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HEALTH AND WELFARE TRUST LOCAL NO. 743 401k Plan overview

Plan NameHEALTH AND WELFARE TRUST LOCAL NO. 743
Plan identification number 501

HEALTH AND WELFARE TRUST LOCAL NO. 743 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HEALTH AND WELFARE TRUST LOCAL NO.743 has sponsored the creation of one or more 401k plans.

Company Name:HEALTH AND WELFARE TRUST LOCAL NO.743
Employer identification number (EIN):366076696
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH AND WELFARE TRUST LOCAL NO. 743

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01DAVID KOZIN2023-10-10 DEBRA SIMMONS-PETERSON2023-09-21
5012021-03-01DAVID KOZIN2022-10-14 DEBRA SIMMONS-PETERSON2022-10-13
5012020-03-01DAVID KOZIN2021-09-22 DEBRA SIMMONS-PETERSON2021-09-08
5012019-03-01DEBRA SIMMONS-PETERSON2020-07-31 DAVID KOZON2020-07-31
5012018-03-01DEBRA SIMMONS-PETERSON2019-09-27 DAVID GOSS2019-09-26
5012017-03-01
5012016-03-01DEBRA SIMMONS-PETERSON DAVID KOZIN2017-12-12
5012015-03-01DEBRA SIMMONS-PETERSON DAVID KOZIN2016-12-15
5012015-03-01DEBRA SIMMONS-PETERSON2016-12-14
5012014-03-01DEBRA SIMMONS-PETERSON DAVID KOZIN2016-08-01
5012014-03-01DEBRA SIMMONS-PETERSON DAVID KOZIN2015-12-15
5012013-03-01DEBRA SIMMONS-PETERSON
5012012-03-01DONNIE VON MOORE
5012011-03-01MICHAEL BLANSKI
5012009-03-01LARRY S DAVIS

Plan Statistics for HEALTH AND WELFARE TRUST LOCAL NO. 743

401k plan membership statisitcs for HEALTH AND WELFARE TRUST LOCAL NO. 743

Measure Date Value
2022: HEALTH AND WELFARE TRUST LOCAL NO. 743 2022 401k membership
Total participants, beginning-of-year2022-03-011,053
Total number of active participants reported on line 7a of the Form 55002022-03-011,004
Total of all active and inactive participants2022-03-011,004
Number of employers contributing to the scheme2022-03-0125
2021: HEALTH AND WELFARE TRUST LOCAL NO. 743 2021 401k membership
Total participants, beginning-of-year2021-03-011,237
Total number of active participants reported on line 7a of the Form 55002021-03-011,053
Total of all active and inactive participants2021-03-011,053
Number of employers contributing to the scheme2021-03-0124
2020: HEALTH AND WELFARE TRUST LOCAL NO. 743 2020 401k membership
Total participants, beginning-of-year2020-03-011,443
Total number of active participants reported on line 7a of the Form 55002020-03-011,237
Total of all active and inactive participants2020-03-011,237
Number of employers contributing to the scheme2020-03-0125
2019: HEALTH AND WELFARE TRUST LOCAL NO. 743 2019 401k membership
Total participants, beginning-of-year2019-03-011,418
Total number of active participants reported on line 7a of the Form 55002019-03-011,443
Total of all active and inactive participants2019-03-011,443
Number of employers contributing to the scheme2019-03-0127
2018: HEALTH AND WELFARE TRUST LOCAL NO. 743 2018 401k membership
Total participants, beginning-of-year2018-03-011,381
Total number of active participants reported on line 7a of the Form 55002018-03-011,418
Total of all active and inactive participants2018-03-011,418
Number of employers contributing to the scheme2018-03-0125
2017: HEALTH AND WELFARE TRUST LOCAL NO. 743 2017 401k membership
Total participants, beginning-of-year2017-03-011,447
Total number of active participants reported on line 7a of the Form 55002017-03-011,381
Total of all active and inactive participants2017-03-011,381
Number of employers contributing to the scheme2017-03-0127
2016: HEALTH AND WELFARE TRUST LOCAL NO. 743 2016 401k membership
Total participants, beginning-of-year2016-03-011,447
Total number of active participants reported on line 7a of the Form 55002016-03-011,447
Total of all active and inactive participants2016-03-011,447
Number of employers contributing to the scheme2016-03-0128
2015: HEALTH AND WELFARE TRUST LOCAL NO. 743 2015 401k membership
Total participants, beginning-of-year2015-03-011,519
Total number of active participants reported on line 7a of the Form 55002015-03-011,540
Total of all active and inactive participants2015-03-011,540
Number of employers contributing to the scheme2015-03-0128
2014: HEALTH AND WELFARE TRUST LOCAL NO. 743 2014 401k membership
Total participants, beginning-of-year2014-03-011,341
Total number of active participants reported on line 7a of the Form 55002014-03-011,519
Total of all active and inactive participants2014-03-011,519
Number of employers contributing to the scheme2014-03-0126
Total participants2014-03-010
2013: HEALTH AND WELFARE TRUST LOCAL NO. 743 2013 401k membership
Total participants, beginning-of-year2013-03-011,251
Total number of active participants reported on line 7a of the Form 55002013-03-011,341
Total of all active and inactive participants2013-03-011,341
Total participants2013-03-010
Number of employers contributing to the scheme2013-03-0125
2012: HEALTH AND WELFARE TRUST LOCAL NO. 743 2012 401k membership
Total participants, beginning-of-year2012-03-011,219
Total number of active participants reported on line 7a of the Form 55002012-03-011,251
Total of all active and inactive participants2012-03-011,251
Total participants2012-03-010
Number of employers contributing to the scheme2012-03-0119
2011: HEALTH AND WELFARE TRUST LOCAL NO. 743 2011 401k membership
Total participants, beginning-of-year2011-03-011,085
Total number of active participants reported on line 7a of the Form 55002011-03-011,219
Total of all active and inactive participants2011-03-011,219
Total participants2011-03-011,219
Number of employers contributing to the scheme2011-03-0119
2009: HEALTH AND WELFARE TRUST LOCAL NO. 743 2009 401k membership
Total participants, beginning-of-year2009-03-011,020
Total number of active participants reported on line 7a of the Form 55002009-03-01906
Total of all active and inactive participants2009-03-01906
Total participants2009-03-01906

Financial Data on HEALTH AND WELFARE TRUST LOCAL NO. 743

Measure Date Value
2023 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-02-28$-295,537
Total unrealized appreciation/depreciation of assets2023-02-28$-295,537
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-02-28$50,388
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-02-28$51,102
Total income from all sources (including contributions)2023-02-28$7,104,159
Total loss/gain on sale of assets2023-02-28$-21,979
Total of all expenses incurred2023-02-28$7,160,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-02-28$6,860,576
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-02-28$7,323,693
Value of total assets at end of year2023-02-28$5,950,570
Value of total assets at beginning of year2023-02-28$6,007,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-02-28$300,104
Total interest from all sources2023-02-28$60,824
Total dividends received (eg from common stock, registered investment company shares)2023-02-28$37,158
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-02-28No
Administrative expenses professional fees incurred2023-02-28$181,639
Was this plan covered by a fidelity bond2023-02-28Yes
Value of fidelity bond cover2023-02-28$500,000
If this is an individual account plan, was there a blackout period2023-02-28No
Were there any nonexempt tranactions with any party-in-interest2023-02-28No
Contributions received from participants2023-02-28$55,709
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-02-28$16,010
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-02-28$10,627
Assets. Loans (other than to participants) at end of year2023-02-28$132,307
Assets. Loans (other than to participants) at beginning of year2023-02-28$184,138
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-02-28$1,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-02-28$912
Administrative expenses (other) incurred2023-02-28$37,819
Liabilities. Value of operating payables at end of year2023-02-28$16,254
Liabilities. Value of operating payables at beginning of year2023-02-28$17,013
Total non interest bearing cash at end of year2023-02-28$653,109
Total non interest bearing cash at beginning of year2023-02-28$363,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-02-28No
Value of net income/loss2023-02-28$-56,521
Value of net assets at end of year (total assets less liabilities)2023-02-28$5,900,182
Value of net assets at beginning of year (total assets less liabilities)2023-02-28$5,956,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2023-02-28No
Were any leases to which the plan was party in default or uncollectible2023-02-28No
Investment advisory and management fees2023-02-28$29,646
Income. Interest from loans (other than to participants)2023-02-28$8,625
