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TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 401k Plan overview

Plan NameTWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND
Plan identification number 501

TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND Benefits

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

401k Sponsoring company profile

TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND
Employer identification number (EIN):416027254
NAIC Classification:311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01STEPHANIE GREENINGER2023-10-13
5012021-01-01JULIE INTVELD2022-10-12
5012020-01-01RICHARD JOHNSON2021-10-06
5012019-01-01RICHARD JOHNSON2020-10-09 RICHARD JOHNSON2020-10-09
5012018-01-01RICHARD JOHNSON2019-10-10 RICHARD JOHNSON2019-10-10
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01RICHARD JOHNSON
5012013-01-01RICHARD JOHNSON
5012012-01-01RICHARD JOHNSON
5012011-01-01RICHARD JOHNSON
5012009-01-01RICHARD JOHNSON

Plan Statistics for TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND

401k plan membership statisitcs for TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND

Measure Date Value
2022: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-011,157
Total number of active participants reported on line 7a of the Form 55002022-01-011,162
Number of retired or separated participants receiving benefits2022-01-0111
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,173
Number of employers contributing to the scheme2022-01-0120
2021: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-011,272
Total number of active participants reported on line 7a of the Form 55002021-01-011,143
Number of retired or separated participants receiving benefits2021-01-0114
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,157
Number of employers contributing to the scheme2021-01-0120
2020: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-011,391
Total number of active participants reported on line 7a of the Form 55002020-01-011,256
Number of retired or separated participants receiving benefits2020-01-0116
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,272
Number of employers contributing to the scheme2020-01-0120
2019: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-011,421
Total number of active participants reported on line 7a of the Form 55002019-01-011,365
Number of retired or separated participants receiving benefits2019-01-0126
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,391
Number of employers contributing to the scheme2019-01-0120
2018: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-011,801
Total number of active participants reported on line 7a of the Form 55002018-01-011,382
Number of retired or separated participants receiving benefits2018-01-0139
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,421
Number of employers contributing to the scheme2018-01-0120
2017: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-011,844
Total number of active participants reported on line 7a of the Form 55002017-01-011,751
Number of retired or separated participants receiving benefits2017-01-0150
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,801
Number of employers contributing to the scheme2017-01-0121
2016: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,845
Total number of active participants reported on line 7a of the Form 55002016-01-011,772
Number of retired or separated participants receiving benefits2016-01-0172
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,844
Number of employers contributing to the scheme2016-01-0121
2015: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,915
Total number of active participants reported on line 7a of the Form 55002015-01-011,771
Number of retired or separated participants receiving benefits2015-01-0174
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,845
Number of employers contributing to the scheme2015-01-0123
2014: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-011,972
Total number of active participants reported on line 7a of the Form 55002014-01-011,824
Number of retired or separated participants receiving benefits2014-01-0191
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,915
Number of employers contributing to the scheme2014-01-0125
2013: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-011,851
Total number of active participants reported on line 7a of the Form 55002013-01-011,873
Number of retired or separated participants receiving benefits2013-01-0199
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,972
Number of employers contributing to the scheme2013-01-0125
2012: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-011,808
Total number of active participants reported on line 7a of the Form 55002012-01-011,729
Number of retired or separated participants receiving benefits2012-01-01122
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,851
Number of employers contributing to the scheme2012-01-0126
2011: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-011,795
Total number of active participants reported on line 7a of the Form 55002011-01-011,700
Number of retired or separated participants receiving benefits2011-01-01108
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,808
Number of employers contributing to the scheme2011-01-0126
2009: TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-011,543
Total number of active participants reported on line 7a of the Form 55002009-01-011,625
Number of retired or separated participants receiving benefits2009-01-0150
Total of all active and inactive participants2009-01-011,675
Total participants2009-01-011,675
Number of employers contributing to the scheme2009-01-0121

Financial Data on TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND

Measure Date Value
2022 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-370,643
Total unrealized appreciation/depreciation of assets2022-12-31$-370,643
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,394,740
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,156,016
Total income from all sources (including contributions)2022-12-31$20,588,315
Total loss/gain on sale of assets2022-12-31$-24,216
Total of all expenses incurred2022-12-31$19,407,089
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$18,147,786
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$21,544,298
Value of total assets at end of year2022-12-31$30,467,673
Value of total assets at beginning of year2022-12-31$29,047,723
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,259,303
Total interest from all sources2022-12-31$169,895
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$126,803
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$87,507
Administrative expenses professional fees incurred2022-12-31$93,050
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$682,984
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$720,966
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$141,532
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$688,382
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$590,541
Administrative expenses (other) incurred2022-12-31$1,108,964
Liabilities. Value of operating payables at end of year2022-12-31$539,740
Liabilities. Value of operating payables at beginning of year2022-12-31$364,016
