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PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 401k Plan overview

Plan NamePIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST
Plan identification number 501

PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST Benefits

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

401k Sponsoring company profile

OREGON INDEPENDENT COLLEGES ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:OREGON INDEPENDENT COLLEGES ASSOCIATION
Employer identification number (EIN):352198318
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01RICO BOCALA2021-10-07
5012020-01-01RICO BOCALA2021-10-07
5012019-01-01RICO BOCALA2020-10-14
5012018-01-01RICO BOCALA2019-10-09
5012017-01-01
5012016-01-01
5012016-01-01RICO BOCALA2017-10-03
5012015-01-01RICO BOCALA
5012014-01-01RICO BOCIALIA
5012013-01-01RICO BICALA
5012012-01-01RICO A. BOCALA
5012011-01-01RICO A. BOCALA
5012010-01-01RICO A. BOCALA
5012009-01-01RICO A. BOCALA

Plan Statistics for PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST

401k plan membership statisitcs for PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST

Measure Date Value
2021: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-010
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of employers contributing to the scheme2021-01-010
2020: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-010
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of employers contributing to the scheme2020-01-010
2019: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01696
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of employers contributing to the scheme2019-01-010
2018: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,251
Total number of active participants reported on line 7a of the Form 55002018-01-01685
Number of retired or separated participants receiving benefits2018-01-0111
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01696
Number of employers contributing to the scheme2018-01-010
2017: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011,699
Total number of active participants reported on line 7a of the Form 55002017-01-011,234
Number of retired or separated participants receiving benefits2017-01-0117
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,251
2016: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011,787
Total number of active participants reported on line 7a of the Form 55002016-01-011,688
Number of retired or separated participants receiving benefits2016-01-0111
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,699
2015: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-011,662
Total number of active participants reported on line 7a of the Form 55002015-01-011,771
Number of retired or separated participants receiving benefits2015-01-0116
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,787
2014: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-011,698
Total number of active participants reported on line 7a of the Form 55002014-01-011,643
Number of retired or separated participants receiving benefits2014-01-0119
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,662
2013: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011,809
Total number of active participants reported on line 7a of the Form 55002013-01-011,679
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,679
2012: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011,756
Total number of active participants reported on line 7a of the Form 55002012-01-011,728
Number of retired or separated participants receiving benefits2012-01-0181
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,809
2011: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,780
Total number of active participants reported on line 7a of the Form 55002011-01-011,713
Number of retired or separated participants receiving benefits2011-01-0143
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,756
2010: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-011,771
Total number of active participants reported on line 7a of the Form 55002010-01-011,739
Number of retired or separated participants receiving benefits2010-01-0141
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011,780
2009: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011,709
Total number of active participants reported on line 7a of the Form 55002009-01-011,737
Number of retired or separated participants receiving benefits2009-01-0134
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,771