Income. Interest from US Government securities2023-02-28$13,654
Income. Interest from corporate debt instruments2023-02-28$21,217
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-02-28$616,464
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-02-28$979,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-02-28$979,681
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-02-28$17,328
Expenses. Payments to insurance carriers foe the provision of benefits2023-02-28$6,666,021
Asset value of US Government securities at end of year2023-02-28$1,266,012
Asset value of US Government securities at beginning of year2023-02-28$939,626
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-02-28Yes
Was there a failure to transmit to the plan any participant contributions2023-02-28No
Has the plan failed to provide any benefit when due under the plan2023-02-28No
Contributions received in cash from employer2023-02-28$7,267,984
Employer contributions (assets) at end of year2023-02-28$19,258
Employer contributions (assets) at beginning of year2023-02-28$87,456
Income. Dividends from common stock2023-02-28$37,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-02-28$194,555
Asset. Corporate debt instrument debt (other) at end of year2023-02-28$726,236
Asset. Corporate debt instrument debt (other) at beginning of year2023-02-28$666,538
Contract administrator fees2023-02-28$51,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2023-02-28$2,509,517
Assets. Corporate common stocks other than exployer securities at beginning of year2023-02-28$2,768,982
Liabilities. Value of benefit claims payable at end of year2023-02-28$32,700
Liabilities. Value of benefit claims payable at beginning of year2023-02-28$33,177
Assets. Value of buildings and other operty used in plan operation at end of year2023-02-28$11,657
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-02-28$7,560
Did the plan have assets held for investment2023-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-02-28No
Aggregate proceeds on sale of assets2023-02-28$799,255
Aggregate carrying amount (costs) on sale of assets2023-02-28$821,234
Opinion of an independent qualified public accountant for this plan2023-02-28Unqualified
Accountancy firm name2023-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2023-02-28470900880
2022 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-02-28$243,763
Total unrealized appreciation/depreciation of assets2022-02-28$243,763
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$51,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$376,742
Total income from all sources (including contributions)2022-02-28$8,750,741
Total loss/gain on sale of assets2022-02-28$12,131
Total of all expenses incurred2022-02-28$8,450,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-02-28$8,247,190
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-02-28$8,420,380
Value of total assets at end of year2022-02-28$6,007,805
Value of total assets at beginning of year2022-02-28$6,033,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-02-28$203,740
Total interest from all sources2022-02-28$42,664
Total dividends received (eg from common stock, registered investment company shares)2022-02-28$31,803
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-02-28No
Administrative expenses professional fees incurred2022-02-28$99,994
Was this plan covered by a fidelity bond2022-02-28Yes
Value of fidelity bond cover2022-02-28$500,000
If this is an individual account plan, was there a blackout period2022-02-28No
Were there any nonexempt tranactions with any party-in-interest2022-02-28No
Contributions received from participants2022-02-28$26,934
Income. Received or receivable in cash from other sources (including rollovers)2022-02-28$3,488
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-02-28$10,627
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-02-28$9,645
Assets. Loans (other than to participants) at end of year2022-02-28$184,138
Assets. Loans (other than to participants) at beginning of year2022-02-28$233,265
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-02-28$912
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-02-28$1,799
Administrative expenses (other) incurred2022-02-28$25,105
Liabilities. Value of operating payables at end of year2022-02-28$17,013
Liabilities. Value of operating payables at beginning of year2022-02-28$17,161
Total non interest bearing cash at end of year2022-02-28$363,197
Total non interest bearing cash at beginning of year2022-02-28$1,178,734
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Value of net income/loss2022-02-28$299,811
Value of net assets at end of year (total assets less liabilities)2022-02-28$5,956,703
Value of net assets at beginning of year (total assets less liabilities)2022-02-28$5,656,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2022-02-28No
Were any leases to which the plan was party in default or uncollectible2022-02-28No
Investment advisory and management fees2022-02-28$31,085
Income. Interest from loans (other than to participants)2022-02-28$11,329
Income. Interest from US Government securities2022-02-28$8,691
Income. Interest from corporate debt instruments2022-02-28$22,481
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-02-28$979,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-02-28$1,460,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-02-28$1,460,244
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-02-28$163
Expenses. Payments to insurance carriers foe the provision of benefits2022-02-28$8,066,421
Asset value of US Government securities at end of year2022-02-28$939,626
Asset value of US Government securities at beginning of year2022-02-28$76,271
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-02-28Yes
Was there a failure to transmit to the plan any participant contributions2022-02-28No
Has the plan failed to provide any benefit when due under the plan2022-02-28No
Contributions received in cash from employer2022-02-28$8,389,958
Employer contributions (assets) at end of year2022-02-28$87,456
Employer contributions (assets) at beginning of year2022-02-28$61,909
Income. Dividends from common stock2022-02-28$31,803
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-02-28$180,769
Asset. Corporate debt instrument debt (other) at end of year2022-02-28$666,538
Asset. Corporate debt instrument debt (other) at beginning of year2022-02-28$768,764
Contract administrator fees2022-02-28$47,556
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2022-02-28$2,768,982
Assets. Corporate common stocks other than exployer securities at beginning of year2022-02-28$2,237,525
Liabilities. Value of benefit claims payable at end of year2022-02-28$33,177
Liabilities. Value of benefit claims payable at beginning of year2022-02-28$357,782
Assets. Value of buildings and other operty used in plan operation at end of year2022-02-28$7,560
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-02-28$7,277
Did the plan have assets held for investment2022-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-02-28No
Aggregate proceeds on sale of assets2022-02-28$1,759,951
Aggregate carrying amount (costs) on sale of assets2022-02-28$1,747,820
Opinion of an independent qualified public accountant for this plan2022-02-28Unqualified
Accountancy firm name2022-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2022-02-28470900880
2021 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-02-28$513,890
Total unrealized appreciation/depreciation of assets2021-02-28$513,890
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$376,742
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$41,069
Total income from all sources (including contributions)2021-02-28$10,495,263
Total loss/gain on sale of assets2021-02-28$-4,161
Total of all expenses incurred2021-02-28$9,227,967
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-02-28$9,036,428
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-02-28$9,914,817
Value of total assets at end of year2021-02-28$6,033,634
Value of total assets at beginning of year2021-02-28$4,430,665
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-02-28$191,539
Total interest from all sources2021-02-28$48,514
Total dividends received (eg from common stock, registered investment company shares)2021-02-28$22,203
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-02-28No
Administrative expenses professional fees incurred2021-02-28$92,800
Was this plan covered by a fidelity bond2021-02-28Yes
Value of fidelity bond cover2021-02-28$500,000
