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ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 401k Plan overview

Plan NameROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND
Plan identification number 504

ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 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

JOINT BOARD ROOFERS UNION LOCAL NO 70 INSURANCE TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:JOINT BOARD ROOFERS UNION LOCAL NO 70 INSURANCE TRUST FUND
Employer identification number (EIN):382818643
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01CHRISTOPHER M SCOTT CPAPFS MST2023-08-29 CHRISTOPHER M SCOTT CPAPFS MST2023-08-29
5042021-01-01
5042020-01-01
5042019-01-01
5042018-01-01
5042017-01-01JOHN TACKETT, CHAIRMAN NORMAN BURMEISTER, SECRETARY2018-07-19
5042016-01-01JOHN TACKETT, CHAIRMAN NORMAN BURMEISTER, SECRETARY2017-07-28
5042015-01-01JOHN TACKETT, CHAIRMAN
5042014-01-01JOHN TACKETT, CHAIRMAN
5042013-01-01JOHN TACKETT, CHAIRMAN
5042012-01-01JOHN TACKETT, CHAIRMAN

Plan Statistics for ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND

401k plan membership statisitcs for ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND

Measure Date Value
2022: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01295
Total number of active participants reported on line 7a of the Form 55002022-01-01291
Number of retired or separated participants receiving benefits2022-01-0124
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01315
Number of employers contributing to the scheme2022-01-0119
2021: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01295
Total number of active participants reported on line 7a of the Form 55002021-01-01271
Number of retired or separated participants receiving benefits2021-01-0124
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01295
Number of employers contributing to the scheme2021-01-0119
2020: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01304
Total number of active participants reported on line 7a of the Form 55002020-01-01271
Number of retired or separated participants receiving benefits2020-01-0124
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01295
Number of employers contributing to the scheme2020-01-0121
2019: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01288
Total number of active participants reported on line 7a of the Form 55002019-01-01281
Number of retired or separated participants receiving benefits2019-01-0123
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01304
Number of employers contributing to the scheme2019-01-0118
2018: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01290
Total number of active participants reported on line 7a of the Form 55002018-01-01267
Number of retired or separated participants receiving benefits2018-01-0121
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01288
Number of employers contributing to the scheme2018-01-0123
2017: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01286
Total number of active participants reported on line 7a of the Form 55002017-01-01272
Number of retired or separated participants receiving benefits2017-01-0118
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01290
Number of employers contributing to the scheme2017-01-0123
2016: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01241
Total number of active participants reported on line 7a of the Form 55002016-01-01264
Number of retired or separated participants receiving benefits2016-01-0122
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01286
Number of employers contributing to the scheme2016-01-0125
2015: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01249
Total number of active participants reported on line 7a of the Form 55002015-01-01228
Number of retired or separated participants receiving benefits2015-01-0113
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01241
Number of employers contributing to the scheme2015-01-0123
2014: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01223
Total number of active participants reported on line 7a of the Form 55002014-01-01235
Number of retired or separated participants receiving benefits2014-01-0114
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01249
Number of employers contributing to the scheme2014-01-0122
2013: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01225
Total number of active participants reported on line 7a of the Form 55002013-01-01223
Number of retired or separated participants receiving benefits2013-01-0113
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01236
Number of employers contributing to the scheme2013-01-0125
2012: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01214
Total number of active participants reported on line 7a of the Form 55002012-01-01212
Number of retired or separated participants receiving benefits2012-01-0113
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01225

Financial Data on ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND

Measure Date Value
2022 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-114,433
Total unrealized appreciation/depreciation of assets2022-12-31$-114,433
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,150,605
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,068,362
Total income from all sources (including contributions)2022-12-31$5,118,436
Total loss/gain on sale of assets2022-12-31$-45,928
Total of all expenses incurred2022-12-31$4,407,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,189,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,953,445
Value of total assets at end of year2022-12-31$7,847,250
Value of total assets at beginning of year2022-12-31$7,053,845
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$217,936
Total interest from all sources2022-12-31$118,569
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$16,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$16,692
Administrative expenses professional fees incurred2022-12-31$28,082
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$230,741
Assets. Other investments not covered elsewhere at end of year2022-12-31$356,796
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$319,973
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$70,721
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$23,515
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$30,413
Assets. Loans (other than to participants) at end of year2022-12-31$33,284
Assets. Loans (other than to participants) at beginning of year2022-12-31$51,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$13,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$19,905
Other income not declared elsewhere2022-12-31$366,648
Administrative expenses (other) incurred2022-12-31$109,156
