CEMENT MASONS LOCAL 527 HEALTH & WELFARE TRUST FUND has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CEMENT MASONS UNION LOCAL NO 527 TRUST FUND
| Measure | Date | Value |
|---|
| 2022 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-07-31 | $-547,672 |
| Total unrealized appreciation/depreciation of assets | 2022-07-31 | $-547,672 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-07-31 | $1,102,595 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-07-31 | $615,498 |
| Total income from all sources (including contributions) | 2022-07-31 | $8,828,817 |
| Total loss/gain on sale of assets | 2022-07-31 | $16,786 |
| Total of all expenses incurred | 2022-07-31 | $10,541,441 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-07-31 | $9,776,267 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-07-31 | $9,131,595 |
| Value of total assets at end of year | 2022-07-31 | $16,058,002 |
| Value of total assets at beginning of year | 2022-07-31 | $17,283,529 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-07-31 | $765,174 |
| Total interest from all sources | 2022-07-31 | $134,392 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-07-31 | $32,981 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-07-31 | $23,419 |
| Administrative expenses professional fees incurred | 2022-07-31 | $175,284 |
| Was this plan covered by a fidelity bond | 2022-07-31 | Yes |
| Value of fidelity bond cover | 2022-07-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-07-31 | No |
| Contributions received from participants | 2022-07-31 | $995,776 |
| Assets. Other investments not covered elsewhere at end of year | 2022-07-31 | $342,608 |
| Assets. Other investments not covered elsewhere at beginning of year | 2022-07-31 | $464,007 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-07-31 | $277,920 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-07-31 | $208,651 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-07-31 | $16,832 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-07-31 | $28,320 |
| Other income not declared elsewhere | 2022-07-31 | $213,100 |
| Administrative expenses (other) incurred | 2022-07-31 | $364,675 |
| Liabilities. Value of operating payables at end of year | 2022-07-31 | $17,841 |
| Liabilities. Value of operating payables at beginning of year | 2022-07-31 | $12,615 |
| Total non interest bearing cash at end of year | 2022-07-31 | $136,420 |
| Total non interest bearing cash at beginning of year | 2022-07-31 | $129,438 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-07-31 | No |
| Value of net income/loss | 2022-07-31 | $-1,712,624 |
| Value of net assets at end of year (total assets less liabilities) | 2022-07-31 | $14,955,407 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-07-31 | $16,668,031 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-07-31 | No |
| Investment advisory and management fees | 2022-07-31 | $40,977 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-07-31 | $1,280,405 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-07-31 | $1,364,068 |
| Interest earned on other investments | 2022-07-31 | $9,492 |
| Income. Interest from US Government securities | 2022-07-31 | $34,207 |
| Income. Interest from corporate debt instruments | 2022-07-31 | $67,005 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-07-31 | $7,547,171 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-07-31 | $8,517,841 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-07-31 | $8,517,841 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-07-31 | $23,688 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-07-31 | $1,581,559 |
| Asset value of US Government securities at end of year | 2022-07-31 | $1,706,687 |
| Asset value of US Government securities at beginning of year | 2022-07-31 | $2,018,031 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-07-31 | $-152,365 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-07-31 | No |
| Contributions received in cash from employer | 2022-07-31 | $8,135,819 |
| Employer contributions (assets) at end of year | 2022-07-31 | $1,143,161 |
| Employer contributions (assets) at beginning of year | 2022-07-31 | $843,266 |
| Income. Dividends from common stock | 2022-07-31 | $9,562 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-07-31 | $8,194,708 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-07-31 | $2,651,457 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-07-31 | $2,588,351 |
| Contract administrator fees | 2022-07-31 | $184,238 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2022-07-31 | $972,173 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2022-07-31 | $1,149,876 |
| Liabilities. Value of benefit claims payable at end of year | 2022-07-31 | $1,067,922 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-07-31 | $574,563 |
| Did the plan have assets held for investment | 2022-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-07-31 | No |
| Aggregate proceeds on sale of assets | 2022-07-31 | $11,009,711 |
| Aggregate carrying amount (costs) on sale of assets | 2022-07-31 | $10,992,925 |
| Opinion of an independent qualified public accountant for this plan | 2022-07-31 | Unqualified |
| Accountancy firm name | 2022-07-31 | ANDERS MINKLER HUBER HELM LLP |
| Accountancy firm EIN | 2022-07-31 | 430831507 |
| 2021 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-07-31 | $173,782 |
| Total unrealized appreciation/depreciation of assets | 2021-07-31 | $173,782 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-07-31 | $615,498 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-07-31 | $570,740 |
