TRUSTEES OF CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T
401k plan membership statisitcs for CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T
Measure | Date | Value |
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2019: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 30 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
Total of all active and inactive participants | 2019-01-01 | 0 |
Number of employers contributing to the scheme | 2019-01-01 | 0 |
2018: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 33 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 30 |
Total of all active and inactive participants | 2018-01-01 | 30 |
Number of employers contributing to the scheme | 2018-01-01 | 0 |
2017: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 36 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 33 |
Total of all active and inactive participants | 2017-01-01 | 33 |
Number of employers contributing to the scheme | 2017-01-01 | 0 |
2016: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 49 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 36 |
Total of all active and inactive participants | 2016-01-01 | 36 |
Number of employers contributing to the scheme | 2016-01-01 | 4 |
2015: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 56 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 49 |
Total of all active and inactive participants | 2015-01-01 | 49 |
Number of employers contributing to the scheme | 2015-01-01 | 7 |
2014: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 60 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 56 |
Total of all active and inactive participants | 2014-01-01 | 56 |
Number of employers contributing to the scheme | 2014-01-01 | 7 |
2013: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 68 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 60 |
Total of all active and inactive participants | 2013-01-01 | 60 |
Number of employers contributing to the scheme | 2013-01-01 | 7 |
2012: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 79 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 68 |
Total of all active and inactive participants | 2012-01-01 | 68 |
Number of employers contributing to the scheme | 2012-01-01 | 7 |
2011: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 101 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 79 |
Total of all active and inactive participants | 2011-01-01 | 79 |
Number of employers contributing to the scheme | 2011-01-01 | 7 |
2010: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2010 401k membership |
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Total participants, beginning-of-year | 2010-01-01 | 138 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 101 |
Total of all active and inactive participants | 2010-01-01 | 101 |
Number of employers contributing to the scheme | 2010-01-01 | 7 |
2009: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 174 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 138 |
Total of all active and inactive participants | 2009-01-01 | 138 |
Number of employers contributing to the scheme | 2009-01-01 | 7 |
Measure | Date | Value |
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2019 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2019 401k financial data |
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Total plan liabilities at end of year | 2019-12-31 | $0 |
Total plan liabilities at beginning of year | 2019-12-31 | $243,925 |
Total income from all sources | 2019-12-31 | $54,590 |
Expenses. Total of all expenses incurred | 2019-12-31 | $203,617 |
Benefits paid (including direct rollovers) | 2019-12-31 | $169,645 |
Total plan assets at end of year | 2019-12-31 | $0 |
Total plan assets at beginning of year | 2019-12-31 | $392,952 |
Value of fidelity bond covering the plan | 2019-12-31 | $300,000 |
Total contributions received or receivable from participants | 2019-12-31 | $443 |
Expenses. Other expenses not covered elsewhere | 2019-12-31 | $17,970 |
Other income received | 2019-12-31 | $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 |
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Total plan liabilities at end of year | 2018-12-31 | $243,925 |
Total plan liabilities at beginning of year | 2018-12-31 | $93,325 |
Total income from all sources | 2018-12-31 | $215,350 |
Expenses. Total of all expenses incurred | 2018-12-31 | $1,227,381 |
Benefits paid (including direct rollovers) | 2018-12-31 | $993,636 |
Total plan assets at end of year | 2018-12-31 | $392,952 |
Total plan assets at beginning of year | 2018-12-31 | $1,254,383 |
Value of fidelity bond covering the plan | 2018-12-31 | $300,000 |
Total contributions received or receivable from participants | 2018-12-31 | $71,148 |
Expenses. Other expenses not covered elsewhere | 2018-12-31 | $110,913 |
Other income received | 2018-12-31 | $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 |
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Total plan liabilities at end of year | 2017-12-31 | $93,325 |
Total plan liabilities at beginning of year | 2017-12-31 | $10,008 |
Total income from all sources | 2017-12-31 | $134,175 |
Expenses. Total of all expenses incurred | 2017-12-31 | $877,856 |
Benefits paid (including direct rollovers) | 2017-12-31 | $749,468 |
Total plan assets at end of year | 2017-12-31 | $1,254,383 |
Total plan assets at beginning of year | 2017-12-31 | $1,914,747 |
Value of fidelity bond covering the plan | 2017-12-31 | $300,000 |
Total contributions received or receivable from participants | 2017-12-31 | $85,621 |
Expenses. Other expenses not covered elsewhere | 2017-12-31 | $11,074 |
Other income received | 2017-12-31 | $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 |
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Total plan liabilities at end of year | 2016-12-31 | $10,008 |
