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I.A.OF M. MOTOR CITY HEALTH & WELF 401k Plan overview

Plan NameI.A.OF M. MOTOR CITY HEALTH & WELF
Plan identification number 501

I.A.OF M. MOTOR CITY HEALTH & WELF Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

I.A.OF M. MOTOR CITY HEALTH & WELF has sponsored the creation of one or more 401k plans.

Company Name:I.A.OF M. MOTOR CITY HEALTH & WELF
Employer identification number (EIN):381422403
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I.A.OF M. MOTOR CITY HEALTH & WELF

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01
5012016-07-01RAYMOND BURATTO SEAN MCDONALD2018-06-21
5012016-07-01 SEAN MCDONALD2018-04-12
5012015-07-01RAYMOND BURATTO SEAN MCDONALD2017-04-12
5012014-07-01RAYMOND BURATTO SEAN MCDONALD2016-03-03
5012013-07-01RAYMOND BURATTO SEAN MCDONALD2015-02-20
5012012-07-01RAYMOND BURATTO FRED KOENIG2014-04-01
5012011-07-01RAYMOND BURATTO FRED KOENIG2013-06-11
5012009-07-01MARK WARD

Plan Statistics for I.A.OF M. MOTOR CITY HEALTH & WELF

401k plan membership statisitcs for I.A.OF M. MOTOR CITY HEALTH & WELF

Measure Date Value
2021: I.A.OF M. MOTOR CITY HEALTH & WELF 2021 401k membership
Total participants, beginning-of-year2021-07-01382
Total number of active participants reported on line 7a of the Form 55002021-07-01393
Number of retired or separated participants receiving benefits2021-07-0147
Number of other retired or separated participants entitled to future benefits2021-07-012
Total of all active and inactive participants2021-07-01442
Number of employers contributing to the scheme2021-07-018
2020: I.A.OF M. MOTOR CITY HEALTH & WELF 2020 401k membership
Total participants, beginning-of-year2020-07-01329
Total number of active participants reported on line 7a of the Form 55002020-07-01341
Number of retired or separated participants receiving benefits2020-07-0140
Number of other retired or separated participants entitled to future benefits2020-07-011
Total of all active and inactive participants2020-07-01382
Number of employers contributing to the scheme2020-07-018
2019: I.A.OF M. MOTOR CITY HEALTH & WELF 2019 401k membership
Total participants, beginning-of-year2019-07-01354
Total number of active participants reported on line 7a of the Form 55002019-07-01278
Number of retired or separated participants receiving benefits2019-07-0148
Number of other retired or separated participants entitled to future benefits2019-07-013
Total of all active and inactive participants2019-07-01329
Number of employers contributing to the scheme2019-07-0111
2018: I.A.OF M. MOTOR CITY HEALTH & WELF 2018 401k membership
Total participants, beginning-of-year2018-07-01424
Total number of active participants reported on line 7a of the Form 55002018-07-01299
Number of retired or separated participants receiving benefits2018-07-0153
Number of other retired or separated participants entitled to future benefits2018-07-012
Total of all active and inactive participants2018-07-01354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Number of employers contributing to the scheme2018-07-0113
2017: I.A.OF M. MOTOR CITY HEALTH & WELF 2017 401k membership
Total participants, beginning-of-year2017-07-01383
Total number of active participants reported on line 7a of the Form 55002017-07-01361
Number of retired or separated participants receiving benefits2017-07-0161
Number of other retired or separated participants entitled to future benefits2017-07-012
Total of all active and inactive participants2017-07-01424
Number of employers contributing to the scheme2017-07-018
2016: I.A.OF M. MOTOR CITY HEALTH & WELF 2016 401k membership
Total participants, beginning-of-year2016-07-01402
Total number of active participants reported on line 7a of the Form 55002016-07-01327
Number of retired or separated participants receiving benefits2016-07-0156
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01383
Number of employers contributing to the scheme2016-07-019
2015: I.A.OF M. MOTOR CITY HEALTH & WELF 2015 401k membership
Total participants, beginning-of-year2015-07-01365
Total number of active participants reported on line 7a of the Form 55002015-07-01307
Number of retired or separated participants receiving benefits2015-07-0195
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01402
Number of employers contributing to the scheme2015-07-0111
2014: I.A.OF M. MOTOR CITY HEALTH & WELF 2014 401k membership
Total participants, beginning-of-year2014-07-01351
Total number of active participants reported on line 7a of the Form 55002014-07-01267
Number of retired or separated participants receiving benefits2014-07-0198
Total of all active and inactive participants2014-07-01365
Number of employers contributing to the scheme2014-07-0115
2013: I.A.OF M. MOTOR CITY HEALTH & WELF 2013 401k membership
Total participants, beginning-of-year2013-07-01355
Total number of active participants reported on line 7a of the Form 55002013-07-01252
Number of retired or separated participants receiving benefits2013-07-0199
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01351
2012: I.A.OF M. MOTOR CITY HEALTH & WELF 2012 401k membership
Total participants, beginning-of-year2012-07-01364
Total number of active participants reported on line 7a of the Form 55002012-07-01260
Number of retired or separated participants receiving benefits2012-07-0195
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01355
Number of employers contributing to the scheme2012-07-0117
2011: I.A.OF M. MOTOR CITY HEALTH & WELF 2011 401k membership
Total participants, beginning-of-year2011-07-01353
Total number of active participants reported on line 7a of the Form 55002011-07-01294
Number of retired or separated participants receiving benefits2011-07-0170
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01364
Number of employers contributing to the scheme2011-07-0113
2009: I.A.OF M. MOTOR CITY HEALTH & WELF 2009 401k membership
Total participants, beginning-of-year2009-07-01171
Total number of active participants reported on line 7a of the Form 55002009-07-0180
Number of retired or separated participants receiving benefits2009-07-0197
Total of all active and inactive participants2009-07-01177
Number of employers contributing to the scheme2009-07-0111

