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CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 401k Plan overview

Plan NameCHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T
Plan identification number 501

CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T Benefits

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

401k Sponsoring company profile

TRUSTEES OF CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE TRUST has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE TRUST
Employer identification number (EIN):363825707
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01
5012018-01-01MARY ELLEN FOLEY JEFFREY KROL2019-07-22
5012017-01-01JEFFREY KROL MARY ELLEN FOLEY2018-06-22
5012016-01-01JEFFREY KROL MARY ELLEN FOLEY2017-09-20
5012015-01-01JEFFREY KROL MARY ELLEN FOLEY2016-07-22
5012014-01-01MARY ELLEN FOLEY JEFFREY KROL2015-07-22
5012013-01-01MARY ELLEN FOLEY JEFFREY KROL2014-07-14
5012012-01-01JEFFREY KROL MARY ELLEN FOLEY2013-07-18
5012011-01-01MARY ELLEN FOLEY JEFFREY KROL2012-07-16
5012010-01-01JEFFREY KROL MARY ELLEN FOLEY2011-10-07
5012009-01-01JEFFREY KROL MARY ELLEN DUFFY2010-10-14

Plan Statistics for CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T

401k plan membership statisitcs for CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T

Measure Date Value
2019: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2019 401k membership
Total participants, beginning-of-year2019-01-0130
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: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2018 401k membership
Total participants, beginning-of-year2018-01-0133
Total number of active participants reported on line 7a of the Form 55002018-01-0130
Total of all active and inactive participants2018-01-0130
Number of employers contributing to the scheme2018-01-010
2017: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2017 401k membership
Total participants, beginning-of-year2017-01-0136
Total number of active participants reported on line 7a of the Form 55002017-01-0133
Total of all active and inactive participants2017-01-0133
Number of employers contributing to the scheme2017-01-010
2016: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2016 401k membership
Total participants, beginning-of-year2016-01-0149
Total number of active participants reported on line 7a of the Form 55002016-01-0136
Total of all active and inactive participants2016-01-0136
Number of employers contributing to the scheme2016-01-014
2015: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2015 401k membership
Total participants, beginning-of-year2015-01-0156
Total number of active participants reported on line 7a of the Form 55002015-01-0149
Total of all active and inactive participants2015-01-0149
Number of employers contributing to the scheme2015-01-017
2014: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2014 401k membership
Total participants, beginning-of-year2014-01-0160
Total number of active participants reported on line 7a of the Form 55002014-01-0156
Total of all active and inactive participants2014-01-0156
Number of employers contributing to the scheme2014-01-017
2013: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2013 401k membership
Total participants, beginning-of-year2013-01-0168
Total number of active participants reported on line 7a of the Form 55002013-01-0160
Total of all active and inactive participants2013-01-0160
Number of employers contributing to the scheme2013-01-017
2012: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2012 401k membership
Total participants, beginning-of-year2012-01-0179
Total number of active participants reported on line 7a of the Form 55002012-01-0168
Total of all active and inactive participants2012-01-0168
Number of employers contributing to the scheme2012-01-017
2011: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2011 401k membership
Total participants, beginning-of-year2011-01-01101
Total number of active participants reported on line 7a of the Form 55002011-01-0179
Total of all active and inactive participants2011-01-0179
Number of employers contributing to the scheme2011-01-017
2010: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2010 401k membership
Total participants, beginning-of-year2010-01-01138
Total number of active participants reported on line 7a of the Form 55002010-01-01101
Total of all active and inactive participants2010-01-01101
Number of employers contributing to the scheme2010-01-017
2009: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2009 401k membership
Total participants, beginning-of-year2009-01-01174
Total number of active participants reported on line 7a of the Form 55002009-01-01138
Total of all active and inactive participants2009-01-01138
Number of employers contributing to the scheme2009-01-017

