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ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 401k Plan overview

Plan NameANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65
Plan identification number 511

ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

ANDERSEN CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:ANDERSEN CORPORATION
Employer identification number (EIN):410123208
NAIC Classification:321900

Additional information about ANDERSEN CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 1015755

More information about ANDERSEN CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112022-01-01
5112021-01-01
5112021-01-01
5112021-01-01
5112020-01-01
5112020-01-01
5112019-01-01
5112018-01-01
5112017-01-01KATHY PRONDZINSKI
5112016-01-01KATHY PRONDZINSKI
5112015-01-01KATHY PRONDZINSKI
5112015-01-01KATHY PRONDZINSKI
5112015-01-01KATHY PRONDZINSKI
5112014-01-01KATHY PRONDZINSKI

Plan Statistics for ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65

401k plan membership statisitcs for ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65

Measure Date Value
2022: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2022 401k membership
Total participants, beginning-of-year2022-01-012,263
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-012,418
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,418
2021: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2021 401k membership
Total participants, beginning-of-year2021-01-012,245
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-012,267
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,267
2020: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2020 401k membership
Total participants, beginning-of-year2020-01-012,256
Number of retired or separated participants receiving benefits2020-01-012,598
Total of all active and inactive participants2020-01-012,598
2019: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2019 401k membership
Total participants, beginning-of-year2019-01-012,143
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-012,263
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,263
2018: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2018 401k membership
Total participants, beginning-of-year2018-01-012,084
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-012,129
Total of all active and inactive participants2018-01-012,129
2017: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2017 401k membership
Total participants, beginning-of-year2017-01-012,040
Number of retired or separated participants receiving benefits2017-01-012,075
Total of all active and inactive participants2017-01-012,075
2016: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2016 401k membership
Total participants, beginning-of-year2016-01-011,084
Total number of active participants reported on line 7a of the Form 55002016-01-011,212
Total of all active and inactive participants2016-01-011,212
2015: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2015 401k membership
Total participants, beginning-of-year2015-01-011,016
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-011,104
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2014 401k membership
Total participants, beginning-of-year2014-01-01936
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-011,028
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,028
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010