| Total income from all sources (including contributions) | 2021-07-31 | $9,914,534 |
| Total loss/gain on sale of assets | 2021-07-31 | $74,607 |
| Total of all expenses incurred | 2021-07-31 | $8,047,416 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-07-31 | $7,316,609 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-07-31 | $9,045,477 |
| Value of total assets at end of year | 2021-07-31 | $17,283,529 |
| Value of total assets at beginning of year | 2021-07-31 | $15,371,653 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-07-31 | $730,807 |
| Total interest from all sources | 2021-07-31 | $122,214 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-07-31 | $29,979 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-07-31 | $19,434 |
| Administrative expenses professional fees incurred | 2021-07-31 | $203,785 |
| Was this plan covered by a fidelity bond | 2021-07-31 | Yes |
| Value of fidelity bond cover | 2021-07-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-07-31 | No |
| Contributions received from participants | 2021-07-31 | $991,274 |
| Assets. Other investments not covered elsewhere at end of year | 2021-07-31 | $464,007 |
| Assets. Other investments not covered elsewhere at beginning of year | 2021-07-31 | $467,237 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-07-31 | $208,651 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-07-31 | $218,296 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-07-31 | $28,320 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-07-31 | $4,309 |
| Other income not declared elsewhere | 2021-07-31 | $172,776 |
| Administrative expenses (other) incurred | 2021-07-31 | $351,591 |
| Liabilities. Value of operating payables at end of year | 2021-07-31 | $12,615 |
| Liabilities. Value of operating payables at beginning of year | 2021-07-31 | $64,181 |
| Total non interest bearing cash at end of year | 2021-07-31 | $129,438 |
| Total non interest bearing cash at beginning of year | 2021-07-31 | $64,844 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-07-31 | No |
| Value of net income/loss | 2021-07-31 | $1,867,118 |
| Value of net assets at end of year (total assets less liabilities) | 2021-07-31 | $16,668,031 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-07-31 | $14,800,913 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-07-31 | No |
| Investment advisory and management fees | 2021-07-31 | $40,497 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-07-31 | $1,364,068 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-07-31 | $778,988 |
| Interest earned on other investments | 2021-07-31 | $12,847 |
| Income. Interest from US Government securities | 2021-07-31 | $36,831 |
| Income. Interest from corporate debt instruments | 2021-07-31 | $69,811 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-07-31 | $8,517,841 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-07-31 | $7,347,616 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-07-31 | $7,347,616 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-07-31 | $2,725 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-07-31 | $1,465,757 |
| Asset value of US Government securities at end of year | 2021-07-31 | $2,018,031 |
| Asset value of US Government securities at beginning of year | 2021-07-31 | $2,033,641 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-07-31 | $295,699 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-07-31 | No |
| Contributions received in cash from employer | 2021-07-31 | $8,054,203 |
| Employer contributions (assets) at end of year | 2021-07-31 | $843,266 |
| Employer contributions (assets) at beginning of year | 2021-07-31 | $858,491 |
| Income. Dividends from common stock | 2021-07-31 | $10,545 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-07-31 | $5,850,852 |
| Asset. Corporate debt instrument debt (other) at end of year | 2021-07-31 | $2,588,351 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2021-07-31 | $2,527,525 |
| Contract administrator fees | 2021-07-31 | $134,934 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-07-31 | $1,149,876 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-07-31 | $1,075,015 |
| Liabilities. Value of benefit claims payable at end of year | 2021-07-31 | $574,563 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-07-31 | $502,250 |
| Did the plan have assets held for investment | 2021-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-07-31 | No |
| Aggregate proceeds on sale of assets | 2021-07-31 | $1,626,317 |
| Aggregate carrying amount (costs) on sale of assets | 2021-07-31 | $1,551,710 |
| Opinion of an independent qualified public accountant for this plan | 2021-07-31 | Unqualified |
| Accountancy firm name | 2021-07-31 | ANDERS MINKLER HUBER HELM LLP |
| Accountancy firm EIN | 2021-07-31 | 430831507 |
| 2020 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-07-31 | $435,288 |
| Total unrealized appreciation/depreciation of assets | 2020-07-31 | $435,288 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-07-31 | $570,740 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-07-31 | $588,333 |
| Total income from all sources (including contributions) | 2020-07-31 | $9,725,117 |
| Total loss/gain on sale of assets | 2020-07-31 | $-70,570 |
| Total of all expenses incurred | 2020-07-31 | $7,900,259 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-07-31 | $7,224,451 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-07-31 | $9,043,881 |
| Value of total assets at end of year | 2020-07-31 | $15,371,653 |
| Value of total assets at beginning of year | 2020-07-31 | $13,564,388 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-07-31 | $675,808 |