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$1,181,226
Value of net assets at end of year (total assets less liabilities)2022-12-31$27,072,933
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$25,891,707
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$5,356
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,474,242
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,244,557
Income. Interest from US Government securities2022-12-31$14,006
Income. Interest from corporate debt instruments2022-12-31$70,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$15,458,697
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$14,353,305
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$14,353,305
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$84,946
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$427,006
Asset value of US Government securities at end of year2022-12-31$681,783
Asset value of US Government securities at beginning of year2022-12-31$757,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-857,822
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$21,402,766
Employer contributions (assets) at end of year2022-12-31$2,742,654
Employer contributions (assets) at beginning of year2022-12-31$1,444,003
Income. Dividends from preferred stock2022-12-31$39,296
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$17,720,780
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,738,931
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$1,936,404
Contract administrator fees2022-12-31$51,933
Liabilities. Value of benefit claims payable at end of year2022-12-31$2,855,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$2,792,000
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
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$2,932,000
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,956,216
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BETTS & HAYES, LTD
Accountancy firm EIN2022-12-31411619880
2021 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-110,407
Total unrealized appreciation/depreciation of assets2021-12-31$-110,407
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,156,016
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,773,889
Total income from all sources (including contributions)2021-12-31$21,643,980
Total loss/gain on sale of assets2021-12-31$-20,759
Total of all expenses incurred2021-12-31$20,316,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$19,052,834
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$21,239,494
Value of total assets at end of year2021-12-31$29,047,723
Value of total assets at beginning of year2021-12-31$27,338,001
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,263,551
Total interest from all sources2021-12-31$146,946
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$137,532
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$98,324
Administrative expenses professional fees incurred2021-12-31$111,810
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$720,966
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$728,974
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$151,333
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$590,541
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$505,311
Administrative expenses (other) incurred2021-12-31$1,092,493
Liabilities. Value of operating payables at end of year2021-12-31$364,016
Liabilities. Value of operating payables at beginning of year2021-12-31$134,889
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$1,327,595
Value of net assets at end of year (total assets less liabilities)2021-12-31$25,891,707
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$24,564,112
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$5,628
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,244,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,895,059
Income. Interest from US Government securities2021-12-31$14,944
Income. Interest from corporate debt instruments2021-12-31$67,781
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$14,353,305
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$12,763,536
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$12,763,536
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$64,221
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$418,576
Asset value of US Government securities at end of year2021-12-31$757,947
Asset value of US Government securities at beginning of year2021-12-31$730,138
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$251,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
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$21,088,161
Employer contributions (assets) at end of year2021-12-31$1,444,003
Employer contributions (assets) at beginning of year2021-12-31$1,832,529
Income. Dividends from preferred stock2021-12-31$39,208
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$18,634,258
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$1,936,404
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$1,882,454
Contract administrator fees2021-12-31$53,620
Liabilities. Value of benefit claims payable at end of year2021-12-31$2,792,000
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$2,639,000
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$0
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$855,585
Aggregate carrying amount (costs) on sale of assets2021-12-31$876,344
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BETTS & HAYES, LTD
Accountancy firm EIN2021-12-31411619880
2020 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$138,873
Total unrealized appreciation/depreciation of assets2020-12-31$138,873
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,773,889
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,652,286
Total income from all sources (including contributions)2020-12-31$23,997,006
Total loss/gain on sale of assets2020-12-31$-62,129
Total of all expenses incurred2020-12-31$19,281,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$17,884,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$23,173,699
Value of total assets at end of year2020-12-31$27,338,001
Value of total assets at beginning of year2020-12-31$22,501,291
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,397,498
Total interest from all sources2020-12-31$191,558
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$256,752
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$216,267
Administrative expenses professional fees incurred2020-12-31$140,114
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$728,974
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$567,591
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$304,699
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$505,311
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$460,287
Administrative expenses (other) incurred2020-12-31$1,191,725
Liabilities. Value of operating payables at end of year2020-12-31$134,889
Liabilities. Value of operating payables at beginning of year2020-12-31$137,286
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$4,715,107
Value of net assets at end of year (total assets less liabilities)2020-12-31$24,564,112
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$19,849,005