Financial Data on I.A.OF M. MOTOR CITY HEALTH & WELF

Measure Date Value
2022 : I.A.OF M. MOTOR CITY HEALTH & WELF 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$517,537
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$812,746
Total income from all sources (including contributions)2022-06-30$3,809,712
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$4,945,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$4,571,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$5,093,537
Value of total assets at end of year2022-06-30$9,363,588
Value of total assets at beginning of year2022-06-30$10,794,904
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$374,543
Total interest from all sources2022-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$203,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$203,350
Administrative expenses professional fees incurred2022-06-30$71,526
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$182,918
Participant contributions at end of year2022-06-30$2,802
Participant contributions at beginning of year2022-06-30$757
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$0
Other income not declared elsewhere2022-06-30$312
Administrative expenses (other) incurred2022-06-30$209,972
Liabilities. Value of operating payables at end of year2022-06-30$133,552
Liabilities. Value of operating payables at beginning of year2022-06-30$149,748
Total non interest bearing cash at end of year2022-06-30$694,991
Total non interest bearing cash at beginning of year2022-06-30$1,843,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-1,136,107
Value of net assets at end of year (total assets less liabilities)2022-06-30$8,846,051
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$9,982,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$18,112
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$8,391,970
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$8,661,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$117,785
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$131,949
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$131,949
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$30,519
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-1,487,487
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$4,910,619
Employer contributions (assets) at end of year2022-06-30$148,449
Employer contributions (assets) at beginning of year2022-06-30$147,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$4,540,757
Contract administrator fees2022-06-30$74,933
Liabilities. Value of benefit claims payable at end of year2022-06-30$383,985
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$662,998
Assets. Value of buildings and other operty used in plan operation at end of year2022-06-30$7,591
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-06-30$9,348
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30WRUBEL WESLEY & CO CPAS
Accountancy firm EIN2022-06-30382574238
2021 : I.A.OF M. MOTOR CITY HEALTH & WELF 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total transfer of assets to this plan2021-06-30$0
Total transfer of assets from this plan2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$812,746
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$549,628
Total income from all sources (including contributions)2021-06-30$6,523,433
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$4,395,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$4,074,851
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$5,029,616
Value of total assets at end of year2021-06-30$10,794,904
Value of total assets at beginning of year2021-06-30$8,403,507
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$320,303
Total interest from all sources2021-06-30$9
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$157,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$157,345
Administrative expenses professional fees incurred2021-06-30$60,237
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$225,547
Participant contributions at end of year2021-06-30$757
Participant contributions at beginning of year2021-06-30$757
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$67,480
Other income not declared elsewhere2021-06-30$13
Administrative expenses (other) incurred2021-06-30$148,223
Liabilities. Value of operating payables at end of year2021-06-30$149,748
Liabilities. Value of operating payables at beginning of year2021-06-30$111,975
Total non interest bearing cash at end of year2021-06-30$1,843,119
Total non interest bearing cash at beginning of year2021-06-30$1,688,948
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$2,128,279
Value of net assets at end of year (total assets less liabilities)2021-06-30$9,982,158
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$7,853,879
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$32,055
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$8,661,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$6,239,690
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$131,949
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$60,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$60,398
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$9
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$321,221
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$1,336,450
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$4,804,069
Employer contributions (assets) at end of year2021-06-30$147,788
Employer contributions (assets) at beginning of year2021-06-30$338,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$3,753,630
Contract administrator fees2021-06-30$79,788
Liabilities. Value of benefit claims payable at end of year2021-06-30$662,998
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$437,653
Assets. Value of buildings and other operty used in plan operation at end of year2021-06-30$9,348
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-06-30$7,328
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2021-06-30382574238
2020 : I.A.OF M. MOTOR CITY HEALTH & WELF 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total transfer of assets to this plan2020-06-30$0
