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CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 401k Plan overview

Plan NameCHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND
Plan identification number 501

CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND
Employer identification number (EIN):366598154
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01BERNARD SHERLOCK2024-01-15 TIMOTHY RYAN2024-01-15
5012021-04-01BERNARD SHERLOCK2023-01-09 TIMOTHY RYAN2023-01-15
5012020-04-01BERNARD SHERLOCK2022-01-06 RJ EMERICK2022-01-12
5012019-04-01RJ EMERICK2020-12-29 BERNARD SHERLOCK2021-01-04
5012018-04-01BERNARD SHERLOCK2020-01-06 RJ EMERICK2020-01-12
5012017-04-01
5012016-04-01
5012015-04-01STEPHANIE K. BRINSON
5012014-04-01STEPHANIE K. BRINSON
5012013-04-01STEPHANIE BRINSON
5012012-04-01THOMAS G. DALY
5012011-04-01BERNARD SHERLOCK
5012010-04-01BERNARD SHERLOCK
5012009-04-01ROBERT HANNIGAN

Plan Statistics for CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND

401k plan membership statisitcs for CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND

Measure Date Value
2022: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-04-01874
Total number of active participants reported on line 7a of the Form 55002022-04-01802
Number of retired or separated participants receiving benefits2022-04-0136
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01838
Number of employers contributing to the scheme2022-04-0142
2021: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-04-01860
Total number of active participants reported on line 7a of the Form 55002021-04-01828
Number of retired or separated participants receiving benefits2021-04-0141
Number of other retired or separated participants entitled to future benefits2021-04-015
Total of all active and inactive participants2021-04-01874
Number of employers contributing to the scheme2021-04-0142
2020: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-04-01983
Total number of active participants reported on line 7a of the Form 55002020-04-01805
Number of retired or separated participants receiving benefits2020-04-0151
Number of other retired or separated participants entitled to future benefits2020-04-014
Total of all active and inactive participants2020-04-01860
Number of employers contributing to the scheme2020-04-0145
2019: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-04-011,129
Total number of active participants reported on line 7a of the Form 55002019-04-01920
Number of retired or separated participants receiving benefits2019-04-0160
Number of other retired or separated participants entitled to future benefits2019-04-013
Total of all active and inactive participants2019-04-01983
Number of employers contributing to the scheme2019-04-0145
2018: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-04-011,184
Total number of active participants reported on line 7a of the Form 55002018-04-011,093
Number of retired or separated participants receiving benefits2018-04-0165
Number of other retired or separated participants entitled to future benefits2018-04-013
Total of all active and inactive participants2018-04-011,161
Number of employers contributing to the scheme2018-04-0157
2017: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-04-011,097
Total number of active participants reported on line 7a of the Form 55002017-04-011,115
Number of retired or separated participants receiving benefits2017-04-0169
Total of all active and inactive participants2017-04-011,184
Number of employers contributing to the scheme2017-04-0157
2016: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-04-011,089
Total number of active participants reported on line 7a of the Form 55002016-04-011,024
Number of retired or separated participants receiving benefits2016-04-0173
Total of all active and inactive participants2016-04-011,097
Number of employers contributing to the scheme2016-04-0157
2015: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-04-011,187
Total number of active participants reported on line 7a of the Form 55002015-04-01998
Number of retired or separated participants receiving benefits2015-04-0191
Total of all active and inactive participants2015-04-011,089
Number of employers contributing to the scheme2015-04-0157
2014: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-04-011,135
Total number of active participants reported on line 7a of the Form 55002014-04-011,092
Number of retired or separated participants receiving benefits2014-04-0195
Total of all active and inactive participants2014-04-011,187
Number of employers contributing to the scheme2014-04-0162
2013: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-04-011,021
Total number of active participants reported on line 7a of the Form 55002013-04-011,030
Number of retired or separated participants receiving benefits2013-04-01105
Total of all active and inactive participants2013-04-011,135
Number of employers contributing to the scheme2013-04-0166
2012: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-04-011,067
Total number of active participants reported on line 7a of the Form 55002012-04-01922
Number of retired or separated participants receiving benefits2012-04-0199
Total of all active and inactive participants2012-04-011,021
Number of employers contributing to the scheme2012-04-0187
2011: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-04-011,018
Total number of active participants reported on line 7a of the Form 55002011-04-01947
Number of retired or separated participants receiving benefits2011-04-01120
Total of all active and inactive participants2011-04-011,067
Number of employers contributing to the scheme2011-04-01106
2010: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-04-01965
Total number of active participants reported on line 7a of the Form 55002010-04-01884
Number of retired or separated participants receiving benefits2010-04-01134
Total of all active and inactive participants2010-04-011,018
Number of employers contributing to the scheme2010-04-01107
2009: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-04-011,127
Total number of active participants reported on line 7a of the Form 55002009-04-01811
Number of retired or separated participants receiving benefits2009-04-01154
Total of all active and inactive participants2009-04-01965
Number of employers contributing to the scheme2009-04-01115

Financial Data on CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND

Measure Date Value
2023 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-03-31$-7,441
Total unrealized appreciation/depreciation of assets2023-03-31$-7,441
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$1,339,292
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$1,059,107
Total income from all sources (including contributions)2023-03-31$13,584,958
Total of all expenses incurred2023-03-31$12,920,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$11,967,668
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$13,880,614
Value of total assets at end of year2023-03-31$27,708,040
Value of total assets at beginning of year2023-03-31$26,763,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$953,229
Total interest from all sources2023-03-31$52,910
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$71,208
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Administrative expenses professional fees incurred2023-03-31$122,247
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$800,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$260,679
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-03-31$5,384,959
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-03-31$70,663
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-03-31$65,341
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-03-31$244,093
Other income not declared elsewhere2023-03-31$297,263
Administrative expenses (other) incurred2023-03-31$781,930
Liabilities. Value of operating payables at end of year2023-03-31$59,273
Liabilities. Value of operating payables at beginning of year2023-03-31$212,107
Total non interest bearing cash at end of year2023-03-31$71,806