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$5,375
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$8,895,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,266,901
Income. Interest from US Government securities2020-12-31$14,648
Income. Interest from corporate debt instruments2020-12-31$69,698
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$12,763,536
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$8,865,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$8,865,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$107,212
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$492,552
Asset value of US Government securities at end of year2020-12-31$730,138
Asset value of US Government securities at beginning of year2020-12-31$738,887
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$298,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
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$22,869,000
Employer contributions (assets) at end of year2020-12-31$1,832,529
Employer contributions (assets) at beginning of year2020-12-31$1,912,838
Income. Dividends from preferred stock2020-12-31$40,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$17,391,849
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$1,882,454
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$1,689,425
Contract administrator fees2020-12-31$60,284
Liabilities. Value of benefit claims payable at end of year2020-12-31$2,639,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,515,000
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$0
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
Aggregate proceeds on sale of assets2020-12-31$729,318
Aggregate carrying amount (costs) on sale of assets2020-12-31$791,447
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BETTS & HAYES, LTD
Accountancy firm EIN2020-12-31411619880
2019 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$110,491
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$110,491
Total unrealized appreciation/depreciation of assets2019-12-31$110,491
Total unrealized appreciation/depreciation of assets2019-12-31$110,491
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,652,286
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,652,286
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,165,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,165,499
Total income from all sources (including contributions)2019-12-31$24,376,650
Total income from all sources (including contributions)2019-12-31$24,376,650
Total loss/gain on sale of assets2019-12-31$-27,071
Total loss/gain on sale of assets2019-12-31$-27,071
Total of all expenses incurred2019-12-31$21,780,417
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$20,550,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$20,550,678
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$23,490,562
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$23,490,562
Value of total assets at end of year2019-12-31$22,501,291
Value of total assets at end of year2019-12-31$22,501,291
Value of total assets at beginning of year2019-12-31$20,418,271
Value of total assets at beginning of year2019-12-31$20,418,271
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,229,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,229,739
Total interest from all sources2019-12-31$183,979
Total interest from all sources2019-12-31$183,979
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$239,679
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$239,679
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
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$210,968
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$210,968
Administrative expenses professional fees incurred2019-12-31$136,600
Administrative expenses professional fees incurred2019-12-31$136,600
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$567,591
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$567,591
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$452,996
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$452,996
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$500,000
Value of fidelity bond cover2019-12-31$500,000
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$354,646
Contributions received from participants2019-12-31$354,646
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$460,287
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$460,287
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$398,665
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$398,665
Administrative expenses (other) incurred2019-12-31$1,025,380
Liabilities. Value of operating payables at end of year2019-12-31$137,286
Liabilities. Value of operating payables at end of year2019-12-31$137,286
Liabilities. Value of operating payables at beginning of year2019-12-31$205,499
Liabilities. Value of operating payables at beginning of year2019-12-31$205,499
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$2,596,233
Value of net income/loss2019-12-31$2,596,233
Value of net assets at end of year (total assets less liabilities)2019-12-31$19,849,005
Value of net assets at end of year (total assets less liabilities)2019-12-31$19,849,005
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,252,772
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,252,772
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$4,154
Investment advisory and management fees2019-12-31$4,154
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,266,901
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,266,901
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,773,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,773,763
Income. Interest from US Government securities2019-12-31$9,258
Income. Interest from US Government securities2019-12-31$9,258
Income. Interest from corporate debt instruments2019-12-31$53,071
Income. Interest from corporate debt instruments2019-12-31$53,071
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,865,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,865,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$8,910,465
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$8,910,465
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$8,910,465
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$8,910,465
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$121,650
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$121,650
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$456,866
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$456,866
Asset value of US Government securities at end of year2019-12-31$738,887
Asset value of US Government securities at end of year2019-12-31$738,887
Asset value of US Government securities at beginning of year2019-12-31$468,905
Asset value of US Government securities at beginning of year2019-12-31$468,905
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$379,010
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$379,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Contributions received in cash from employer2019-12-31$23,135,916
Contributions received in cash from employer2019-12-31$23,135,916
Employer contributions (assets) at end of year2019-12-31$1,912,838