If this is an individual account plan, was there a blackout period2021-02-28No
Were there any nonexempt tranactions with any party-in-interest2021-02-28No
Contributions received from participants2021-02-28$46,485
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-02-28$9,645
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-02-28$16,649
Assets. Loans (other than to participants) at end of year2021-02-28$233,265
Assets. Loans (other than to participants) at beginning of year2021-02-28$279,830
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-02-28$1,799
Administrative expenses (other) incurred2021-02-28$26,670
Liabilities. Value of operating payables at end of year2021-02-28$17,161
Liabilities. Value of operating payables at beginning of year2021-02-28$6,269
Total non interest bearing cash at end of year2021-02-28$1,178,734
Total non interest bearing cash at beginning of year2021-02-28$833,474
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Value of net income/loss2021-02-28$1,267,296
Value of net assets at end of year (total assets less liabilities)2021-02-28$5,656,892
Value of net assets at beginning of year (total assets less liabilities)2021-02-28$4,389,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2021-02-28No
Were any leases to which the plan was party in default or uncollectible2021-02-28No
Investment advisory and management fees2021-02-28$22,957
Income. Interest from loans (other than to participants)2021-02-28$13,892
Income. Interest from US Government securities2021-02-28$3,289
Income. Interest from corporate debt instruments2021-02-28$30,488
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-02-28$1,460,244
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-02-28$505,959
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-02-28$505,959
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-02-28$845
Expenses. Payments to insurance carriers foe the provision of benefits2021-02-28$8,824,849
Asset value of US Government securities at end of year2021-02-28$76,271
Asset value of US Government securities at beginning of year2021-02-28$352,256
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-02-28Yes
Was there a failure to transmit to the plan any participant contributions2021-02-28No
Has the plan failed to provide any benefit when due under the plan2021-02-28No
Contributions received in cash from employer2021-02-28$9,868,332
Employer contributions (assets) at end of year2021-02-28$61,909
Employer contributions (assets) at beginning of year2021-02-28$119,168
Income. Dividends from common stock2021-02-28$22,203
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-02-28$211,579
Asset. Corporate debt instrument debt (other) at end of year2021-02-28$768,764
Asset. Corporate debt instrument debt (other) at beginning of year2021-02-28$1,041,736
Contract administrator fees2021-02-28$49,112
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2021-02-28$2,237,525
Assets. Corporate common stocks other than exployer securities at beginning of year2021-02-28$1,274,316
Liabilities. Value of benefit claims payable at end of year2021-02-28$357,782
Liabilities. Value of benefit claims payable at beginning of year2021-02-28$34,800
Assets. Value of buildings and other operty used in plan operation at end of year2021-02-28$7,277
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-02-28$7,277
Did the plan have assets held for investment2021-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-02-28No
Aggregate proceeds on sale of assets2021-02-28$1,408,937
Aggregate carrying amount (costs) on sale of assets2021-02-28$1,413,098
Opinion of an independent qualified public accountant for this plan2021-02-28Unqualified
Accountancy firm name2021-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2021-02-28470900880
2020 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-02-29$64,987
Total unrealized appreciation/depreciation of assets2020-02-29$64,987
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$41,069
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$290,488
Total income from all sources (including contributions)2020-02-29$10,179,597
Total loss/gain on sale of assets2020-02-29$13,215
Total of all expenses incurred2020-02-29$9,318,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-29$9,136,994
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-29$10,026,954
Value of total assets at end of year2020-02-29$4,430,665
Value of total assets at beginning of year2020-02-29$3,819,183
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-29$181,702
Total interest from all sources2020-02-29$56,570
Total dividends received (eg from common stock, registered investment company shares)2020-02-29$17,871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-29No
Administrative expenses professional fees incurred2020-02-29$92,656
Was this plan covered by a fidelity bond2020-02-29Yes
Value of fidelity bond cover2020-02-29$500,000
If this is an individual account plan, was there a blackout period2020-02-29No
Were there any nonexempt tranactions with any party-in-interest2020-02-29No
Contributions received from participants2020-02-29$65,592
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-02-29$296,479
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-02-29$523,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-02-29$2,552
Administrative expenses (other) incurred2020-02-29$27,339
Liabilities. Value of operating payables at end of year2020-02-29$6,269
Liabilities. Value of operating payables at beginning of year2020-02-29$15,253
Total non interest bearing cash at end of year2020-02-29$833,474
Total non interest bearing cash at beginning of year2020-02-29$228,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Value of net income/loss2020-02-29$860,901
Value of net assets at end of year (total assets less liabilities)2020-02-29$4,389,596
Value of net assets at beginning of year (total assets less liabilities)2020-02-29$3,528,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-29No
Were any leases to which the plan was party in default or uncollectible2020-02-29No
Investment advisory and management fees2020-02-29$16,616
Income. Interest from loans (other than to participants)2020-02-29$10,619
Income. Interest from US Government securities2020-02-29$7,164
Income. Interest from corporate debt instruments2020-02-29$32,258
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-02-29$505,959
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-02-29$265,786
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-02-29$265,786
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-02-29$6,529
Expenses. Payments to insurance carriers foe the provision of benefits2020-02-29$8,905,704
Asset value of US Government securities at end of year2020-02-29$352,256
Asset value of US Government securities at beginning of year2020-02-29$421,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-29Yes
Was there a failure to transmit to the plan any participant contributions2020-02-29No
Has the plan failed to provide any benefit when due under the plan2020-02-29No
Contributions received in cash from employer2020-02-29$9,961,362
Employer contributions (assets) at end of year2020-02-29$119,168
Employer contributions (assets) at beginning of year2020-02-29$524,130
Income. Dividends from common stock2020-02-29$17,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-29$231,290
Asset. Corporate debt instrument debt (other) at end of year2020-02-29$1,041,736
Asset. Corporate debt instrument debt (other) at beginning of year2020-02-29$859,718
Contract administrator fees2020-02-29$45,091
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-02-29No
Assets. Corporate common stocks other than exployer securities at end of year2020-02-29$1,274,316
Assets. Corporate common stocks other than exployer securities at beginning of year2020-02-29$990,426
Liabilities. Value of benefit claims payable at end of year2020-02-29$34,800
Liabilities. Value of benefit claims payable at beginning of year2020-02-29$272,683
Assets. Value of buildings and other operty used in plan operation at end of year2020-02-29$7,277
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-02-29$5,365
Did the plan have assets held for investment2020-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-29No
Aggregate proceeds on sale of assets2020-02-29$1,070,486
Aggregate carrying amount (costs) on sale of assets2020-02-29$1,057,271
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-02-29No
Opinion of an independent qualified public accountant for this plan2020-02-29Unqualified
