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WESTCHESTER HEALTH AND WELFARE FUND 401k Plan overview

Plan NameWESTCHESTER HEALTH AND WELFARE FUND
Plan identification number 501

WESTCHESTER HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

PERSONAL HEALTHCARE MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name:PERSONAL HEALTHCARE MANAGEMENT LLC
Employer identification number (EIN):273841580
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about PERSONAL HEALTHCARE MANAGEMENT LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2010-10-29
Company Identification Number: 4013497
Legal Registered Office Address: 25 ROBERT PITT DRIVE
SUITE 204
MONSEY
United States of America (USA)
10952

More information about PERSONAL HEALTHCARE MANAGEMENT LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTCHESTER HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01ALEX BARTH
5012016-01-01ALEX BARTH
5012015-01-01ALEX BARTH
5012014-01-01ALEX BARTH
5012013-01-01ALEXANDER BARTH

Plan Statistics for WESTCHESTER HEALTH AND WELFARE FUND

401k plan membership statisitcs for WESTCHESTER HEALTH AND WELFARE FUND

Measure Date Value
2022: WESTCHESTER HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01408
Total number of active participants reported on line 7a of the Form 55002022-01-01369
Number of retired or separated participants receiving benefits2022-01-013
Total of all active and inactive participants2022-01-01372
Total participants2022-01-01372
2021: WESTCHESTER HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01475
Total number of active participants reported on line 7a of the Form 55002021-01-01408
Total of all active and inactive participants2021-01-01408
Total participants2021-01-01408
2020: WESTCHESTER HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01455
Total number of active participants reported on line 7a of the Form 55002020-01-01475
Total of all active and inactive participants2020-01-01475
Total participants2020-01-01475
2019: WESTCHESTER HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01455
Total number of active participants reported on line 7a of the Form 55002019-01-01454
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-01455
Total participants2019-01-01455
2018: WESTCHESTER HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01208
Total number of active participants reported on line 7a of the Form 55002018-01-01455
Total of all active and inactive participants2018-01-01455
Total participants2018-01-01455
2017: WESTCHESTER HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01244
Total number of active participants reported on line 7a of the Form 55002017-01-01208
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-01209
Total participants2017-01-01209
2016: WESTCHESTER HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01188
Total number of active participants reported on line 7a of the Form 55002016-01-01243
Number of retired or separated participants receiving benefits2016-01-011
Total of all active and inactive participants2016-01-01244
Total participants2016-01-01244
2015: WESTCHESTER HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01188
Total number of active participants reported on line 7a of the Form 55002015-01-01188
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-01190
2014: WESTCHESTER HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01148
Total number of active participants reported on line 7a of the Form 55002014-01-01188
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01188
2013: WESTCHESTER HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01109
Total number of active participants reported on line 7a of the Form 55002013-01-01109
Total of all active and inactive participants2013-01-01109
Total participants2013-01-01109
Number of employers contributing to the scheme2013-01-014