Employer contributions (assets) at end of year2019-12-31$1,912,838
Employer contributions (assets) at beginning of year2019-12-31$2,270,282
Employer contributions (assets) at beginning of year2019-12-31$2,270,282
Income. Dividends from preferred stock2019-12-31$28,711
Income. Dividends from preferred stock2019-12-31$28,711
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$20,093,812
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$20,093,812
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$1,689,425
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$1,689,425
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,143,195
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,143,195
Contract administrator fees2019-12-31$63,605
Contract administrator fees2019-12-31$63,605
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,515,000
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,515,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,960,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,960,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$0
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$4,279,637
Aggregate proceeds on sale of assets2019-12-31$4,279,637
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,306,708
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,306,708
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BETTS & HAYES, LTD
Accountancy firm name2019-12-31BETTS & HAYES, LTD
Accountancy firm EIN2019-12-31411619880
Accountancy firm EIN2019-12-31411619880
2018 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-17,825
Total unrealized appreciation/depreciation of assets2018-12-31$-17,825
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,165,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,007,343
Total income from all sources (including contributions)2018-12-31$21,302,916
Total loss/gain on sale of assets2018-12-31$-86,864
Total of all expenses incurred2018-12-31$25,301,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$24,108,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$21,155,663
Value of total assets at end of year2018-12-31$20,418,271
Value of total assets at beginning of year2018-12-31$25,259,017
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,193,463
Total interest from all sources2018-12-31$195,179
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$240,354
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$205,550
Administrative expenses professional fees incurred2018-12-31$100,034
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$452,996
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$698,500
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$484,517
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$398,665
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$258,144
Administrative expenses (other) incurred2018-12-31$1,018,987
Liabilities. Value of operating payables at end of year2018-12-31$205,499
Liabilities. Value of operating payables at beginning of year2018-12-31$507,343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,998,902
Value of net assets at end of year (total assets less liabilities)2018-12-31$17,252,772
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$21,251,674
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$8,012
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,773,763
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$7,751,804
Income. Interest from US Government securities2018-12-31$8,463
Income. Interest from corporate debt instruments2018-12-31$78,929
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$8,910,465
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$11,006,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$11,006,922
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$107,787
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$465,332
Asset value of US Government securities at end of year2018-12-31$468,905
Asset value of US Government securities at beginning of year2018-12-31$551,592
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-183,591
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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$20,671,146
Employer contributions (assets) at end of year2018-12-31$2,270,282
Employer contributions (assets) at beginning of year2018-12-31$3,238,327
Income. Dividends from preferred stock2018-12-31$34,804
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$23,643,023
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$1,143,195
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$1,753,728
Contract administrator fees2018-12-31$66,430
Liabilities. Value of benefit claims payable at end of year2018-12-31$2,960,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$3,500,000
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$0
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$1,247,972
Aggregate carrying amount (costs) on sale of assets2018-12-31$1,334,836
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 name2018-12-31BETTS & HAYES, LTD
Accountancy firm EIN2018-12-31411619880
2017 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$594
Total unrealized appreciation/depreciation of assets2017-12-31$594
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$4,007,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,715,819
Total income from all sources (including contributions)2017-12-31$26,335,747
Total loss/gain on sale of assets2017-12-31$-12,869
Total of all expenses incurred2017-12-31$27,094,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$25,707,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$25,923,130
Value of total assets at end of year2017-12-31$25,259,017
Value of total assets at beginning of year2017-12-31$25,726,444
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,387,569
Total interest from all sources2017-12-31$131,219
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$202,190
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$163,707
Administrative expenses professional fees incurred2017-12-31$91,597
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$698,500
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$675,743
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$453,220
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$258,144
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$319,679
Administrative expenses (other) incurred2017-12-31$1,206,941
Liabilities. Value of operating payables at end of year2017-12-31$507,343
Liabilities. Value of operating payables at beginning of year2017-12-31$100,419
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-758,951
Value of net assets at end of year (total assets less liabilities)2017-12-31$21,251,674
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$22,010,625
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$6,923
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$7,751,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,496,613
Income. Interest from US Government securities2017-12-31$6,909
Income. Interest from corporate debt instruments2017-12-31$82,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$11,006,922
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$12,589,870
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$12,589,870