Financial Data on CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T

Measure Date Value
2019 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$243,925
Total income from all sources2019-12-31$54,590
Expenses. Total of all expenses incurred2019-12-31$203,617
Benefits paid (including direct rollovers)2019-12-31$169,645
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$392,952
Value of fidelity bond covering the plan2019-12-31$300,000
Total contributions received or receivable from participants2019-12-31$443
Expenses. Other expenses not covered elsewhere2019-12-31$17,970
Other income received2019-12-31$54,147
Net income (gross income less expenses)2019-12-31$-149,027
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$149,027
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$16,002
2018 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2018 401k financial data
Total plan liabilities at end of year2018-12-31$243,925
Total plan liabilities at beginning of year2018-12-31$93,325
Total income from all sources2018-12-31$215,350
Expenses. Total of all expenses incurred2018-12-31$1,227,381
Benefits paid (including direct rollovers)2018-12-31$993,636
Total plan assets at end of year2018-12-31$392,952
Total plan assets at beginning of year2018-12-31$1,254,383
Value of fidelity bond covering the plan2018-12-31$300,000
Total contributions received or receivable from participants2018-12-31$71,148
Expenses. Other expenses not covered elsewhere2018-12-31$110,913
Other income received2018-12-31$144,202
Net income (gross income less expenses)2018-12-31$-1,012,031
Net plan assets at end of year (total assets less liabilities)2018-12-31$149,027
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,161,058
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$122,832
2017 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2017 401k financial data
Total plan liabilities at end of year2017-12-31$93,325
Total plan liabilities at beginning of year2017-12-31$10,008
Total income from all sources2017-12-31$134,175
Expenses. Total of all expenses incurred2017-12-31$877,856
Benefits paid (including direct rollovers)2017-12-31$749,468
Total plan assets at end of year2017-12-31$1,254,383
Total plan assets at beginning of year2017-12-31$1,914,747
Value of fidelity bond covering the plan2017-12-31$300,000
Total contributions received or receivable from participants2017-12-31$85,621
Expenses. Other expenses not covered elsewhere2017-12-31$11,074
Other income received2017-12-31$48,554
Net income (gross income less expenses)2017-12-31$-743,681
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,161,058
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,904,739
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$117,314
2016 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2016 401k financial data
Total plan liabilities at end of year2016-12-31$10,008
Total plan liabilities at beginning of year2016-12-31$7,387
Total income from all sources2016-12-31$709,582
Expenses. Total of all expenses incurred2016-12-31$910,805
Benefits paid (including direct rollovers)2016-12-31$785,610
Total plan assets at end of year2016-12-31$1,914,747
Total plan assets at beginning of year2016-12-31$2,113,349
Value of fidelity bond covering the plan2016-12-31$300,000
Total contributions received or receivable from participants2016-12-31$106,296
Expenses. Other expenses not covered elsewhere2016-12-31$10,547
Other income received2016-12-31$17,499
Net income (gross income less expenses)2016-12-31$-201,223
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,904,739
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,105,962
Total contributions received or receivable from employer(s)2016-12-31$585,787
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$114,648
2015 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2015 401k financial data
Total plan liabilities at end of year2015-12-31$7,387
Total plan liabilities at beginning of year2015-12-31$2,565
Total income from all sources2015-12-31$1,023,535
Expenses. Total of all expenses incurred2015-12-31$999,188
Benefits paid (including direct rollovers)2015-12-31$872,240
Total plan assets at end of year2015-12-31$2,113,349
Total plan assets at beginning of year2015-12-31$2,084,180
Value of fidelity bond covering the plan2015-12-31$300,000
Total contributions received or receivable from participants2015-12-31$108,402
Expenses. Other expenses not covered elsewhere2015-12-31$10,478
Other income received2015-12-31$13,566
Net income (gross income less expenses)2015-12-31$24,347
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,105,962
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,081,615
Total contributions received or receivable from employer(s)2015-12-31$901,567
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$116,470
2014 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2014 401k financial data
Total plan liabilities at end of year2014-12-31$2,565
Total plan liabilities at beginning of year2014-12-31$3,656
Total income from all sources2014-12-31$1,112,611
Expenses. Total of all expenses incurred2014-12-31$1,062,084
Benefits paid (including direct rollovers)2014-12-31$932,281
Total plan assets at end of year2014-12-31$2,084,180
Total plan assets at beginning of year2014-12-31$2,034,744
Value of fidelity bond covering the plan2014-12-31$300,000
Total contributions received or receivable from participants2014-12-31$123,675
Expenses. Other expenses not covered elsewhere2014-12-31$14,558
Other income received2014-12-31$2,082
Net income (gross income less expenses)2014-12-31$50,527
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,081,615
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,031,088
Total contributions received or receivable from employer(s)2014-12-31$986,854
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$115,245
2013 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2013 401k financial data
Total plan liabilities at end of year2013-12-31$3,656
Total plan liabilities at beginning of year2013-12-31$1,896
Total income from all sources2013-12-31$1,264,995
Expenses. Total of all expenses incurred2013-12-31$1,044,224
Benefits paid (including direct rollovers)2013-12-31$915,046
Total plan assets at end of year2013-12-31$2,034,744