Financial Data on ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65

Measure Date Value
2022 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-9,776,580
Total unrealized appreciation/depreciation of assets2022-12-31$-9,776,580
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$15,709,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$17,865,100
Total income from all sources (including contributions)2022-12-31$-16,132,628
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$23,321,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$23,339,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,216,474
Value of total assets at end of year2022-12-31$159,751,390
Value of total assets at beginning of year2022-12-31$201,361,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$-17,922
Total interest from all sources2022-12-31$15,253
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,819,625
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
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$2,073,434
Assets. Other investments not covered elsewhere at end of year2022-12-31$57,312,864
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$86,838,954
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$4,922
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$189,235
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$15,431,682
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$17,386,998
Other income not declared elsewhere2022-12-31$-11,407,400
Administrative expenses (other) incurred2022-12-31$-879,976
Liabilities. Value of operating payables at end of year2022-12-31$36,341
Liabilities. Value of operating payables at beginning of year2022-12-31$48,914
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-39,454,382
Value of net assets at end of year (total assets less liabilities)2022-12-31$144,041,926
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$183,496,308
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,688,403
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,811,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,811,438
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$15,253
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$6,126,210
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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
Assets. Invements in employer securities at end of year2022-12-31$100,745,201
Assets. Invements in employer securities at beginning of year2022-12-31$110,521,781
Contributions received in cash from employer2022-12-31$143,040
Income. Dividends from common stock2022-12-31$2,819,625
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$17,213,466
Contract administrator fees2022-12-31$862,054
Liabilities. Value of benefit claims payable at end of year2022-12-31$241,441
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$429,188
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
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ERNST AND YOUNG
Accountancy firm EIN2022-12-31346565596
2021 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$21,485,543
Total unrealized appreciation/depreciation of assets2021-12-31$21,485,543
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$17,865,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$13,134,109
Total income from all sources (including contributions)2021-12-31$38,704,666
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$31,352,032
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$25,363,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,245,892
Value of total assets at end of year2021-12-31$201,172,194
Value of total assets at beginning of year2021-12-31$189,088,569
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$5,988,846
Total interest from all sources2021-12-31$250
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,597,787
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$18,940
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
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$1,983,686
Assets. Other investments not covered elsewhere at end of year2021-12-31$86,838,954
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$91,984,185
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$21
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$45
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$17,386,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$13,089,890
Other income not declared elsewhere2021-12-31$13,375,194
Administrative expenses (other) incurred2021-12-31$4,957,955
Liabilities. Value of operating payables at end of year2021-12-31$48,914
Liabilities. Value of operating payables at beginning of year2021-12-31$44,219
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$7,352,634
Value of net assets at end of year (total assets less liabilities)2021-12-31$183,307,094
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$175,954,460
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,811,438
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$8,068,101
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$8,068,101
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$250
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$5,497,054
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
Assets. Invements in employer securities at end of year2021-12-31$110,521,781
Assets. Invements in employer securities at beginning of year2021-12-31$89,036,238
Contributions received in cash from employer2021-12-31$262,206
Income. Dividends from common stock2021-12-31$1,597,787
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$19,866,132
Contract administrator fees2021-12-31$1,011,951
Liabilities. Value of benefit claims payable at end of year2021-12-31$429,188
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
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31ERNST AND YOUNG
Accountancy firm EIN2021-12-31346565596
2020 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$22,993,102
Total unrealized appreciation/depreciation of assets2020-12-31$22,993,102
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$13,134,109
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$9,382,180
Total income from all sources (including contributions)2020-12-31$38,062,753
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$29,025,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$23,147,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,715,413
Value of total assets at end of year2020-12-31$189,088,569
Value of total assets at beginning of year2020-12-31$176,299,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$5,877,464
Total interest from all sources2020-12-31$22,585
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,221,837
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$10,462
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
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$1,483,998
Assets. Other investments not covered elsewhere at end of year2020-12-31$91,984,185
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$100,481,839
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$45
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$552,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$13,089,890
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$8,491,269
Other income not declared elsewhere2020-12-31$12,109,816
Administrative expenses (other) incurred2020-12-31$5,065,339
Liabilities. Value of operating payables at end of year2020-12-31$44,219
Liabilities. Value of operating payables at beginning of year2020-12-31$890,911
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$9,037,322
Value of net assets at end of year (total assets less liabilities)2020-12-31$175,954,460
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$166,917,138
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
Investment advisory and management fees2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$8,068,101
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$9,222,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$9,222,121
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$22,585
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$5,150,557
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
Assets. Invements in employer securities at end of year2020-12-31$89,036,238
Assets. Invements in employer securities at beginning of year2020-12-31$66,043,137
Contributions received in cash from employer2020-12-31$231,415
Income. Dividends from common stock2020-12-31$1,221,837
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$17,997,410
Contract administrator fees2020-12-31$801,663
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 plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ERNST & YOUNG LLP
Accountancy firm EIN2020-12-31346565596
2019 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$14,272,942
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$14,272,942
Total unrealized appreciation/depreciation of assets2019-12-31$14,272,942
Total unrealized appreciation/depreciation of assets2019-12-31$14,272,942
Total transfer of assets to this plan2019-12-31$2,449,050
Total transfer of assets to this plan2019-12-31$2,449,050
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$9,382,180
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$9,382,180
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$36,566,695
Total income from all sources (including contributions)2019-12-31$36,566,695
Total loss/gain on sale of assets2019-12-31$-27,427
Total loss/gain on sale of assets2019-12-31$-27,427
Total of all expenses incurred2019-12-31$30,641,527
Total of all expenses incurred2019-12-31$30,641,527
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$20,562,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$20,562,994
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,767,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,767,000
Value of total assets at end of year2019-12-31$176,299,318
Value of total assets at end of year2019-12-31$176,299,318
Value of total assets at beginning of year2019-12-31$158,542,920
Value of total assets at beginning of year2019-12-31$158,542,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$10,078,533
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$10,078,533
Total interest from all sources2019-12-31$97,731
Total interest from all sources2019-12-31$97,731
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$939,875
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$939,875
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
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$7,394
Administrative expenses professional fees incurred2019-12-31$7,394
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$15,000,000
Value of fidelity bond cover2019-12-31$15,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,678,645
Assets. Other investments not covered elsewhere at end of year2019-12-31$100,481,839
Assets. Other investments not covered elsewhere at end of year2019-12-31$100,481,839
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$99,787,075
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$99,787,075
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$552,221
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$552,221
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$564,372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$564,372
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$8,491,269
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$8,491,269
Other income not declared elsewhere2019-12-31$19,516,574
Administrative expenses (other) incurred2019-12-31$9,384,680
Administrative expenses (other) incurred2019-12-31$9,384,680
Liabilities. Value of operating payables at end of year2019-12-31$890,911
Liabilities. Value of operating payables at end of year2019-12-31$890,911
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
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$5,925,168
Value of net income/loss2019-12-31$5,925,168
Value of net assets at end of year (total assets less liabilities)2019-12-31$166,917,138
Value of net assets at end of year (total assets less liabilities)2019-12-31$166,917,138
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$158,542,920
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$158,542,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$73,303