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$41,398
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$593,311
Asset value of US Government securities at end of year2017-12-31$551,592
Asset value of US Government securities at beginning of year2017-12-31$414,228
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$91,483
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$25,469,910
Employer contributions (assets) at end of year2017-12-31$3,238,327
Employer contributions (assets) at beginning of year2017-12-31$2,445,055
Income. Dividends from preferred stock2017-12-31$38,483
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$25,113,818
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$1,753,728
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$1,785,072
Contract administrator fees2017-12-31$82,108
Liabilities. Value of benefit claims payable at end of year2017-12-31$3,500,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,615,400
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$184
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$373,979
Aggregate carrying amount (costs) on sale of assets2017-12-31$386,848
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BETTS & HAYES, LTD
Accountancy firm EIN2017-12-31411619880
2016 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-94,344
Total unrealized appreciation/depreciation of assets2016-12-31$-94,344
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,715,819
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,286,488
Total income from all sources (including contributions)2016-12-31$25,090,841
Total loss/gain on sale of assets2016-12-31$-2,756
Total of all expenses incurred2016-12-31$24,717,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$23,222,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$25,002,259
Value of total assets at end of year2016-12-31$25,726,444
Value of total assets at beginning of year2016-12-31$24,923,376
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,494,346
Total interest from all sources2016-12-31$76,709
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$82,658
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$73,764
Administrative expenses professional fees incurred2016-12-31$109,088
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$675,743
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$0
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$368,656
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$319,679
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$502,792
Administrative expenses (other) incurred2016-12-31$1,302,155
Liabilities. Value of operating payables at end of year2016-12-31$100,419
Liabilities. Value of operating payables at beginning of year2016-12-31$244,392
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$373,737
Value of net assets at end of year (total assets less liabilities)2016-12-31$22,010,625
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$21,636,888
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$2,028
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$7,496,613
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,396,534
Income. Interest from US Government securities2016-12-31$1,567
Income. Interest from corporate debt instruments2016-12-31$21,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$12,589,870
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$21,108,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$21,108,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$53,948
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$579,048
Asset value of US Government securities at end of year2016-12-31$414,228
Asset value of US Government securities at beginning of year2016-12-31$93,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$26,315
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$24,633,603
Employer contributions (assets) at end of year2016-12-31$2,445,055
Employer contributions (assets) at beginning of year2016-12-31$1,821,343
Income. Dividends from preferred stock2016-12-31$8,894
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$22,643,710
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$1,785,072
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$0
Contract administrator fees2016-12-31$81,075
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,615,400
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$3,042,096
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$184
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$542
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$195,208
Aggregate carrying amount (costs) on sale of assets2016-12-31$197,964
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 name2016-12-31BETTS & HAYES, LTD
Accountancy firm EIN2016-12-31411619880
2015 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$3,636
Total unrealized appreciation/depreciation of assets2015-12-31$3,636
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,286,488
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,998,303
Total income from all sources (including contributions)2015-12-31$23,591,693
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$25,528,991
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$24,190,069
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$23,563,125
Value of total assets at end of year2015-12-31$24,923,376
Value of total assets at beginning of year2015-12-31$26,572,489
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,338,922
Total interest from all sources2015-12-31$61,393
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$96,141
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$406,198
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$502,792
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$282,837
Administrative expenses (other) incurred2015-12-31$1,163,390
Liabilities. Value of operating payables at end of year2015-12-31$244,392
Liabilities. Value of operating payables at beginning of year2015-12-31$250,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,937,298
Value of net assets at end of year (total assets less liabilities)2015-12-31$21,636,888
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$23,574,186
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,396,534
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,432,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$21,108,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$22,931,376
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$22,931,376
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$61,393
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$538,183
Asset value of US Government securities at end of year2015-12-31$93,372
Asset value of US Government securities at beginning of year2015-12-31$89,736
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-36,461
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$23,156,927
Employer contributions (assets) at end of year2015-12-31$1,821,343
Employer contributions (assets) at beginning of year2015-12-31$1,834,645
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$23,651,886
Contract administrator fees2015-12-31$79,391
Liabilities. Value of benefit claims payable at end of year2015-12-31$3,042,096