Total plan assets at beginning of year2013-12-31$1,812,213
Total contributions received or receivable from participants2013-12-31$134,303
Expenses. Other expenses not covered elsewhere2013-12-31$14,007
Other income received2013-12-31$5,874
Net income (gross income less expenses)2013-12-31$220,771
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,031,088
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,810,317
Total contributions received or receivable from employer(s)2013-12-31$1,124,818
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$115,171
2012 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2012 401k financial data
Total plan liabilities at end of year2012-12-31$1,896
Total plan liabilities at beginning of year2012-12-31$976
Total income from all sources2012-12-31$1,390,878
Expenses. Total of all expenses incurred2012-12-31$1,189,055
Benefits paid (including direct rollovers)2012-12-31$1,056,483
Total plan assets at end of year2012-12-31$1,812,213
Total plan assets at beginning of year2012-12-31$1,609,470
Total contributions received or receivable from participants2012-12-31$165,240
Expenses. Other expenses not covered elsewhere2012-12-31$17,933
Other income received2012-12-31$968
Net income (gross income less expenses)2012-12-31$201,823
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,810,317
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,608,494
Total contributions received or receivable from employer(s)2012-12-31$1,224,670
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$114,639
2011 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$976
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,418
Total income from all sources (including contributions)2011-12-31$1,491,333
Total of all expenses incurred2011-12-31$1,317,135
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,181,868
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,490,303
Value of total assets at end of year2011-12-31$1,609,470
Value of total assets at beginning of year2011-12-31$1,439,714
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$135,267
Total interest from all sources2011-12-31$893
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$58,619
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$202,858
Participant contributions at end of year2011-12-31$5,919
Participant contributions at beginning of year2011-12-31$6,203
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$76,955
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$3,418
Other income not declared elsewhere2011-12-31$137
Administrative expenses (other) incurred2011-12-31$20,248
Liabilities. Value of operating payables at end of year2011-12-31$976
Liabilities. Value of operating payables at beginning of year2011-12-31$2,000
Total non interest bearing cash at end of year2011-12-31$1,168,311
Total non interest bearing cash at beginning of year2011-12-31$1,097,735
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$174,198
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,608,494
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,434,296
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$247,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$246,890
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$246,890
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$893
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,181,868
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
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$1,287,445
Employer contributions (assets) at end of year2011-12-31$110,502
Employer contributions (assets) at beginning of year2011-12-31$87,386
Contract administrator fees2011-12-31$56,400
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
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 name2011-12-31LEGACY PROFESSIONALS LLP
Accountancy firm EIN2011-12-31320043599
2010 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$5,418
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$65,969
Total income from all sources (including contributions)2010-12-31$1,662,508
Total of all expenses incurred2010-12-31$1,530,425
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,397,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,661,216
Value of total assets at end of year2010-12-31$1,439,714
Value of total assets at beginning of year2010-12-31$1,368,182
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$132,894
Total interest from all sources2010-12-31$1,292
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$58,192
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$240,674
Participant contributions at end of year2010-12-31$6,203
Participant contributions at beginning of year2010-12-31$4,074
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,500
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$40,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$3,418
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$4,911
Administrative expenses (other) incurred2010-12-31$18,302
Liabilities. Value of operating payables at end of year2010-12-31$2,000
Liabilities. Value of operating payables at beginning of year2010-12-31$1,058
Total non interest bearing cash at end of year2010-12-31$1,097,735
Total non interest bearing cash at beginning of year2010-12-31$964,965
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$132,083
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,434,296
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,302,213
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$246,890
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$252,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$252,598
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$1,292
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,397,531
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$1,420,542
Employer contributions (assets) at end of year2010-12-31$87,386
Employer contributions (assets) at beginning of year2010-12-31$106,545
Contract administrator fees2010-12-31$56,400
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$0
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$60,000
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 name2010-12-31LEGACY PROFESSIONALS LLP
Accountancy firm EIN2010-12-31320043599