Investment advisory and management fees2019-12-31$73,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$9,222,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$9,222,121
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$6,421,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$6,421,278
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$6,421,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$6,421,278
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$97,731
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$97,731
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,791,010
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,791,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$66,043,137
Assets. Invements in employer securities at end of year2019-12-31$66,043,137
Assets. Invements in employer securities at beginning of year2019-12-31$51,770,195
Assets. Invements in employer securities at beginning of year2019-12-31$51,770,195
Contributions received in cash from employer2019-12-31$88,355
Contributions received in cash from employer2019-12-31$88,355
Income. Dividends from common stock2019-12-31$939,875
Income. Dividends from common stock2019-12-31$939,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,771,984
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,771,984
Contract administrator fees2019-12-31$613,156
Contract administrator fees2019-12-31$613,156
Did the plan have assets held for investment2019-12-31Yes
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
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$16,128,597
Aggregate proceeds on sale of assets2019-12-31$16,128,597
Aggregate carrying amount (costs) on sale of assets2019-12-31$16,156,024
Aggregate carrying amount (costs) on sale of assets2019-12-31$16,156,024
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ERNST & YOUNG LLP
Accountancy firm name2019-12-31ERNST & YOUNG LLP
Accountancy firm EIN2019-12-31346565596
Accountancy firm EIN2019-12-31346565596
2018 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$2,746,315
Total unrealized appreciation/depreciation of assets2018-12-31$2,746,315
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$5,257,381
Total loss/gain on sale of assets2018-12-31$-286,772
Total of all expenses incurred2018-12-31$21,416,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$20,688,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,811,716
Value of total assets at end of year2018-12-31$158,542,920
Value of total assets at beginning of year2018-12-31$174,702,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$728,031
Total interest from all sources2018-12-31$56,614
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$798,894
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$7,235
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$15,000,000
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$1,721,385
Assets. Other investments not covered elsewhere at end of year2018-12-31$99,787,075
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$119,605,410
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$564,372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$5,224
Other income not declared elsewhere2018-12-31$130,614
Administrative expenses (other) incurred2018-12-31$2,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-16,159,194
Value of net assets at end of year (total assets less liabilities)2018-12-31$158,542,920
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$174,702,114
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
Investment advisory and management fees2018-12-31$140,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$6,421,278
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$6,067,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$6,067,600
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$56,614
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,427,330
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
Assets. Invements in employer securities at end of year2018-12-31$51,770,195
Assets. Invements in employer securities at beginning of year2018-12-31$49,023,880
Contributions received in cash from employer2018-12-31$90,331
Income. Dividends from common stock2018-12-31$798,894
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$16,261,214
Contract administrator fees2018-12-31$577,350
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$69,103,321
Aggregate carrying amount (costs) on sale of assets2018-12-31$69,390,093
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ERNST & YOUNG LLP
Accountancy firm EIN2018-12-31346565596
2017 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$8,201,349
Total unrealized appreciation/depreciation of assets2017-12-31$8,201,349
Total transfer of assets to this plan2017-12-31$75,812,206
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$29,655,613
Total loss/gain on sale of assets2017-12-31$-16,232
Total of all expenses incurred2017-12-31$18,830,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$18,124,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,917,173
Value of total assets at end of year2017-12-31$174,702,114
Value of total assets at beginning of year2017-12-31$88,064,497
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$705,958
Total interest from all sources2017-12-31$1,216,306
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$563,925
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$7,234
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$15,000,000
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$1,815,119
Assets. Other investments not covered elsewhere at end of year2017-12-31$119,605,410
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$5,224
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$379
Other income not declared elsewhere2017-12-31$17,773,092
Administrative expenses (other) incurred2017-12-31$30,230
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$10,825,411
Value of net assets at end of year (total assets less liabilities)2017-12-31$174,702,114
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$88,064,497
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
Investment advisory and management fees2017-12-31$163,091
Interest earned on other investments2017-12-31$1,188,482
Value of interest in master investment trust accounts at beginning of year2017-12-31$88,064,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$6,067,600
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$27,824
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,079,690
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
Assets. Invements in employer securities at end of year2017-12-31$49,023,880
Contributions received in cash from employer2017-12-31$102,054
Income. Dividends from common stock2017-12-31$563,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$14,044,554
Contract administrator fees2017-12-31$505,403
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$95,974,130
Aggregate carrying amount (costs) on sale of assets2017-12-31$95,990,362
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 name2017-12-31ERNST & YOUNG LLP
Accountancy firm EIN2017-12-31346565596
2016 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$10,835,578
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$6,070,262
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,000,241
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$76,328
Value of total assets at end of year2016-12-31$88,064,497
Value of total assets at beginning of year2016-12-31$83,299,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$70,021
Total interest from all sources2016-12-31$379
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$3,888
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$15,000,000
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
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$379
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$61,181
Administrative expenses (other) incurred2016-12-31$-67,614
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$4,765,316
Value of net assets at end of year (total assets less liabilities)2016-12-31$88,064,497
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$83,299,181
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$81,550
Value of interest in master investment trust accounts at end of year2016-12-31$88,064,118
Value of interest in master investment trust accounts at beginning of year2016-12-31$83,238,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$379
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,955,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$76,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,045,054
Contract administrator fees2016-12-31$52,197
Did the plan have assets held for investment2016-12-31No
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
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 name2016-12-31ERNST & YOUNG LLP
Accountancy firm EIN2016-12-31346565596
2015 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$6,326,543
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$5,438,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,392,949
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$64,921
Value of total assets at end of year2015-12-31$83,299,181
Value of total assets at beginning of year2015-12-31$82,411,403
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$45,816
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$2,822
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$15,000,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$61,181
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$189,151
Administrative expenses (other) incurred2015-12-31$-77,979
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$887,778
Value of net assets at end of year (total assets less liabilities)2015-12-31$83,299,181
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$82,411,403
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$72,315
Value of interest in master investment trust accounts at end of year2015-12-31$83,238,000
Value of interest in master investment trust accounts at beginning of year2015-12-31$82,222,252
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,716,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$64,921
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,676,126
Contract administrator fees2015-12-31$48,658
Did the plan have assets held for investment2015-12-31No
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
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 name2015-12-31ERNST & YOUNG LLP
Accountancy firm EIN2015-12-31346565596
2014 : ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$78,510,586
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$8,784,611
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$4,883,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,751,476
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$64,526
Value of total assets at end of year2014-12-31$82,411,403
Value of total assets at beginning of year2014-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$132,318
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
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$3,514
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$15,000,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$189,151
Administrative expenses (other) incurred2014-12-31$18,201
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$3,900,817
Value of net assets at end of year (total assets less liabilities)2014-12-31$82,411,403
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
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$68,281
Value of interest in master investment trust accounts at end of year2014-12-31$82,222,252
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,495,820
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
Assets. Invements in employer securities at beginning of year2014-12-31$0
Contributions received in cash from employer2014-12-31$64,526
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,255,656
Contract administrator fees2014-12-31$42,322
Did the plan have assets held for investment2014-12-31No
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ERNST & YOUNG LLP
Accountancy firm EIN2014-12-31346565596