| Total interest from all sources | 2020-07-31 | $211,750 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-07-31 | $19,775 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-07-31 | $9,305 |
| Administrative expenses professional fees incurred | 2020-07-31 | $164,570 |
| Was this plan covered by a fidelity bond | 2020-07-31 | Yes |
| Value of fidelity bond cover | 2020-07-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-07-31 | No |
| Contributions received from participants | 2020-07-31 | $973,392 |
| Assets. Other investments not covered elsewhere at end of year | 2020-07-31 | $467,237 |
| Assets. Other investments not covered elsewhere at beginning of year | 2020-07-31 | $355,051 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-07-31 | $218,296 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-07-31 | $292,281 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-07-31 | $4,309 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-07-31 | $5,985 |
| Other income not declared elsewhere | 2020-07-31 | $124,621 |
| Administrative expenses (other) incurred | 2020-07-31 | $359,251 |
| Liabilities. Value of operating payables at end of year | 2020-07-31 | $64,181 |
| Liabilities. Value of operating payables at beginning of year | 2020-07-31 | $40,386 |
| Total non interest bearing cash at end of year | 2020-07-31 | $64,844 |
| Total non interest bearing cash at beginning of year | 2020-07-31 | $114,598 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-07-31 | No |
| Value of net income/loss | 2020-07-31 | $1,824,858 |
| Value of net assets at end of year (total assets less liabilities) | 2020-07-31 | $14,800,913 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-07-31 | $12,976,055 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-07-31 | No |
| Investment advisory and management fees | 2020-07-31 | $39,352 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-07-31 | $778,988 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-07-31 | $864,376 |
| Interest earned on other investments | 2020-07-31 | $12,326 |
| Income. Interest from US Government securities | 2020-07-31 | $48,818 |
| Income. Interest from corporate debt instruments | 2020-07-31 | $80,212 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-07-31 | $7,347,616 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-07-31 | $5,771,050 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-07-31 | $5,771,050 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-07-31 | $70,394 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-07-31 | $1,655,593 |
| Asset value of US Government securities at end of year | 2020-07-31 | $2,033,641 |
| Asset value of US Government securities at beginning of year | 2020-07-31 | $1,841,794 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-07-31 | $-39,628 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-07-31 | No |
| Contributions received in cash from employer | 2020-07-31 | $8,070,489 |
| Employer contributions (assets) at end of year | 2020-07-31 | $858,491 |
| Employer contributions (assets) at beginning of year | 2020-07-31 | $900,093 |
| Income. Dividends from common stock | 2020-07-31 | $10,470 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-07-31 | $5,568,858 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-07-31 | $2,527,525 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2020-07-31 | $2,659,345 |
| Contract administrator fees | 2020-07-31 | $112,635 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-07-31 | $1,075,015 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-07-31 | $765,800 |
| Liabilities. Value of benefit claims payable at end of year | 2020-07-31 | $502,250 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-07-31 | $541,962 |
| Did the plan have assets held for investment | 2020-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-07-31 | No |
| Aggregate proceeds on sale of assets | 2020-07-31 | $1,766,124 |
| Aggregate carrying amount (costs) on sale of assets | 2020-07-31 | $1,836,694 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-07-31 | Unqualified |
| Accountancy firm name | 2020-07-31 | ANDERS MINKLER HUBER & HELM LLP |
| Accountancy firm EIN | 2020-07-31 | 430831507 |
| 2019 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-07-31 | $242,654 |
| Total unrealized appreciation/depreciation of assets | 2019-07-31 | $242,654 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-07-31 | $588,333 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-07-31 | $538,781 |
| Total income from all sources (including contributions) | 2019-07-31 | $9,478,948 |
| Total loss/gain on sale of assets | 2019-07-31 | $13,757 |
| Total of all expenses incurred | 2019-07-31 | $7,442,614 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-07-31 | $6,759,725 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-07-31 | $8,780,166 |
| Value of total assets at end of year | 2019-07-31 | $13,564,388 |
| Value of total assets at beginning of year | 2019-07-31 | $11,478,502 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-07-31 | $682,889 |
| Total interest from all sources | 2019-07-31 | $256,549 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-07-31 | $24,372 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-07-31 | $14,493 |
| Administrative expenses professional fees incurred | 2019-07-31 | $143,522 |
| Was this plan covered by a fidelity bond | 2019-07-31 | Yes |
| Value of fidelity bond cover | 2019-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-07-31 | No |
| Contributions received from participants | 2019-07-31 | $920,917 |