Financial Data on PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST

Measure Date Value
2021 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2021 401k financial data
Total plan liabilities at end of year2021-08-05$0
Total plan liabilities at beginning of year2021-08-05$5,145
Expenses. Total of all expenses incurred2021-08-05$1,186,651
Benefits paid (including direct rollovers)2021-08-05$1,108,106
Total plan assets at end of year2021-08-05$0
Total plan assets at beginning of year2021-08-05$1,191,796
Value of fidelity bond covering the plan2021-08-05$500,000
Net income (gross income less expenses)2021-08-05$-1,186,651
Net plan assets at end of year (total assets less liabilities)2021-08-05$0
Net plan assets at beginning of year (total assets less liabilities)2021-08-05$1,186,651
Expenses. Administrative service providers (salaries,fees and commissions)2021-08-05$78,545
2020 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2020 401k financial data
Total plan liabilities at end of year2020-12-31$5,145
Total plan liabilities at beginning of year2020-12-31$31,601
Total income from all sources2020-12-31$365,250
Expenses. Total of all expenses incurred2020-12-31$2,962,034
Benefits paid (including direct rollovers)2020-12-31$2,709,645
Total plan assets at end of year2020-12-31$1,191,796
Total plan assets at beginning of year2020-12-31$3,815,036
Value of fidelity bond covering the plan2020-12-31$500,000
Contributions received from other sources (not participants or employers)2020-12-31$6,125
Other income received2020-12-31$359,125
Net income (gross income less expenses)2020-12-31$-2,596,784
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,186,651
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,783,435
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$252,389
2019 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$31,601
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$31,601
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$633,758
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$633,758
Total income from all sources (including contributions)2019-12-31$3,366,058
Total income from all sources (including contributions)2019-12-31$3,366,058
Total of all expenses incurred2019-12-31$2,869,885
Total of all expenses incurred2019-12-31$2,869,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,657,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,657,025
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,332,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,332,148
Value of total assets at end of year2019-12-31$3,815,036
Value of total assets at end of year2019-12-31$3,815,036
Value of total assets at beginning of year2019-12-31$3,921,020
Value of total assets at beginning of year2019-12-31$3,921,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$212,860
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$212,860
Total interest from all sources2019-12-31$33,910
Total interest from all sources2019-12-31$33,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Administrative expenses professional fees incurred2019-12-31$212,860
Administrative expenses professional fees incurred2019-12-31$212,860
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$42,133
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$42,133
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$871,177
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$871,177
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Liabilities. Value of operating payables at end of year2019-12-31$25,476
Liabilities. Value of operating payables at end of year2019-12-31$25,476
Liabilities. Value of operating payables at beginning of year2019-12-31$122,913
Liabilities. Value of operating payables at beginning of year2019-12-31$122,913
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$496,173
Value of net income/loss2019-12-31$496,173
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,783,435
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,783,435
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,287,262
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,287,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,899,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,899,323
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$3,910,939
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$3,910,939
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$3,910,939
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$3,910,939
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$33,910
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$33,910
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$160,152
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$160,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,332,148
Contributions received in cash from employer2019-12-31$3,332,148
Employer contributions (assets) at end of year2019-12-31$1,044,536
Employer contributions (assets) at end of year2019-12-31$1,044,536
Employer contributions (assets) at beginning of year2019-12-31$10,081
Employer contributions (assets) at beginning of year2019-12-31$10,081
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,454,740
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,454,740
Liabilities. Value of benefit claims payable at end of year2019-12-31$6,125
Liabilities. Value of benefit claims payable at end of year2019-12-31$6,125
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$510,845
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$510,845
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31ALDRICH CPAS AND ADVISORS LLP
Accountancy firm name2019-12-31ALDRICH CPAS AND ADVISORS LLP
Accountancy firm EIN2019-12-31930623286
Accountancy firm EIN2019-12-31930623286
2018 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$633,758
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,164,031
Total income from all sources (including contributions)2018-12-31$13,587,078
Total of all expenses incurred2018-12-31$12,535,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$12,276,564
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$13,546,425
Value of total assets at end of year2018-12-31$3,921,020
Value of total assets at beginning of year2018-12-31$3,399,241
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$258,462
Total interest from all sources2018-12-31$40,653
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$258,462
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$134,363
Liabilities. Value of operating payables at end of year2018-12-31$122,913
Liabilities. Value of operating payables at beginning of year2018-12-31$226,433
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,052,052
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,287,262
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,235,210
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$3,910,939
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,385,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,385,082
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$40,653
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$563,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$13,546,425
Employer contributions (assets) at end of year2018-12-31$10,081
Employer contributions (assets) at beginning of year2018-12-31$14,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$11,578,565
Liabilities. Value of benefit claims payable at end of year2018-12-31$510,845
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$937,598
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ALDRICH CPAS AND ADVISORS LLP
Accountancy firm EIN2018-12-31930623286
2017 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,164,031
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,850,216
Total income from all sources (including contributions)2017-12-31$14,791,337
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$15,277,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$15,038,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$14,766,386
Value of total assets at end of year2017-12-31$3,405,286
Value of total assets at beginning of year2017-12-31$4,578,057