Liabilities. Value of operating payables at end of year2022-12-31$21,582
Liabilities. Value of operating payables at beginning of year2022-12-31$3,869
Total non interest bearing cash at end of year2022-12-31$1,151,984
Total non interest bearing cash at beginning of year2022-12-31$914,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$711,162
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,696,645
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,985,483
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$10,695
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$633,981
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$800,400
Interest earned on other investments2022-12-31$8,850
Income. Interest from corporate debt instruments2022-12-31$100,191
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,401,737
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$698,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$698,842
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$9,528
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$303,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$295,009
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$3,867,314
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-176,557
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,722,704
Employer contributions (assets) at end of year2022-12-31$443,393
Employer contributions (assets) at beginning of year2022-12-31$387,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$251,303
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$3,498,701
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$3,556,083
Contract administrator fees2022-12-31$70,003
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,115,309
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,044,588
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$1,671,315
Aggregate carrying amount (costs) on sale of assets2022-12-31$1,717,243
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2022-12-31203920878
2021 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-74,523
Total unrealized appreciation/depreciation of assets2021-12-31$-74,523
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,068,362
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,127,368
Total income from all sources (including contributions)2021-12-31$5,271,943
Total loss/gain on sale of assets2021-12-31$-1,537
Total of all expenses incurred2021-12-31$4,697,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,490,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$4,717,264
Value of total assets at end of year2021-12-31$7,053,845
Value of total assets at beginning of year2021-12-31$6,537,927
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$206,492
Total interest from all sources2021-12-31$72,511
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$27,233
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$27,233
Administrative expenses professional fees incurred2021-12-31$25,117
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$217,737
Assets. Other investments not covered elsewhere at end of year2021-12-31$319,973
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$369,373
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$-8,736
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$30,413
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$4,910
Assets. Loans (other than to participants) at end of year2021-12-31$51,998
Assets. Loans (other than to participants) at beginning of year2021-12-31$44,932
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$19,905
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$70,554
Other income not declared elsewhere2021-12-31$497,828
Administrative expenses (other) incurred2021-12-31$115,343
Liabilities. Value of operating payables at end of year2021-12-31$3,869
Liabilities. Value of operating payables at beginning of year2021-12-31$3,490
Total non interest bearing cash at end of year2021-12-31$914,068
Total non interest bearing cash at beginning of year2021-12-31$715,992
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$574,924
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,985,483
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,410,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$4,429
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$800,400
Interest earned on other investments2021-12-31$8,592
Income. Interest from corporate debt instruments2021-12-31$62,818
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$698,842
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$4,696,743
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$4,696,743
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,101
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$295,009
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$286,417
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$4,316,227
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$33,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,499,527
Employer contributions (assets) at end of year2021-12-31$387,059
Employer contributions (assets) at beginning of year2021-12-31$419,560
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$183,036
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$3,556,083
Contract administrator fees2021-12-31$61,603
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,044,588
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,053,324
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$5,295,742
Aggregate carrying amount (costs) on sale of assets2021-12-31$5,297,279
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2021-12-31203920878
2020 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$-1,134
Total unrealized appreciation/depreciation of assets2020-12-31$-1,134
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,127,368
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,142,277
Total income from all sources (including contributions)2020-12-31$4,873,452
Total of all expenses incurred2020-12-31$4,867,689
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,668,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,801,562
Value of total assets at end of year2020-12-31$6,537,927
Value of total assets at beginning of year2020-12-31$6,547,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$199,241
Total interest from all sources2020-12-31$60,570
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$29,740
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$213,857
Assets. Other investments not covered elsewhere at end of year2020-12-31$369,373
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$397,411
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$-50,965
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$4,910
