31$11,716
Liabilities. Value of operating payables at beginning of year2021-12-31$11,730
Total non interest bearing cash at end of year2021-12-31$623,860
Total non interest bearing cash at beginning of year2021-12-31$910,996
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-48,163
Value of net assets at end of year (total assets less liabilities)2021-12-31$8,611,235
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,659,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$19,436
Interest earned on other investments2021-12-31$6,543
Income. Interest from US Government securities2021-12-31$28,102
Income. Interest from corporate debt instruments2021-12-31$31,876
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$47,885
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,486,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,486,600
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$293
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$8,900,007
Asset value of US Government securities at end of year2021-12-31$3,068,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$8,970,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$395,679
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$4,222,094
Contract administrator fees2021-12-31$93,633
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$14,950
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$17,400
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$25,321,248
Aggregate carrying amount (costs) on sale of assets2021-12-31$25,332,769
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2021-12-31990155373
2020 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$29,130
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$34,187
Total income from all sources (including contributions)2020-12-31$10,625,629
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$10,133,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$9,875,757
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$10,576,705
Value of total assets at end of year2020-12-31$8,688,528
Value of total assets at beginning of year2020-12-31$8,201,781
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$258,068
Total interest from all sources2020-12-31$34,580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$134,750
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$30,185
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$290,932
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$82,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$3,367
Other income not declared elsewhere2020-12-31$14,323
Administrative expenses (other) incurred2020-12-31$23,183
Liabilities. Value of operating payables at end of year2020-12-31$11,730
Liabilities. Value of operating payables at beginning of year2020-12-31$10,820
Total non interest bearing cash at end of year2020-12-31$910,996
Total non interest bearing cash at beginning of year2020-12-31$294,228
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$491,804
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,659,398
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$8,167,594
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$300
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,486,600
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$7,825,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$7,825,408
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$34,580
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$9,528,425
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$21
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$10,546,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$347,332
Contract administrator fees2020-12-31$99,835
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$17,400
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$20,000
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$10,041,909
Aggregate carrying amount (costs) on sale of assets2020-12-31$10,041,909
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2020-12-31990155373
2019 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$34,187
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$36,824
Total income from all sources (including contributions)2019-12-31$11,515,884
Total of all expenses incurred2019-12-31$10,326,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$10,072,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$11,361,707
Value of total assets at end of year2019-12-31$8,201,781
Value of total assets at beginning of year2019-12-31$7,014,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$253,757
Total interest from all sources2019-12-31$117,512
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$104,873
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$48,830
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$82,145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$150,035
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$3,367
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$4,500
Other income not declared elsewhere2019-12-31$36,665
Administrative expenses (other) incurred2019-12-31$46,112
Liabilities. Value of operating payables at end of year2019-12-31$10,820
Liabilities. Value of operating payables at beginning of year2019-12-31$11,624
Total non interest bearing cash at end of year2019-12-31$294,228
Total non interest bearing cash at beginning of year2019-12-31$5,351,753
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,189,798
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,167,594
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,977,796
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$7,825,408
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,512,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,512,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$117,512
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,851,013
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$11,312,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$221,316
Contract administrator fees2019-12-31$102,772
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$20,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$20,700
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2019-12-31990155373
2018 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$36,824
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$103,753
Total income from all sources (including contributions)2018-12-31$11,852,009
Total of all expenses incurred2018-12-31$10,469,430
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$10,220,113
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$11,817,114
Value of total assets at end of year2018-12-31$7,014,620
Value of total assets at beginning of year2018-12-31$5,698,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$249,317
Total interest from all sources2018-12-31$8,698
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$112,368
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$94,817
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$150,035
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$31,461
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$4,500
Other income not declared elsewhere2018-12-31$26,197
Administrative expenses (other) incurred2018-12-31$35,869
Liabilities. Value of operating payables at end of year2018-12-31$11,624
Liabilities. Value of operating payables at beginning of year2018-12-31$8,642
Total non interest bearing cash at end of year2018-12-31$5,351,753
Total non interest bearing cash at beginning of year2018-12-31$4,095,639
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,382,579
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,977,796
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,595,217
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,512,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,504,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,504,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$8,698
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$9,987,655
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$11,722,297
Employer contributions (assets) at beginning of year2018-12-31$67,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$232,458
Contract administrator fees2018-12-31$101,080
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$20,700