Financial Data on WESTCHESTER HEALTH AND WELFARE FUND

Measure Date Value
2022 : WESTCHESTER HEALTH AND WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$319,554
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$350,486
Total income from all sources (including contributions)2022-12-31$1,768,315
Total of all expenses incurred2022-12-31$1,896,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,723,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,768,315
Value of total assets at end of year2022-12-31$581,445
Value of total assets at beginning of year2022-12-31$740,275
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$173,174
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$5,352
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$200,000
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$1,170,006
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$7,794
Administrative expenses (other) incurred2022-12-31$4,228
Liabilities. Value of operating payables at end of year2022-12-31$706
Liabilities. Value of operating payables at beginning of year2022-12-31$7,000
Total non interest bearing cash at end of year2022-12-31$573,651
Total non interest bearing cash at beginning of year2022-12-31$740,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-127,898
Value of net assets at end of year (total assets less liabilities)2022-12-31$261,891
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$389,789
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$197,940
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$598,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,525,099
Contract administrator fees2022-12-31$163,594
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$318,848
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$343,486
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2022-12-31472319109
2021 : WESTCHESTER HEALTH AND WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$350,486
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$513,730
Total income from all sources (including contributions)2021-12-31$2,455,388
Total of all expenses incurred2021-12-31$2,339,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,120,273
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,455,388
Value of total assets at end of year2021-12-31$740,275
Value of total assets at beginning of year2021-12-31$787,309
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$218,905
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$14,000
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$200,000
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$1,589,682
Administrative expenses (other) incurred2021-12-31$13,361
Liabilities. Value of operating payables at end of year2021-12-31$7,000
Liabilities. Value of operating payables at beginning of year2021-12-31$14,384
Total non interest bearing cash at end of year2021-12-31$740,275
Total non interest bearing cash at beginning of year2021-12-31$787,309
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$116,210
Value of net assets at end of year (total assets less liabilities)2021-12-31$389,789
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$273,579
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$320,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$865,706
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,800,136
Contract administrator fees2021-12-31$191,544
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$343,486
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$499,346
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2021-12-31472319109
2020 : WESTCHESTER HEALTH AND WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$513,730
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$791,944
Total income from all sources (including contributions)2020-12-31$3,310,453
Total of all expenses incurred2020-12-31$2,321,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,066,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,310,453
Value of total assets at end of year2020-12-31$787,309
Value of total assets at beginning of year2020-12-31$76,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$254,611
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$33,344
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$150,000
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$1,948,799
Administrative expenses (other) incurred2020-12-31$23,264
Liabilities. Value of operating payables at end of year2020-12-31$14,384
Total non interest bearing cash at end of year2020-12-31$787,309
Total non interest bearing cash at beginning of year2020-12-31$76,215
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$989,308
Value of net assets at end of year (total assets less liabilities)2020-12-31$273,579
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-715,729
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$424,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,361,654
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,642,178
Contract administrator fees2020-12-31$198,003
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$499,346
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$791,944
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2020-12-31472319109
2019 : WESTCHESTER HEALTH AND WELFARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$791,944
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$791,944
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$326,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$326,369
Total income from all sources (including contributions)2019-12-31$1,040,834
Total income from all sources (including contributions)2019-12-31$1,040,834
Total of all expenses incurred2019-12-31$2,827,812
Total of all expenses incurred2019-12-31$2,827,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,627,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,627,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,040,834
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,040,834
Value of total assets at end of year2019-12-31$76,215
Value of total assets at end of year2019-12-31$76,215
Value of total assets at beginning of year2019-12-31$1,397,618
Value of total assets at beginning of year2019-12-31$1,397,618
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$200,594
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$200,594
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$14,000
Administrative expenses professional fees incurred2019-12-31$14,000