Total transfer of assets from this plan2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$549,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$358,991
Total income from all sources (including contributions)2020-06-30$5,084,942
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$4,160,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$3,819,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$4,873,663
Value of total assets at end of year2020-06-30$8,403,507
Value of total assets at beginning of year2020-06-30$7,288,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$341,266
Total interest from all sources2020-06-30$52
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$152,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$152,553
Administrative expenses professional fees incurred2020-06-30$108,625
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$285,195
Participant contributions at end of year2020-06-30$757
Participant contributions at beginning of year2020-06-30$21,631
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$67,480
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$38,773
Other income not declared elsewhere2020-06-30$30
Administrative expenses (other) incurred2020-06-30$113,675
Liabilities. Value of operating payables at end of year2020-06-30$111,975
Liabilities. Value of operating payables at beginning of year2020-06-30$61,338
Total non interest bearing cash at end of year2020-06-30$1,688,948
Total non interest bearing cash at beginning of year2020-06-30$1,714,244
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$924,480
Value of net assets at end of year (total assets less liabilities)2020-06-30$7,853,879
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$6,929,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$38,951
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$6,239,690
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$5,017,173
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$60,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$71,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$71,666
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$52
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$304,155
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$58,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$4,588,468
Employer contributions (assets) at end of year2020-06-30$338,906
Employer contributions (assets) at beginning of year2020-06-30$417,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$3,515,041
Contract administrator fees2020-06-30$80,015
Liabilities. Value of benefit claims payable at end of year2020-06-30$437,653
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$297,653
Assets. Value of buildings and other operty used in plan operation at end of year2020-06-30$7,328
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-06-30$7,575
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2020-06-30382574238
2019 : I.A.OF M. MOTOR CITY HEALTH & WELF 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$358,991
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$838,688
Total income from all sources (including contributions)2019-06-30$5,123,091
Total loss/gain on sale of assets2019-06-30$-5
Total of all expenses incurred2019-06-30$4,623,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$4,345,721
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$4,806,574
Value of total assets at end of year2019-06-30$7,288,390
Value of total assets at beginning of year2019-06-30$7,268,330
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$277,613
Total interest from all sources2019-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$119,294
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$119,294
Administrative expenses professional fees incurred2019-06-30$31,343
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$294,875
Participant contributions at end of year2019-06-30$21,631
Participant contributions at beginning of year2019-06-30$5,513
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$11,776
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$38,773
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$33,295
Administrative expenses (other) incurred2019-06-30$136,106
Liabilities. Value of operating payables at end of year2019-06-30$61,338
Liabilities. Value of operating payables at beginning of year2019-06-30$65,121
Total non interest bearing cash at end of year2019-06-30$1,714,244
Total non interest bearing cash at beginning of year2019-06-30$2,022,584
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$499,757
Value of net assets at end of year (total assets less liabilities)2019-06-30$6,929,399
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$6,429,642
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$40,180
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$5,017,173
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$4,721,144
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$71,666
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$51,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$51,178
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$255,415
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$197,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$4,499,923
Employer contributions (assets) at end of year2019-06-30$417,328
Employer contributions (assets) at beginning of year2019-06-30$427,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$4,090,306
Contract administrator fees2019-06-30$69,984
Liabilities. Value of benefit claims payable at end of year2019-06-30$297,653
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$773,567
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$7,575
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$7,159
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$36
Aggregate carrying amount (costs) on sale of assets2019-06-30$41
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30WRUBEL, WESLEY & CO CPAS
Accountancy firm EIN2019-06-30382574238
2018 : I.A.OF M. MOTOR CITY HEALTH & WELF 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total transfer of assets to this plan2018-06-30$0
Total transfer of assets from this plan2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$838,688