Total non interest bearing cash at beginning of year2023-03-31$174,567
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$664,061
Value of net assets at end of year (total assets less liabilities)2023-03-31$26,368,748
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$25,704,687
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Investment advisory and management fees2023-03-31$49,052
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-03-31$4,386,726
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-03-31$4,401,354
Value of interest in common/collective trusts at end of year2023-03-31$20,106,157
Value of interest in common/collective trusts at beginning of year2023-03-31$18,833,522
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-03-31$1,626,807
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-03-31$2,018,437
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-03-31$2,018,437
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-03-31$52,910
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$6,582,709
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-03-31$-85,837
Net investment gain or loss from common/collective trusts2023-03-31$-623,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$13,619,935
Employer contributions (assets) at end of year2023-03-31$1,176,160
Employer contributions (assets) at beginning of year2023-03-31$1,217,413
Income. Dividends from common stock2023-03-31$71,208
Assets. Corporate common stocks other than exployer securities at end of year2023-03-31$45,489
Assets. Corporate common stocks other than exployer securities at beginning of year2023-03-31$52,930
Liabilities. Value of benefit claims payable at end of year2023-03-31$1,035,926
Liabilities. Value of benefit claims payable at beginning of year2023-03-31$847,000
Assets. Value of buildings and other operty used in plan operation at end of year2023-03-31$224,232
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-03-31$230
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31LEGACY PROFESSIONALS, LLP
Accountancy firm EIN2023-03-31320043599
2022 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-03-31$7,101
Total unrealized appreciation/depreciation of assets2022-03-31$7,101
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$1,059,107
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$665,234
Total income from all sources (including contributions)2022-03-31$13,878,122
Total loss/gain on sale of assets2022-03-31$0
Total of all expenses incurred2022-03-31$12,583,315
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$11,631,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$13,429,198
Value of total assets at end of year2022-03-31$26,763,794
Value of total assets at beginning of year2022-03-31$25,075,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$952,266
Total interest from all sources2022-03-31$429
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Administrative expenses professional fees incurred2022-03-31$92,656
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$258,078
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-03-31$5,339,890
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-03-31$65,341
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-03-31$56,515
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-03-31$1,723
Other income not declared elsewhere2022-03-31$350,827
Administrative expenses (other) incurred2022-03-31$801,523
Liabilities. Value of operating payables at end of year2022-03-31$212,107
Liabilities. Value of operating payables at beginning of year2022-03-31$110,511
Total non interest bearing cash at end of year2022-03-31$174,567
Total non interest bearing cash at beginning of year2022-03-31$251,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$1,294,807
Value of net assets at end of year (total assets less liabilities)2022-03-31$25,704,687
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$24,409,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Investment advisory and management fees2022-03-31$58,087
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-03-31$4,401,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-03-31$3,981,239
Value of interest in common/collective trusts at end of year2022-03-31$18,833,522
Value of interest in common/collective trusts at beginning of year2022-03-31$17,913,507
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-03-31$2,018,437
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-03-31$1,722,723
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-03-31$1,722,723
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-03-31$429
Expenses. Payments to insurance carriers foe the provision of benefits2022-03-31$6,291,159
Net investment gain or loss from common/collective trusts2022-03-31$90,567
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$13,171,120
Employer contributions (assets) at end of year2022-03-31$1,217,413
Employer contributions (assets) at beginning of year2022-03-31$1,103,971
Assets. Corporate common stocks other than exployer securities at end of year2022-03-31$52,930
Assets. Corporate common stocks other than exployer securities at beginning of year2022-03-31$45,829
Liabilities. Value of benefit claims payable at end of year2022-03-31$847,000
Liabilities. Value of benefit claims payable at beginning of year2022-03-31$553,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-03-31$230
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-03-31$296
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31LEGACY PROFESSIONALS, LLP
Accountancy firm EIN2022-03-31320043599
2021 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-03-31$13,764
Total unrealized appreciation/depreciation of assets2021-03-31$13,764
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$665,234
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$562,487
Total income from all sources (including contributions)2021-03-31$16,145,682
Total loss/gain on sale of assets2021-03-31$0
Total of all expenses incurred2021-03-31$12,280,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$11,078,100
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$13,228,999
Value of total assets at end of year2021-03-31$25,075,114
Value of total assets at beginning of year2021-03-31$21,107,265
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$1,202,480
Total interest from all sources2021-03-31$2,299
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Administrative expenses professional fees incurred2021-03-31$362,497
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$328,677
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-03-31$4,471,616
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-03-31$56,515
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-03-31$55,280
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-03-31$1,723
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-31$4,373
Other income not declared elsewhere2021-03-31$350,594
Administrative expenses (other) incurred2021-03-31$795,889
Liabilities. Value of operating payables at end of year2021-03-31$110,511
Liabilities. Value of operating payables at beginning of year2021-03-31$165,114
Total non interest bearing cash at end of year2021-03-31$251,034
Total non interest bearing cash at beginning of year2021-03-31$287,864
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$3,865,102
Value of net assets at end of year (total assets less liabilities)2021-03-31$24,409,880
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$20,544,778
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$44,094
Value of interest in common/collective trusts at end of year2021-03-31$17,913,507
Value of interest in common/collective trusts at beginning of year2021-03-31$14,169,039
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-03-31$1,722,723
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-03-31$1,536,509
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-03-31$1,536,509
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-03-31$2,299
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-31$6,606,484
Asset value of US Government securities at end of year2021-03-31$3,981,239