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$239,377
Total interest from all sources2017-12-31$24,951
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$239,377
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$6,045
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$8,776
Liabilities. Value of operating payables at end of year2017-12-31$226,433
Liabilities. Value of operating payables at beginning of year2017-12-31$320,922
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-486,586
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,241,255
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,727,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,385,082
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$4,563,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$4,563,778
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$24,951
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$720,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$14,766,386
Employer contributions (assets) at end of year2017-12-31$14,159
Employer contributions (assets) at beginning of year2017-12-31$5,503
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$14,318,388
Liabilities. Value of benefit claims payable at end of year2017-12-31$937,598
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,529,294
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ALDRICH CPAS AND ADVISORS LLP
Accountancy firm EIN2017-12-31930623286
2016 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,082,934
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,712,181
Total income from all sources (including contributions)2016-12-31$17,469,422
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$17,767,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$17,469,453
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$17,443,138
Value of total assets at end of year2016-12-31$4,578,057
Value of total assets at beginning of year2016-12-31$5,505,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$298,382
Total interest from all sources2016-12-31$26,284
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$298,382
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$8,776
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$6,259
Liabilities. Value of operating payables at end of year2016-12-31$1,553,640
Liabilities. Value of operating payables at beginning of year2016-12-31$2,481,801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-298,413
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,495,123
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,793,536
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,563,778
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$5,487,874
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$5,487,874
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$26,284
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$994,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$17,443,138
Employer contributions (assets) at end of year2016-12-31$5,503
Employer contributions (assets) at beginning of year2016-12-31$11,584
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$16,474,919
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,529,294
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,230,380
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ALDRICH CPAS AND ADVISORS LLP
Accountancy firm EIN2016-12-31930623286
2015 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,712,181
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,082,288
Total income from all sources (including contributions)2015-12-31$22,130,047
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$22,919,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$22,647,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$22,092,853
Value of total assets at end of year2015-12-31$5,505,717
Value of total assets at beginning of year2015-12-31$5,665,168
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$271,773
Total interest from all sources2015-12-31$37,194
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$271,773
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$6,259
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$7,710
Liabilities. Value of operating payables at end of year2015-12-31$2,481,801
Liabilities. Value of operating payables at beginning of year2015-12-31$1,815,767
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-789,344
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,793,536
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,582,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$5,487,874
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$5,635,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$5,635,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$37,194
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,184,007
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$22,092,853
Employer contributions (assets) at end of year2015-12-31$11,584
Employer contributions (assets) at beginning of year2015-12-31$22,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$21,463,611
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,230,380
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,266,521
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ALDRICH, KILBRIDGE AND TATONE, LLP
Accountancy firm EIN2015-12-31930623286
2014 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,082,288
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,203,071
Total income from all sources (including contributions)2014-12-31$16,783,895
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$21,579,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$21,036,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$16,740,638
Value of total assets at end of year2014-12-31$5,665,168
Value of total assets at beginning of year2014-12-31$8,581,752
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$543,653
Total interest from all sources2014-12-31$43,257
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$543,653
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$7,710
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$8,439
Liabilities. Value of operating payables at end of year2014-12-31$1,815,767
Liabilities. Value of operating payables at beginning of year2014-12-31$96,967
Total non interest bearing cash at beginning of year2014-12-31$2,919,901
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-4,795,801
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,582,880
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$7,378,681
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$5,635,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$5,635,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$5,635,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$43,257
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,208,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$16,740,638
Employer contributions (assets) at end of year2014-12-31$22,458
Employer contributions (assets) at beginning of year2014-12-31$18,412
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$19,827,656
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,266,521
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,106,104
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ALDRICH, KILBRIDGE AND TATONE, LLP
Accountancy firm EIN2014-12-31930623286
2013 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$909,945
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,203,071
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,455,575
Total income from all sources (including contributions)2013-12-31$19,262,369
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$16,960,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$16,752,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$19,215,768
Value of total assets at end of year2013-12-31$8,581,752
Value of total assets at beginning of year2013-12-31$7,442,489
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$208,575
Total interest from all sources2013-12-31$46,601
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$208,575
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$8,439