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$16,672
Assets. Loans (other than to participants) at end of year2020-12-31$44,932
Assets. Loans (other than to participants) at beginning of year2020-12-31$24,669
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$70,554
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$37,491
Other income not declared elsewhere2020-12-31$12,454
Administrative expenses (other) incurred2020-12-31$98,835
Liabilities. Value of operating payables at end of year2020-12-31$3,490
Liabilities. Value of operating payables at beginning of year2020-12-31$497
Total non interest bearing cash at end of year2020-12-31$715,992
Total non interest bearing cash at beginning of year2020-12-31$523,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$5,763
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,410,559
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,404,796
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Interest earned on other investments2020-12-31$12,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$4,696,743
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$4,928,736
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$4,928,736
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$48,026
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$286,417
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$273,873
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,592,965
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$4,587,705
Employer contributions (assets) at end of year2020-12-31$419,560
Employer contributions (assets) at beginning of year2020-12-31$382,227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$126,448
Contract administrator fees2020-12-31$70,666
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,053,324
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,104,289
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2020-12-31203920878
2019 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$-14,244
Total unrealized appreciation/depreciation of assets2019-12-31$-14,244
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,142,277
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$988,218
Total income from all sources (including contributions)2019-12-31$5,104,563
Total of all expenses incurred2019-12-31$4,826,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,644,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,009,000
Value of total assets at end of year2019-12-31$6,547,073
Value of total assets at beginning of year2019-12-31$6,114,706
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$182,051
Total interest from all sources2019-12-31$105,779
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$27,798
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$197,136
Assets. Other investments not covered elsewhere at end of year2019-12-31$397,411
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$360,948
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$138,651
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$16,672
Assets. Loans (other than to participants) at end of year2019-12-31$24,669
Assets. Loans (other than to participants) at beginning of year2019-12-31$24,683
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$37,491
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$11,796
Other income not declared elsewhere2019-12-31$4,028
Administrative expenses (other) incurred2019-12-31$99,278
Liabilities. Value of operating payables at end of year2019-12-31$497
Liabilities. Value of operating payables at beginning of year2019-12-31$10,784
Total non interest bearing cash at end of year2019-12-31$523,485
Total non interest bearing cash at beginning of year2019-12-31$741,539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$278,308
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,404,796
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,126,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Interest earned on other investments2019-12-31$7,977
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$4,928,736
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,334,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,334,533
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$97,802
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$273,873
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$265,896
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,330,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$4,811,864
Employer contributions (assets) at end of year2019-12-31$382,227
Employer contributions (assets) at beginning of year2019-12-31$386,945
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$175,379
Contract administrator fees2019-12-31$54,975
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,104,289
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$965,638
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$162
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2019-12-31203920878
2018 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-2,241
Total unrealized appreciation/depreciation of assets2018-12-31$-2,241
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$988,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,040,500
Total income from all sources (including contributions)2018-12-31$4,684,344
Total of all expenses incurred2018-12-31$4,818,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,633,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,596,223
Value of total assets at end of year2018-12-31$6,114,706
Value of total assets at beginning of year2018-12-31$6,300,956
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$184,738
Total interest from all sources2018-12-31$72,940
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$26,072
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$214,971
Assets. Other investments not covered elsewhere at end of year2018-12-31$360,948
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$-48,523
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$393,903
Assets. Loans (other than to participants) at end of year2018-12-31$24,683
Assets. Loans (other than to participants) at beginning of year2018-12-31$17,698
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$11,796
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$15,358
Other income not declared elsewhere2018-12-31$17,422
Administrative expenses (other) incurred2018-12-31$96,798
Liabilities. Value of operating payables at end of year2018-12-31$10,784
Liabilities. Value of operating payables at beginning of year2018-12-31$10,981
Total non interest bearing cash at end of year2018-12-31$741,539
Total non interest bearing cash at beginning of year2018-12-31$572,128