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$514,958
Total income from all sources (including contributions)2018-06-30$5,151,379
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$4,359,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$4,104,139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$4,916,639
Value of total assets at end of year2018-06-30$7,268,330
Value of total assets at beginning of year2018-06-30$6,152,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$255,002
Total interest from all sources2018-06-30$22
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$109,806
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$109,806
Administrative expenses professional fees incurred2018-06-30$22,351
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$326,987
Participant contributions at end of year2018-06-30$5,513
Participant contributions at beginning of year2018-06-30$7,209
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$33,295
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$19,094
Administrative expenses (other) incurred2018-06-30$115,735
Liabilities. Value of operating payables at end of year2018-06-30$65,121
Liabilities. Value of operating payables at beginning of year2018-06-30$90,914
Total non interest bearing cash at end of year2018-06-30$2,022,584
Total non interest bearing cash at beginning of year2018-06-30$2,214,854
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$792,238
Value of net assets at end of year (total assets less liabilities)2018-06-30$6,429,642
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$5,637,404
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$46,932
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$4,721,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$3,476,239
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$51,178
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$61,343
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$61,343
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$22
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$283,437
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$124,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$4,589,652
Employer contributions (assets) at end of year2018-06-30$427,457
Employer contributions (assets) at beginning of year2018-06-30$366,370
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$3,820,702
Contract administrator fees2018-06-30$69,984
Liabilities. Value of benefit claims payable at end of year2018-06-30$773,567
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$424,044
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$7,159
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$7,253
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2018-06-30382574238
2017 : I.A.OF M. MOTOR CITY HEALTH & WELF 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total transfer of assets to this plan2017-06-30$0
Total transfer of assets from this plan2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$514,958
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$255,813
Total income from all sources (including contributions)2017-06-30$5,027,064
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$4,315,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$4,098,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$4,757,921
Value of total assets at end of year2017-06-30$6,152,362
Value of total assets at beginning of year2017-06-30$5,181,487
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$216,897
Total interest from all sources2017-06-30$8
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$87,546
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$87,546
Administrative expenses professional fees incurred2017-06-30$26,871
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$356,428
Participant contributions at end of year2017-06-30$7,209
Participant contributions at beginning of year2017-06-30$5,191
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$19,094
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$65,752
Administrative expenses (other) incurred2017-06-30$90,958
Liabilities. Value of operating payables at end of year2017-06-30$90,914
Liabilities. Value of operating payables at beginning of year2017-06-30$24,468
Total non interest bearing cash at end of year2017-06-30$2,214,854
Total non interest bearing cash at beginning of year2017-06-30$1,489,422
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$711,730
Value of net assets at end of year (total assets less liabilities)2017-06-30$5,637,404
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$4,925,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$29,084
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$3,476,239
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$3,218,914
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$61,343
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$49,524
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$49,524
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$8
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$285,740
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$181,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$4,401,493
Employer contributions (assets) at end of year2017-06-30$366,370
Employer contributions (assets) at beginning of year2017-06-30$343,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$3,812,697
Contract administrator fees2017-06-30$69,984
Liabilities. Value of benefit claims payable at end of year2017-06-30$424,044
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$231,345
Assets. Value of buildings and other operty used in plan operation at end of year2017-06-30$7,253
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-06-30$8,805
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2017-06-30382574238
2016 : I.A.OF M. MOTOR CITY HEALTH & WELF 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total transfer of assets to this plan2016-06-30$0
Total transfer of assets from this plan2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$255,813
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$487,178
Total income from all sources (including contributions)2016-06-30$4,689,719
