IRON WORKERS DISTRICT COUNCIL OF SOUTHERN OHIO & VICINITY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST
401k plan membership statisitcs for IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST
| Measure | Date | Value |
|---|
| 2023 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-01-31 | $5,989,954 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-01-31 | $7,047,309 |
| Total income from all sources (including contributions) | 2023-01-31 | $60,050,860 |
| Total loss/gain on sale of assets | 2023-01-31 | $0 |
| Total of all expenses incurred | 2023-01-31 | $59,461,005 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-01-31 | $56,139,616 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-01-31 | $61,481,018 |
| Value of total assets at end of year | 2023-01-31 | $44,546,470 |
| Value of total assets at beginning of year | 2023-01-31 | $45,013,970 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-01-31 | $3,321,389 |
| Total interest from all sources | 2023-01-31 | $48,579 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-01-31 | $525,314 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-01-31 | $525,314 |
| Administrative expenses professional fees incurred | 2023-01-31 | $221,054 |
| Was this plan covered by a fidelity bond | 2023-01-31 | Yes |
| Value of fidelity bond cover | 2023-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-01-31 | No |
| Contributions received from participants | 2023-01-31 | $9,157,856 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-01-31 | $2,652,085 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-01-31 | $1,975,716 |
| Administrative expenses (other) incurred | 2023-01-31 | $1,065,647 |
| Liabilities. Value of operating payables at end of year | 2023-01-31 | $822,454 |
| Liabilities. Value of operating payables at beginning of year | 2023-01-31 | $991,009 |
| Total non interest bearing cash at end of year | 2023-01-31 | $10,586,205 |
| Total non interest bearing cash at beginning of year | 2023-01-31 | $10,770,644 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-31 | No |
| Value of net income/loss | 2023-01-31 | $589,855 |
| Value of net assets at end of year (total assets less liabilities) | 2023-01-31 | $38,556,516 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-01-31 | $37,966,661 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-01-31 | No |
| Investment advisory and management fees | 2023-01-31 | $23,119 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-01-31 | $19,003,010 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-01-31 | $20,090,194 |
| Value of interest in common/collective trusts at end of year | 2023-01-31 | $5,028,778 |
| Value of interest in common/collective trusts at beginning of year | 2023-01-31 | $5,430,829 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-01-31 | $2,423,470 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-01-31 | $2,387,729 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-01-31 | $2,387,729 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-01-31 | $48,579 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-01-31 | $5,160,554 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-01-31 | $-1,602,000 |
| Net investment gain or loss from common/collective trusts | 2023-01-31 | $-402,051 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-01-31 | No |
| Contributions received in cash from employer | 2023-01-31 | $52,323,162 |
| Employer contributions (assets) at end of year | 2023-01-31 | $4,504,400 |
| Employer contributions (assets) at beginning of year | 2023-01-31 | $4,018,959 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-01-31 | $50,979,062 |
| Contract administrator fees | 2023-01-31 | $2,011,569 |
| Liabilities. Value of benefit claims payable at end of year | 2023-01-31 | $5,167,500 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-01-31 | $6,056,300 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2023-01-31 | $348,522 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2023-01-31 | $339,899 |
| Did the plan have assets held for investment | 2023-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-01-31 | Unqualified |
| Accountancy firm name | 2023-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2023-01-31 | 310800053 |
| 2022 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-01-31 | $7,047,309 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-01-31 | $5,929,212 |
| Total income from all sources (including contributions) | 2022-01-31 | $56,033,256 |
| Total loss/gain on sale of assets | 2022-01-31 | $0 |
| Total of all expenses incurred | 2022-01-31 | $58,552,247 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-01-31 | $54,774,039 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-01-31 | $55,929,057 |
| Value of total assets at end of year | 2022-01-31 | $45,013,970 |
| Value of total assets at beginning of year | 2022-01-31 | $46,414,864 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-01-31 | $3,778,208 |
| Total interest from all sources | 2022-01-31 | $5,160 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-01-31 | $399,522 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-01-31 | $399,522 |
| Administrative expenses professional fees incurred | 2022-01-31 | $441,270 |
| Was this plan covered by a fidelity bond | 2022-01-31 | Yes |
| Value of fidelity bond cover | 2022-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-01-31 | No |
| Contributions received from participants | 2022-01-31 | $9,243,716 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-01-31 | $1,975,716 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-01-31 | $1,531,075 |
| Administrative expenses (other) incurred | 2022-01-31 | $354,751 |
| Liabilities. Value of operating payables at end of year | 2022-01-31 | $991,009 |
| Liabilities. Value of operating payables at beginning of year | 2022-01-31 | $231,712 |
| Total non interest bearing cash at end of year | 2022-01-31 | $10,770,644 |
| Total non interest bearing cash at beginning of year | 2022-01-31 | $12,673,620 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-31 | No |
| Value of net income/loss | 2022-01-31 | $-2,518,991 |
| Value of net assets at end of year (total assets less liabilities) | 2022-01-31 | $37,966,661 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-01-31 | $40,485,652 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-01-31 | No |