| Assets. Other investments not covered elsewhere at end of year | 2019-07-31 | $355,051 |
| Assets. Other investments not covered elsewhere at beginning of year | 2019-07-31 | $298,685 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-07-31 | $292,281 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-07-31 | $148,031 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-07-31 | $5,985 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-07-31 | $6,628 |
| Other income not declared elsewhere | 2019-07-31 | $147,693 |
| Administrative expenses (other) incurred | 2019-07-31 | $266,834 |
| Liabilities. Value of operating payables at end of year | 2019-07-31 | $40,386 |
| Liabilities. Value of operating payables at beginning of year | 2019-07-31 | $71,211 |
| Total non interest bearing cash at end of year | 2019-07-31 | $114,598 |
| Total non interest bearing cash at beginning of year | 2019-07-31 | $77,678 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-07-31 | No |
| Value of net income/loss | 2019-07-31 | $2,036,334 |
| Value of net assets at end of year (total assets less liabilities) | 2019-07-31 | $12,976,055 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-07-31 | $10,939,721 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-07-31 | No |
| Investment advisory and management fees | 2019-07-31 | $34,099 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-07-31 | $864,376 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-07-31 | $851,527 |
| Interest earned on other investments | 2019-07-31 | $7,944 |
| Income. Interest from US Government securities | 2019-07-31 | $43,684 |
| Income. Interest from corporate debt instruments | 2019-07-31 | $91,106 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-07-31 | $5,771,050 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-07-31 | $4,344,465 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-07-31 | $4,344,465 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-07-31 | $113,815 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-07-31 | $1,454,975 |
| Asset value of US Government securities at end of year | 2019-07-31 | $1,841,794 |
| Asset value of US Government securities at beginning of year | 2019-07-31 | $1,341,393 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-07-31 | $13,757 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-07-31 | No |
| Contributions received in cash from employer | 2019-07-31 | $7,859,249 |
| Employer contributions (assets) at end of year | 2019-07-31 | $900,093 |
| Employer contributions (assets) at beginning of year | 2019-07-31 | $910,812 |
| Income. Dividends from common stock | 2019-07-31 | $9,879 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-07-31 | $5,304,750 |
| Asset. Corporate debt instrument debt (other) at end of year | 2019-07-31 | $2,659,345 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2019-07-31 | $2,818,222 |
| Contract administrator fees | 2019-07-31 | $238,434 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-07-31 | $765,800 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-07-31 | $687,689 |
| Liabilities. Value of benefit claims payable at end of year | 2019-07-31 | $541,962 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-07-31 | $460,942 |
| Did the plan have assets held for investment | 2019-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-07-31 | No |
| Aggregate proceeds on sale of assets | 2019-07-31 | $1,197,152 |
| Aggregate carrying amount (costs) on sale of assets | 2019-07-31 | $1,183,395 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-07-31 | Unqualified |
| Accountancy firm name | 2019-07-31 | ANDERS MINKLER HUBER & HELM LLP |
| Accountancy firm EIN | 2019-07-31 | 430831507 |
| 2018 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-07-31 | $-12,576 |
| Total unrealized appreciation/depreciation of assets | 2018-07-31 | $-12,576 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-07-31 | $538,781 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-07-31 | $949,685 |
| Total income from all sources (including contributions) | 2018-07-31 | $8,684,880 |
| Total loss/gain on sale of assets | 2018-07-31 | $10,833 |
| Total of all expenses incurred | 2018-07-31 | $6,971,403 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-07-31 | $6,331,994 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-07-31 | $8,338,128 |
| Value of total assets at end of year | 2018-07-31 | $11,478,502 |
| Value of total assets at beginning of year | 2018-07-31 | $10,175,929 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-07-31 | $639,409 |
| Total interest from all sources | 2018-07-31 | $183,989 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-07-31 | $28,143 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-07-31 | $18,627 |
| Administrative expenses professional fees incurred | 2018-07-31 | $137,363 |
| Was this plan covered by a fidelity bond | 2018-07-31 | Yes |
| Value of fidelity bond cover | 2018-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-07-31 | No |
| Contributions received from participants | 2018-07-31 | $938,687 |
| Assets. Other investments not covered elsewhere at end of year | 2018-07-31 | $298,685 |
| Assets. Other investments not covered elsewhere at beginning of year | 2018-07-31 | $580,536 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-07-31 | $148,031 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-07-31 | $177,490 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-07-31 | $6,628 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-07-31 | $675 |
| Other income not declared elsewhere | 2018-07-31 | $99,066 |