Total plan liabilities at beginning of year | 2016-12-31 | $7,387 |
Total income from all sources | 2016-12-31 | $709,582 |
Expenses. Total of all expenses incurred | 2016-12-31 | $910,805 |
Benefits paid (including direct rollovers) | 2016-12-31 | $785,610 |
Total plan assets at end of year | 2016-12-31 | $1,914,747 |
Total plan assets at beginning of year | 2016-12-31 | $2,113,349 |
Value of fidelity bond covering the plan | 2016-12-31 | $300,000 |
Total contributions received or receivable from participants | 2016-12-31 | $106,296 |
Expenses. Other expenses not covered elsewhere | 2016-12-31 | $10,547 |
Other income received | 2016-12-31 | $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 |
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Total plan liabilities at end of year | 2015-12-31 | $7,387 |
Total plan liabilities at beginning of year | 2015-12-31 | $2,565 |
Total income from all sources | 2015-12-31 | $1,023,535 |
Expenses. Total of all expenses incurred | 2015-12-31 | $999,188 |
Benefits paid (including direct rollovers) | 2015-12-31 | $872,240 |
Total plan assets at end of year | 2015-12-31 | $2,113,349 |
Total plan assets at beginning of year | 2015-12-31 | $2,084,180 |
Value of fidelity bond covering the plan | 2015-12-31 | $300,000 |
Total contributions received or receivable from participants | 2015-12-31 | $108,402 |
Expenses. Other expenses not covered elsewhere | 2015-12-31 | $10,478 |
Other income received | 2015-12-31 | $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 |
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Total plan liabilities at end of year | 2014-12-31 | $2,565 |
Total plan liabilities at beginning of year | 2014-12-31 | $3,656 |
Total income from all sources | 2014-12-31 | $1,112,611 |
Expenses. Total of all expenses incurred | 2014-12-31 | $1,062,084 |
Benefits paid (including direct rollovers) | 2014-12-31 | $932,281 |
Total plan assets at end of year | 2014-12-31 | $2,084,180 |
Total plan assets at beginning of year | 2014-12-31 | $2,034,744 |
Value of fidelity bond covering the plan | 2014-12-31 | $300,000 |
Total contributions received or receivable from participants | 2014-12-31 | $123,675 |
Expenses. Other expenses not covered elsewhere | 2014-12-31 | $14,558 |
Other income received | 2014-12-31 | $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 |
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Total plan liabilities at end of year | 2013-12-31 | $3,656 |
Total plan liabilities at beginning of year | 2013-12-31 | $1,896 |
Total income from all sources | 2013-12-31 | $1,264,995 |
Expenses. Total of all expenses incurred | 2013-12-31 | $1,044,224 |
Benefits paid (including direct rollovers) | 2013-12-31 | $915,046 |
Total plan assets at end of year | 2013-12-31 | $2,034,744 |
Total plan assets at beginning of year | 2013-12-31 | $1,812,213 |
Total contributions received or receivable from participants | 2013-12-31 | $134,303 |
Expenses. Other expenses not covered elsewhere | 2013-12-31 | $14,007 |
Other income received | 2013-12-31 | $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 |
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Total plan liabilities at end of year | 2012-12-31 | $1,896 |
Total plan liabilities at beginning of year | 2012-12-31 | $976 |
Total income from all sources | 2012-12-31 | $1,390,878 |
Expenses. Total of all expenses incurred | 2012-12-31 | $1,189,055 |
Benefits paid (including direct rollovers) | 2012-12-31 | $1,056,483 |
Total plan assets at end of year | 2012-12-31 | $1,812,213 |
Total plan assets at beginning of year | 2012-12-31 | $1,609,470 |
Total contributions received or receivable from participants | 2012-12-31 | $165,240 |
Expenses. Other expenses not covered elsewhere | 2012-12-31 | $17,933 |
Other income received | 2012-12-31 | $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 |
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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 incurred | 2011-12-31 | $1,317,135 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $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 year | 2011-12-31 | $1,609,470 |
Value of total assets at beginning of year | 2011-12-31 | $1,439,714 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $135,267 |
Total interest from all sources | 2011-12-31 | $893 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
Administrative expenses professional fees incurred | 2011-12-31 | $58,619 |
Was this plan covered by a fidelity bond | 2011-12-31 | No |
If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
Contributions received from participants | 2011-12-31 | $202,858 |
Participant contributions at end of year | 2011-12-31 | $5,919 |
Participant contributions at beginning of year | 2011-12-31 | $6,203 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $76,955 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $1,500 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $3,418 |
Other income not declared elsewhere | 2011-12-31 | $137 |
Administrative expenses (other) incurred | 2011-12-31 | $20,248 |
Liabilities. Value of operating payables at end of year | 2011-12-31 | $976 |
Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $2,000 |
Total non interest bearing cash at end of year | 2011-12-31 | $1,168,311 |
Total non interest bearing cash at beginning of year | 2011-12-31 | $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 appraiser | 2011-12-31 | No |
Value of net income/loss | 2011-12-31 | $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) | 2011-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $247,783 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $246,890 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $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 benefits | 2011-12-31 | $1,181,868 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