| Investment advisory and management fees | 2022-01-31 | $30,518 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-01-31 | $20,090,194 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-01-31 | $20,623,760 |
| Value of interest in common/collective trusts at end of year | 2022-01-31 | $5,430,829 |
| Value of interest in common/collective trusts at beginning of year | 2022-01-31 | $4,808,298 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-01-31 | $2,387,729 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-01-31 | $2,387,148 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-01-31 | $2,387,148 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-01-31 | $5,160 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-01-31 | $3,989,304 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-01-31 | $-923,014 |
| Net investment gain or loss from common/collective trusts | 2022-01-31 | $622,531 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-01-31 | No |
| Contributions received in cash from employer | 2022-01-31 | $46,685,341 |
| Employer contributions (assets) at end of year | 2022-01-31 | $4,018,959 |
| Employer contributions (assets) at beginning of year | 2022-01-31 | $4,017,480 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-01-31 | $50,784,735 |
| Contract administrator fees | 2022-01-31 | $2,951,669 |
| Liabilities. Value of benefit claims payable at end of year | 2022-01-31 | $6,056,300 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-01-31 | $5,697,500 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-01-31 | $339,899 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-01-31 | $373,483 |
| Did the plan have assets held for investment | 2022-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-01-31 | Unqualified |
| Accountancy firm name | 2022-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2022-01-31 | 310800053 |
| 2021 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-01-31 | $5,929,212 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-01-31 | $6,227,146 |
| Total income from all sources (including contributions) | 2021-01-31 | $56,861,578 |
| Total loss/gain on sale of assets | 2021-01-31 | $0 |
| Total of all expenses incurred | 2021-01-31 | $53,533,915 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-01-31 | $50,144,370 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-01-31 | $54,745,141 |
| Value of total assets at end of year | 2021-01-31 | $46,414,864 |
| Value of total assets at beginning of year | 2021-01-31 | $43,385,135 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-01-31 | $3,389,545 |
| Total interest from all sources | 2021-01-31 | $39,318 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-01-31 | $855,932 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-01-31 | $855,932 |
| Administrative expenses professional fees incurred | 2021-01-31 | $496,925 |
| Was this plan covered by a fidelity bond | 2021-01-31 | Yes |
| Value of fidelity bond cover | 2021-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-01-31 | No |
| Contributions received from participants | 2021-01-31 | $9,227,872 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-01-31 | $1,531,075 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-01-31 | $1,422,915 |
| Administrative expenses (other) incurred | 2021-01-31 | $520,785 |
| Liabilities. Value of operating payables at end of year | 2021-01-31 | $231,712 |
| Liabilities. Value of operating payables at beginning of year | 2021-01-31 | $170,946 |
| Total non interest bearing cash at end of year | 2021-01-31 | $12,673,620 |
| Total non interest bearing cash at beginning of year | 2021-01-31 | $6,684,925 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Value of net income/loss | 2021-01-31 | $3,327,663 |
| Value of net assets at end of year (total assets less liabilities) | 2021-01-31 | $40,485,652 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-01-31 | $37,157,989 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-01-31 | No |
| Investment advisory and management fees | 2021-01-31 | $26,357 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-01-31 | $20,623,760 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-01-31 | $22,837,801 |
| Value of interest in common/collective trusts at end of year | 2021-01-31 | $4,808,298 |
| Value of interest in common/collective trusts at beginning of year | 2021-01-31 | $5,526,788 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-01-31 | $2,387,148 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-01-31 | $2,354,316 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-01-31 | $2,354,316 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-01-31 | $39,318 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-01-31 | $4,394,231 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-01-31 | $439,677 |
| Net investment gain or loss from common/collective trusts | 2021-01-31 | $781,510 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-01-31 | No |
| Contributions received in cash from employer | 2021-01-31 | $45,517,269 |
| Employer contributions (assets) at end of year | 2021-01-31 | $4,017,480 |
| Employer contributions (assets) at beginning of year | 2021-01-31 | $4,137,939 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-01-31 | $45,750,139 |
| Contract administrator fees | 2021-01-31 | $2,345,478 |
| Liabilities. Value of benefit claims payable at end of year | 2021-01-31 | $5,697,500 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-01-31 | $6,056,200 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-01-31 | $373,483 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-01-31 | $420,451 |
| Did the plan have assets held for investment | 2021-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-01-31 | Unqualified |
| Accountancy firm name | 2021-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2021-01-31 | 310800053 |
| 2020 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2020 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2020-01-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2020-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $6,227,146 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $6,227,146 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $6,223,921 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-01-31 | $6,223,921 |
| Total income from all sources (including contributions) | 2020-01-31 | $62,031,009 |