Form 5500 Responses for ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65

2022: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ANDERSEN CORPORATION HEALTH REIMBURSEMENT ARRANGEM ENT FOR RETIREES, SPS/DOM PART AND SURVIVING SPS/ DOM PART WHO HAVE ATTAINED AGE 65 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 3
Insurance contract or identification number50199-G
Number of Individuals Covered705
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number263934
Policy instance 2
Insurance contract or identification number263934
Number of Individuals Covered95
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 52628 )
Policy contract number20507
Policy instance 1
Insurance contract or identification number20507
Number of Individuals Covered1023
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $95,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 3
Insurance contract or identification number50199-G
Number of Individuals Covered705
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number263934
Policy instance 2
Insurance contract or identification number263934
Number of Individuals Covered102
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 52628 )
Policy contract number20507
Policy instance 1
Insurance contract or identification number20507
Number of Individuals Covered1115
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 3
Insurance contract or identification number50199-G
Number of Individuals Covered709
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number263934
Policy instance 2
Insurance contract or identification number263934
Number of Individuals Covered99
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $18,000
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees18000
Additional information about fees paid to insurance brokerAGENT/BROKER INCENTIVE PAYMENTS
Insurance broker organization code?3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 52628 )
Policy contract number20507
Policy instance 1
Insurance contract or identification number20507
Number of Individuals Covered1095
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $76,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 2
Insurance contract or identification number50199-G
Number of Individuals Covered716
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 52628 )
Policy contract number20507
Policy instance 1
Insurance contract or identification number20507
Number of Individuals Covered1231
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $74,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 2
Insurance contract or identification number50199-G
Number of Individuals Covered722
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 52628 )
Policy contract number20507
Policy instance 1
Insurance contract or identification number20507
Number of Individuals Covered1331
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $66,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 2
Insurance contract or identification number50199-G
Number of Individuals Covered728
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 52628 )
Policy contract number20507
Policy instance 1
Insurance contract or identification number20507
Number of Individuals Covered1420
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,313
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $69,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,313
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON DELAWARE
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number50199-G
Policy instance 1
Insurance contract or identification number50199-G
Number of Individuals Covered735
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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