Contributions received in cash from employer | 2011-12-31 | $1,287,445 |
Employer contributions (assets) at end of year | 2011-12-31 | $110,502 |
Employer contributions (assets) at beginning of year | 2011-12-31 | $87,386 |
Contract administrator fees | 2011-12-31 | $56,400 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
Did the plan have assets held for investment | 2011-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
Accountancy firm name | 2011-12-31 | LEGACY PROFESSIONALS LLP |
Accountancy firm EIN | 2011-12-31 | 320043599 |
2010 : CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2010 401k financial data |
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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 incurred | 2010-12-31 | $1,530,425 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $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 year | 2010-12-31 | $1,439,714 |
Value of total assets at beginning of year | 2010-12-31 | $1,368,182 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $132,894 |
Total interest from all sources | 2010-12-31 | $1,292 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
Administrative expenses professional fees incurred | 2010-12-31 | $58,192 |
Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
Value of fidelity bond cover | 2010-12-31 | $500,000 |
If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
Contributions received from participants | 2010-12-31 | $240,674 |
Participant contributions at end of year | 2010-12-31 | $6,203 |
Participant contributions at beginning of year | 2010-12-31 | $4,074 |
Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $1,500 |
Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $40,000 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $3,418 |
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $4,911 |
Administrative expenses (other) incurred | 2010-12-31 | $18,302 |
Liabilities. Value of operating payables at end of year | 2010-12-31 | $2,000 |
Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $1,058 |
Total non interest bearing cash at end of year | 2010-12-31 | $1,097,735 |
Total non interest bearing cash at beginning of year | 2010-12-31 | $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 appraiser | 2010-12-31 | No |
Value of net income/loss | 2010-12-31 | $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) | 2010-12-31 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $246,890 |
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $252,598 |
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $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 benefits | 2010-12-31 | $1,397,531 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
Contributions received in cash from employer | 2010-12-31 | $1,420,542 |
Employer contributions (assets) at end of year | 2010-12-31 | $87,386 |
Employer contributions (assets) at beginning of year | 2010-12-31 | $106,545 |
Contract administrator fees | 2010-12-31 | $56,400 |
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $0 |
Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $60,000 |
Did the plan have assets held for investment | 2010-12-31 | Yes |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
Accountancy firm name | 2010-12-31 | LEGACY PROFESSIONALS LLP |
Accountancy firm EIN | 2010-12-31 | 320043599 |
2019: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Multi-employer plan |
2019-01-01 | Submission has been amended | No |
2019-01-01 | This submission is the final filing | Yes |
2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-01-01 | Plan is a collectively bargained plan | Yes |
2019-01-01 | Plan funding arrangement – Trust | Yes |
2019-01-01 | Plan benefit arrangement - Trust | Yes |
2018: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Multi-employer plan |
2018-01-01 | Submission has been amended | No |
2018-01-01 | This submission is the final filing | No |
2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-01-01 | Plan is a collectively bargained plan | Yes |
2018-01-01 | Plan funding arrangement – Trust | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement - Trust | Yes |
2017: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Multi-employer plan |
2017-01-01 | Submission has been amended | No |
2017-01-01 | This submission is the final filing | No |
2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-01-01 | Plan is a collectively bargained plan | Yes |
2017-01-01 | Plan funding arrangement – Trust | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement - Trust | Yes |
2016: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2016 form 5500 responses |
---|
2016-01-01 | Type of plan entity | Multi-employer plan |
2016-01-01 | Submission has been amended | No |
2016-01-01 | This submission is the final filing | No |
2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-01-01 | Plan is a collectively bargained plan | Yes |
2016-01-01 | Plan funding arrangement – Trust | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement - Trust | Yes |
2015: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2015 form 5500 responses |
---|
2015-01-01 | Type of plan entity | Multi-employer plan |
2015-01-01 | Submission has been amended | No |
2015-01-01 | This submission is the final filing | No |
2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-01-01 | Plan is a collectively bargained plan | Yes |
2015-01-01 | Plan funding arrangement – Trust | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement - Trust | Yes |
2014: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2014 form 5500 responses |
---|
2014-01-01 | Type of plan entity | Multi-employer plan |
2014-01-01 | Plan is a collectively bargained plan | Yes |
2014-01-01 | Plan funding arrangement – Trust | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement - Trust | Yes |