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$11,111
Liabilities. Value of operating payables at end of year2013-12-31$96,967
Liabilities. Value of operating payables at beginning of year2013-12-31$104,098
Total non interest bearing cash at end of year2013-12-31$2,919,901
Total non interest bearing cash at beginning of year2013-12-31$1,572,493
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$2,301,712
Value of net assets at end of year (total assets less liabilities)2013-12-31$7,378,681
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,986,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$5,635,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$5,835,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$5,835,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$46,601
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,126,126
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$19,215,768
Employer contributions (assets) at end of year2013-12-31$18,412
Employer contributions (assets) at beginning of year2013-12-31$23,885
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$15,625,956
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,106,104
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,351,477
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ALDRICH, KILBRIDGE AND TATONE, LLP
Accountancy firm EIN2013-12-31930623286
2012 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets from this plan2012-12-31$900,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,455,575
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,769,567
Total income from all sources (including contributions)2012-12-31$19,613,384
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$17,386,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$17,193,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$19,567,524
Value of total assets at end of year2012-12-31$7,442,489
Value of total assets at beginning of year2012-12-31$6,429,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$192,949
Total interest from all sources2012-12-31$45,860
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$192,949
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$11,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$8,077
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$0
Liabilities. Value of operating payables at end of year2012-12-31$104,098
Liabilities. Value of operating payables at beginning of year2012-12-31$78,680
Total non interest bearing cash at end of year2012-12-31$1,572,493
Total non interest bearing cash at beginning of year2012-12-31$1,053,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,226,721
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,986,914
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,660,193
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$5,835,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$5,345,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$5,345,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$45,860
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,177,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$19,567,524
Employer contributions (assets) at end of year2012-12-31$23,885
Employer contributions (assets) at beginning of year2012-12-31$22,878
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$16,015,921
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,351,477
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,690,887
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ALDRICH, KILBRIDGE AND TATONE, LLC
Accountancy firm EIN2012-12-31930623286
2011 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,769,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,163,473
Total income from all sources (including contributions)2011-12-31$18,871,394
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$18,339,734
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$18,108,999
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$18,833,260
Value of total assets at end of year2011-12-31$6,429,760
Value of total assets at beginning of year2011-12-31$5,292,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$230,735
Total interest from all sources2011-12-31$38,134
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$230,735
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$183,988
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$8,077
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$9,271
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Administrative expenses (other) incurred2011-12-31$0
Liabilities. Value of operating payables at end of year2011-12-31$78,680
Liabilities. Value of operating payables at beginning of year2011-12-31$53,061
Total non interest bearing cash at end of year2011-12-31$1,053,805
Total non interest bearing cash at beginning of year2011-12-31$416,086
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$531,660
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,660,193
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,128,533
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$5,345,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$4,665,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$4,665,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$38,134
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,222,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$18,833,260
Employer contributions (assets) at end of year2011-12-31$22,878
Employer contributions (assets) at beginning of year2011-12-31$17,661
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$16,886,748
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,690,887
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,110,412
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ALDRICH, KILBRIDGE AND TATONE, LLC
Accountancy firm EIN2011-12-31930623286
2010 : PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,163,473
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,501,683
Total income from all sources (including contributions)2010-12-31$18,491,971
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$17,141,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$15,571,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$18,465,314
Value of total assets at end of year2010-12-31$5,292,006
Value of total assets at beginning of year2010-12-31$4,280,229
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,570,040
Total interest from all sources2010-12-31$26,657
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$1,570,040
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at end of year2010-12-31$183,988
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$135,974
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$9,271
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$19,141
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$173
Liabilities. Value of operating payables at end of year2010-12-31$53,061
Liabilities. Value of operating payables at beginning of year2010-12-31$69,782
Total non interest bearing cash at end of year2010-12-31$416,086
Total non interest bearing cash at beginning of year2010-12-31$299,296
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,349,987
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,128,533
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,778,546
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$4,665,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,806,754
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,806,754
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$26,657
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,159,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$18,465,314
Employer contributions (assets) at end of year2010-12-31$17,661
Employer contributions (assets) at beginning of year2010-12-31$19,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$14,412,701
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,110,412
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,431,728
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31ALDRICH, KILBRIDGE AND TATONE, LLC
Accountancy firm EIN2010-12-31930623286