| Total income from all sources (including contributions) | 2020-01-31 | $62,031,009 |
| Total loss/gain on sale of assets | 2020-01-31 | $0 |
| Total loss/gain on sale of assets | 2020-01-31 | $0 |
| Total of all expenses incurred | 2020-01-31 | $56,095,055 |
| Total of all expenses incurred | 2020-01-31 | $56,095,055 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $52,119,283 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $52,119,283 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $59,683,760 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $59,683,760 |
| Value of total assets at end of year | 2020-01-31 | $43,385,135 |
| Value of total assets at end of year | 2020-01-31 | $43,385,135 |
| Value of total assets at beginning of year | 2020-01-31 | $37,445,956 |
| Value of total assets at beginning of year | 2020-01-31 | $37,445,956 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $3,975,772 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $3,975,772 |
| Total interest from all sources | 2020-01-31 | $58,707 |
| Total interest from all sources | 2020-01-31 | $58,707 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-01-31 | $583,498 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-01-31 | $583,498 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-01-31 | $583,498 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-01-31 | $583,498 |
| Administrative expenses professional fees incurred | 2020-01-31 | $611,429 |
| Administrative expenses professional fees incurred | 2020-01-31 | $611,429 |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Value of fidelity bond cover | 2020-01-31 | $500,000 |
| Value of fidelity bond cover | 2020-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Contributions received from participants | 2020-01-31 | $9,670,090 |
| Contributions received from participants | 2020-01-31 | $9,670,090 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-01-31 | $1,422,915 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-01-31 | $1,422,915 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-01-31 | $1,269,560 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-01-31 | $1,269,560 |
| Administrative expenses (other) incurred | 2020-01-31 | $455,922 |
| Administrative expenses (other) incurred | 2020-01-31 | $455,922 |
| Liabilities. Value of operating payables at end of year | 2020-01-31 | $170,946 |
| Liabilities. Value of operating payables at end of year | 2020-01-31 | $170,946 |
| Liabilities. Value of operating payables at beginning of year | 2020-01-31 | $1,019,621 |
| Liabilities. Value of operating payables at beginning of year | 2020-01-31 | $1,019,621 |
| Total non interest bearing cash at end of year | 2020-01-31 | $6,684,925 |
| Total non interest bearing cash at end of year | 2020-01-31 | $6,684,925 |
| Total non interest bearing cash at beginning of year | 2020-01-31 | $6,480,505 |
| Total non interest bearing cash at beginning of year | 2020-01-31 | $6,480,505 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Value of net income/loss | 2020-01-31 | $5,935,954 |
| Value of net income/loss | 2020-01-31 | $5,935,954 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $37,157,989 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $37,157,989 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $31,222,035 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $31,222,035 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Investment advisory and management fees | 2020-01-31 | $23,878 |
| Investment advisory and management fees | 2020-01-31 | $23,878 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-01-31 | $22,837,801 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-01-31 | $22,837,801 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-01-31 | $20,290,808 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-01-31 | $20,290,808 |
| Value of interest in common/collective trusts at end of year | 2020-01-31 | $5,526,788 |
| Value of interest in common/collective trusts at end of year | 2020-01-31 | $5,526,788 |
| Value of interest in common/collective trusts at beginning of year | 2020-01-31 | $4,785,237 |
| Value of interest in common/collective trusts at beginning of year | 2020-01-31 | $4,785,237 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-01-31 | $2,354,316 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-01-31 | $2,354,316 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-01-31 | $339,423 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-01-31 | $339,423 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-01-31 | $339,423 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-01-31 | $339,423 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-01-31 | $58,707 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-01-31 | $58,707 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-01-31 | $5,140,924 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-01-31 | $5,140,924 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-01-31 | $963,493 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-01-31 | $963,493 |
| Net investment gain or loss from common/collective trusts | 2020-01-31 | $741,551 |
| Net investment gain or loss from common/collective trusts | 2020-01-31 | $741,551 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Contributions received in cash from employer | 2020-01-31 | $50,013,670 |
| Contributions received in cash from employer | 2020-01-31 | $50,013,670 |
| Employer contributions (assets) at end of year | 2020-01-31 | $4,137,939 |
| Employer contributions (assets) at end of year | 2020-01-31 | $4,137,939 |
| Employer contributions (assets) at beginning of year | 2020-01-31 | $4,087,013 |
| Employer contributions (assets) at beginning of year | 2020-01-31 | $4,087,013 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $46,978,359 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $46,978,359 |
| Contract administrator fees | 2020-01-31 | $2,884,543 |
| Contract administrator fees | 2020-01-31 | $2,884,543 |
| Liabilities. Value of benefit claims payable at end of year | 2020-01-31 | $6,056,200 |
| Liabilities. Value of benefit claims payable at end of year | 2020-01-31 | $6,056,200 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-01-31 | $5,204,300 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-01-31 | $5,204,300 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-01-31 | $420,451 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-01-31 | $420,451 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-01-31 | $193,410 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-01-31 | $193,410 |