Asset value of US Government securities at beginning of year2021-03-31$3,666,314
Net investment gain or loss from common/collective trusts2021-03-31$2,550,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31Yes
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$12,900,322
Employer contributions (assets) at end of year2021-03-31$1,103,971
Employer contributions (assets) at beginning of year2021-03-31$1,360,194
Assets. Corporate common stocks other than exployer securities at end of year2021-03-31$45,829
Assets. Corporate common stocks other than exployer securities at beginning of year2021-03-31$32,065
Liabilities. Value of benefit claims payable at end of year2021-03-31$553,000
Liabilities. Value of benefit claims payable at beginning of year2021-03-31$393,000
Assets. Value of buildings and other operty used in plan operation at end of year2021-03-31$296
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-03-31$0
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2021-03-31362152389
2020 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-03-31$-8,351
Total unrealized appreciation/depreciation of assets2020-03-31$-8,351
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$562,487
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$993,373
Total income from all sources (including contributions)2020-03-31$15,528,584
Total loss/gain on sale of assets2020-03-31$0
Total of all expenses incurred2020-03-31$12,776,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$11,585,759
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$14,849,102
Value of total assets at end of year2020-03-31$21,107,265
Value of total assets at beginning of year2020-03-31$18,786,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$1,191,018
Total interest from all sources2020-03-31$37,387
Total dividends received (eg from common stock, registered investment company shares)2020-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Administrative expenses professional fees incurred2020-03-31$374,298
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$400,929
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-03-31$4,147,159
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-03-31$55,280
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-03-31$46,796
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-03-31$4,373
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-03-31$6,509
Other income not declared elsewhere2020-03-31$334,650
Administrative expenses (other) incurred2020-03-31$777,658
Liabilities. Value of operating payables at end of year2020-03-31$165,114
Liabilities. Value of operating payables at beginning of year2020-03-31$223,864
Total non interest bearing cash at end of year2020-03-31$287,864
Total non interest bearing cash at beginning of year2020-03-31$351,044
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$2,751,807
Value of net assets at end of year (total assets less liabilities)2020-03-31$20,544,778
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$17,792,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$39,062
Value of interest in common/collective trusts at end of year2020-03-31$14,169,039
Value of interest in common/collective trusts at beginning of year2020-03-31$12,171,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-03-31$1,536,509
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-03-31$1,823,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-03-31$1,823,168
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-03-31$37,387
Expenses. Payments to insurance carriers foe the provision of benefits2020-03-31$7,438,600
Asset value of US Government securities at end of year2020-03-31$3,666,314
Asset value of US Government securities at beginning of year2020-03-31$2,606,708
Net investment gain or loss from common/collective trusts2020-03-31$315,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31Yes
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$14,448,173
Employer contributions (assets) at end of year2020-03-31$1,360,194
Employer contributions (assets) at beginning of year2020-03-31$1,746,423
Assets. Corporate common stocks other than exployer securities at end of year2020-03-31$32,065
Assets. Corporate common stocks other than exployer securities at beginning of year2020-03-31$40,416
Liabilities. Value of benefit claims payable at end of year2020-03-31$393,000
Liabilities. Value of benefit claims payable at beginning of year2020-03-31$763,000
Assets. Value of buildings and other operty used in plan operation at end of year2020-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-03-31$0
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31No
Opinion of an independent qualified public accountant for this plan2020-03-31Unqualified
Accountancy firm name2020-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2020-03-31362152389
2019 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-03-31$-1,317
Total unrealized appreciation/depreciation of assets2019-03-31$-1,317
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$993,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$856,495
Total income from all sources (including contributions)2019-03-31$17,898,223
Total loss/gain on sale of assets2019-03-31$0
Total of all expenses incurred2019-03-31$14,712,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$13,441,058
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$16,784,971
Value of total assets at end of year2019-03-31$18,786,344
Value of total assets at beginning of year2019-03-31$15,463,772
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$1,271,471
Total interest from all sources2019-03-31$26,932
Total dividends received (eg from common stock, registered investment company shares)2019-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Administrative expenses professional fees incurred2019-03-31$446,207
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Contributions received from participants2019-03-31$433,540
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-03-31$4,975,513
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-03-31$46,796
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-03-31$49,081
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-03-31$6,509
Other income not declared elsewhere2019-03-31$338,117
Administrative expenses (other) incurred2019-03-31$793,326
Liabilities. Value of operating payables at end of year2019-03-31$223,864
Liabilities. Value of operating payables at beginning of year2019-03-31$190,495
Total non interest bearing cash at end of year2019-03-31$351,044
Total non interest bearing cash at beginning of year2019-03-31$283,869
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$3,185,694
Value of net assets at end of year (total assets less liabilities)2019-03-31$17,792,971
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$14,607,277
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Investment advisory and management fees2019-03-31$31,938
Value of interest in common/collective trusts at end of year2019-03-31$12,171,789
Value of interest in common/collective trusts at beginning of year2019-03-31$9,923,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-03-31$1,823,168
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-03-31$1,069,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-03-31$1,069,847
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-03-31$26,932
Expenses. Payments to insurance carriers foe the provision of benefits2019-03-31$8,465,545
Asset value of US Government securities at end of year2019-03-31$2,606,708
Asset value of US Government securities at beginning of year2019-03-31$2,418,100
Net investment gain or loss from common/collective trusts2019-03-31$749,520
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31No
Was there a failure to transmit to the plan any participant contributions2019-03-31No
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$16,351,431
Employer contributions (assets) at end of year2019-03-31$1,746,423
Employer contributions (assets) at beginning of year2019-03-31$1,678,089