Accountancy firm name2020-02-29CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2020-02-29470900880
2019 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-02-28$77,309
Total unrealized appreciation/depreciation of assets2019-02-28$77,309
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-02-28$290,488
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-02-28$1,195,327
Total income from all sources (including contributions)2019-02-28$9,855,643
Total loss/gain on sale of assets2019-02-28$-35,362
Total of all expenses incurred2019-02-28$9,839,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-02-28$9,566,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-02-28$9,568,496
Value of total assets at end of year2019-02-28$3,819,183
Value of total assets at beginning of year2019-02-28$4,708,366
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-02-28$273,475
Total interest from all sources2019-02-28$71,681
Total dividends received (eg from common stock, registered investment company shares)2019-02-28$15,976
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-02-28No
Administrative expenses professional fees incurred2019-02-28$91,191
Was this plan covered by a fidelity bond2019-02-28Yes
Value of fidelity bond cover2019-02-28$500,000
If this is an individual account plan, was there a blackout period2019-02-28No
Were there any nonexempt tranactions with any party-in-interest2019-02-28No
Contributions received from participants2019-02-28$65,014
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-02-28$523,810
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-02-28$461,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-02-28$2,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-02-28$100,448
Other income not declared elsewhere2019-02-28$157,543
Administrative expenses (other) incurred2019-02-28$116,728
Liabilities. Value of operating payables at end of year2019-02-28$15,253
Liabilities. Value of operating payables at beginning of year2019-02-28$10,199
Total non interest bearing cash at end of year2019-02-28$228,219
Total non interest bearing cash at beginning of year2019-02-28$1,459,003
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-02-28No
Value of net income/loss2019-02-28$15,656
Value of net assets at end of year (total assets less liabilities)2019-02-28$3,528,695
Value of net assets at beginning of year (total assets less liabilities)2019-02-28$3,513,039
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2019-02-28No
Were any leases to which the plan was party in default or uncollectible2019-02-28No
Investment advisory and management fees2019-02-28$16,533
Income. Interest from loans (other than to participants)2019-02-28$21,776
Income. Interest from US Government securities2019-02-28$5,617
Income. Interest from corporate debt instruments2019-02-28$39,092
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-02-28$265,786
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-02-28$468,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-02-28$468,213
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-02-28$5,196
Expenses. Payments to insurance carriers foe the provision of benefits2019-02-28$9,351,431
Asset value of US Government securities at end of year2019-02-28$421,729
Asset value of US Government securities at beginning of year2019-02-28$148,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-02-28Yes
Was there a failure to transmit to the plan any participant contributions2019-02-28No
Has the plan failed to provide any benefit when due under the plan2019-02-28No
Contributions received in cash from employer2019-02-28$9,503,482
Employer contributions (assets) at end of year2019-02-28$524,130
Employer contributions (assets) at beginning of year2019-02-28$267,880
Income. Dividends from common stock2019-02-28$15,976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-02-28$215,081
Asset. Corporate debt instrument debt (other) at end of year2019-02-28$859,718
Asset. Corporate debt instrument debt (other) at beginning of year2019-02-28$943,751
Contract administrator fees2019-02-28$49,023
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2019-02-28$990,426
Assets. Corporate common stocks other than exployer securities at beginning of year2019-02-28$954,338
Liabilities. Value of benefit claims payable at end of year2019-02-28$272,683
Liabilities. Value of benefit claims payable at beginning of year2019-02-28$1,084,680
Assets. Value of buildings and other operty used in plan operation at end of year2019-02-28$5,365
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-02-28$5,366
Did the plan have assets held for investment2019-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-02-28No
Aggregate proceeds on sale of assets2019-02-28$1,052,085
Aggregate carrying amount (costs) on sale of assets2019-02-28$1,087,447
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-02-28No
Opinion of an independent qualified public accountant for this plan2019-02-28Unqualified
Accountancy firm name2019-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2019-02-28470900880
2018 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-02-28$117,302
Total unrealized appreciation/depreciation of assets2018-02-28$117,302
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$1,195,327
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$721,731
Total income from all sources (including contributions)2018-02-28$9,606,770
Total loss/gain on sale of assets2018-02-28$-9,090
Total of all expenses incurred2018-02-28$9,006,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$8,847,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$9,435,947
Value of total assets at end of year2018-02-28$4,708,366
Value of total assets at beginning of year2018-02-28$3,634,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-28$159,489
Total interest from all sources2018-02-28$47,800
Total dividends received (eg from common stock, registered investment company shares)2018-02-28$14,811
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28No
Administrative expenses professional fees incurred2018-02-28$61,869
Was this plan covered by a fidelity bond2018-02-28Yes
Value of fidelity bond cover2018-02-28$500,000
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Contributions received from participants2018-02-28$30,075
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-02-28$461,714
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-02-28$615,439
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-02-28$100,448
Administrative expenses (other) incurred2018-02-28$33,088
Liabilities. Value of operating payables at end of year2018-02-28$10,199
Liabilities. Value of operating payables at beginning of year2018-02-28$40,620
Total non interest bearing cash at end of year2018-02-28$1,459,003
Total non interest bearing cash at beginning of year2018-02-28$353,688
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$599,965
Value of net assets at end of year (total assets less liabilities)2018-02-28$3,513,039
Value of net assets at beginning of year (total assets less liabilities)2018-02-28$2,913,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Investment advisory and management fees2018-02-28$17,582
Income. Interest from loans (other than to participants)2018-02-28$4,236
Income. Interest from US Government securities2018-02-28$908
Income. Interest from corporate debt instruments2018-02-28$37,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-02-28$468,213
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-02-28$457,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-02-28$457,864
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-02-28$4,753
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$8,625,868
Asset value of US Government securities at end of year2018-02-28$148,101
Asset value of US Government securities at beginning of year2018-02-28$99,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28Yes
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$9,405,872
Employer contributions (assets) at end of year2018-02-28$267,880
Employer contributions (assets) at beginning of year2018-02-28$388,760
Income. Dividends from common stock2018-02-28$14,811
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-02-28$221,448
Asset. Corporate debt instrument preferred debt at beginning of year2018-02-28$420,822
Asset. Corporate debt instrument debt (other) at end of year2018-02-28$943,751
Asset. Corporate debt instrument debt (other) at beginning of year2018-02-28$462,108
Contract administrator fees2018-02-28$46,950
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2018-02-28$954,338