| Did the plan have assets held for investment | 2020-01-31 | Yes |
| Did the plan have assets held for investment | 2020-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Unqualified |
| Accountancy firm name | 2020-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm name | 2020-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2020-01-31 | 310800053 |
| Accountancy firm EIN | 2020-01-31 | 310800053 |
| 2018 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $4,509,448 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $6,162,656 |
| Total income from all sources (including contributions) | 2018-01-31 | $57,880,040 |
| Total loss/gain on sale of assets | 2018-01-31 | $0 |
| Total of all expenses incurred | 2018-01-31 | $56,422,159 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-01-31 | $52,475,289 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-01-31 | $56,365,730 |
| Value of total assets at end of year | 2018-01-31 | $35,136,182 |
| Value of total assets at beginning of year | 2018-01-31 | $35,331,509 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-01-31 | $3,946,870 |
| Total interest from all sources | 2018-01-31 | $4,054 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-01-31 | $438,721 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-01-31 | $438,721 |
| Administrative expenses professional fees incurred | 2018-01-31 | $454,822 |
| Was this plan covered by a fidelity bond | 2018-01-31 | Yes |
| Value of fidelity bond cover | 2018-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-01-31 | No |
| Contributions received from participants | 2018-01-31 | $10,546,363 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-01-31 | $1,048,885 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-01-31 | $1,981 |
| Other income not declared elsewhere | 2018-01-31 | $51,274 |
| Administrative expenses (other) incurred | 2018-01-31 | $512,784 |
| Liabilities. Value of operating payables at end of year | 2018-01-31 | $1,031,248 |
| Liabilities. Value of operating payables at beginning of year | 2018-01-31 | $1,284,456 |
| Total non interest bearing cash at end of year | 2018-01-31 | $4,749,566 |
| Total non interest bearing cash at beginning of year | 2018-01-31 | $4,278,121 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Value of net income/loss | 2018-01-31 | $1,457,881 |
| Value of net assets at end of year (total assets less liabilities) | 2018-01-31 | $30,626,734 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-01-31 | $29,168,853 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-01-31 | No |
| Investment advisory and management fees | 2018-01-31 | $54,084 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-01-31 | $19,840,401 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-01-31 | $21,504,961 |
| Value of interest in common/collective trusts at end of year | 2018-01-31 | $5,163,712 |
| Value of interest in common/collective trusts at beginning of year | 2018-01-31 | $4,048,653 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-01-31 | $333,577 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-01-31 | $1,278,091 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-01-31 | $1,278,091 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-01-31 | $4,054 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-01-31 | $7,309,682 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-01-31 | $-94,798 |
| Net investment gain or loss from common/collective trusts | 2018-01-31 | $1,115,059 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-01-31 | No |
| Contributions received in cash from employer | 2018-01-31 | $45,819,367 |
| Employer contributions (assets) at end of year | 2018-01-31 | $3,830,911 |
| Employer contributions (assets) at beginning of year | 2018-01-31 | $4,057,899 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-01-31 | $45,165,607 |
| Contract administrator fees | 2018-01-31 | $2,925,180 |
| Liabilities. Value of benefit claims payable at end of year | 2018-01-31 | $3,478,200 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-01-31 | $4,878,200 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-01-31 | $169,130 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-01-31 | $161,803 |
| Did the plan have assets held for investment | 2018-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-01-31 | Unqualified |
| Accountancy firm name | 2018-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2018-01-31 | 310800053 |
| 2017 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2017 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2017-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $6,162,656 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $858,990 |
| Total income from all sources (including contributions) | 2017-01-31 | $53,729,711 |
| Total loss/gain on sale of assets | 2017-01-31 | $0 |
| Total of all expenses incurred | 2017-01-31 | $61,329,658 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-01-31 | $57,003,992 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-01-31 | $52,592,953 |
| Value of total assets at end of year | 2017-01-31 | $35,331,509 |
| Value of total assets at beginning of year | 2017-01-31 | $37,627,790 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-01-31 | $4,325,666 |
| Total interest from all sources | 2017-01-31 | $3,880 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-01-31 | $502,170 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-01-31 | $502,170 |
| Administrative expenses professional fees incurred | 2017-01-31 | $503,302 |
| Was this plan covered by a fidelity bond | 2017-01-31 | Yes |
| Value of fidelity bond cover | 2017-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-01-31 | No |
| Contributions received from participants | 2017-01-31 | $10,339,793 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-01-31 | $1,981 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-01-31 | $83,034 |
| Administrative expenses (other) incurred | 2017-01-31 | $879,673 |
| Liabilities. Value of operating payables at end of year | 2017-01-31 | $1,284,456 |
| Liabilities. Value of operating payables at beginning of year | 2017-01-31 | $858,990 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Value of net income/loss | 2017-01-31 | $-7,599,947 |