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$3,024,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$2,769,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$4,595,884
Value of total assets at end of year2016-06-30$5,181,487
Value of total assets at beginning of year2016-06-30$3,747,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$255,043
Total interest from all sources2016-06-30$13
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$79,729
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$79,729
Administrative expenses professional fees incurred2016-06-30$35,074
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$362,748
Participant contributions at end of year2016-06-30$5,191
Participant contributions at beginning of year2016-06-30$1,802
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$65,752
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$20,211
Other income not declared elsewhere2016-06-30$1,468
Administrative expenses (other) incurred2016-06-30$122,000
Liabilities. Value of operating payables at end of year2016-06-30$24,468
Liabilities. Value of operating payables at beginning of year2016-06-30$12,203
Total non interest bearing cash at end of year2016-06-30$1,489,422
Total non interest bearing cash at beginning of year2016-06-30$1,420,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$1,665,085
Value of net assets at end of year (total assets less liabilities)2016-06-30$4,925,674
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$3,260,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$27,985
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$3,218,914
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$1,946,770
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$49,524
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$48,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$48,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$13
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$305,404
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$12,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$4,233,136
Employer contributions (assets) at end of year2016-06-30$343,879
Employer contributions (assets) at beginning of year2016-06-30$301,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$2,464,187
Contract administrator fees2016-06-30$69,984
Liabilities. Value of benefit claims payable at end of year2016-06-30$231,345
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$474,975
Assets. Value of buildings and other operty used in plan operation at end of year2016-06-30$8,805
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-06-30$9,086
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2016-06-30382574238
2015 : I.A.OF M. MOTOR CITY HEALTH & WELF 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-26,609
Total unrealized appreciation/depreciation of assets2015-06-30$-26,609
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$487,178
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$415,583
Total income from all sources (including contributions)2015-06-30$4,256,418
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$3,923,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$3,758,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$4,244,526
Value of total assets at end of year2015-06-30$3,747,767
Value of total assets at beginning of year2015-06-30$3,343,007
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$165,031
Total interest from all sources2015-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$38,501
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$38,501
Administrative expenses professional fees incurred2015-06-30$32,242
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$382,201
Participant contributions at end of year2015-06-30$1,802
Participant contributions at beginning of year2015-06-30$662
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$20,211
Administrative expenses (other) incurred2015-06-30$46,677
Liabilities. Value of operating payables at end of year2015-06-30$12,203
Liabilities. Value of operating payables at beginning of year2015-06-30$13,441
Total non interest bearing cash at end of year2015-06-30$1,420,092
Total non interest bearing cash at beginning of year2015-06-30$3,011,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$333,165
Value of net assets at end of year (total assets less liabilities)2015-06-30$3,260,589
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,927,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$16,992
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$1,946,770
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$48,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$426,569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$3,862,325
Employer contributions (assets) at end of year2015-06-30$301,675
Employer contributions (assets) at beginning of year2015-06-30$296,607
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$3,331,653
Contract administrator fees2015-06-30$69,120
Liabilities. Value of benefit claims payable at end of year2015-06-30$474,975
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$402,142
Assets. Value of buildings and other operty used in plan operation at end of year2015-06-30$9,086
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-06-30$34,437
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30WRUBEL, WESLEY AND COMPANY C.P.A'S
Accountancy firm EIN2015-06-30382574238
2014 : I.A.OF M. MOTOR CITY HEALTH & WELF 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total transfer of assets to this plan2014-06-30$0
Total transfer of assets from this plan2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$415,583
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$534,829
Total income from all sources (including contributions)2014-06-30$4,183,379
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$3,522,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$3,389,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$4,183,379
Value of total assets at end of year2014-06-30$3,343,007
Value of total assets at beginning of year2014-06-30$2,801,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$132,785