| Administrative expenses (other) incurred | 2018-07-31 | $270,346 |
| Liabilities. Value of operating payables at end of year | 2018-07-31 | $71,211 |
| Liabilities. Value of operating payables at beginning of year | 2018-07-31 | $114,001 |
| Total non interest bearing cash at end of year | 2018-07-31 | $77,678 |
| Total non interest bearing cash at beginning of year | 2018-07-31 | $312,821 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-07-31 | No |
| Value of net income/loss | 2018-07-31 | $1,713,477 |
| Value of net assets at end of year (total assets less liabilities) | 2018-07-31 | $10,939,721 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-07-31 | $9,226,244 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-07-31 | No |
| Investment advisory and management fees | 2018-07-31 | $32,568 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-07-31 | $851,527 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-07-31 | $897,817 |
| Interest earned on other investments | 2018-07-31 | $18,421 |
| Income. Interest from US Government securities | 2018-07-31 | $34,515 |
| Income. Interest from corporate debt instruments | 2018-07-31 | $85,953 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-07-31 | $4,344,465 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-07-31 | $3,028,801 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-07-31 | $3,028,801 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-07-31 | $45,100 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-07-31 | $1,454,556 |
| Asset value of US Government securities at end of year | 2018-07-31 | $1,341,393 |
| Asset value of US Government securities at beginning of year | 2018-07-31 | $1,031,472 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-07-31 | $37,297 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-07-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-07-31 | No |
| Contributions received in cash from employer | 2018-07-31 | $7,399,441 |
| Employer contributions (assets) at end of year | 2018-07-31 | $910,812 |
| Employer contributions (assets) at beginning of year | 2018-07-31 | $845,672 |
| Income. Dividends from common stock | 2018-07-31 | $9,516 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-07-31 | $4,877,438 |
| Asset. Corporate debt instrument debt (other) at end of year | 2018-07-31 | $2,818,222 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2018-07-31 | $2,709,746 |
| Contract administrator fees | 2018-07-31 | $199,132 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-07-31 | $687,689 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-07-31 | $591,458 |
| Liabilities. Value of benefit claims payable at end of year | 2018-07-31 | $460,942 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-07-31 | $835,009 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-07-31 | $0 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-07-31 | $116 |
| Did the plan have assets held for investment | 2018-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-07-31 | No |
| Aggregate proceeds on sale of assets | 2018-07-31 | $962,082 |
| Aggregate carrying amount (costs) on sale of assets | 2018-07-31 | $951,249 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-07-31 | Unqualified |
| Accountancy firm name | 2018-07-31 | ANDERS MINKLER HUBER & HELM LLP |
| Accountancy firm EIN | 2018-07-31 | 430831507 |
| 2017 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-07-31 | $65,511 |
| Total unrealized appreciation/depreciation of assets | 2017-07-31 | $65,511 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-07-31 | $949,685 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-07-31 | $379,202 |
| Total income from all sources (including contributions) | 2017-07-31 | $8,564,582 |
| Total loss/gain on sale of assets | 2017-07-31 | $-111,969 |
| Total of all expenses incurred | 2017-07-31 | $7,287,315 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-07-31 | $6,747,980 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-07-31 | $8,182,145 |
| Value of total assets at end of year | 2017-07-31 | $10,175,929 |
| Value of total assets at beginning of year | 2017-07-31 | $8,328,179 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-07-31 | $539,335 |
| Total interest from all sources | 2017-07-31 | $150,678 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-07-31 | $26,556 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-07-31 | $17,616 |
| Administrative expenses professional fees incurred | 2017-07-31 | $132,055 |
| Was this plan covered by a fidelity bond | 2017-07-31 | Yes |
| Value of fidelity bond cover | 2017-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-07-31 | No |
| Contributions received from participants | 2017-07-31 | $915,625 |
| Assets. Other investments not covered elsewhere at end of year | 2017-07-31 | $580,536 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-07-31 | $616,853 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-07-31 | $177,490 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-07-31 | $232,934 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-07-31 | $675 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-07-31 | $15,465 |
| Other income not declared elsewhere | 2017-07-31 | $127,792 |
| Administrative expenses (other) incurred | 2017-07-31 | $212,182 |
| Liabilities. Value of operating payables at end of year | 2017-07-31 | $114,001 |
| Liabilities. Value of operating payables at beginning of year | 2017-07-31 | $53,107 |
| Total non interest bearing cash at end of year | 2017-07-31 | $312,821 |