Form 5500 Responses for CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T

2019: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2017 form 5500 responses
2017-01-01Type of plan entityMulti-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 planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2016 form 5500 responses
2016-01-01Type of plan entityMulti-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 planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2015 form 5500 responses
2015-01-01Type of plan entityMulti-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 planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 3
Insurance contract or identification number12064659
Number of Individuals Covered30
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGLIUMEO01053
Policy instance 2
Insurance contract or identification numberGLIUMEO01053
Number of Individuals Covered30
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,347
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $206,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,347
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472928
Policy instance 1
Insurance contract or identification number00472928
Number of Individuals Covered30
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,579
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,348
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 1
Insurance contract or identification number12064659
Number of Individuals Covered33
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472928
Policy instance 2
Insurance contract or identification number00472928
Number of Individuals Covered33
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,087
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,067
Insurance broker organization code?3
Insurance broker nameMARK C. PEITSCH
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11111 )
Policy contract number11111
Policy instance 3
Insurance contract or identification number11111
Number of Individuals Covered33
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $167,164
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 4
Insurance contract or identification number12064659
Number of Individuals Covered49
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472928
Policy instance 3
Insurance contract or identification number00472928
Number of Individuals Covered49
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,920
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,892
Insurance broker organization code?3
Insurance broker nameMARK C. PIETSCH
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 2
Insurance contract or identification number593622
Number of Individuals Covered36
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $42,304
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $564,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,224
Insurance broker organization code?3
Insurance broker nameEUCLID MANAGERS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 1
Insurance contract or identification number593622
Number of Individuals Covered13
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,548
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $261,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,548
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 3
Insurance contract or identification number593622
Number of Individuals Covered37
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $47,415
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $626,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,548
Insurance broker organization code?3
Insurance broker nameEUCLID MANAGERS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 4
Insurance contract or identification number593622
Number of Individuals Covered19
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,338
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $258,285
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,338
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 2
Insurance contract or identification number12064659
Number of Individuals Covered56
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472928
Policy instance 1
Insurance contract or identification number00472928
Number of Individuals Covered56
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,961
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,932
Insurance broker organization code?3
Insurance broker nameMARK C. PIETSCH
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 1
Insurance contract or identification number593622
Number of Individuals Covered83
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $43,349
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $674,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,349
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472928
Policy instance 3
Insurance contract or identification number00472928
Number of Individuals Covered60
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,636
Total amount of fees paid to insurance companyUSD $3,025
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,611
Amount paid for insurance broker fees3025
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameMARK C. PIETSCH
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 4
Insurance contract or identification number12064659
Number of Individuals Covered61
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 2
Insurance contract or identification number593622
Number of Individuals Covered27
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,159
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,159
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00472928
Policy instance 2
Insurance contract or identification number00472928
Number of Individuals Covered68
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,660
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,538
Insurance broker organization code?3
Insurance broker nameMARK C. PIETSCH
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 3
Insurance contract or identification number12064659
Number of Individuals Covered71
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 4
Insurance contract or identification number593622
Number of Individuals Covered78
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,247
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,247
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number593622
Policy instance 1
Insurance contract or identification number593622
Number of Individuals Covered55
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $50,101
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $774,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,101
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number697072
Policy instance 3
Insurance contract or identification number697072
Number of Individuals Covered78
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,093
Total amount of fees paid to insurance companyUSD $3,323
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $431,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberN2706
Policy instance 2
Insurance contract or identification numberN2706
Number of Individuals Covered55
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $31,660
Total amount of fees paid to insurance companyUSD $56
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $744,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 1
Insurance contract or identification number12064659
Number of Individuals Covered78
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract numberN2706
Policy instance 3
Insurance contract or identification numberN2706
Number of Individuals Covered70
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $35,100
Total amount of fees paid to insurance companyUSD $56
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $901,673
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,100
Amount paid for insurance broker fees56
Additional information about fees paid to insurance brokerNON-MONETARY COMMISSIONS
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number697072
Policy instance 2
Insurance contract or identification number697072
Number of Individuals Covered101
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $20,832
Total amount of fees paid to insurance companyUSD $107
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $495,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,832
Amount paid for insurance broker fees107
Additional information about fees paid to insurance brokerNON-MONETARY COMMISSIONS
Insurance broker organization code?3
Insurance broker nameASSURANCE AGENCY LTD
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12064659
Policy instance 1
Insurance contract or identification number12064659
Number of Individuals Covered110
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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