Total interest from all sources2014-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Administrative expenses professional fees incurred2014-06-30$21,869
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$410,710
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$662
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$3,162
Administrative expenses (other) incurred2014-06-30$46,116
Liabilities. Value of operating payables at end of year2014-06-30$13,441
Liabilities. Value of operating payables at beginning of year2014-06-30$12,632
Total non interest bearing cash at end of year2014-06-30$3,011,301
Total non interest bearing cash at beginning of year2014-06-30$2,412,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$661,038
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,927,424
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,266,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$376,830
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$3,772,669
Employer contributions (assets) at end of year2014-06-30$296,607
Employer contributions (assets) at beginning of year2014-06-30$378,170
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$3,012,726
Contract administrator fees2014-06-30$64,800
Liabilities. Value of benefit claims payable at end of year2014-06-30$402,142
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$522,197
Assets. Value of buildings and other operty used in plan operation at end of year2014-06-30$34,437
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-06-30$7,473
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2014-06-30382574238
2013 : I.A.OF M. MOTOR CITY HEALTH & WELF 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total transfer of assets to this plan2013-06-30$0
Total transfer of assets from this plan2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$534,829
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$382,748
Total income from all sources (including contributions)2013-06-30$4,467,349
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$3,260,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$3,128,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$4,467,349
Value of total assets at end of year2013-06-30$2,801,215
Value of total assets at beginning of year2013-06-30$1,441,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$131,306
Total interest from all sources2013-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Administrative expenses professional fees incurred2013-06-30$20,632
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$412,078
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-06-30$2,800,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$3,162
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$4,586
Administrative expenses (other) incurred2013-06-30$45,854
Liabilities. Value of operating payables at end of year2013-06-30$12,632
Liabilities. Value of operating payables at beginning of year2013-06-30$8,655
Total non interest bearing cash at end of year2013-06-30$2,412,410
Total non interest bearing cash at beginning of year2013-06-30$1,039,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$1,207,296
Value of net assets at end of year (total assets less liabilities)2013-06-30$2,266,386
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,059,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$328,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$4,055,271
Employer contributions (assets) at end of year2013-06-30$378,170
Employer contributions (assets) at beginning of year2013-06-30$385,014
Contract administrator fees2013-06-30$64,820
Liabilities. Value of benefit claims payable at end of year2013-06-30$522,197
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$374,093
Assets. Value of buildings and other operty used in plan operation at end of year2013-06-30$7,473
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-06-30$13,224
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30WRUBEL WESLEY AND COMPANY C.P.A.'S
Accountancy firm EIN2013-06-30382574238
2012 : I.A.OF M. MOTOR CITY HEALTH & WELF 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total transfer of assets to this plan2012-06-30$0
Total transfer of assets from this plan2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$382,748
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$414,922
Total income from all sources (including contributions)2012-06-30$4,223,304
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$3,476,823
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$433,833
Value of total corrective distributions2012-06-30$2,913,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$4,223,246
Value of total assets at end of year2012-06-30$1,441,838
Value of total assets at beginning of year2012-06-30$727,531
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$129,719
Total interest from all sources2012-06-30$58
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Administrative expenses professional fees incurred2012-06-30$18,409
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$430,444
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-06-30$74,300
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$4,586
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$293,039
Administrative expenses (other) incurred2012-06-30$46,010
Liabilities. Value of operating payables at end of year2012-06-30$8,655
Liabilities. Value of operating payables at beginning of year2012-06-30$10,598
Total non interest bearing cash at end of year2012-06-30$1,039,014
Total non interest bearing cash at beginning of year2012-06-30$21,935
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$746,481
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,059,090
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$312,609
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$129,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$129,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$58
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$359,533
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$3,792,802
Employer contributions (assets) at end of year2012-06-30$385,014
Employer contributions (assets) at beginning of year2012-06-30$275,671
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$2,913,271