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$2,748,128
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$542
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$900
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
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 name2015-12-31BETTS & HAYES, LTD
Accountancy firm EIN2015-12-31411619880
2014 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$3,468
Total unrealized appreciation/depreciation of assets2014-12-31$3,468
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,998,303
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,667,991
Total income from all sources (including contributions)2014-12-31$24,508,630
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$24,505,108
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$22,754,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$24,333,332
Value of total assets at end of year2014-12-31$26,572,489
Value of total assets at beginning of year2014-12-31$26,238,655
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,750,411
Total interest from all sources2014-12-31$65,209
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$105,139
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$466,758
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$282,837
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$308,467
Administrative expenses (other) incurred2014-12-31$1,565,758
Liabilities. Value of operating payables at end of year2014-12-31$250,175
Liabilities. Value of operating payables at beginning of year2014-12-31$11,076
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$3,522
Value of net assets at end of year (total assets less liabilities)2014-12-31$23,574,186
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$23,570,664
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,432,995
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,326,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$22,931,376
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$22,410,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$22,410,278
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$65,209
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$552,432
Asset value of US Government securities at end of year2014-12-31$89,736
Asset value of US Government securities at beginning of year2014-12-31$86,268
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$106,621
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$23,866,574
Employer contributions (assets) at end of year2014-12-31$1,834,645
Employer contributions (assets) at beginning of year2014-12-31$2,105,873
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$22,202,265
Contract administrator fees2014-12-31$79,514
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,748,128
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$2,656,915
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$900
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$1,395
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
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 name2014-12-31BETTS & HAYES, LTD
Accountancy firm EIN2014-12-31411619880
2013 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$3,360
Total unrealized appreciation/depreciation of assets2013-12-31$3,360
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,667,991
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,657,669
Total income from all sources (including contributions)2013-12-31$23,463,667
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$22,572,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$21,102,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$23,189,384
Value of total assets at end of year2013-12-31$26,238,655
Value of total assets at beginning of year2013-12-31$25,337,184
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,469,725
Total interest from all sources2013-12-31$62,813
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
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$73,305
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$624,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$308,467
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$248,175
Administrative expenses (other) incurred2013-12-31$1,315,767
Liabilities. Value of operating payables at end of year2013-12-31$11,076
Liabilities. Value of operating payables at beginning of year2013-12-31$14,230
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$891,149
Value of net assets at end of year (total assets less liabilities)2013-12-31$23,570,664
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$22,679,515
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,326,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,118,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$22,410,278
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$21,866,712
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$21,866,712
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$62,813
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$479,949
Asset value of US Government securities at end of year2013-12-31$86,268
Asset value of US Government securities at beginning of year2013-12-31$82,908
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$208,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$22,564,698
Employer contributions (assets) at end of year2013-12-31$2,105,873
Employer contributions (assets) at beginning of year2013-12-31$2,019,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$20,622,844
Contract administrator fees2013-12-31$80,653
Liabilities. Value of benefit claims payable at end of year2013-12-31$2,656,915
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$2,643,439
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$1,395
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$2,028
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
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 name2013-12-31BETTS & HAYES, LTD
Accountancy firm EIN2013-12-31411619880
2012 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$3,216
Total unrealized appreciation/depreciation of assets2012-12-31$3,216
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,657,669
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,555,453
Total income from all sources (including contributions)2012-12-31$21,758,855
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$21,587,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$20,155,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$21,505,794
Value of total assets at end of year2012-12-31$25,337,184
Value of total assets at beginning of year2012-12-31$25,063,890
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,432,524
Total interest from all sources2012-12-31$156,994
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
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$105,360
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$586,493
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$248,175
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$276,139
Administrative expenses (other) incurred2012-12-31$1,250,508
Liabilities. Value of operating payables at end of year2012-12-31$14,230
Liabilities. Value of operating payables at beginning of year2012-12-31$13,854