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$150,000
Value of fidelity bond cover2019-12-31$150,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$571,233
Contributions received from participants2019-12-31$571,233
Administrative expenses (other) incurred2019-12-31$1,224
Administrative expenses (other) incurred2019-12-31$1,224
Liabilities. Value of operating payables at beginning of year2019-12-31$39,712
Liabilities. Value of operating payables at beginning of year2019-12-31$39,712
Total non interest bearing cash at end of year2019-12-31$76,215
Total non interest bearing cash at end of year2019-12-31$76,215
Total non interest bearing cash at beginning of year2019-12-31$316,459
Total non interest bearing cash at beginning of year2019-12-31$316,459
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-1,786,978
Value of net income/loss2019-12-31$-1,786,978
Value of net assets at end of year (total assets less liabilities)2019-12-31$-715,729
Value of net assets at end of year (total assets less liabilities)2019-12-31$-715,729
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,071,249
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,071,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$294,303
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$294,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$469,601
Contributions received in cash from employer2019-12-31$469,601
Employer contributions (assets) at beginning of year2019-12-31$1,081,159
Employer contributions (assets) at beginning of year2019-12-31$1,081,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,332,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,332,915
Contract administrator fees2019-12-31$185,370
Contract administrator fees2019-12-31$185,370
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$791,944
Liabilities. Value of benefit claims payable at end of year2019-12-31$791,944
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$286,657
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$286,657
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31FASTEN HALBERSTAM LLP
Accountancy firm name2019-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2019-12-31472319109
Accountancy firm EIN2019-12-31472319109
2018 : WESTCHESTER HEALTH AND WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$326,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$117,889
Total income from all sources (including contributions)2018-12-31$1,628,733
Total of all expenses incurred2018-12-31$1,564,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,416,255
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,628,733
Value of total assets at end of year2018-12-31$1,397,618
Value of total assets at beginning of year2018-12-31$1,124,967
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$148,307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$150,000
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$765,487
Administrative expenses (other) incurred2018-12-31$2,081
Liabilities. Value of operating payables at end of year2018-12-31$39,712
Liabilities. Value of operating payables at beginning of year2018-12-31$25,104
Total non interest bearing cash at end of year2018-12-31$316,459
Total non interest bearing cash at beginning of year2018-12-31$43,808
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$64,171
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,071,249
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,007,078
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 in pooled separate accounts at end of year2018-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$279,472
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$863,246
Employer contributions (assets) at end of year2018-12-31$1,081,159
Employer contributions (assets) at beginning of year2018-12-31$1,081,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,136,783
Contract administrator fees2018-12-31$146,226
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$286,657
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$92,785
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2018-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2018-12-31472319109
2017 : WESTCHESTER HEALTH AND WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$117,889
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$379,203
Total income from all sources (including contributions)2017-12-31$1,409,861
Total of all expenses incurred2017-12-31$1,229,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,095,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,409,861
Value of total assets at end of year2017-12-31$1,124,967
Value of total assets at beginning of year2017-12-31$1,206,038
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$134,414
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$150,000
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$680,750
Administrative expenses (other) incurred2017-12-31$11,531
Liabilities. Value of operating payables at end of year2017-12-31$25,104
Liabilities. Value of operating payables at beginning of year2017-12-31$26,297
Total non interest bearing cash at end of year2017-12-31$43,808
Total non interest bearing cash at beginning of year2017-12-31$124,879
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$180,243
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,007,078
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$826,835
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 in common/collective trusts at end of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$225,265
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$729,111
Employer contributions (assets) at end of year2017-12-31$1,081,159
Employer contributions (assets) at beginning of year2017-12-31$1,081,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$869,939
Contract administrator fees2017-12-31$122,883
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$92,785
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$352,906
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2017-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2017-12-31472319109
2016 : WESTCHESTER HEALTH AND WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$379,203
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$139,536
Total income from all sources (including contributions)2016-12-31$1,241,317
Total of all expenses incurred2016-12-31$1,350,387
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,209,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,241,317