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$95,111
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2018-12-31990155373
2017 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$103,753
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$359,689
Total income from all sources (including contributions)2017-12-31$12,427,733
Total of all expenses incurred2017-12-31$10,813,160
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$10,548,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$12,425,164
Value of total assets at end of year2017-12-31$5,698,970
Value of total assets at beginning of year2017-12-31$4,340,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$264,607
Total interest from all sources2017-12-31$2,569
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$100,025
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$141,083
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$31,461
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$25,548
Administrative expenses (other) incurred2017-12-31$36,336
Liabilities. Value of operating payables at end of year2017-12-31$8,642
Liabilities. Value of operating payables at beginning of year2017-12-31$315,834
Total non interest bearing cash at end of year2017-12-31$4,095,639
Total non interest bearing cash at beginning of year2017-12-31$2,598,299
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,614,573
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,595,217
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,980,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,504,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,251,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,251,603
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$2,569
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$10,024,501
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$12,284,081
Employer contributions (assets) at end of year2017-12-31$67,736
Employer contributions (assets) at beginning of year2017-12-31$464,883
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$524,052
Contract administrator fees2017-12-31$128,246
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$95,111
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$43,855
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2017-12-31990155373
2016 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$359,689
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$118,852
Total income from all sources (including contributions)2016-12-31$16,822,725
Total of all expenses incurred2016-12-31$15,335,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$14,899,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$16,821,121
Value of total assets at end of year2016-12-31$4,340,333
Value of total assets at beginning of year2016-12-31$2,612,488
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$436,495
Total interest from all sources2016-12-31$1,604
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$105,081
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$50,588
Participant contributions at beginning of year2016-12-31$2,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$25,548
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$35,965
Administrative expenses (other) incurred2016-12-31$163,545
Liabilities. Value of operating payables at end of year2016-12-31$315,834
Liabilities. Value of operating payables at beginning of year2016-12-31$58,868
Total non interest bearing cash at end of year2016-12-31$2,598,299
Total non interest bearing cash at beginning of year2016-12-31$2,045,329
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,487,008
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,980,644
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,493,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,251,603
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$500,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$500,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,604
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$14,320,109
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$16,770,533
Employer contributions (assets) at end of year2016-12-31$464,883
Employer contributions (assets) at beginning of year2016-12-31$28,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$579,113
Contract administrator fees2016-12-31$167,869
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$43,855
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$59,984
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2016-12-31990155373
2015 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$118,852
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$241,648
Total income from all sources (including contributions)2015-12-31$16,672,469
Total of all expenses incurred2015-12-31$16,117,725
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$15,862,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$16,670,545
Value of total assets at end of year2015-12-31$2,612,488
Value of total assets at beginning of year2015-12-31$2,180,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$255,218
Total interest from all sources2015-12-31$1,924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$85,428
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$61,486
Participant contributions at end of year2015-12-31$2,323
Participant contributions at beginning of year2015-12-31$474
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$35,965
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$36,091
Administrative expenses (other) incurred2015-12-31$28,803
Liabilities. Value of operating payables at end of year2015-12-31$58,868
Liabilities. Value of operating payables at beginning of year2015-12-31$69,768
Total non interest bearing cash at end of year2015-12-31$2,045,329
Total non interest bearing cash at beginning of year2015-12-31$1,606,469
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$554,744
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,493,636
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,938,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$500,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$500,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$500,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,924
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$15,724,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$16,609,059
Employer contributions (assets) at end of year2015-12-31$28,871
Employer contributions (assets) at beginning of year2015-12-31$37,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$138,404
Contract administrator fees2015-12-31$140,987
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$59,984
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$171,880
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2015-12-31990155373
2014 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$241,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$216,679
Total income from all sources (including contributions)2014-12-31$16,903,977
Total of all expenses incurred2014-12-31$16,682,045
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$16,224,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$16,903,322
Value of total assets at end of year2014-12-31$2,180,540
Value of total assets at beginning of year2014-12-31$1,933,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$457,979
Total interest from all sources2014-12-31$655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$107,407
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$90,431
Participant contributions at end of year2014-12-31$474
Participant contributions at beginning of year2014-12-31$1,433
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$36,091
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$48,101
Administrative expenses (other) incurred2014-12-31$171,290
Liabilities. Value of operating payables at end of year2014-12-31$69,768
Liabilities. Value of operating payables at beginning of year2014-12-31$80,193
Total non interest bearing cash at end of year2014-12-31$1,606,469
Total non interest bearing cash at beginning of year2014-12-31$1,328,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$221,932
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,938,892