| Total non interest bearing cash at beginning of year | 2017-07-31 | $75,121 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-07-31 | No |
| Value of net income/loss | 2017-07-31 | $1,277,267 |
| Value of net assets at end of year (total assets less liabilities) | 2017-07-31 | $9,226,244 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-07-31 | $7,948,977 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-07-31 | No |
| Investment advisory and management fees | 2017-07-31 | $31,863 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-07-31 | $897,817 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-07-31 | $1,039,983 |
| Interest earned on other investments | 2017-07-31 | $21,364 |
| Income. Interest from US Government securities | 2017-07-31 | $32,130 |
| Income. Interest from corporate debt instruments | 2017-07-31 | $83,210 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-07-31 | $3,028,801 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-07-31 | $1,701,316 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-07-31 | $1,701,316 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-07-31 | $13,974 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-07-31 | $1,348,537 |
| Asset value of US Government securities at end of year | 2017-07-31 | $1,031,472 |
| Asset value of US Government securities at beginning of year | 2017-07-31 | $728,605 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-07-31 | $123,869 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-07-31 | No |
| Contributions received in cash from employer | 2017-07-31 | $7,266,520 |
| Employer contributions (assets) at end of year | 2017-07-31 | $845,672 |
| Employer contributions (assets) at beginning of year | 2017-07-31 | $759,063 |
| Income. Dividends from common stock | 2017-07-31 | $8,940 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-07-31 | $5,399,443 |
| Asset. Corporate debt instrument debt (other) at end of year | 2017-07-31 | $2,709,746 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2017-07-31 | $2,588,469 |
| Contract administrator fees | 2017-07-31 | $163,235 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-07-31 | $591,458 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-07-31 | $585,197 |
| Liabilities. Value of benefit claims payable at end of year | 2017-07-31 | $835,009 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-07-31 | $310,630 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-07-31 | $116 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-07-31 | $638 |
| Did the plan have assets held for investment | 2017-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-07-31 | No |
| Aggregate proceeds on sale of assets | 2017-07-31 | $952,499 |
| Aggregate carrying amount (costs) on sale of assets | 2017-07-31 | $1,064,468 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-07-31 | Unqualified |
| Accountancy firm name | 2017-07-31 | ANDERS MINKLER HUBER & HELM LLP |
| Accountancy firm EIN | 2017-07-31 | 430831507 |
| 2016 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2016-07-31 | $142,269 |
| Total unrealized appreciation/depreciation of assets | 2016-07-31 | $142,269 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-07-31 | $379,202 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-07-31 | $50,356 |
| Total income from all sources (including contributions) | 2016-07-31 | $8,307,619 |
| Total loss/gain on sale of assets | 2016-07-31 | $-43,930 |
| Total of all expenses incurred | 2016-07-31 | $7,415,528 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-07-31 | $6,913,302 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-07-31 | $7,915,126 |
| Value of total assets at end of year | 2016-07-31 | $8,328,179 |
| Value of total assets at beginning of year | 2016-07-31 | $7,107,242 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-07-31 | $502,226 |
| Total interest from all sources | 2016-07-31 | $127,716 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-07-31 | $29,665 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-07-31 | $19,979 |
| Administrative expenses professional fees incurred | 2016-07-31 | $175,460 |
| Was this plan covered by a fidelity bond | 2016-07-31 | Yes |
| Value of fidelity bond cover | 2016-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-07-31 | No |
| Contributions received from participants | 2016-07-31 | $920,968 |
| Assets. Other investments not covered elsewhere at end of year | 2016-07-31 | $616,853 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-07-31 | $525,355 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-07-31 | $232,934 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-07-31 | $734,887 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-07-31 | $15,465 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-07-31 | $16,507 |
| Other income not declared elsewhere | 2016-07-31 | $126,253 |
| Administrative expenses (other) incurred | 2016-07-31 | $192,923 |
| Liabilities. Value of operating payables at end of year | 2016-07-31 | $53,107 |
| Liabilities. Value of operating payables at beginning of year | 2016-07-31 | $33,849 |
| Total non interest bearing cash at end of year | 2016-07-31 | $75,121 |
| Total non interest bearing cash at beginning of year | 2016-07-31 | $10,586 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-07-31 | No |
| Value of net income/loss | 2016-07-31 | $892,091 |
| Value of net assets at end of year (total assets less liabilities) | 2016-07-31 | $7,948,977 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-07-31 | $7,056,886 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-07-31 | No |