Assets. Corporate common stocks other than exployer securities at end of year2019-03-31$40,416
Assets. Corporate common stocks other than exployer securities at beginning of year2019-03-31$41,733
Liabilities. Value of benefit claims payable at end of year2019-03-31$763,000
Liabilities. Value of benefit claims payable at beginning of year2019-03-31$666,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-03-31$41
Did the plan have assets held for investment2019-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-03-31No
Opinion of an independent qualified public accountant for this plan2019-03-31Unqualified
Accountancy firm name2019-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2019-03-31362152389
2018 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-03-31$9,852
Total unrealized appreciation/depreciation of assets2018-03-31$9,852
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$856,495
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$1,018,886
Total income from all sources (including contributions)2018-03-31$17,061,560
Total loss/gain on sale of assets2018-03-31$0
Total of all expenses incurred2018-03-31$15,177,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$14,026,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$16,232,630
Value of total assets at end of year2018-03-31$15,463,772
Value of total assets at beginning of year2018-03-31$13,742,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$1,150,649
Total interest from all sources2018-03-31$6,472
Total dividends received (eg from common stock, registered investment company shares)2018-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Administrative expenses professional fees incurred2018-03-31$352,180
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$486,647
Participant contributions at beginning of year2018-03-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-03-31$5,571,434
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-03-31$49,081
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-03-31$59,385
Other income not declared elsewhere2018-03-31$332,320
Administrative expenses (other) incurred2018-03-31$763,679
Liabilities. Value of operating payables at end of year2018-03-31$190,495
Liabilities. Value of operating payables at beginning of year2018-03-31$188,886
Total non interest bearing cash at end of year2018-03-31$283,869
Total non interest bearing cash at beginning of year2018-03-31$285,755
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$1,883,984
Value of net assets at end of year (total assets less liabilities)2018-03-31$14,607,277
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$12,723,293
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Investment advisory and management fees2018-03-31$34,790
Value of interest in common/collective trusts at end of year2018-03-31$9,923,012
Value of interest in common/collective trusts at beginning of year2018-03-31$8,962,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-03-31$1,069,847
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-03-31$620,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-03-31$620,250
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-03-31$6,472
Expenses. Payments to insurance carriers foe the provision of benefits2018-03-31$8,455,493
Asset value of US Government securities at end of year2018-03-31$2,418,100
Asset value of US Government securities at beginning of year2018-03-31$2,213,916
Net investment gain or loss from common/collective trusts2018-03-31$480,286
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31No
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$15,745,983
Employer contributions (assets) at end of year2018-03-31$1,678,089
Employer contributions (assets) at beginning of year2018-03-31$1,568,004
Assets. Corporate common stocks other than exployer securities at end of year2018-03-31$41,733
Assets. Corporate common stocks other than exployer securities at beginning of year2018-03-31$31,881
Liabilities. Value of benefit claims payable at end of year2018-03-31$666,000
Liabilities. Value of benefit claims payable at beginning of year2018-03-31$830,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-03-31$41
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-03-31$124
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31No
Opinion of an independent qualified public accountant for this plan2018-03-31Unqualified
Accountancy firm name2018-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2018-03-31362152389
2017 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-03-31$-57
Total unrealized appreciation/depreciation of assets2017-03-31$-57
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$1,018,886
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$1,351,471
Total income from all sources (including contributions)2017-03-31$16,127,978
Total loss/gain on sale of assets2017-03-31$0
Total of all expenses incurred2017-03-31$14,487,610
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$13,299,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$15,317,596
Value of total assets at end of year2017-03-31$13,742,179
Value of total assets at beginning of year2017-03-31$12,434,396
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$1,188,196
Total interest from all sources2017-03-31$2,363
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Administrative expenses professional fees incurred2017-03-31$403,034
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$485,379
Participant contributions at end of year2017-03-31$0
Participant contributions at beginning of year2017-03-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-03-31$5,765,408
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-03-31$59,385
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-03-31$36,798
Other income not declared elsewhere2017-03-31$321,556
Administrative expenses (other) incurred2017-03-31$760,387
Liabilities. Value of operating payables at end of year2017-03-31$188,886
Liabilities. Value of operating payables at beginning of year2017-03-31$198,471
Total non interest bearing cash at end of year2017-03-31$285,755
Total non interest bearing cash at beginning of year2017-03-31$162,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$1,640,368
Value of net assets at end of year (total assets less liabilities)2017-03-31$12,723,293
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$11,082,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Investment advisory and management fees2017-03-31$24,775
Value of interest in common/collective trusts at end of year2017-03-31$8,962,864
Value of interest in common/collective trusts at beginning of year2017-03-31$7,992,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-03-31$620,250
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-03-31$619,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-03-31$619,118
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-03-31$2,363
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$7,534,006
Asset value of US Government securities at end of year2017-03-31$2,213,916
Asset value of US Government securities at beginning of year2017-03-31$2,205,582
Net investment gain or loss from common/collective trusts2017-03-31$486,520
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31Yes
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$14,832,217
Employer contributions (assets) at end of year2017-03-31$1,568,004
Employer contributions (assets) at beginning of year2017-03-31$1,385,802
Assets. Corporate common stocks other than exployer securities at end of year2017-03-31$31,881
Assets. Corporate common stocks other than exployer securities at beginning of year2017-03-31$31,938
Liabilities. Value of benefit claims payable at end of year2017-03-31$830,000
Liabilities. Value of benefit claims payable at beginning of year2017-03-31$1,153,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-03-31$124
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-03-31$207
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31No
Opinion of an independent qualified public accountant for this plan2017-03-31Unqualified
Accountancy firm name2017-03-31BANSLEY AND KIENER L.L.P.