Contract administrator fees2012-06-30$65,300
Liabilities. Value of benefit claims payable at end of year2012-06-30$374,093
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$404,324
Assets. Value of buildings and other operty used in plan operation at end of year2012-06-30$13,224
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-06-30$7,495
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30WRUBEL, WESLEY & COMPANY C.P.A.'S
Accountancy firm EIN2012-06-30382574238
2011 : I.A.OF M. MOTOR CITY HEALTH & WELF 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total transfer of assets to this plan2011-06-30$0
Total transfer of assets from this plan2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$414,922
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$245,248
Total income from all sources (including contributions)2011-06-30$3,542,224
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$3,136,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$3,013,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$3,541,903
Value of total assets at end of year2011-06-30$727,531
Value of total assets at beginning of year2011-06-30$152,040
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$123,340
Total interest from all sources2011-06-30$321
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Administrative expenses professional fees incurred2011-06-30$29,899
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$425,673
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$293,039
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$8,178
Administrative expenses (other) incurred2011-06-30$36,141
Liabilities. Value of operating payables at end of year2011-06-30$10,598
Liabilities. Value of operating payables at beginning of year2011-06-30$19,248
Total non interest bearing cash at end of year2011-06-30$21,935
Total non interest bearing cash at beginning of year2011-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$405,817
Value of net assets at end of year (total assets less liabilities)2011-06-30$312,609
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$-93,208
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$129,391
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$60,807
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$60,807
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$438,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$3,116,230
Employer contributions (assets) at end of year2011-06-30$275,671
Employer contributions (assets) at beginning of year2011-06-30$83,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$2,575,036
Contract administrator fees2011-06-30$57,300
Liabilities. Value of benefit claims payable at end of year2011-06-30$404,324
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$226,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-06-30$7,495
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$0
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30WRUBEL, WESLEY & COMPANY C.P.A.'S
Accountancy firm EIN2011-06-30382574238

Form 5500 Responses for I.A.OF M. MOTOR CITY HEALTH & WELF

2021: I.A.OF M. MOTOR CITY HEALTH & WELF 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: I.A.OF M. MOTOR CITY HEALTH & WELF 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: I.A.OF M. MOTOR CITY HEALTH & WELF 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: I.A.OF M. MOTOR CITY HEALTH & WELF 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: I.A.OF M. MOTOR CITY HEALTH & WELF 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: I.A.OF M. MOTOR CITY HEALTH & WELF 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Submission has been amendedYes
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: I.A.OF M. MOTOR CITY HEALTH & WELF 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: I.A.OF M. MOTOR CITY HEALTH & WELF 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: I.A.OF M. MOTOR CITY HEALTH & WELF 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: I.A.OF M. MOTOR CITY HEALTH & WELF 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: I.A.OF M. MOTOR CITY HEALTH & WELF 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Submission has been amendedYes
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: I.A.OF M. MOTOR CITY HEALTH & WELF 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35129
Policy instance 4
Insurance contract or identification numberHCL35129
Number of Individuals Covered327
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $18,309
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 $199,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,309
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616888
Policy instance 3
Insurance contract or identification numberG00616888
Number of Individuals Covered359
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $3,386
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
Other welfare benefits providedAD&D
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 $22,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,386
Insurance broker organization code?3
HAP PREFERRED (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number10000685
Policy instance 2
Insurance contract or identification number10000685
Number of Individuals Covered759
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
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
Other welfare benefits providedHPI CONTRACT
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 $77,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number10000660
Policy instance 1
Insurance contract or identification number10000660
Number of Individuals Covered5
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
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
Other welfare benefits providedAHL CONTRACT
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 $10,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616888
Policy instance 4
Insurance contract or identification numberG00616888
Number of Individuals Covered359
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $3,356
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
Other welfare benefits providedAD&D