Assets. Corporate common stocks other than exployer securities at beginning of year2018-02-28$836,265
Liabilities. Value of benefit claims payable at end of year2018-02-28$1,084,680
Liabilities. Value of benefit claims payable at beginning of year2018-02-28$681,111
Assets. Value of buildings and other operty used in plan operation at end of year2018-02-28$5,366
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-02-28$0
Did the plan have assets held for investment2018-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
Aggregate proceeds on sale of assets2018-02-28$1,101,178
Aggregate carrying amount (costs) on sale of assets2018-02-28$1,110,268
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-28No
Opinion of an independent qualified public accountant for this plan2018-02-28Unqualified
Accountancy firm name2018-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2018-02-28470900880
2017 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-02-28$128,001
Total unrealized appreciation/depreciation of assets2017-02-28$128,001
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$721,731
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$696,945
Total income from all sources (including contributions)2017-02-28$9,220,748
Total loss/gain on sale of assets2017-02-28$-8,940
Total of all expenses incurred2017-02-28$9,218,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$9,047,703
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$9,011,120
Value of total assets at end of year2017-02-28$3,634,805
Value of total assets at beginning of year2017-02-28$3,608,014
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$171,040
Total interest from all sources2017-02-28$47,281
Total dividends received (eg from common stock, registered investment company shares)2017-02-28$14,205
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Administrative expenses professional fees incurred2017-02-28$95,661
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$500,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$22,578
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-02-28$615,439
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-02-28$694,791
Other income not declared elsewhere2017-02-28$29,081
Administrative expenses (other) incurred2017-02-28$13,148
Liabilities. Value of operating payables at end of year2017-02-28$40,620
Liabilities. Value of operating payables at beginning of year2017-02-28$51,659
Total non interest bearing cash at end of year2017-02-28$353,688
Total non interest bearing cash at beginning of year2017-02-28$186,231
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$2,005
Value of net assets at end of year (total assets less liabilities)2017-02-28$2,913,074
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$2,911,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Investment advisory and management fees2017-02-28$17,317
Income. Interest from corporate debt instruments2017-02-28$47,281
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-02-28$457,864
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-02-28$229,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-02-28$229,022
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$8,798,417
Asset value of US Government securities at end of year2017-02-28$99,859
Asset value of US Government securities at beginning of year2017-02-28$99,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28Yes
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$8,988,542
Employer contributions (assets) at end of year2017-02-28$388,760
Employer contributions (assets) at beginning of year2017-02-28$625,790
Income. Dividends from common stock2017-02-28$14,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-02-28$249,286
Asset. Corporate debt instrument preferred debt at end of year2017-02-28$420,822
Asset. Corporate debt instrument preferred debt at beginning of year2017-02-28$506,994
Asset. Corporate debt instrument debt (other) at end of year2017-02-28$462,108
Asset. Corporate debt instrument debt (other) at beginning of year2017-02-28$544,948
Contract administrator fees2017-02-28$44,914
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2017-02-28$836,265
Assets. Corporate common stocks other than exployer securities at beginning of year2017-02-28$720,531
Liabilities. Value of benefit claims payable at end of year2017-02-28$681,111
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$645,286
Did the plan have assets held for investment2017-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
Aggregate proceeds on sale of assets2017-02-28$264,804
Aggregate carrying amount (costs) on sale of assets2017-02-28$273,744
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28GRAFF, BALLAUER & BLANSKI PC
Accountancy firm EIN2017-02-28363331802
2016 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-02-29$-74,336
Total unrealized appreciation/depreciation of assets2016-02-29$-74,336
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$696,945
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$894,062
Total income from all sources (including contributions)2016-02-29$8,292,977
Total loss/gain on sale of assets2016-02-29$-49,501
Total of all expenses incurred2016-02-29$8,425,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$8,233,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$8,308,203
Value of total assets at end of year2016-02-29$3,608,014
Value of total assets at beginning of year2016-02-29$3,938,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$192,694
Total interest from all sources2016-02-29$58,362
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$18,689
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Administrative expenses professional fees incurred2016-02-29$98,548
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$500,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$1,910
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$694,791
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$334,378
Other income not declared elsewhere2016-02-29$31,560
Administrative expenses (other) incurred2016-02-29$29,068
Liabilities. Value of operating payables at end of year2016-02-29$51,659
Liabilities. Value of operating payables at beginning of year2016-02-29$51,340
Total non interest bearing cash at end of year2016-02-29$186,231
Total non interest bearing cash at beginning of year2016-02-29$235,548
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-132,911
Value of net assets at end of year (total assets less liabilities)2016-02-29$2,911,069
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$3,043,980
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$19,870
Income. Interest from corporate debt instruments2016-02-29$58,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-02-29$229,022
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-02-29$254,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-02-29$254,643
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$7,966,808
Asset value of US Government securities at end of year2016-02-29$99,707
Asset value of US Government securities at beginning of year2016-02-29$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29Yes
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$8,306,293
Employer contributions (assets) at end of year2016-02-29$625,790
Employer contributions (assets) at beginning of year2016-02-29$260,653
Income. Dividends from common stock2016-02-29$18,689
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$266,386
Asset. Corporate debt instrument preferred debt at end of year2016-02-29$506,994
Asset. Corporate debt instrument preferred debt at beginning of year2016-02-29$719,939
Asset. Corporate debt instrument debt (other) at end of year2016-02-29$544,948
Asset. Corporate debt instrument debt (other) at beginning of year2016-02-29$971,729
Contract administrator fees2016-02-29$45,208
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-02-29No
Assets. Corporate common stocks other than exployer securities at end of year2016-02-29$720,531
Assets. Corporate common stocks other than exployer securities at beginning of year2016-02-29$1,161,152
Liabilities. Value of benefit claims payable at end of year2016-02-29$645,286
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$842,722
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Aggregate proceeds on sale of assets2016-02-29$2,344,236
Aggregate carrying amount (costs) on sale of assets2016-02-29$2,393,737
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29GRAFF, BALLAUER & BLANSKI, P.C.