| Investment advisory and management fees | 2016-07-31 | $30,897 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-07-31 | $1,039,983 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-07-31 | $1,047,150 |
| Interest earned on other investments | 2016-07-31 | $21,332 |
| Income. Interest from US Government securities | 2016-07-31 | $20,248 |
| Income. Interest from corporate debt instruments | 2016-07-31 | $83,694 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-07-31 | $1,701,316 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-07-31 | $172,188 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-07-31 | $172,188 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-07-31 | $2,442 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-07-31 | $4,032,567 |
| Asset value of US Government securities at end of year | 2016-07-31 | $728,605 |
| Asset value of US Government securities at beginning of year | 2016-07-31 | $583,638 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-07-31 | $10,520 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-07-31 | No |
| Contributions received in cash from employer | 2016-07-31 | $6,994,158 |
| Employer contributions (assets) at end of year | 2016-07-31 | $759,063 |
| Employer contributions (assets) at beginning of year | 2016-07-31 | $766,833 |
| Income. Dividends from common stock | 2016-07-31 | $9,686 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-07-31 | $2,880,735 |
| Asset. Corporate debt instrument debt (other) at end of year | 2016-07-31 | $2,588,469 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2016-07-31 | $2,721,712 |
| Contract administrator fees | 2016-07-31 | $102,946 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-07-31 | $585,197 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-07-31 | $543,469 |
| Liabilities. Value of benefit claims payable at end of year | 2016-07-31 | $310,630 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-07-31 | $0 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-07-31 | $638 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-07-31 | $1,424 |
| Did the plan have assets held for investment | 2016-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-07-31 | No |
| Aggregate proceeds on sale of assets | 2016-07-31 | $977,412 |
| Aggregate carrying amount (costs) on sale of assets | 2016-07-31 | $1,021,342 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-07-31 | Unqualified |
| Accountancy firm name | 2016-07-31 | PURK & ASSOCIATES, P.C. |
| Accountancy firm EIN | 2016-07-31 | 264532849 |
| 2015 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of real estate assets | 2015-07-31 | $223,320 |
| Total unrealized appreciation/depreciation of assets | 2015-07-31 | $223,320 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-07-31 | $50,356 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-07-31 | $179,988 |
| Total income from all sources (including contributions) | 2015-07-31 | $7,577,839 |
| Total loss/gain on sale of assets | 2015-07-31 | $27,071 |
| Total of all expenses incurred | 2015-07-31 | $7,991,735 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-07-31 | $7,507,085 |
| Value of total corrective distributions | 2015-07-31 | $87,925 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-07-31 | $7,219,477 |
| Value of total assets at end of year | 2015-07-31 | $7,107,242 |
| Value of total assets at beginning of year | 2015-07-31 | $7,650,770 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-07-31 | $396,725 |
| Total interest from all sources | 2015-07-31 | $143,822 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-07-31 | $26,463 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-07-31 | $18,268 |
| Administrative expenses professional fees incurred | 2015-07-31 | $73,958 |
| Was this plan covered by a fidelity bond | 2015-07-31 | Yes |
| Value of fidelity bond cover | 2015-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-07-31 | No |
| Contributions received from participants | 2015-07-31 | $1,006,931 |
| Assets. Other investments not covered elsewhere at end of year | 2015-07-31 | $525,355 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-07-31 | $654,596 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-07-31 | $734,887 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-07-31 | $660,958 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-07-31 | $16,507 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-07-31 | $126,103 |
| Other income not declared elsewhere | 2015-07-31 | $60,258 |
| Administrative expenses (other) incurred | 2015-07-31 | $282,633 |
| Liabilities. Value of operating payables at end of year | 2015-07-31 | $33,849 |
| Liabilities. Value of operating payables at beginning of year | 2015-07-31 | $53,885 |
| Total non interest bearing cash at end of year | 2015-07-31 | $10,586 |
| Total non interest bearing cash at beginning of year | 2015-07-31 | $18,151 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-07-31 | No |
| Value of net income/loss | 2015-07-31 | $-413,896 |
| Value of net assets at end of year (total assets less liabilities) | 2015-07-31 | $7,056,886 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-07-31 | $7,470,782 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-07-31 | No |
| Investment advisory and management fees | 2015-07-31 | $40,134 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-07-31 | $1,047,150 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-07-31 | $1,308,632 |
| Interest earned on other investments | 2015-07-31 | $20,020 |
| Income. Interest from US Government securities | 2015-07-31 | $24,947 |