| Value of net assets at end of year (total assets less liabilities) | 2017-01-31 | $29,168,853 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-01-31 | $36,768,800 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-01-31 | No |
| Investment advisory and management fees | 2017-01-31 | $43,821 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-01-31 | $21,504,961 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-01-31 | $21,032,921 |
| Value of interest in common/collective trusts at end of year | 2017-01-31 | $4,048,653 |
| Value of interest in common/collective trusts at beginning of year | 2017-01-31 | $3,396,166 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-01-31 | $5,556,212 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-01-31 | $9,178,615 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-01-31 | $9,178,615 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-01-31 | $3,880 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-01-31 | $7,775,304 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-01-31 | $-21,780 |
| Net investment gain or loss from common/collective trusts | 2017-01-31 | $652,488 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-01-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-01-31 | No |
| Contributions received in cash from employer | 2017-01-31 | $42,253,160 |
| Employer contributions (assets) at end of year | 2017-01-31 | $4,057,899 |
| Employer contributions (assets) at beginning of year | 2017-01-31 | $3,765,135 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-01-31 | $49,228,688 |
| Contract administrator fees | 2017-01-31 | $2,898,870 |
| Liabilities. Value of benefit claims payable at end of year | 2017-01-31 | $4,878,200 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-01-31 | $161,803 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-01-31 | $171,919 |
| Did the plan have assets held for investment | 2017-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-01-31 | Unqualified |
| Accountancy firm name | 2017-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2017-01-31 | 310800053 |
| 2016 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $858,990 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $1,996,443 |
| Total income from all sources (including contributions) | 2016-01-31 | $50,286,958 |
| Total loss/gain on sale of assets | 2016-01-31 | $0 |
| Total of all expenses incurred | 2016-01-31 | $54,091,321 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-01-31 | $49,303,294 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-01-31 | $50,456,327 |
| Value of total assets at end of year | 2016-01-31 | $37,627,790 |
| Value of total assets at beginning of year | 2016-01-31 | $42,569,606 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-01-31 | $4,788,027 |
| Total interest from all sources | 2016-01-31 | $5,797 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-01-31 | $675,822 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-01-31 | $675,822 |
| Administrative expenses professional fees incurred | 2016-01-31 | $513,019 |
| Was this plan covered by a fidelity bond | 2016-01-31 | Yes |
| Value of fidelity bond cover | 2016-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-01-31 | No |
| Contributions received from participants | 2016-01-31 | $9,880,068 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-01-31 | $83,034 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-01-31 | $1,189,892 |
| Administrative expenses (other) incurred | 2016-01-31 | $1,281,908 |
| Liabilities. Value of operating payables at end of year | 2016-01-31 | $858,990 |
| Liabilities. Value of operating payables at beginning of year | 2016-01-31 | $67,468 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Value of net income/loss | 2016-01-31 | $-3,804,363 |
| Value of net assets at end of year (total assets less liabilities) | 2016-01-31 | $36,768,800 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-01-31 | $40,573,163 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-01-31 | No |
| Investment advisory and management fees | 2016-01-31 | $30,519 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-01-31 | $21,032,921 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-01-31 | $24,796,820 |
| Value of interest in common/collective trusts at end of year | 2016-01-31 | $3,396,166 |
| Value of interest in common/collective trusts at beginning of year | 2016-01-31 | $4,807,433 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-01-31 | $9,178,615 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-01-31 | $7,959,847 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-01-31 | $7,959,847 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-01-31 | $5,797 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-01-31 | $7,968,330 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-01-31 | $-689,721 |
| Net investment gain or loss from common/collective trusts | 2016-01-31 | $-161,267 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-01-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-01-31 | No |
| Contributions received in cash from employer | 2016-01-31 | $40,576,259 |
| Employer contributions (assets) at end of year | 2016-01-31 | $3,765,135 |
| Employer contributions (assets) at beginning of year | 2016-01-31 | $3,701,471 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-01-31 | $41,334,964 |
| Contract administrator fees | 2016-01-31 | $2,962,581 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-01-31 | $1,928,975 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-01-31 | $171,919 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-01-31 | $114,143 |
| Did the plan have assets held for investment | 2016-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-01-31 | Unqualified |
| Accountancy firm name | 2016-01-31 | CLARK SCHAEFER HACKETT & CO. |
| Accountancy firm EIN | 2016-01-31 | 310800053 |
| 2015 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2015 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2015-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-01-31 | $1,996,443 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-01-31 | $45,300 |
| Total income from all sources (including contributions) | 2015-01-31 | $50,321,867 |
| Total loss/gain on sale of assets | 2015-01-31 | $0 |