Accountancy firm EIN2016-02-29363331802
2015 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-02-28$112,003
Total unrealized appreciation/depreciation of assets2015-02-28$112,003
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$894,062
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$518,110
Total income from all sources (including contributions)2015-02-28$7,063,271
Total loss/gain on sale of assets2015-02-28$-4,962
Total of all expenses incurred2015-02-28$7,668,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$7,526,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$6,865,235
Value of total assets at end of year2015-02-28$3,795,983
Value of total assets at beginning of year2015-02-28$4,024,947
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$141,929
Total interest from all sources2015-02-28$65,757
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$20,331
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Administrative expenses professional fees incurred2015-02-28$67,241
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$500,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$10,410
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$15,425
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-02-28$15,592
Other income not declared elsewhere2015-02-28$4,907
Administrative expenses (other) incurred2015-02-28$15,725
Liabilities. Value of operating payables at end of year2015-02-28$51,340
Liabilities. Value of operating payables at beginning of year2015-02-28$14,408
Total non interest bearing cash at end of year2015-02-28$235,548
Total non interest bearing cash at beginning of year2015-02-28$434,979
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$-604,916
Value of net assets at end of year (total assets less liabilities)2015-02-28$2,901,921
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$3,506,837
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$19,160
Income. Interest from corporate debt instruments2015-02-28$65,757
Value of interest in common/collective trusts at end of year2015-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-02-28$254,643
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-02-28$452,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-02-28$452,456
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$7,244,330
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28Yes
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$6,854,825
Employer contributions (assets) at end of year2015-02-28$437,547
Employer contributions (assets) at beginning of year2015-02-28$319,804
Income. Dividends from common stock2015-02-28$20,331
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$281,928
Asset. Corporate debt instrument preferred debt at end of year2015-02-28$719,939
Asset. Corporate debt instrument preferred debt at beginning of year2015-02-28$672,167
Asset. Corporate debt instrument debt (other) at end of year2015-02-28$971,729
Asset. Corporate debt instrument debt (other) at beginning of year2015-02-28$1,056,015
Contract administrator fees2015-02-28$39,803
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2015-02-28$1,161,152
Assets. Corporate common stocks other than exployer securities at beginning of year2015-02-28$1,073,934
Liabilities. Value of benefit claims payable at end of year2015-02-28$842,722
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$503,702
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Aggregate proceeds on sale of assets2015-02-28$1,092,909
Aggregate carrying amount (costs) on sale of assets2015-02-28$1,097,871
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28GRAFF, BALLAUER AND BLANSKI, P.C.
Accountancy firm EIN2015-02-28363331802
2014 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-02-28$139,918
Total unrealized appreciation/depreciation of assets2014-02-28$139,918
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$518,110
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$547,583
Total income from all sources (including contributions)2014-02-28$5,768,770
Total loss/gain on sale of assets2014-02-28$6,024
Total of all expenses incurred2014-02-28$5,914,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$5,744,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$5,532,763
Value of total assets at end of year2014-02-28$4,024,947
Value of total assets at beginning of year2014-02-28$4,199,733
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$169,462
Total interest from all sources2014-02-28$66,290
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$18,884
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Administrative expenses professional fees incurred2014-02-28$100,755
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$500,000
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$22,209
Income. Received or receivable in cash from other sources (including rollovers)2014-02-28$6,767
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-28$15,592
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-28$16,486
Other income not declared elsewhere2014-02-28$4,891
Administrative expenses (other) incurred2014-02-28$9,969
Liabilities. Value of operating payables at end of year2014-02-28$14,408
Liabilities. Value of operating payables at beginning of year2014-02-28$23,942
Total non interest bearing cash at end of year2014-02-28$434,979
Total non interest bearing cash at beginning of year2014-02-28$828,113
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$-145,313
Value of net assets at end of year (total assets less liabilities)2014-02-28$3,506,837
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$3,652,150
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Investment advisory and management fees2014-02-28$27,230
Income. Interest from corporate debt instruments2014-02-28$66,290
Value of interest in common/collective trusts at end of year2014-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-02-28$452,456
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-02-28$827,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-02-28$827,170
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$4,973,976
Asset value of US Government securities at beginning of year2014-02-28$100,180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28Yes
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$5,503,787
Employer contributions (assets) at end of year2014-02-28$319,804
Employer contributions (assets) at beginning of year2014-02-28$194,971
Income. Dividends from common stock2014-02-28$18,884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$770,645
Asset. Corporate debt instrument preferred debt at end of year2014-02-28$672,167
Asset. Corporate debt instrument preferred debt at beginning of year2014-02-28$711,240
Asset. Corporate debt instrument debt (other) at end of year2014-02-28$1,056,015
Asset. Corporate debt instrument debt (other) at beginning of year2014-02-28$717,094
Contract administrator fees2014-02-28$31,508
Assets. Corporate common stocks other than exployer securities at end of year2014-02-28$1,073,934
Assets. Corporate common stocks other than exployer securities at beginning of year2014-02-28$804,479
Liabilities. Value of benefit claims payable at end of year2014-02-28$503,702
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$523,641
Did the plan have assets held for investment2014-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Aggregate proceeds on sale of assets2014-02-28$1,087,879
Aggregate carrying amount (costs) on sale of assets2014-02-28$1,081,855
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28GRAFF, BALLAUER AND BLANSKI, P.C.