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-133,968
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,126,488
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,260,456
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest earned on other investments2018-12-31$7,745
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,334,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$4,721,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$4,721,579
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$65,195
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$265,896
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$258,151
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,524,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,381,252
Employer contributions (assets) at end of year2018-12-31$386,945
Employer contributions (assets) at beginning of year2018-12-31$336,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$158,005
Contract administrator fees2018-12-31$61,868
Liabilities. Value of benefit claims payable at end of year2018-12-31$965,638
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,014,161
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$162
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$591
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$3,981,000
Aggregate carrying amount (costs) on sale of assets2018-12-31$3,981,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2018-12-31203920878
2017 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-1,915
Total unrealized appreciation/depreciation of assets2017-12-31$-1,915
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,040,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,016,088
Total income from all sources (including contributions)2017-12-31$4,284,587
Total loss/gain on sale of assets2017-12-31$84
Total of all expenses incurred2017-12-31$4,511,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,155,344
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,226,718
Value of total assets at end of year2017-12-31$6,300,956
Value of total assets at beginning of year2017-12-31$6,503,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$355,924
Total interest from all sources2017-12-31$36,778
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$26,746
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$175,769
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$25,273
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$393,903
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$335,914
Assets. Loans (other than to participants) at end of year2017-12-31$17,698
Assets. Loans (other than to participants) at beginning of year2017-12-31$27,439
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$15,358
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$14,320
Other income not declared elsewhere2017-12-31$22,922
Administrative expenses (other) incurred2017-12-31$221,207
Liabilities. Value of operating payables at end of year2017-12-31$10,981
Liabilities. Value of operating payables at beginning of year2017-12-31$12,880
Total non interest bearing cash at end of year2017-12-31$572,128
Total non interest bearing cash at beginning of year2017-12-31$798,210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-226,681
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,260,456
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,487,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Interest earned on other investments2017-12-31$7,519
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$4,721,579
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$4,794,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$4,794,151
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$29,259
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$258,151
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$250,632
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,018,506
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,050,949
Employer contributions (assets) at end of year2017-12-31$336,906
Employer contributions (assets) at beginning of year2017-12-31$295,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$111,565
Contract administrator fees2017-12-31$107,971
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,014,161
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$988,888
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$591
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$1,126
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$8,616,000
Aggregate carrying amount (costs) on sale of assets2017-12-31$8,615,916
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2017-12-31203920878
2016 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$3,264
Total unrealized appreciation/depreciation of assets2016-12-31$3,264
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,016,088
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$887,217
Total income from all sources (including contributions)2016-12-31$4,093,376
Total loss/gain on sale of assets2016-12-31$49
Total of all expenses incurred2016-12-31$4,041,368
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,705,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,060,106
Value of total assets at end of year2016-12-31$6,503,225
Value of total assets at beginning of year2016-12-31$6,322,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$335,631
Total interest from all sources2016-12-31$23,584
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$24,250
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$182,272
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$128,577
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$335,914
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$308,211
Assets. Loans (other than to participants) at end of year2016-12-31$27,439
Assets. Loans (other than to participants) at beginning of year2016-12-31$26,899
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$14,320
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$13,574
Other income not declared elsewhere2016-12-31$6,373
Administrative expenses (other) incurred2016-12-31$255,557
Liabilities. Value of operating payables at end of year2016-12-31$12,880
Liabilities. Value of operating payables at beginning of year2016-12-31$13,332
Total non interest bearing cash at end of year2016-12-31$798,210
Total non interest bearing cash at beginning of year2016-12-31$1,065,928
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$52,008
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,487,137
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,435,129
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$265
Interest earned on other investments2016-12-31$4,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$4,794,151