| Total of all expenses incurred | 2015-01-31 | $49,453,785 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-01-31 | $45,724,750 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-01-31 | $48,981,249 |
| Value of total assets at end of year | 2015-01-31 | $42,569,606 |
| Value of total assets at beginning of year | 2015-01-31 | $39,750,381 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-01-31 | $3,729,035 |
| Total interest from all sources | 2015-01-31 | $313 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-01-31 | $686,060 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-01-31 | $686,060 |
| Administrative expenses professional fees incurred | 2015-01-31 | $500,313 |
| Was this plan covered by a fidelity bond | 2015-01-31 | Yes |
| Value of fidelity bond cover | 2015-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-01-31 | No |
| Contributions received from participants | 2015-01-31 | $10,431,006 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-01-31 | $1,189,892 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-01-31 | $901,986 |
| Administrative expenses (other) incurred | 2015-01-31 | $619,017 |
| Liabilities. Value of operating payables at end of year | 2015-01-31 | $67,468 |
| Liabilities. Value of operating payables at beginning of year | 2015-01-31 | $45,300 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Value of net income/loss | 2015-01-31 | $868,082 |
| Value of net assets at end of year (total assets less liabilities) | 2015-01-31 | $40,573,163 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-01-31 | $39,705,081 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-01-31 | No |
| Investment advisory and management fees | 2015-01-31 | $29,645 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-01-31 | $24,796,820 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-01-31 | $26,507,565 |
| Value of interest in common/collective trusts at end of year | 2015-01-31 | $4,807,433 |
| Value of interest in common/collective trusts at beginning of year | 2015-01-31 | $5,756,394 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-01-31 | $7,959,847 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-01-31 | $3,508,665 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-01-31 | $3,508,665 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-01-31 | $313 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-01-31 | $8,122,403 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-01-31 | $303,196 |
| Net investment gain or loss from common/collective trusts | 2015-01-31 | $351,049 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-01-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-01-31 | No |
| Contributions received in cash from employer | 2015-01-31 | $38,550,243 |
| Employer contributions (assets) at end of year | 2015-01-31 | $3,701,471 |
| Employer contributions (assets) at beginning of year | 2015-01-31 | $2,854,280 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-01-31 | $37,602,347 |
| Contract administrator fees | 2015-01-31 | $2,580,060 |
| Liabilities. Value of benefit claims payable at end of year | 2015-01-31 | $1,928,975 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-01-31 | $114,143 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-01-31 | $221,491 |
| Did the plan have assets held for investment | 2015-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-01-31 | Unqualified |
| Accountancy firm name | 2015-01-31 | CLARK, SCHAEFER, HACKETT & CO. |
| Accountancy firm EIN | 2015-01-31 | 310800053 |
| 2014 : IRON WORKERS DISTRICT COUNCIL OF SO OH & VICINITY BENEFIT TRUST 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-01-31 | $45,300 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-01-31 | $165,632 |
| Total income from all sources (including contributions) | 2014-01-31 | $43,430,332 |
| Total loss/gain on sale of assets | 2014-01-31 | $0 |
| Total of all expenses incurred | 2014-01-31 | $46,767,785 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-01-31 | $43,420,056 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-01-31 | $42,409,529 |
| Value of total assets at end of year | 2014-01-31 | $39,750,381 |
| Value of total assets at beginning of year | 2014-01-31 | $43,208,166 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-01-31 | $3,347,729 |
| Total interest from all sources | 2014-01-31 | $353 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-01-31 | $726,321 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-01-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-01-31 | $726,321 |
| Administrative expenses professional fees incurred | 2014-01-31 | $447,917 |
| Was this plan covered by a fidelity bond | 2014-01-31 | Yes |
| Value of fidelity bond cover | 2014-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-01-31 | No |
| Contributions received from participants | 2014-01-31 | $10,254,937 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-01-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-01-31 | $901,986 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-01-31 | $714,865 |
| Administrative expenses (other) incurred | 2014-01-31 | $492,790 |
| Liabilities. Value of operating payables at end of year | 2014-01-31 | $45,300 |
| Liabilities. Value of operating payables at beginning of year | 2014-01-31 | $165,632 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Value of net income/loss | 2014-01-31 | $-3,337,453 |
| Value of net assets at end of year (total assets less liabilities) | 2014-01-31 | $39,705,081 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-01-31 | $43,042,534 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-01-31 | No |
| Investment advisory and management fees | 2014-01-31 | $36,815 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-01-31 | $26,507,565 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-01-31 | $28,537,470 |
| Value of interest in common/collective trusts at end of year | 2014-01-31 | $5,756,394 |
| Value of interest in common/collective trusts at beginning of year | 2014-01-31 | $5,905,593 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-01-31 | $3,508,665 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-01-31 | $4,971,560 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-01-31 | $4,971,560 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-01-31 | $353 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2014-01-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-01-31 | $6,929,929 |