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 $22,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,356
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL35129
Policy instance 5
Insurance contract or identification numberHCL35129
Number of Individuals Covered323
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $5,385
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 $90,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,385
Insurance broker organization code?3
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number1000660
Policy instance 1
Insurance contract or identification number1000660
Number of Individuals Covered5
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 $11,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAP PREFERRED (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number10000685
Policy instance 2
Insurance contract or identification number10000685
Number of Individuals Covered805
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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
Other welfare benefits providedHPI CONTRACT
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 $42,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number
Policy instance 3
Number of Individuals Covered325
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $4,904
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 $98,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,904
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10352
Policy instance 5
Insurance contract or identification numberSL10352
Number of Individuals Covered355
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $16,288
Total amount of fees paid to insurance companyUSD $5,090
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 $100,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,288
Amount paid for insurance broker fees5090
Additional information about fees paid to insurance brokerOVERIDE COMMISSIONS
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616888
Policy instance 4
Insurance contract or identification numberG00616888
Number of Individuals Covered302
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $3,365
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
Other welfare benefits providedAD&D
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 $22,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,365
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number
Policy instance 3
Number of Individuals Covered266
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,588
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 $86,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees4588
Additional information about fees paid to insurance brokerOVERRIDE COMMISSIONS
Insurance broker organization code?3
HAP PREFERRED (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number10000685
Policy instance 2
Insurance contract or identification number10000685
Number of Individuals Covered849
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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
Other welfare benefits providedHPI CONTRACT
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 $27,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60134 )
Policy contract number100000660
Policy instance 1
Insurance contract or identification number100000660
Number of Individuals Covered5
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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
Other welfare benefits providedAHL CONTRACT
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 $12,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00616888
Policy instance 2
Insurance contract or identification numberG00616888
Number of Individuals Covered356
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,341
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
Other welfare benefits providedAD&D
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 $22,274
Commission paid to Insurance BrokerUSD $3,341
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10352
Policy instance 3
Insurance contract or identification numberSL10352
Number of Individuals Covered322
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,023
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 $181,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,023
Insurance broker organization code?3
HAP PREFERRED (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number10000685
Policy instance 1
Insurance contract or identification number10000685
Number of Individuals Covered769
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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
Other welfare benefits providedHPI CONTRACT
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 $35,279
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL 10352
Policy instance 2
Insurance contract or identification numberSL 10352
Number of Individuals Covered322
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,023
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 $181,169
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00616888
Policy instance 1
Insurance contract or identification numberG 00616888
Number of Individuals Covered359
Insurance policy start date2018-03-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $1,133
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $7,553
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3247 C4511
Policy instance 4
Insurance contract or identification numberG3247 C4511
Number of Individuals Covered360
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $3,955
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $26,369
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number9472767
Policy instance 5
Insurance contract or identification number9472767
Number of Individuals Covered367
Insurance policy start date2017-07-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,702
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 $99,459
HAP PREFERRED (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number10000685
Policy instance 3
Insurance contract or identification number10000685
Number of Individuals Covered807
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 $28,340

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