Accountancy firm EIN2017-03-31362152389
2016 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-03-31$6,245
Total unrealized appreciation/depreciation of assets2016-03-31$6,245
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$1,351,471
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$882,258
Total income from all sources (including contributions)2016-03-31$15,072,332
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$14,811,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$13,521,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$14,527,058
Value of total assets at end of year2016-03-31$12,434,396
Value of total assets at beginning of year2016-03-31$11,704,467
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$1,289,721
Total interest from all sources2016-03-31$412
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Administrative expenses professional fees incurred2016-03-31$488,478
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$1,600,000
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$467,214
Participant contributions at end of year2016-03-31$0
Participant contributions at beginning of year2016-03-31$6,290
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-03-31$36,798
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-03-31$76,343
Other income not declared elsewhere2016-03-31$330,139
Administrative expenses (other) incurred2016-03-31$766,707
Liabilities. Value of operating payables at end of year2016-03-31$198,471
Liabilities. Value of operating payables at beginning of year2016-03-31$251,258
Total non interest bearing cash at end of year2016-03-31$162,511
Total non interest bearing cash at beginning of year2016-03-31$333,252
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$260,716
Value of net assets at end of year (total assets less liabilities)2016-03-31$11,082,925
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$10,822,209
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Investment advisory and management fees2016-03-31$34,536
Value of interest in common/collective trusts at end of year2016-03-31$7,992,440
Value of interest in common/collective trusts at beginning of year2016-03-31$7,291,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-03-31$619,118
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-03-31$630,079
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-03-31$630,079
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-03-31$412
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$7,316,372
Asset value of US Government securities at end of year2016-03-31$2,205,582
Asset value of US Government securities at beginning of year2016-03-31$2,173,326
Net investment gain or loss from common/collective trusts2016-03-31$208,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31Yes
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$14,059,844
Employer contributions (assets) at end of year2016-03-31$1,385,802
Employer contributions (assets) at beginning of year2016-03-31$1,167,765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$6,205,523
Assets. Corporate common stocks other than exployer securities at end of year2016-03-31$31,938
Assets. Corporate common stocks other than exployer securities at beginning of year2016-03-31$25,693
Liabilities. Value of benefit claims payable at end of year2016-03-31$1,153,000
Liabilities. Value of benefit claims payable at beginning of year2016-03-31$631,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-03-31$207
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-03-31$290
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31No
Opinion of an independent qualified public accountant for this plan2016-03-31Unqualified
Accountancy firm name2016-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2016-03-31362152389
2015 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-03-31$3,944
Total unrealized appreciation/depreciation of assets2015-03-31$3,944
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$882,258
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$1,112,943
Total income from all sources (including contributions)2015-03-31$13,949,792
Total loss/gain on sale of assets2015-03-31$0
Total of all expenses incurred2015-03-31$14,614,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$13,224,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$13,049,569
Value of total assets at end of year2015-03-31$11,704,467
Value of total assets at beginning of year2015-03-31$12,599,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$1,389,915
Total interest from all sources2015-03-31$77
Total dividends received (eg from common stock, registered investment company shares)2015-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Administrative expenses professional fees incurred2015-03-31$549,081
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$1,600,000
If this is an individual account plan, was there a blackout period2015-03-31No
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$504,322
Participant contributions at end of year2015-03-31$6,290
Participant contributions at beginning of year2015-03-31$3,429
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-03-31$76,343
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-03-31$83,810
Other income not declared elsewhere2015-03-31$341,545
Administrative expenses (other) incurred2015-03-31$813,605
Liabilities. Value of operating payables at end of year2015-03-31$251,258
Liabilities. Value of operating payables at beginning of year2015-03-31$288,943
Total non interest bearing cash at end of year2015-03-31$333,252
Total non interest bearing cash at beginning of year2015-03-31$330,964
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$-664,669
Value of net assets at end of year (total assets less liabilities)2015-03-31$10,822,209
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$11,486,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Investment advisory and management fees2015-03-31$27,229
Value of interest in common/collective trusts at end of year2015-03-31$7,291,429
Value of interest in common/collective trusts at beginning of year2015-03-31$10,299,039
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-03-31$630,079
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-03-31$149,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-03-31$149,364
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-03-31$77
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$6,947,817
Asset value of US Government securities at end of year2015-03-31$2,173,326
Asset value of US Government securities at beginning of year2015-03-31$690,050
Net investment gain or loss from common/collective trusts2015-03-31$554,657
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31Yes
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$12,545,247
Employer contributions (assets) at end of year2015-03-31$1,167,765
Employer contributions (assets) at beginning of year2015-03-31$1,021,042
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$6,276,729
Assets. Corporate common stocks other than exployer securities at end of year2015-03-31$25,693
Assets. Corporate common stocks other than exployer securities at beginning of year2015-03-31$21,750
Liabilities. Value of benefit claims payable at end of year2015-03-31$631,000
Liabilities. Value of benefit claims payable at beginning of year2015-03-31$824,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-03-31$290
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-03-31$373
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31No
Opinion of an independent qualified public accountant for this plan2015-03-31Unqualified