| Asset value of US Government securities at beginning of year | 2014-01-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-01-31 | $-456,673 |
| Net investment gain or loss from common/collective trusts | 2014-01-31 | $750,802 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-01-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-01-31 | No |
| Contributions received in cash from employer | 2014-01-31 | $32,154,592 |
| Employer contributions (assets) at end of year | 2014-01-31 | $2,854,280 |
| Employer contributions (assets) at beginning of year | 2014-01-31 | $2,737,401 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-01-31 | $36,490,127 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-01-31 | $0 |
| Contract administrator fees | 2014-01-31 | $2,370,207 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-01-31 | $221,491 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-01-31 | $341,277 |
| Did the plan have assets held for investment | 2014-01-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-01-31 | Unqualified |
| Accountancy firm name | 2014-01-31 | CLARK, SCHAEFER, HACKETT & CO |
| Accountancy firm EIN | 2014-01-31 | 310800053 |
| BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 ) |
| Policy contract number | 47-MSL-00372-03 |
| Policy instance | 5 |
| Insurance contract or identification number | 47-MSL-00372-03 | | Number of Individuals Covered | 1527 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 4 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 5323 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $735,148 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 3 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 2990 | | Insurance policy start date | 2021-06-01 | | Insurance policy end date | 2022-05-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $14,921 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306378 |
| Policy instance | 2 |
| Insurance contract or identification number | 306378 | | Number of Individuals Covered | 1534 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $166,200 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $3,329,035 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $166,200 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 312243 |
| Policy instance | 1 |
| Insurance contract or identification number | 312243 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $1,500 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $28,168 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,500 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30100827 |
| Policy instance | 6 |
| Insurance contract or identification number | 30100827 | | Number of Individuals Covered | 3081 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 ) |
| Policy contract number | 47-MSL-000372-2 |
| Policy instance | 1 |
| Insurance contract or identification number | 47-MSL-000372-2 | | Number of Individuals Covered | 3348 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,118,661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 312243 |
| Policy instance | 2 |
| Insurance contract or identification number | 312243 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $53,662 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306378 |
| Policy instance | 3 |
| Insurance contract or identification number | 306378 | | Number of Individuals Covered | 1582 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $4,893,321 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 4 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 2990 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $14,921 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 5 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 5323 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2021-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $735,148 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 ) |
| Policy contract number | 47-MSL-000372-1 |
| Policy instance | 1 |
| Insurance contract or identification number | 47-MSL-000372-1 | | Number of Individuals Covered | 5025 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,055,451 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 312243 |
| Policy instance | 2 |
| Insurance contract or identification number | 312243 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $71,856 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306378 |
| Policy instance | 3 |
| Insurance contract or identification number | 306378 | | Number of Individuals Covered | 1636 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $5,193,491 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 4 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 3135 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-05-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $15,673 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 5 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 5521 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-05-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $52,351 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10301 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10301 | | Number of Individuals Covered | 3565 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,323,616 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 312243 |
| Policy instance | 1 |
| Insurance contract or identification number | 312243 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $82,457 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY OF NE (National Association of Insurance Commissioners NAIC id number: 12634 ) |
| Policy contract number | 306376 / 306378 |
| Policy instance | 2 |
| Insurance contract or identification number | 306376 / 306378 | | Number of Individuals Covered | 1680 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $5,000,465 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 3 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 3034 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $15,290 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 4 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 5557 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $51,079 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 4 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 6141 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $52,759 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 3 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 3016 | | Insurance policy start date | 2017-06-01 | | Insurance policy end date | 2018-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $15,794 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY OF NE (National Association of Insurance Commissioners NAIC id number: 12634 ) |