Value of total assets at end of year2016-12-31$1,206,038
Value of total assets at beginning of year2016-12-31$1,075,441
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$141,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$150,000
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$686,849
Administrative expenses (other) incurred2016-12-31$2,169
Liabilities. Value of operating payables at end of year2016-12-31$26,297
Liabilities. Value of operating payables at beginning of year2016-12-31$7,293
Total non interest bearing cash at end of year2016-12-31$124,879
Total non interest bearing cash at beginning of year2016-12-31$17,488
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-109,070
Value of net assets at end of year (total assets less liabilities)2016-12-31$826,835
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$935,905
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 in common/collective trusts at end of year2016-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$222,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$554,468
Employer contributions (assets) at end of year2016-12-31$1,081,159
Employer contributions (assets) at beginning of year2016-12-31$1,057,953
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$986,438
Contract administrator fees2016-12-31$138,996
Liabilities. Value of benefit claims payable at end of year2016-12-31$352,906
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$132,243
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2016-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2016-12-31472319109
2015 : WESTCHESTER HEALTH AND WELFARE FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$139,536
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$199,308
Total income from all sources (including contributions)2015-12-31$1,685,208
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,158,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,047,038
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,685,208
Value of total assets at end of year2015-12-31$1,075,441
Value of total assets at beginning of year2015-12-31$608,017
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$110,974
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$250,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$592,925
Administrative expenses (other) incurred2015-12-31$2,615
Liabilities. Value of operating payables at end of year2015-12-31$7,293
Total non interest bearing cash at end of year2015-12-31$17,488
Total non interest bearing cash at beginning of year2015-12-31$1,329
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$527,196
Value of net assets at end of year (total assets less liabilities)2015-12-31$935,905
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$408,709
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
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$217,598
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,092,283
Employer contributions (assets) at end of year2015-12-31$1,057,953
Employer contributions (assets) at beginning of year2015-12-31$606,688
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$829,440
Contract administrator fees2015-12-31$108,359
Liabilities. Value of benefit claims payable at end of year2015-12-31$132,243
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$199,308
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2015-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2015-12-31472319109
2014 : WESTCHESTER HEALTH AND WELFARE FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$199,308
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$83,856
Total income from all sources (including contributions)2014-12-31$1,486,665
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,330,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,232,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,486,665
Value of total assets at end of year2014-12-31$608,017
Value of total assets at beginning of year2014-12-31$335,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$97,538
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$325,067
Total non interest bearing cash at end of year2014-12-31$1,329
Total non interest bearing cash at beginning of year2014-12-31$46,460
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$156,655
Value of net assets at end of year (total assets less liabilities)2014-12-31$408,709
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$252,054
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
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$276,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,161,598
Employer contributions (assets) at end of year2014-12-31$606,688
Employer contributions (assets) at beginning of year2014-12-31$289,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$955,572
Contract administrator fees2014-12-31$97,538
Liabilities. Value of benefit claims payable at end of year2014-12-31$199,308
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$83,856
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2014-12-31NEIL ROSEN CPA
Accountancy firm EIN2014-12-31113239164
2013 : WESTCHESTER HEALTH AND WELFARE FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$83,856
Total income from all sources (including contributions)2013-12-31$1,008,820
Total of all expenses incurred2013-12-31$756,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$690,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,008,820
Value of total assets at end of year2013-12-31$335,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$66,081
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$256,326
Administrative expenses (other) incurred2013-12-31$12,412
Total non interest bearing cash at end of year2013-12-31$46,460
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$252,054
Value of net assets at end of year (total assets less liabilities)2013-12-31$252,054
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
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$170,744
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$752,494
Employer contributions (assets) at end of year2013-12-31$289,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$519,941
Contract administrator fees2013-12-31$53,669
Liabilities. Value of benefit claims payable at end of year2013-12-31$83,856
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2013-12-31NEIL ROSEN CPA
Accountancy firm EIN2013-12-31113239164