Accountancy firm name2015-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2015-03-31362152389
2014 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-03-31$4,163
Total unrealized appreciation/depreciation of assets2014-03-31$4,163
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$1,112,943
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$897,175
Total income from all sources (including contributions)2014-03-31$12,545,355
Total loss/gain on sale of assets2014-03-31$0
Total of all expenses incurred2014-03-31$14,239,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$12,973,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$11,545,580
Value of total assets at end of year2014-03-31$12,599,821
Value of total assets at beginning of year2014-03-31$14,078,427
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$1,266,458
Total interest from all sources2014-03-31$152
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Administrative expenses professional fees incurred2014-03-31$455,985
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$604,071
Participant contributions at end of year2014-03-31$3,429
Participant contributions at beginning of year2014-03-31$33,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-03-31$83,810
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-03-31$237,800
Other income not declared elsewhere2014-03-31$340,425
Administrative expenses (other) incurred2014-03-31$776,809
Liabilities. Value of operating payables at end of year2014-03-31$288,943
Liabilities. Value of operating payables at beginning of year2014-03-31$339,175
Total non interest bearing cash at end of year2014-03-31$330,964
Total non interest bearing cash at beginning of year2014-03-31$51,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$-1,694,374
Value of net assets at end of year (total assets less liabilities)2014-03-31$11,486,878
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$13,181,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Investment advisory and management fees2014-03-31$33,664
Value of interest in common/collective trusts at end of year2014-03-31$10,299,039
Value of interest in common/collective trusts at beginning of year2014-03-31$11,572,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-03-31$149,364
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-03-31$227,471
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-03-31$227,471
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-03-31$152
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$6,801,177
Asset value of US Government securities at end of year2014-03-31$690,050
Asset value of US Government securities at beginning of year2014-03-31$914,225
Net investment gain or loss from common/collective trusts2014-03-31$655,035
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31Yes
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$10,941,509
Employer contributions (assets) at end of year2014-03-31$1,021,042
Employer contributions (assets) at beginning of year2014-03-31$1,022,583
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$6,172,094
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-03-31$21,750
Assets. Corporate common stocks other than exployer securities at beginning of year2014-03-31$17,587
Liabilities. Value of benefit claims payable at end of year2014-03-31$824,000
Liabilities. Value of benefit claims payable at beginning of year2014-03-31$558,000
Assets. Value of buildings and other operty used in plan operation at end of year2014-03-31$373
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-03-31$1,470
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31No
Opinion of an independent qualified public accountant for this plan2014-03-31Unqualified
Accountancy firm name2014-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2014-03-31362152389
2013 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-03-31$3,030
Total unrealized appreciation/depreciation of assets2013-03-31$3,030
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$897,175
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$810,921
Total income from all sources (including contributions)2013-03-31$12,158,660
Total loss/gain on sale of assets2013-03-31$0
Total of all expenses incurred2013-03-31$13,445,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$12,217,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$10,729,511
Value of total assets at end of year2013-03-31$14,078,427
Value of total assets at beginning of year2013-03-31$15,278,764
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$1,227,679
Total interest from all sources2013-03-31$1,161
Total dividends received (eg from common stock, registered investment company shares)2013-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Administrative expenses professional fees incurred2013-03-31$411,297
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$567,725
Participant contributions at end of year2013-03-31$33,679
Participant contributions at beginning of year2013-03-31$33,478
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-03-31$237,800
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-03-31$252,313
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-03-31$12,602
Other income not declared elsewhere2013-03-31$337,418
Administrative expenses (other) incurred2013-03-31$779,401
Liabilities. Value of operating payables at end of year2013-03-31$339,175
Liabilities. Value of operating payables at beginning of year2013-03-31$149,319
Total non interest bearing cash at end of year2013-03-31$51,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$-1,286,591
Value of net assets at end of year (total assets less liabilities)2013-03-31$13,181,252
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$14,467,843
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Investment advisory and management fees2013-03-31$36,981
Value of interest in common/collective trusts at end of year2013-03-31$11,572,046
Value of interest in common/collective trusts at beginning of year2013-03-31$13,009,941
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-03-31$227,471
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-03-31$446,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-03-31$446,627
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-03-31$1,161
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-03-31$6,160,859
Asset value of US Government securities at end of year2013-03-31$914,225
Asset value of US Government securities at beginning of year2013-03-31$500,525
Net investment gain or loss from common/collective trusts2013-03-31$1,087,540
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31Yes
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$10,161,786
Employer contributions (assets) at end of year2013-03-31$1,022,583
Employer contributions (assets) at beginning of year2013-03-31$1,016,908
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$6,056,713
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-03-31$17,587
Assets. Corporate common stocks other than exployer securities at beginning of year2013-03-31$14,556
Liabilities. Value of benefit claims payable at end of year2013-03-31$558,000
Liabilities. Value of benefit claims payable at beginning of year2013-03-31$649,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-03-31$1,470
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-03-31$4,416
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31No
Opinion of an independent qualified public accountant for this plan2013-03-31Unqualified
Accountancy firm name2013-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2013-03-31362152389
2012 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-03-31$-1,462