Accountancy firm EIN2014-02-28363331802
2013 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-02-28$59,039
Total unrealized appreciation/depreciation of assets2013-02-28$59,039
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$547,583
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$549,426
Total income from all sources (including contributions)2013-02-28$5,448,022
Total loss/gain on sale of assets2013-02-28$5,013
Total of all expenses incurred2013-02-28$5,480,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$5,281,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$5,323,652
Value of total assets at end of year2013-02-28$4,199,733
Value of total assets at beginning of year2013-02-28$4,234,539
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$199,837
Total interest from all sources2013-02-28$47,755
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$12,132
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Administrative expenses professional fees incurred2013-02-28$137,867
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-02-28$523,058
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$6,820
Income. Received or receivable in cash from other sources (including rollovers)2013-02-28$22,213
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-28$16,486
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-28$9,163
Other income not declared elsewhere2013-02-28$431
Administrative expenses (other) incurred2013-02-28$9,622
Liabilities. Value of operating payables at end of year2013-02-28$23,942
Liabilities. Value of operating payables at beginning of year2013-02-28$25,371
Total non interest bearing cash at end of year2013-02-28$828,113
Total non interest bearing cash at beginning of year2013-02-28$999,589
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$-32,963
Value of net assets at end of year (total assets less liabilities)2013-02-28$3,652,150
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$3,685,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Investment advisory and management fees2013-02-28$21,937
Income. Interest from corporate debt instruments2013-02-28$47,755
Value of interest in common/collective trusts at end of year2013-02-28$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-02-28$827,170
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-02-28$1,576,650
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-02-28$1,576,650
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$4,566,579
Asset value of US Government securities at end of year2013-02-28$100,180
Asset value of US Government securities at beginning of year2013-02-28$101,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28Yes
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$5,294,619
Employer contributions (assets) at end of year2013-02-28$194,971
Employer contributions (assets) at beginning of year2013-02-28$175,755
Income. Dividends from common stock2013-02-28$12,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$714,569
Asset. Corporate debt instrument preferred debt at end of year2013-02-28$711,240
Asset. Corporate debt instrument preferred debt at beginning of year2013-02-28$299,564
Asset. Corporate debt instrument debt (other) at end of year2013-02-28$717,094
Asset. Corporate debt instrument debt (other) at beginning of year2013-02-28$549,226
Contract administrator fees2013-02-28$30,411
Assets. Corporate common stocks other than exployer securities at end of year2013-02-28$804,479
Liabilities. Value of benefit claims payable at end of year2013-02-28$523,641
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$524,055
Did the plan have assets held for investment2013-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Aggregate proceeds on sale of assets2013-02-28$242,709
Aggregate carrying amount (costs) on sale of assets2013-02-28$237,696
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28GRAFF, BALLAUER AND BLANSKI, P.C.
Accountancy firm EIN2013-02-28363331802
2012 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-02-29$41,270
Total unrealized appreciation/depreciation of assets2012-02-29$41,270
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$549,426
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$719,940
Total income from all sources (including contributions)2012-02-29$4,843,572
Total loss/gain on sale of assets2012-02-29$-4,017
Total of all expenses incurred2012-02-29$5,134,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$4,961,046
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$4,778,056
Value of total assets at end of year2012-02-29$4,234,539
Value of total assets at beginning of year2012-02-29$4,696,298
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$173,771
Total interest from all sources2012-02-29$21,356
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$6,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Administrative expenses professional fees incurred2012-02-29$112,327
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-02-29$523,058
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$500,000
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$38,478
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-02-29$9,163
Administrative expenses (other) incurred2012-02-29$13,824
Liabilities. Value of operating payables at end of year2012-02-29$25,371
Liabilities. Value of operating payables at beginning of year2012-02-29$16,125
Total non interest bearing cash at end of year2012-02-29$999,589
Total non interest bearing cash at beginning of year2012-02-29$370,822
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$-291,245
Value of net assets at end of year (total assets less liabilities)2012-02-29$3,685,113
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$3,976,358
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Investment advisory and management fees2012-02-29$21,163
Interest earned on other investments2012-02-29$455
Income. Interest from corporate debt instruments2012-02-29$20,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-02-29$1,576,650
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-02-29$4,260,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-02-29$4,260,797
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-29$776
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$4,246,200
Asset value of US Government securities at end of year2012-02-29$101,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29Yes
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$4,739,578
Employer contributions (assets) at end of year2012-02-29$175,755
Employer contributions (assets) at beginning of year2012-02-29$64,679
Income. Dividends from common stock2012-02-29$6,907
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$714,846
Asset. Corporate debt instrument preferred debt at end of year2012-02-29$299,564
Asset. Corporate debt instrument debt (other) at end of year2012-02-29$549,226
Contract administrator fees2012-02-29$26,457
Liabilities. Value of benefit claims payable at end of year2012-02-29$524,055
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$703,815
Did the plan have assets held for investment2012-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Aggregate proceeds on sale of assets2012-02-29$20,459
Aggregate carrying amount (costs) on sale of assets2012-02-29$24,476
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29GRAFF, BALLAUER AND BLANSKI, P.C.
Accountancy firm EIN2012-02-29363331802
2011 : HEALTH AND WELFARE TRUST LOCAL NO. 743 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$719,940
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$393,524
Total income from all sources (including contributions)2011-02-28$3,926,709
Total of all expenses incurred2011-02-28$4,235,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$4,089,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$3,918,774
Value of total assets at end of year2011-02-28$4,696,298
Value of total assets at beginning of year2011-02-28$4,679,055
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$146,704
Total interest from all sources2011-02-28$7,935
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Administrative expenses professional fees incurred2011-02-28$109,697
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$500,000
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$58,609
Income. Received or receivable in cash from other sources (including rollovers)2011-02-28$63,026
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-02-28$204
Administrative expenses (other) incurred2011-02-28$15,942
Liabilities. Value of operating payables at end of year2011-02-28$16,125
Liabilities. Value of operating payables at beginning of year2011-02-28$9,308
Total non interest bearing cash at end of year2011-02-28$370,822
Total non interest bearing cash at beginning of year2011-02-28$387,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$-309,173
Value of net assets at end of year (total assets less liabilities)2011-02-28$3,976,358
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$4,285,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-02-28$4,260,797
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-02-28$4,204,444
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-02-28$4,204,444
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$7,935
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$3,447,381
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28No
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$3,797,139
Employer contributions (assets) at end of year2011-02-28$64,679
Employer contributions (assets) at beginning of year2011-02-28$87,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$641,797
Contract administrator fees2011-02-28$21,065
Liabilities. Value of benefit claims payable at end of year2011-02-28$703,815
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$384,216
Did the plan have assets held for investment2011-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28GRAFF, BALLAUER AND BLANSKI, P.C.