| Policy contract number | 306383 / 312243 |
| Policy instance | 2 |
| Insurance contract or identification number | 306383 / 312243 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $294 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306360/76/78 |
| Policy instance | 1 |
| Insurance contract or identification number | 306360/76/78 | | Number of Individuals Covered | 1756 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $5,807,319 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10301 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10301 | | Number of Individuals Covered | 3486 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,288,364 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10301 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10301 | | Number of Individuals Covered | 3608 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,317,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 4 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 6594 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $55,951 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 3 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 3109 | | Insurance policy start date | 2016-06-01 | | Insurance policy end date | 2017-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $15,728 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | G1728 |
| Policy instance | 2 |
| Insurance contract or identification number | G1728 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $2,144,728 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $386 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2144728 | | Additional information about fees paid to insurance broker | CLAIMS ADMINISTRATION FEE AND NETWORK PHARMACY MARGIN | | Insurance broker organization code? | 5 | | Insurance broker name | COMMUNITY INSURANCE COMPANY, DBA |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE457642 |
| Policy instance | 1 |
| Insurance contract or identification number | AE457642 | | Number of Individuals Covered | 1812 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $7,407,945 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE457642 |
| Policy instance | 1 |
| Insurance contract or identification number | AE457642 | | Number of Individuals Covered | 1901 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $7,900,337 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | G1728 |
| Policy instance | 2 |
| Insurance contract or identification number | G1728 | | Number of Individuals Covered | 5241 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,922,022 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,282,890 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1922022 | | Additional information about fees paid to insurance broker | CLAIMS ADMINISTRATION FEE AND NETWORK PHARMACY MARGIN | | Insurance broker organization code? | 5 | | Insurance broker name | COMMUNITY INSURANCE COMPANY, DBA |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 3 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 2991 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $15,002 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 4 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 6530 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $45,048 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | G1728 |
| Policy instance | 1 |
| Insurance contract or identification number | G1728 | | Number of Individuals Covered | 3543 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,684,164 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,117,151 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1684164 | | Additional information about fees paid to insurance broker | CLAIMS ADMINISTRATION FEE AND NETWORK PHARMACY MARGIN | | Insurance broker organization code? | 5 | | Insurance broker name | COMMUNITY INSURANCE COMPANY, DBA |
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| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE457642 |
| Policy instance | 2 |
| Insurance contract or identification number | AE457642 | | Number of Individuals Covered | 1947 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $8,005,853 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0093386 |
| Policy instance | 3 |
| Insurance contract or identification number | 0093386 | | Number of Individuals Covered | 2715 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $13,927 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 4 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 6270 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $116,541 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | AE457642 |
| Policy instance | 4 |
| Insurance contract or identification number | AE457642 | | Number of Individuals Covered | 1940 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $6,755,710 |
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| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) |
| Policy contract number | G1728 |
| Policy instance | 3 |
| Insurance contract or identification number | G1728 | | Number of Individuals Covered | 3349 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,598,919 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $878,947 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1598919 | | Additional information about fees paid to insurance broker | CLAIMS ADMINISTRATION FEE AND NETWORK PHARMACY MARGIN | | Insurance broker organization code? | 5 | | Insurance broker name | COMMUNITY INSURANCE COMPANY, DBA |
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 93386 |
| Policy instance | 2 |
| Insurance contract or identification number | 93386 | | Number of Individuals Covered | 2731 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $14,497 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 1187096 |
| Policy instance | 1 |
| Insurance contract or identification number | 1187096 | | Number of Individuals Covered | 6147 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $124,005 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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