2013: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2013 form 5500 responses |
---|
2013-01-01 | Type of plan entity | Multi-employer plan |
2013-01-01 | Plan is a collectively bargained plan | Yes |
2013-01-01 | Plan funding arrangement – Trust | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2013-01-01 | Plan benefit arrangement - Trust | Yes |
2012: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2012 form 5500 responses |
---|
2012-01-01 | Type of plan entity | Multi-employer plan |
2012-01-01 | Plan is a collectively bargained plan | Yes |
2012-01-01 | Plan funding arrangement – Trust | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2012-01-01 | Plan benefit arrangement - Trust | Yes |
2011: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2011 form 5500 responses |
---|
2011-01-01 | Type of plan entity | Multi-employer plan |
2011-01-01 | Plan is a collectively bargained plan | Yes |
2011-01-01 | Plan funding arrangement – Trust | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2011-01-01 | Plan benefit arrangement - Trust | Yes |
2010: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2010 form 5500 responses |
---|
2010-01-01 | Type of plan entity | Multi-employer plan |
2010-01-01 | Plan is a collectively bargained plan | Yes |
2010-01-01 | Plan funding arrangement – Trust | Yes |
2010-01-01 | Plan benefit arrangement – Insurance | Yes |
2010-01-01 | Plan benefit arrangement - Trust | Yes |
2009: CHICAGOLAND RACE MEET EMPLOYEES HEALTH & WELFARE T 2009 form 5500 responses |
---|
2009-01-01 | Type of plan entity | Multi-employer plan |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | Plan is a collectively bargained plan | Yes |
2009-01-01 | Plan funding arrangement – Trust | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
2009-01-01 | Plan benefit arrangement - Trust | Yes |
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
Policy contract number | 12064659 |
Policy instance | 3 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 30 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | GLIUMEO01053 |
Policy instance | 2 |
Insurance contract or identification number | GLIUMEO01053 | Number of Individuals Covered | 30 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $10,347 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $206,931 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $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 number | 00472928 |
Policy instance | 1 |
Insurance contract or identification number | 00472928 | Number of Individuals Covered | 30 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $2,579 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $36,500 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,348 | Insurance broker organization code? | 3 |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
Policy contract number | 12064659 |
Policy instance | 1 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 33 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 00472928 |
Policy instance | 2 |
Insurance contract or identification number | 00472928 | Number of Individuals Covered | 33 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $2,087 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $29,535 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,067 | Insurance broker organization code? | 3 | Insurance broker name | MARK C. PEITSCH |
|
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 11111 ) |
Policy contract number | 11111 |
Policy instance | 3 |
Insurance contract or identification number | 11111 | Number of Individuals Covered | 33 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 12064659 |
Policy instance | 4 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 49 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Vision Insurance Welfare Benefit | Yes | 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 number | 00472928 |
Policy instance | 3 |
Insurance contract or identification number | 00472928 | Number of Individuals Covered | 49 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $2,920 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $41,307 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,892 | Insurance broker organization code? | 3 | Insurance broker name | MARK C. PIETSCH |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 593622 |
Policy instance | 2 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 36 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $42,304 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $564,634 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,224 | Insurance broker organization code? | 3 | Insurance broker name | EUCLID MANAGERS |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 593622 |
Policy instance | 1 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 13 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $5,548 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $261,135 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,548 | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 593622 |
Policy instance | 3 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 37 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $47,415 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $626,442 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $39,548 | Insurance broker organization code? | 3 | Insurance broker name | EUCLID MANAGERS |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 593622 |
Policy instance | 4 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 19 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $1,338 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $258,285 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,338 | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
Policy contract number | 12064659 |