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,716,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$500,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$511,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$511,664
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$655
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$14,466,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$16,812,891
Employer contributions (assets) at end of year2014-12-31$37,506
Employer contributions (assets) at beginning of year2014-12-31$43,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,757,158
Contract administrator fees2014-12-31$179,282
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$171,880
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$136,486
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2014-12-31990155373
2013 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$216,679
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,427,990
Total income from all sources (including contributions)2013-12-31$15,639,024
Total of all expenses incurred2013-12-31$15,669,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$15,182,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$15,626,116
Value of total assets at end of year2013-12-31$1,933,639
Value of total assets at beginning of year2013-12-31$3,175,302
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$487,235
Total interest from all sources2013-12-31$1,645
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$101,725
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$45,725
Participant contributions at end of year2013-12-31$1,433
Participant contributions at beginning of year2013-12-31$1,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$48,101
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$33,174
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$13,980
Other income not declared elsewhere2013-12-31$11,263
Administrative expenses (other) incurred2013-12-31$55,398
Liabilities. Value of operating payables at end of year2013-12-31$80,193
Liabilities. Value of operating payables at beginning of year2013-12-31$39,254
Total non interest bearing cash at end of year2013-12-31$1,328,878
Total non interest bearing cash at beginning of year2013-12-31$2,588,605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-30,352
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,716,960
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,747,312
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$511,664
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$510,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$510,209
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,645
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$12,024,336
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$15,580,391
Employer contributions (assets) at end of year2013-12-31$43,563
Employer contributions (assets) at beginning of year2013-12-31$41,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,157,805
Contract administrator fees2013-12-31$330,112
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$136,486
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,374,756
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2013-12-31990155373
2012 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,427,990
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$179,305
Total income from all sources (including contributions)2012-12-31$14,692,117
Total of all expenses incurred2012-12-31$15,475,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$15,003,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$14,690,564
Value of total assets at end of year2012-12-31$3,175,302
Value of total assets at beginning of year2012-12-31$2,709,914
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$471,649
Total interest from all sources2012-12-31$1,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$78,413
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$42,469
Participant contributions at end of year2012-12-31$1,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$33,174
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$18,844
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$13,980
Administrative expenses (other) incurred2012-12-31$37,577
Liabilities. Value of operating payables at end of year2012-12-31$39,254
Liabilities. Value of operating payables at beginning of year2012-12-31$19,524
Total non interest bearing cash at end of year2012-12-31$2,588,605
Total non interest bearing cash at beginning of year2012-12-31$2,182,779
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-783,297
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,747,312
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,530,609
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$510,209
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$508,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$508,291
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$1,553
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$8,896,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$14,648,095
Employer contributions (assets) at end of year2012-12-31$41,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$6,107,539
Contract administrator fees2012-12-31$355,659
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,374,756
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$159,781
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2012-12-31990155373
2011 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$179,305
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$147,123
Total income from all sources (including contributions)2011-12-31$11,148,856
Total of all expenses incurred2011-12-31$10,365,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$10,114,568
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$11,145,151
Value of total assets at end of year2011-12-31$2,709,914
Value of total assets at beginning of year2011-12-31$1,893,941
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$250,497
Total interest from all sources2011-12-31$3,705
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$82,191
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$55,374
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$18,844
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$19,054
Administrative expenses (other) incurred2011-12-31$34,544
Liabilities. Value of operating payables at end of year2011-12-31$19,524
Liabilities. Value of operating payables at beginning of year2011-12-31$15,250
Total non interest bearing cash at end of year2011-12-31$2,182,779
Total non interest bearing cash at beginning of year2011-12-31$1,371,917
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$783,791
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,530,609
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,746,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$508,291
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$502,970
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$502,970
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,705
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$9,028,490
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$11,089,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,086,078
Contract administrator fees2011-12-31$133,762
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$159,781
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$131,873
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2011-12-31990155373
2010 : ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$147,123
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$91,127
Total income from all sources (including contributions)2010-12-31$8,626,189
Total of all expenses incurred2010-12-31$7,927,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$7,725,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$8,621,229
Value of total assets at end of year2010-12-31$1,893,941
Value of total assets at beginning of year2010-12-31$1,139,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$202,533
Total interest from all sources2010-12-31$4,960
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$83,121
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$59,723
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$19,054
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$55,926