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$4,167,113
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$4,167,113
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$18,745
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$250,632
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$416,038
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$3,297,789
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$3,877,834
Employer contributions (assets) at end of year2016-12-31$295,753
Employer contributions (assets) at beginning of year2016-12-31$336,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$279,371
Contract administrator fees2016-12-31$55,559
Liabilities. Value of benefit claims payable at end of year2016-12-31$988,888
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$860,311
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$1,126
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$1,889
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$4,352,000
Aggregate carrying amount (costs) on sale of assets2016-12-31$4,351,951
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2016-12-31203920878
2015 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$887,217
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$817,367
Total income from all sources (including contributions)2015-12-31$3,845,462
Total loss/gain on sale of assets2015-12-31$-372
Total of all expenses incurred2015-12-31$3,430,693
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,105,991
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,820,173
Value of total assets at end of year2015-12-31$6,322,346
Value of total assets at beginning of year2015-12-31$5,837,727
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$324,702
Total interest from all sources2015-12-31$24,519
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$26,190
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$127,199
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$81,576
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$308,211
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$285,708
Assets. Loans (other than to participants) at end of year2015-12-31$26,899
Assets. Loans (other than to participants) at beginning of year2015-12-31$19,360
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$13,574
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$38,632
Other income not declared elsewhere2015-12-31$1,142
Administrative expenses (other) incurred2015-12-31$240,213
Liabilities. Value of operating payables at end of year2015-12-31$13,332
Total non interest bearing cash at end of year2015-12-31$1,065,928
Total non interest bearing cash at beginning of year2015-12-31$439,828
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$414,769
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,435,129
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,020,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$893
Interest earned on other investments2015-12-31$10,314
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$4,167,113
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$4,370,881
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$4,370,881
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$14,205
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$416,038
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$405,724
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,973,105
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,692,974
Employer contributions (assets) at end of year2015-12-31$336,268
Employer contributions (assets) at beginning of year2015-12-31$313,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$51,310
Contract administrator fees2015-12-31$57,406
Liabilities. Value of benefit claims payable at end of year2015-12-31$860,311
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$778,735
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$1,889
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$3,171
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$2,583,000
Aggregate carrying amount (costs) on sale of assets2015-12-31$2,583,372
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2015-12-31203920878
2014 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$122
Total unrealized appreciation/depreciation of assets2014-12-31$122
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$817,367
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$580,029
Total income from all sources (including contributions)2014-12-31$3,550,282
Total loss/gain on sale of assets2014-12-31$452
Total of all expenses incurred2014-12-31$3,304,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,971,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,520,008
Value of total assets at end of year2014-12-31$5,837,727
Value of total assets at beginning of year2014-12-31$5,354,202
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$332,588
Total interest from all sources2014-12-31$28,875
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$24,996
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$125,750
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$221,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$285,708
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$402,487
Assets. Loans (other than to participants) at end of year2014-12-31$19,360
Assets. Loans (other than to participants) at beginning of year2014-12-31$40,347
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$38,632
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$23,204
Other income not declared elsewhere2014-12-31$825
Administrative expenses (other) incurred2014-12-31$246,414
Liabilities. Value of operating payables at beginning of year2014-12-31$66
Total non interest bearing cash at end of year2014-12-31$439,828
Total non interest bearing cash at beginning of year2014-12-31$483,353
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$246,187
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,020,360
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,774,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$4,687
Interest earned on other investments2014-12-31$17,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$4,370,881
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,870,052
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,870,052
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$11,875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$405,724
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$388,724
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,698,162
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,394,258
Employer contributions (assets) at end of year2014-12-31$313,055