Policy instance | 2 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 56 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | 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 number | 00472928 |
Policy instance | 1 |
Insurance contract or identification number | 00472928 | Number of Individuals Covered | 56 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $2,961 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $41,888 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,932 | Insurance broker organization code? | 3 | Insurance broker name | MARK C. PIETSCH |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 593622 |
Policy instance | 1 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 83 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $43,349 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $674,777 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $43,349 | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00472928 |
Policy instance | 3 |
Insurance contract or identification number | 00472928 | Number of Individuals Covered | 60 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $2,636 | Total amount of fees paid to insurance company | USD $3,025 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $37,304 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,611 | Amount paid for insurance broker fees | 3025 | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | Insurance broker organization code? | 3 | Insurance broker name | MARK C. PIETSCH |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
Policy contract number | 12064659 |
Policy instance | 4 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 61 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | 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 number | 593622 |
Policy instance | 2 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 27 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $3,159 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $119,444 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,159 | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
Policy contract number | 00472928 |
Policy instance | 2 |
Insurance contract or identification number | 00472928 | Number of Individuals Covered | 68 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $3,660 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $50,538 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,538 | Insurance broker organization code? | 3 | Insurance broker name | MARK C. PIETSCH |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
Policy contract number | 12064659 |
Policy instance | 3 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 71 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | 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 number | 593622 |
Policy instance | 4 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 78 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $6,247 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $300,053 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $6,247 | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 593622 |
Policy instance | 1 |
Insurance contract or identification number | 593622 | Number of Individuals Covered | 55 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $50,101 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $774,714 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $50,101 | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
Policy contract number | 697072 |
Policy instance | 3 |
Insurance contract or identification number | 697072 | Number of Individuals Covered | 78 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $12,093 | Total amount of fees paid to insurance company | USD $3,323 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | N2706 |
Policy instance | 2 |
Insurance contract or identification number | N2706 | Number of Individuals Covered | 55 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $31,660 | Total amount of fees paid to insurance company | USD $56 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $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 number | 12064659 |
Policy instance | 1 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 78 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | 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 number | N2706 |
Policy instance | 3 |
Insurance contract or identification number | N2706 | Number of Individuals Covered | 70 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $35,100 | Total amount of fees paid to insurance company | USD $56 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $901,673 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $35,100 | Amount paid for insurance broker fees | 56 | Additional information about fees paid to insurance broker | NON-MONETARY COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
Policy contract number | 697072 |
Policy instance | 2 |
Insurance contract or identification number | 697072 | Number of Individuals Covered | 101 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $20,832 | Total amount of fees paid to insurance company | USD $107 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $495,567 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $20,832 | Amount paid for insurance broker fees | 107 | Additional information about fees paid to insurance broker | NON-MONETARY COMMISSIONS | Insurance broker organization code? | 3 | Insurance broker name | ASSURANCE AGENCY LTD |
|
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 ) |
Policy contract number | 12064659 |
Policy instance | 1 |
Insurance contract or identification number | 12064659 | Number of Individuals Covered | 110 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $0 | Total amount of fees paid to insurance company | USD $0 | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Vision Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|