Form 5500 Responses for PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST

2021: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PIONEER EDUCATORS HEALTH TRUST FKA OREGON INDEPENDENT COLLEGES EMPLOYEE BENEFITS TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number100000025
Policy instance 1
Insurance contract or identification number100000025
Number of Individuals Covered1397
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $105,621
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,111,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $105,621
Amount paid for insurance broker fees0
Insurance broker organization code?3
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR77
Policy instance 2
Insurance contract or identification numberOR77
Number of Individuals Covered1165
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR77/Z908
Policy instance 2
Insurance contract or identification numberOR77/Z908
Number of Individuals Covered1159
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number100000025
Policy instance 1
Insurance contract or identification number100000025
Number of Individuals Covered2097
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $215,853
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,990,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $215,853
Amount paid for insurance broker fees0
Insurance broker organization code?3
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR77/Z908
Policy instance 2
Insurance contract or identification numberOR77/Z908
Number of Individuals Covered1134
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number100000025
Policy instance 1
Insurance contract or identification number100000025
Number of Individuals Covered2497
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $230,116
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,506,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $230,116
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES NORTHWEST
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR77/Z908
Policy instance 2
Insurance contract or identification numberOR77/Z908
Number of Individuals Covered1043
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number100000025
Policy instance 1
Insurance contract or identification number100000025
Number of Individuals Covered3496
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $223,358
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,461,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $223,358
Insurance broker organization code?3
Insurance broker nameUSI NORTHWEST
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR77/Z908
Policy instance 1
Insurance contract or identification numberOR77/Z908
Number of Individuals Covered1006
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number60026055
Policy instance 2
Insurance contract or identification number60026055
Number of Individuals Covered3118
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $159,768
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,597,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $159,768
Insurance broker organization code?3
Insurance broker nameUSI NORTHWEST
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number60026055
Policy instance 2
Insurance contract or identification number60026055
Number of Individuals Covered3158
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $270,605
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,352,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $140,343
Insurance broker organization code?3
Insurance broker nameUSI NORTHWEST
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR77/Z908
Policy instance 1
Insurance contract or identification numberOR77/Z908
Number of Individuals Covered499
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberZ908
Policy instance 1
Insurance contract or identification numberZ908
Number of Individuals Covered879
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number60026055
Policy instance 2
Insurance contract or identification number60026055
Number of Individuals Covered3271
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $211,324
Total amount of fees paid to insurance companyUSD $68
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,154,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $211,324
Amount paid for insurance broker fees68
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
Insurance broker nameUSI NORTHWEST
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberZ908
Policy instance 2
Insurance contract or identification numberZ908
Number of Individuals Covered1322
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17673
Policy instance 1
Insurance contract or identification numberHCL17673
Number of Individuals Covered1713
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $120,754
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,207,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AMERICAN NATIONAL INSURANCE COMPANY OF TEXAS (National Association of Insurance Commissioners NAIC id number: 71773 )
Policy contract numberIIS 0550
Policy instance 1
Insurance contract or identification numberIIS 0550
Number of Individuals Covered1739
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $100,222
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,002,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $100,222
Insurance broker organization code?3
Insurance broker nameUSI NORTHWEST
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberZ908
Policy instance 2
Insurance contract or identification numberZ908
Number of Individuals Covered1375
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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