Accountancy firm EIN2011-02-28363331802

Form 5500 Responses for HEALTH AND WELFARE TRUST LOCAL NO. 743

2022: HEALTH AND WELFARE TRUST LOCAL NO. 743 2022 form 5500 responses
2022-03-01Type of plan entityMulti-employer plan
2022-03-01Plan is a collectively bargained planYes
2022-03-01Plan funding arrangement – TrustYes
2022-03-01Plan benefit arrangement – InsuranceYes
2022-03-01Plan benefit arrangement - TrustYes
2021: HEALTH AND WELFARE TRUST LOCAL NO. 743 2021 form 5500 responses
2021-03-01Type of plan entityMulti-employer plan
2021-03-01Plan is a collectively bargained planYes
2021-03-01Plan funding arrangement – TrustYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement - TrustYes
2020: HEALTH AND WELFARE TRUST LOCAL NO. 743 2020 form 5500 responses
2020-03-01Type of plan entityMulti-employer plan
2020-03-01Plan is a collectively bargained planYes
2020-03-01Plan funding arrangement – TrustYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement - TrustYes
2019: HEALTH AND WELFARE TRUST LOCAL NO. 743 2019 form 5500 responses
2019-03-01Type of plan entityMulti-employer plan
2019-03-01Plan is a collectively bargained planYes
2019-03-01Plan funding arrangement – TrustYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement - TrustYes
2018: HEALTH AND WELFARE TRUST LOCAL NO. 743 2018 form 5500 responses
2018-03-01Type of plan entityMulti-employer plan
2018-03-01Plan is a collectively bargained planYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes
2017: HEALTH AND WELFARE TRUST LOCAL NO. 743 2017 form 5500 responses
2017-03-01Type of plan entityMulti-employer plan
2017-03-01Plan is a collectively bargained planYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: HEALTH AND WELFARE TRUST LOCAL NO. 743 2016 form 5500 responses
2016-03-01Type of plan entityMulti-employer plan
2016-03-01Plan is a collectively bargained planYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: HEALTH AND WELFARE TRUST LOCAL NO. 743 2015 form 5500 responses
2015-03-01Type of plan entityMulti-employer plan
2015-03-01Submission has been amendedYes
2015-03-01Plan is a collectively bargained planYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: HEALTH AND WELFARE TRUST LOCAL NO. 743 2014 form 5500 responses
2014-03-01Type of plan entityMulti-employer plan
2014-03-01Submission has been amendedYes
2014-03-01Plan is a collectively bargained planYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: HEALTH AND WELFARE TRUST LOCAL NO. 743 2013 form 5500 responses
2013-03-01Type of plan entityMulti-employer plan
2013-03-01Plan is a collectively bargained planYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: HEALTH AND WELFARE TRUST LOCAL NO. 743 2012 form 5500 responses
2012-03-01Type of plan entityMulti-employer plan
2012-03-01Plan is a collectively bargained planYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: HEALTH AND WELFARE TRUST LOCAL NO. 743 2011 form 5500 responses
2011-03-01Type of plan entityMulti-employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2009: HEALTH AND WELFARE TRUST LOCAL NO. 743 2009 form 5500 responses
2009-03-01Type of plan entityMulti-employer plan
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered688
Insurance policy start date2022-03-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number009125
Policy instance 1
Insurance contract or identification number009125
Number of Individuals Covered924
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,330,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered743
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number009125
Policy instance 1
Insurance contract or identification number009125
Number of Individuals Covered958
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,493,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered830
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,050
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number009125
Policy instance 1
Insurance contract or identification number009125
Number of Individuals Covered1219
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,090,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB00015&P09125&P
Policy instance 1
Insurance contract or identification numberB00015&P09125&P
Number of Individuals Covered1340
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,756,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered1196
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB00015&P09125&P
Policy instance 1
Insurance contract or identification numberB00015&P09125&P
Number of Individuals Covered1395
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,230,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered869
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered995
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker name
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB00015&P09125&P
Policy instance 1
Insurance contract or identification numberB00015&P09125&P
Number of Individuals Covered1329
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,169,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker name
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF004704
Policy instance 2
Insurance contract or identification numberF004704
Number of Individuals Covered980
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,394
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB00015&P09125&P
Policy instance 1
Insurance contract or identification numberB00015&P09125&P
Number of Individuals Covered1450
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,023,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFOO4704
Policy instance 2
Insurance contract or identification numberFOO4704
Number of Individuals Covered1038
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH09125&P01925
Policy instance 1
Insurance contract or identification numberH09125&P01925
Number of Individuals Covered1470
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,063,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH09125&P01925
Policy instance 1
Insurance contract or identification numberH09125&P01925
Number of Individuals Covered1176
Insurance policy start date2012-09-01
Insurance policy end date2013-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,727,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFOO4704
Policy instance 2
Insurance contract or identification numberFOO4704
Number of Individuals Covered733
Insurance policy start date2013-03-01
Insurance policy end date2014-02-27
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH09125&P01925
Policy instance 2
Insurance contract or identification numberH09125&P01925
Number of Individuals Covered1226
Insurance policy start date2011-09-01
Insurance policy end date2012-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,251,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFOO4704
Policy instance 1
Insurance contract or identification numberFOO4704
Number of Individuals Covered658
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH09125&P01925
Policy instance 1
Insurance contract or identification numberH09125&P01925
Number of Individuals Covered1132
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,853,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFOO4704
Policy instance 2
Insurance contract or identification numberFOO4704
Number of Individuals Covered564
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $20,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFOO4704
Policy instance 1
Insurance contract or identification numberFOO4704
Number of Individuals Covered510
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH09125&P01925
Policy instance 2
Insurance contract or identification numberH09125&P01925
Number of Individuals Covered909
Insurance policy start date2009-09-01
Insurance policy end date2010-08-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,415,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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