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$171,078
Value of net assets at end of year (total assets less liabilities)2012-12-31$22,679,515
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$22,508,437
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,118,269
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,025,418
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$21,866,712
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$21,808,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$21,808,402
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$156,994
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$398,814
Asset value of US Government securities at end of year2012-12-31$82,908
Asset value of US Government securities at beginning of year2012-12-31$79,692
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$92,851
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$20,919,301
Employer contributions (assets) at end of year2012-12-31$2,019,092
Employer contributions (assets) at beginning of year2012-12-31$1,871,578
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$19,756,439
Contract administrator fees2012-12-31$76,656
Liabilities. Value of benefit claims payable at end of year2012-12-31$2,643,439
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,541,599
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$2,028
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$2,661
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 name2012-12-31BETTS & HAYES, LTD
Accountancy firm EIN2012-12-31411619880
2011 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$3,096
Total unrealized appreciation/depreciation of assets2011-12-31$3,096
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,555,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,409,183
Total income from all sources (including contributions)2011-12-31$20,876,849
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$20,335,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$19,038,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$20,573,819
Value of total assets at end of year2011-12-31$25,063,890
Value of total assets at beginning of year2011-12-31$24,376,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,297,548
Total interest from all sources2011-12-31$293,398
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$105,943
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$461,496
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$276,139
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$234,099
Administrative expenses (other) incurred2011-12-31$1,120,550
Liabilities. Value of operating payables at end of year2011-12-31$13,854
Liabilities. Value of operating payables at beginning of year2011-12-31$20,344
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$540,853
Value of net assets at end of year (total assets less liabilities)2011-12-31$22,508,437
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$21,967,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,025,418
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,018,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$21,808,402
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$21,582,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$21,582,129
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$293,398
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$371,762
Asset value of US Government securities at end of year2011-12-31$79,692
Asset value of US Government securities at beginning of year2011-12-31$76,596
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$6,536
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$20,112,323
Employer contributions (assets) at end of year2011-12-31$1,871,578
Employer contributions (assets) at beginning of year2011-12-31$1,461,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$18,666,686
Contract administrator fees2011-12-31$71,055
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,541,599
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$2,388,839
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$2,661
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$3,553
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BETTS & HAYES, LTD
Accountancy firm EIN2011-12-31411619880
2010 : TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$2,976
Total unrealized appreciation/depreciation of assets2010-12-31$2,976
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,409,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,300,626
Total income from all sources (including contributions)2010-12-31$20,402,358
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$19,695,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$18,432,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$19,917,268
Value of total assets at end of year2010-12-31$24,376,767
Value of total assets at beginning of year2010-12-31$23,561,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,263,088
Total interest from all sources2010-12-31$393,700
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$105,101
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$288,074
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$234,099
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$541,526
Administrative expenses (other) incurred2010-12-31$1,087,274
Liabilities. Value of operating payables at end of year2010-12-31$20,344
Liabilities. Value of operating payables at beginning of year2010-12-31$11,152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$706,377
Value of net assets at end of year (total assets less liabilities)2010-12-31$21,967,584
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$21,261,207
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,018,882
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$930,469
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$21,582,129
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$20,581,769
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$20,581,769
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$393,700
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$369,272
Asset value of US Government securities at end of year2010-12-31$76,596
Asset value of US Government securities at beginning of year2010-12-31$73,620
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$88,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$19,629,194
Employer contributions (assets) at end of year2010-12-31$1,461,508
Employer contributions (assets) at beginning of year2010-12-31$1,432,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$18,063,621
Contract administrator fees2010-12-31$70,713
Liabilities. Value of benefit claims payable at end of year2010-12-31$2,388,839
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,289,474
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$3,553
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$1,781
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BETTS & HAYES, LTD
Accountancy firm EIN2010-12-31411619880

Form 5500 Responses for TWIN CITIES BAKERY DRIVERS HEALTH & WELFARE FUND

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

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL36365
Policy instance 2