Total unrealized appreciation/depreciation of assets2012-03-31$-1,462
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$810,921
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$675,300
Total income from all sources (including contributions)2012-03-31$11,943,874
Total loss/gain on sale of assets2012-03-31$0
Total of all expenses incurred2012-03-31$12,769,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$11,481,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$10,682,900
Value of total assets at end of year2012-03-31$15,278,764
Value of total assets at beginning of year2012-03-31$15,969,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$1,288,571
Total interest from all sources2012-03-31$2,070
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Administrative expenses professional fees incurred2012-03-31$433,841
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$500,000
If this is an individual account plan, was there a blackout period2012-03-31No
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$636,689
Participant contributions at end of year2012-03-31$33,478
Participant contributions at beginning of year2012-03-31$48,606
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-03-31$252,313
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-03-31$250,396
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-03-31$12,602
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-03-31$15,816
Other income not declared elsewhere2012-03-31$339,374
Administrative expenses (other) incurred2012-03-31$817,254
Liabilities. Value of operating payables at end of year2012-03-31$149,319
Liabilities. Value of operating payables at beginning of year2012-03-31$204,484
Total non interest bearing cash at beginning of year2012-03-31$31,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$-825,930
Value of net assets at end of year (total assets less liabilities)2012-03-31$14,467,843
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$15,293,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Investment advisory and management fees2012-03-31$37,476
Value of interest in common/collective trusts at end of year2012-03-31$13,009,941
Value of interest in common/collective trusts at beginning of year2012-03-31$14,092,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-03-31$446,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-03-31$537,630
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-03-31$537,630
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-03-31$2,070
Expenses. Payments to insurance carriers foe the provision of benefits2012-03-31$5,869,556
Asset value of US Government securities at end of year2012-03-31$500,525
Net investment gain or loss from common/collective trusts2012-03-31$920,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31Yes
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$10,046,211
Employer contributions (assets) at end of year2012-03-31$1,016,908
Employer contributions (assets) at beginning of year2012-03-31$984,068
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$5,611,677
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-03-31$14,556
Assets. Corporate common stocks other than exployer securities at beginning of year2012-03-31$16,019
Liabilities. Value of benefit claims payable at end of year2012-03-31$649,000
Liabilities. Value of benefit claims payable at beginning of year2012-03-31$455,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-03-31$4,416
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-03-31$8,049
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31No
Opinion of an independent qualified public accountant for this plan2012-03-31Unqualified
Accountancy firm name2012-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2012-03-31362152389
2011 : CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-03-31$581
Total unrealized appreciation/depreciation of assets2011-03-31$581
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$675,300
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$671,395
Total income from all sources (including contributions)2011-03-31$12,106,255
Total loss/gain on sale of assets2011-03-31$0
Total of all expenses incurred2011-03-31$11,001,411
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$9,773,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$10,533,597
Value of total assets at end of year2011-03-31$15,969,073
Value of total assets at beginning of year2011-03-31$14,860,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$1,227,436
Total interest from all sources2011-03-31$4,481
Total dividends received (eg from common stock, registered investment company shares)2011-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Administrative expenses professional fees incurred2011-03-31$415,422
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$500,000
If this is an individual account plan, was there a blackout period2011-03-31No
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$743,357
Participant contributions at end of year2011-03-31$48,606
Participant contributions at beginning of year2011-03-31$34,008
Income. Received or receivable in cash from other sources (including rollovers)2011-03-31$130,167
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-03-31$250,396
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-03-31$142,801
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-03-31$15,816
Other income not declared elsewhere2011-03-31$270,757
Administrative expenses (other) incurred2011-03-31$776,878
Liabilities. Value of operating payables at end of year2011-03-31$204,484
Liabilities. Value of operating payables at beginning of year2011-03-31$224,395
Total non interest bearing cash at end of year2011-03-31$31,990
Total non interest bearing cash at beginning of year2011-03-31$357,091
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$1,104,844
Value of net assets at end of year (total assets less liabilities)2011-03-31$15,293,773
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$14,188,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Investment advisory and management fees2011-03-31$35,136
Value of interest in common/collective trusts at end of year2011-03-31$14,092,315
Value of interest in common/collective trusts at beginning of year2011-03-31$12,798,348
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$537,630
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$642,477
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$642,477
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-03-31$4,481
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-03-31$5,380,394
Net investment gain or loss from common/collective trusts2011-03-31$1,296,839
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$9,660,073
Employer contributions (assets) at end of year2011-03-31$984,068
Employer contributions (assets) at beginning of year2011-03-31$857,793
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$4,393,581
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-03-31$16,019
Assets. Corporate common stocks other than exployer securities at beginning of year2011-03-31$15,438
Liabilities. Value of benefit claims payable at end of year2011-03-31$455,000
Liabilities. Value of benefit claims payable at beginning of year2011-03-31$447,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-03-31$8,049
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-03-31$12,368
Did the plan have assets held for investment2011-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31No
Opinion of an independent qualified public accountant for this plan2011-03-31Unqualified
Accountancy firm name2011-03-31BANSLEY AND KIENER, L.L.P.