Employer contributions (assets) at beginning of year2014-12-31$167,618
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$51,369
Contract administrator fees2014-12-31$56,491
Liabilities. Value of benefit claims payable at end of year2014-12-31$778,735
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$556,759
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$3,171
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$1,621
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$1,408,000
Aggregate carrying amount (costs) on sale of assets2014-12-31$1,407,548
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2014-12-31203920878
2013 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-122
Total unrealized appreciation/depreciation of assets2013-12-31$-122
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$580,029
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$625,454
Total income from all sources (including contributions)2013-12-31$2,953,465
Total loss/gain on sale of assets2013-12-31$147
Total of all expenses incurred2013-12-31$2,332,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,143,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,921,383
Value of total assets at end of year2013-12-31$5,354,202
Value of total assets at beginning of year2013-12-31$4,778,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$188,449
Total interest from all sources2013-12-31$31,765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$23,932
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$120,970
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$-49,724
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$402,487
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$193,661
Assets. Loans (other than to participants) at end of year2013-12-31$40,347
Assets. Loans (other than to participants) at beginning of year2013-12-31$14,997
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$23,204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$10,524
Other income not declared elsewhere2013-12-31$292
Administrative expenses (other) incurred2013-12-31$111,650
Liabilities. Value of operating payables at end of year2013-12-31$66
Liabilities. Value of operating payables at beginning of year2013-12-31$8,447
Total non interest bearing cash at end of year2013-12-31$483,353
Total non interest bearing cash at beginning of year2013-12-31$535,141
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$621,253
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,774,173
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,152,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$4,239
Interest earned on other investments2013-12-31$20,239
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,870,052
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,446,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,446,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$11,526
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$388,724
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$368,485
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,155,027
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,800,413
Employer contributions (assets) at end of year2013-12-31$167,618
Employer contributions (assets) at beginning of year2013-12-31$219,298
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$38,460
Contract administrator fees2013-12-31$48,628
Liabilities. Value of benefit claims payable at end of year2013-12-31$556,759
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$606,483
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$1,621
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$427
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$2,162,000
Aggregate carrying amount (costs) on sale of assets2013-12-31$2,161,853
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2013-12-31203920878
2012 : ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$625,454
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$607,274
Total income from all sources (including contributions)2012-12-31$3,280,233
Total of all expenses incurred2012-12-31$2,568,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,389,834
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,214,915
Value of total assets at end of year2012-12-31$4,778,374
Value of total assets at beginning of year2012-12-31$4,048,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$178,556
Total interest from all sources2012-12-31$24,913
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$22,061
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$136,359
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$21,970
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$193,661
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$208,420
Assets. Loans (other than to participants) at end of year2012-12-31$14,997
Assets. Loans (other than to participants) at beginning of year2012-12-31$18,931
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$10,524
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$13,258
Other income not declared elsewhere2012-12-31$40,405
Administrative expenses (other) incurred2012-12-31$108,215
Liabilities. Value of operating payables at end of year2012-12-31$8,447
Liabilities. Value of operating payables at beginning of year2012-12-31$9,504
Total non interest bearing cash at end of year2012-12-31$535,141
Total non interest bearing cash at beginning of year2012-12-31$762,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$711,843
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,152,920
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,441,077
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest earned on other investments2012-12-31$17,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,446,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,438,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,438,858
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$7,508
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$368,485
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$351,080
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,359,504
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$3,078,556
Employer contributions (assets) at end of year2012-12-31$219,298
Employer contributions (assets) at beginning of year2012-12-31$268,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$8,360
Contract administrator fees2012-12-31$48,280
Liabilities. Value of benefit claims payable at end of year2012-12-31$606,483
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$584,512
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$427
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$728
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BULTYNCK & CO., P.L.L.C.