Insurance contract or identification numberHCL36365
Number of Individuals Covered1173
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $350,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number309891
Policy instance 1
Insurance contract or identification number309891
Number of Individuals Covered1163
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $39,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL36365
Policy instance 2
Insurance contract or identification numberHCL36365
Number of Individuals Covered1157
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $340,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533452
Policy instance 1
Insurance contract or identification number00533452
Number of Individuals Covered1144
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 $2,097
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $41,935
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2097
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533452
Policy instance 2
Insurance contract or identification number00533452
Number of Individuals Covered1262
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 $2,278
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2278
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number211850
Policy instance 1
Insurance contract or identification number211850
Number of Individuals Covered1277
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $419,438
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 number211850
Policy instance 1
Insurance contract or identification number211850
Number of Individuals Covered1396
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $389,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533452
Policy instance 2
Insurance contract or identification number00533452
Number of Individuals Covered1368
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 $2,058
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $41,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2058
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1445
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $388,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533452
Policy instance 2
Insurance contract or identification number00533452
Number of Individuals Covered1665
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,797
Total amount of fees paid to insurance companyUSD $3,249
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $35,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3249
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533452
Policy instance 2
Insurance contract or identification number00533452
Number of Individuals Covered1752
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,379
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $47,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2379
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENEUSA LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1882
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,500
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 $507,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16500
Additional information about fees paid to insurance brokerAGENT/BROKER COMMISSION FEES
Insurance broker organization code?3
Insurance broker nameRICHARD L. JOHNSON
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number216722
Policy instance 2
Insurance contract or identification number216722
Number of Individuals Covered1735
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,596
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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $51,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2596
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENEUSA LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1907
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,984
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $445,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14984
Additional information about fees paid to insurance brokerAGENT/BROKER COMMISSION FEES
Insurance broker organization code?3
Insurance broker nameRICHARD L. JOHNSON
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number216722
Policy instance 2
Insurance contract or identification number216722
Number of Individuals Covered1783
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,592
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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $51,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,592
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENEUSA LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1931
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,438
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $457,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees13438
Additional information about fees paid to insurance brokerAGENT/BROKER COMMISSION FEES
Insurance broker organization code?3
Insurance broker nameRICHARD L. JOHNSON
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number216722
Policy instance 2
Insurance contract or identification number216722
Number of Individuals Covered1823
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,406
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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $52,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,406
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENEUSA LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1960
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $314,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number216722
Policy instance 2
Insurance contract or identification number216722
Number of Individuals Covered1748
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,268
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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $41,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,268
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBENEUSA LLC
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1895
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $314,887
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 numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1807
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $288,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number216722
Policy instance 2
Insurance contract or identification number216722
Number of Individuals Covered1514
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,199
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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $43,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MII (National Association of Insurance Commissioners NAIC id number: 61522 )
Policy contract numberSL122
Policy instance 1
Insurance contract or identification numberSL122
Number of Individuals Covered1784
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $287,985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100116
Policy instance 2
Insurance contract or identification numberK100116
Number of Individuals Covered1545
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $44,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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