Accountancy firm EIN2011-03-31362152389

Form 5500 Responses for CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND

2022: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2022 form 5500 responses
2022-04-01Type of plan entityMulti-employer plan
2022-04-01Plan is a collectively bargained planYes
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2021 form 5500 responses
2021-04-01Type of plan entityMulti-employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2020 form 5500 responses
2020-04-01Type of plan entityMulti-employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planYes
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2019 form 5500 responses
2019-04-01Type of plan entityMulti-employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planYes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2018 form 5500 responses
2018-04-01Type of plan entityMulti-employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planYes
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2017 form 5500 responses
2017-04-01Type of plan entityMulti-employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planYes
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2016 form 5500 responses
2016-04-01Type of plan entityMulti-employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planYes
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2015 form 5500 responses
2015-04-01Type of plan entityMulti-employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planYes
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2014 form 5500 responses
2014-04-01Type of plan entityMulti-employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planYes
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2013 form 5500 responses
2013-04-01Type of plan entityMulti-employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planYes
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2012 form 5500 responses
2012-04-01Type of plan entityMulti-employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2011 form 5500 responses
2011-04-01Type of plan entityMulti-employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planYes
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2010 form 5500 responses
2010-04-01Type of plan entityMulti-employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planYes
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: CHICAGO TRUCK DRIVERS UNION HEALTH & WELFARE FUND 2009 form 5500 responses
2009-04-01Type of plan entityMulti-employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planYes
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number017339
Policy instance 4
Insurance contract or identification number017339
Number of Individuals Covered1016
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,636,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00561915
Policy instance 3
Insurance contract or identification number00561915
Number of Individuals Covered699
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $36,107
Total amount of fees paid to insurance companyUSD $1,495
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $488,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,107
Amount paid for insurance broker fees1495
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10206471001
Policy instance 2
Insurance contract or identification number10206471001
Number of Individuals Covered1641
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,538
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,538
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF020730
Policy instance 1
Insurance contract or identification numberF020730
Number of Individuals Covered403
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,559
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $21,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1559
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered413
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,638,917
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 numberF020730
Policy instance 1
Insurance contract or identification numberF020730
Number of Individuals Covered412
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $21,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered413
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $22,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered406
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $240,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 5
Insurance contract or identification number010602
Number of Individuals Covered418
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $400,522
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered418
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,931,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered418
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $32,015
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered409
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $218,871
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered418
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $23,595
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 numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered496
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $23,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered499
Insurance policy start date2020-02-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $34,586
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 6
Insurance contract or identification number010602
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $430,326
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 5
Insurance contract or identification number81310
Number of Individuals Covered3
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $12,524
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 numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered498
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,746,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered487
Insurance policy start date2019-07-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $187,015
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered589
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $31,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered589
Insurance policy start date2019-02-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $6,909
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered587
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,946,484
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 5
Insurance contract or identification number010602
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $421,291
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 4
Insurance contract or identification number81310
Number of Individuals Covered5
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $20,760
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 numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered611
Insurance policy start date2017-08-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $21,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered598
Insurance policy start date2017-04-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $171,982
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 numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered612
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,762,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 4
Insurance contract or identification number81310
Number of Individuals Covered6
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $21,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 6
Insurance contract or identification numberN/A
Number of Individuals Covered611
Insurance policy start date2017-04-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $13,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 7
Insurance contract or identification number010602
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $418,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered611
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $47,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 3
Insurance contract or identification number81310
Number of Individuals Covered7
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $25,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered895
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $458,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered553
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $46,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered543
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $37,296
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 numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered545
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $6,411,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 6
Insurance contract or identification number010602
Number of Individuals Covered560
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $341,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 6
Insurance contract or identification number010602
Number of Individuals Covered563
Insurance policy start date2014-07-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $260,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered832
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $384,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered563
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $38,216
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 numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered564
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $6,188,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered563
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $40,378
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 2
Insurance contract or identification number81310
Number of Individuals Covered10
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $31,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PBA, INC. (National Association of Insurance Commissioners NAIC id number: 52421 )
Policy contract number010602
Policy instance 6
Insurance contract or identification number010602
Number of Individuals Covered577
Insurance policy start date2013-07-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $133,392
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered577
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $39,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered578
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $45,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 2
Insurance contract or identification number81310
Number of Individuals Covered10
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $35,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered549
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $293,969
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 numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered584
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $6,252,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered588
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $37,427
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 numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered594
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $5,760,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 3
Insurance contract or identification numberN/A
Number of Individuals Covered590
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $45,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 2
Insurance contract or identification number81310
Number of Individuals Covered14
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $43,905
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered559
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $274,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered536
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $255,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered571
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $35,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered571
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $43,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 3
Insurance contract or identification number81310
Number of Individuals Covered16
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $55,139
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 numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered574
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $5,479,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered521
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $241,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberN/A
Policy instance 5
Insurance contract or identification numberN/A
Number of Individuals Covered552
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $33,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LEGACY VISION (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberN/A
Policy instance 4
Insurance contract or identification numberN/A
Number of Individuals Covered559
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $42,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number81310
Policy instance 3
Insurance contract or identification number81310
Number of Individuals Covered19
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $66,998
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 numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered564
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $4,995,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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