Accountancy firm EIN2012-12-31203920878

Form 5500 Responses for ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND

2022: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ROOFERS UNION LOCAL NO. 70 INSURANCE TRUST FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00620622
Policy instance 6
Insurance contract or identification numberG00620622
Number of Individuals Covered261
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,657
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,657
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 5
Insurance contract or identification number51130
Number of Individuals Covered758
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,098
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,098
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 4
Insurance contract or identification number700
Number of Individuals Covered759
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,441
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,441
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 3
Insurance contract or identification number00122148/0001
Number of Individuals Covered20
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Other welfare benefits providedHEARING
Welfare Benefit Premiums Paid to CarrierUSD $78,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number122148
Policy instance 1
Insurance contract or identification number122148
Number of Individuals Covered718
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $89,577
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89,577
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number122148
Policy instance 1
Insurance contract or identification number122148
Number of Individuals Covered718
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $124,156
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $124,156
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 3
Insurance contract or identification number00122148/0001
Number of Individuals Covered24
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,158
Health Insurance Welfare BenefitYes
Other welfare benefits providedHEARING
Welfare Benefit Premiums Paid to CarrierUSD $91,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,158
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 4
Insurance contract or identification number700
Number of Individuals Covered743
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,032
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,032
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 5
Insurance contract or identification number51130
Number of Individuals Covered740
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,759
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,759
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804769G
Policy instance 6
Insurance contract or identification number804769G
Number of Individuals Covered247
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,377
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 numberG00620622
Policy instance 7
Insurance contract or identification numberG00620622
Number of Individuals Covered262
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,626
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $26,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,626
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number122148
Policy instance 1
Insurance contract or identification number122148
Number of Individuals Covered747
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $41,357
Total amount of fees paid to insurance companyUSD $3,305
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,357
Amount paid for insurance broker fees3305
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 3
Insurance contract or identification number00122148/0001
Number of Individuals Covered25
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $14
Health Insurance Welfare BenefitYes
Other welfare benefits providedHEARING
Welfare Benefit Premiums Paid to CarrierUSD $110,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14
Insurance broker organization code?3
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 4
Insurance contract or identification number700
Number of Individuals Covered765
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,844
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,844
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 5
Insurance contract or identification number51130
Number of Individuals Covered767
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,031
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,031
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number804769G
Policy instance 6
Insurance contract or identification number804769G
Number of Individuals Covered247
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $2,823
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $25,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,823
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00620622
Policy instance 7
Insurance contract or identification numberG00620622
Number of Individuals Covered260
Insurance policy start date2020-11-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $477
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $477
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number122148
Policy instance 1
Insurance contract or identification number122148
Number of Individuals Covered742
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $42,481
Total amount of fees paid to insurance companyUSD $1,535
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,481
Amount paid for insurance broker fees1535
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 3
Insurance contract or identification number00122148/0001
Number of Individuals Covered26
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Other welfare benefits providedHEARING
Welfare Benefit Premiums Paid to CarrierUSD $100,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 4
Insurance contract or identification number700
Number of Individuals Covered770
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,478
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,478
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 5
Insurance contract or identification number51130
Number of Individuals Covered767
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,009
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,009
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0285607
Policy instance 6
Insurance contract or identification number0285607
Number of Individuals Covered431
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $2,529
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $27,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,529
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number122148
Policy instance 1
Insurance contract or identification number122148
Number of Individuals Covered756
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $42,649
Total amount of fees paid to insurance companyUSD $3,259
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,649
Amount paid for insurance broker fees3259
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 3
Insurance contract or identification number00122148/0001
Number of Individuals Covered24
Insurance policy start date2018-01-01
Insurance policy end date2019-06-13
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $150,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 4
Insurance contract or identification number700
Number of Individuals Covered768
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,069
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,069
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 5
Insurance contract or identification number51130
Number of Individuals Covered767
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,084
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,084
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0285607
Policy instance 6
Insurance contract or identification number0285607
Number of Individuals Covered437
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $2,892
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,892
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0285607
Policy instance 6
Insurance contract or identification number0285607
Number of Individuals Covered438
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $2,635