Administrative expenses (other) incurred2010-12-31$18,968
Liabilities. Value of operating payables at end of year2010-12-31$15,250
Liabilities. Value of operating payables at beginning of year2010-12-31$5,794
Total non interest bearing cash at end of year2010-12-31$1,371,917
Total non interest bearing cash at beginning of year2010-12-31$1,083,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$698,306
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,746,818
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,048,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$502,970
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,960
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$6,903,699
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$8,561,506
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$821,651
Contract administrator fees2010-12-31$100,444
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$131,873
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$85,333
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2010-12-31990155373

Form 5500 Responses for ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN

2022: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: ILWU LOCAL 142 GENERAL HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 3
Insurance contract or identification number1142
Number of Individuals Covered808
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 2
Insurance contract or identification number12340425
Number of Individuals Covered582
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered342
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,275,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered375
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,467,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 3
Insurance contract or identification number1142
Number of Individuals Covered917
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 2
Insurance contract or identification number12340425
Number of Individuals Covered740
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 3
Insurance contract or identification number1142
Number of Individuals Covered1230
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered455
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,895,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 2
Insurance contract or identification number12340425
Number of Individuals Covered894
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,901
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 3
Insurance contract or identification number1142
Number of Individuals Covered1218
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 2
Insurance contract or identification number12340425
Number of Individuals Covered866
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,394
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered455
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,704,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered457
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,933,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 2
Insurance contract or identification number12340425
Number of Individuals Covered897
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 3
Insurance contract or identification number1142
Number of Individuals Covered1250
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 3
Insurance contract or identification number1142
Number of Individuals Covered1272
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 2
Insurance contract or identification number12340425
Number of Individuals Covered1210
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered465
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,377,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 4
Insurance contract or identification number1142
Number of Individuals Covered1773
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 3
Insurance contract or identification number12340425
Number of Individuals Covered1648
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2825
Policy instance 2
Insurance contract or identification number2825
Number of Individuals Covered3455
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered1628
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,416,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 4
Insurance contract or identification number1142
Number of Individuals Covered1902
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2825
Policy instance 2
Insurance contract or identification number2825
Number of Individuals Covered3671
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered1715
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Welfare Benefit Premiums Paid to CarrierUSD $7,296,656
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 3
Insurance contract or identification number12340425
Number of Individuals Covered1674
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIVERSITY HEALTH ALLIANCE (National Association of Insurance Commissioners NAIC id number: 47953 )
Policy contract number1142
Policy instance 4
Insurance contract or identification number1142
Number of Individuals Covered1998
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 3
Insurance contract or identification number12340425
Number of Individuals Covered1781
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2825
Policy instance 2
Insurance contract or identification number2825
Number of Individuals Covered3802
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered1750
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,150,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2825
Policy instance 2
Insurance contract or identification number2825
Number of Individuals Covered3809
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered1757
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,410,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number00897H
Policy instance 4
Insurance contract or identification number00897H
Number of Individuals Covered1961
Insurance policy start date2012-01-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,563,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 3
Insurance contract or identification number12340425
Number of Individuals Covered1781
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2825
Policy instance 2
Insurance contract or identification number2825
Number of Individuals Covered3239
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 3
Insurance contract or identification number12340425
Number of Individuals Covered1513
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number00897H
Policy instance 4
Insurance contract or identification number00897H
Number of Individuals Covered1517
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,370,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 1
Insurance contract or identification number4773/10
Number of Individuals Covered1709
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,911,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number4773/10
Policy instance 2
Insurance contract or identification number4773/10
Number of Individuals Covered1422
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,774,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2825
Policy instance 3
Insurance contract or identification number2825
Number of Individuals Covered2640
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12340425
Policy instance 4
Insurance contract or identification number12340425
Number of Individuals Covered1421
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL ASSURANCE ASSOCIATION (National Association of Insurance Commissioners NAIC id number: 48330 )
Policy contract number00897H
Policy instance 5
Insurance contract or identification number00897H
Number of Individuals Covered582
Insurance policy start date2010-04-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,918,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUMMERLIN LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11838 )
Policy contract number00897/00898
Policy instance 1
Insurance contract or identification number00897/00898
Number of Individuals Covered545
Insurance policy start date2010-05-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $551,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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