Form 5500 Responses for WESTCHESTER HEALTH AND WELFARE FUND

2022: WESTCHESTER HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: WESTCHESTER HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: WESTCHESTER HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WESTCHESTER HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: WESTCHESTER HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: WESTCHESTER HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: WESTCHESTER HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: WESTCHESTER HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: WESTCHESTER HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: WESTCHESTER HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35674
Policy instance 2
Insurance contract or identification numberHCL35674
Number of Individuals Covered384
Insurance policy start date2022-03-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $15,417
Welfare Benefit Premiums Paid to CarrierUSD $154,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,417
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35674
Policy instance 1
Insurance contract or identification numberHCL35674
Number of Individuals Covered413
Insurance policy start date2022-01-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $4,381
Welfare Benefit Premiums Paid to CarrierUSD $43,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,381
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35674
Policy instance 2
Insurance contract or identification numberHCL35674
Number of Individuals Covered429
Insurance policy start date2021-03-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $23,871
Total amount of fees paid to insurance companyUSD $2,908
Welfare Benefit Premiums Paid to CarrierUSD $238,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,871
Amount paid for insurance broker fees2908
Additional information about fees paid to insurance brokerOTHER
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35674
Policy instance 1
Insurance contract or identification numberHCL35674
Number of Individuals Covered514
Insurance policy start date2021-01-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $8,142
Total amount of fees paid to insurance companyUSD $1,099
Welfare Benefit Premiums Paid to CarrierUSD $81,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,142
Amount paid for insurance broker fees1099
Additional information about fees paid to insurance brokerOTHER
Insurance broker organization code?3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823903
Policy instance 1
Insurance contract or identification number823903
Number of Individuals Covered455
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $31,747
Total amount of fees paid to insurance companyUSD $542
Welfare Benefit Premiums Paid to CarrierUSD $237,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,747
Amount paid for insurance broker fees542
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 )
Policy contract number13751
Policy instance 3
Insurance contract or identification number13751
Number of Individuals Covered134
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 )
Policy contract number13578
Policy instance 2
Insurance contract or identification number13578
Number of Individuals Covered671
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $18,901
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,901
Insurance broker organization code?3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823903
Policy instance 1
Insurance contract or identification number823903
Number of Individuals Covered486
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $38,866
Total amount of fees paid to insurance companyUSD $3,787
Welfare Benefit Premiums Paid to CarrierUSD $300,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,866
Amount paid for insurance broker fees3787
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823903
Policy instance 1
Insurance contract or identification number823903
Number of Individuals Covered275
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $23,967
Welfare Benefit Premiums Paid to CarrierUSD $191,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,967
Insurance broker organization code?3
SOLSTICE HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13971 )
Policy contract number13578
Policy instance 2
Insurance contract or identification number13578
Number of Individuals Covered616
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,462
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $194,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,462
Insurance broker organization code?3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823903
Policy instance 1
Insurance contract or identification number823903
Number of Individuals Covered275
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $23,967
Welfare Benefit Premiums Paid to CarrierUSD $191,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,967
Insurance broker organization code?3
Insurance broker nameSDF ASSOCIATES, LTD
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number823903
Policy instance 2
Insurance contract or identification number823903
Number of Individuals Covered2741
Insurance policy start date2015-03-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $21,104
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $175,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,104
Insurance broker organization code?3
Insurance broker nameSDF ASSOCIATES, LTD
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number819342
Policy instance 1
Insurance contract or identification number819342
Number of Individuals Covered188
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL31043
Policy instance 1
Insurance contract or identification numberHCL31043
Number of Individuals Covered188
Insurance policy start date2014-02-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $29,251
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $243,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,251
Insurance broker organization code?3
Insurance broker nameFRIEDMAN ASSOCIATES
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number819342
Policy instance 2
Insurance contract or identification number819342
Number of Individuals Covered110
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,461
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $56,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,461
Insurance broker organization code?3
Insurance broker nameFRIEDMAN ASSOCIATES
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number811421
Policy instance 3
Insurance contract or identification number811421
Number of Individuals Covered109
Insurance policy start date2014-01-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $1,028
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $29,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,028
Insurance broker organization code?3
Insurance broker nameFRIEDMAN ASSOCIATES
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number811421
Policy instance 2
Insurance contract or identification number811421
Number of Individuals Covered106
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,538
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $75,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,538
Additional information about fees paid to insurance brokerCOMMISION
Insurance broker organization code?3
Insurance broker nameSDF ASSOC1991 LTD
SUN LIFE INSURANCE AND ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number811412
Policy instance 1
Insurance contract or identification number811412
Number of Individuals Covered109
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $12,987
Welfare Benefit Premiums Paid to CarrierUSD $98,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,987
Additional information about fees paid to insurance brokerCOMMISION
Insurance broker organization code?3
Insurance broker nameSDF ASSOC1991 LTD

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