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,635
Additional information about fees paid to insurance brokerAGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameMACQUEEN & ASSOCIATES LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 5
Insurance contract or identification number51130
Number of Individuals Covered801
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,059
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,059
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJANELLE M. RUTH
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 4
Insurance contract or identification number700
Number of Individuals Covered804
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,395
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,395
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT RUTH
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 3
Insurance contract or identification number00122148/0001
Number of Individuals Covered23
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number122148
Policy instance 1
Insurance contract or identification number122148
Number of Individuals Covered787
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $41,662
Total amount of fees paid to insurance companyUSD $1,081
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,662
Amount paid for insurance broker fees1081
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT G. RUTH
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number46450
Policy instance 1
Insurance contract or identification number46450
Number of Individuals Covered694
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $24,169
Total amount of fees paid to insurance companyUSD $1,119
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,169
Amount paid for insurance broker fees1119
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT G. RUTH
AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number573466AAI
Policy instance 2
Insurance contract or identification number573466AAI
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
F&G LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63274 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 5
Insurance contract or identification number700
Number of Individuals Covered656
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $4,432
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,432
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT RUTH
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 4
Insurance contract or identification number00122148/0001
Number of Individuals Covered8
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 6
Insurance contract or identification number51130
Number of Individuals Covered680
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,594
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,594
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJANELLE M. RUTH
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AQR7-0001
Policy instance 7
Insurance contract or identification numberG000AQR7-0001
Number of Individuals Covered223
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,930
Total amount of fees paid to insurance companyUSD $590
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,930
Amount paid for insurance broker fees590
Additional information about fees paid to insurance brokerAGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameMACQUEEN & ASSOCIATES LLC
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number46450
Policy instance 1
Insurance contract or identification number46450
Number of Individuals Covered620
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT G. RUTH
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
F&G LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63274 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 4
Insurance contract or identification number00122148/0001
Number of Individuals Covered8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 5
Insurance contract or identification number700
Number of Individuals Covered634
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT RUTH
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51130
Policy instance 6
Insurance contract or identification number51130
Number of Individuals Covered630
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJANELLE M. RUTH
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AQR7-0001
Policy instance 7
Insurance contract or identification numberG000AQR7-0001
Number of Individuals Covered186
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number46450
Policy instance 1
Insurance contract or identification number46450
Number of Individuals Covered578
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $21,103
Total amount of fees paid to insurance companyUSD $1,784
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,103
Amount paid for insurance broker fees1784
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT G. RUTH
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
F&G LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63274 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 5
Insurance contract or identification number700
Number of Individuals Covered560
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,193
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,193
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameROBERT RUTH
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 4
Insurance contract or identification number00122148/0001
Number of Individuals Covered6
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFM05192
Policy instance 6
Insurance contract or identification numberFM05192
Number of Individuals Covered179
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,904
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,904
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameGRA BENEFITS GROUP, LLC
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number51130
Policy instance 7
Insurance contract or identification number51130
Number of Individuals Covered563
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,468
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,468
Additional information about fees paid to insurance brokerINS AGENT COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJANELLE M. RUTH
AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 60631 )
Policy contract number573466
Policy instance 2
Insurance contract or identification number573466
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
F&G LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63274 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number00122148/0001
Policy instance 4
Insurance contract or identification number00122148/0001
Number of Individuals Covered10
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54305 )
Policy contract number700
Policy instance 5
Insurance contract or identification number700
Number of Individuals Covered525
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,227
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,227
Insurance broker organization code?3
Insurance broker nameROBERT RUTH
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberFM05192
Policy instance 6
Insurance contract or identification numberFM05192
Number of Individuals Covered201
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,796
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,797
Insurance broker organization code?3
Insurance broker nameGRA BENEFITS GROUP, LLC
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number51130
Policy instance 7
Insurance contract or identification number51130
Number of Individuals Covered531
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,427
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,427
Insurance broker organization code?3
Insurance broker nameJANELLE M. RUTH
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number46450
Policy instance 1
Insurance contract or identification number46450
Number of Individuals Covered527
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,077
Total amount of fees paid to insurance companyUSD $1,808
Are there contracts with allocated funds for individual policies?Yes
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,077
Amount paid for insurance broker fees1808
Insurance broker organization code?3
Insurance broker nameROBERT G. RUTH

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