| Income. Interest from corporate debt instruments | 2015-07-31 | $98,834 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-07-31 | $172,188 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-07-31 | $338,304 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-07-31 | $338,304 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-07-31 | $21 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-07-31 | $7,485,457 |
| Asset value of US Government securities at end of year | 2015-07-31 | $583,638 |
| Asset value of US Government securities at beginning of year | 2015-07-31 | $760,339 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-07-31 | $-122,572 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-07-31 | No |
| Contributions received in cash from employer | 2015-07-31 | $6,212,546 |
| Employer contributions (assets) at end of year | 2015-07-31 | $766,833 |
| Employer contributions (assets) at beginning of year | 2015-07-31 | $692,064 |
| Income. Dividends from common stock | 2015-07-31 | $8,195 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-07-31 | $21,628 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-07-31 | $2,721,712 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-07-31 | $2,717,839 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-07-31 | $543,469 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-07-31 | $497,456 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-07-31 | $1,424 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-07-31 | $2,431 |
| Did the plan have assets held for investment | 2015-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-07-31 | No |
| Aggregate proceeds on sale of assets | 2015-07-31 | $1,324,993 |
| Aggregate carrying amount (costs) on sale of assets | 2015-07-31 | $1,297,922 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-07-31 | Unqualified |
| Accountancy firm name | 2015-07-31 | PURK & ASSOCIATES, P.C. |
| Accountancy firm EIN | 2015-07-31 | 264532849 |
| 2014 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-07-31 | $-12,569 |
| Total unrealized appreciation/depreciation of assets | 2014-07-31 | $-12,569 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-07-31 | $179,988 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-07-31 | $78,722 |
| Total income from all sources (including contributions) | 2014-07-31 | $6,565,465 |
| Total loss/gain on sale of assets | 2014-07-31 | $217,152 |
| Total of all expenses incurred | 2014-07-31 | $7,417,111 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-07-31 | $7,149,415 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-07-31 | $6,074,236 |
| Value of total assets at end of year | 2014-07-31 | $7,650,770 |
| Value of total assets at beginning of year | 2014-07-31 | $8,401,150 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-07-31 | $267,696 |
| Total interest from all sources | 2014-07-31 | $163,529 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-07-31 | $10,134 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-07-31 | No |
| Administrative expenses professional fees incurred | 2014-07-31 | $72,052 |
| Was this plan covered by a fidelity bond | 2014-07-31 | Yes |
| Value of fidelity bond cover | 2014-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-07-31 | No |
| Contributions received from participants | 2014-07-31 | $1,010,493 |
| Assets. Other investments not covered elsewhere at end of year | 2014-07-31 | $654,596 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-07-31 | $650,883 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-07-31 | $159,080 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-07-31 | $660,958 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-07-31 | $608,303 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-07-31 | $126,103 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-07-31 | $30,582 |
| Other income not declared elsewhere | 2014-07-31 | $42,854 |
| Administrative expenses (other) incurred | 2014-07-31 | $153,043 |
| Liabilities. Value of operating payables at end of year | 2014-07-31 | $53,885 |
| Liabilities. Value of operating payables at beginning of year | 2014-07-31 | $46,421 |
| Total non interest bearing cash at end of year | 2014-07-31 | $18,151 |
| Total non interest bearing cash at beginning of year | 2014-07-31 | $33,821 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-07-31 | No |
| Value of net income/loss | 2014-07-31 | $-851,646 |
| Value of net assets at end of year (total assets less liabilities) | 2014-07-31 | $7,470,782 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-07-31 | $8,322,428 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-07-31 | No |
| Investment advisory and management fees | 2014-07-31 | $42,601 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-07-31 | $1,308,632 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-07-31 | $1,604,107 |
| Interest earned on other investments | 2014-07-31 | $33,781 |
| Income. Interest from US Government securities | 2014-07-31 | $34,966 |
| Income. Interest from corporate debt instruments | 2014-07-31 | $94,760 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-07-31 | $338,304 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-07-31 | $219,842 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-07-31 | $219,842 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-07-31 | $22 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-07-31 | $6,953,619 |
| Asset value of US Government securities at end of year | 2014-07-31 | $760,339 |
| Asset value of US Government securities at beginning of year | 2014-07-31 | $1,074,048 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-07-31 | $70,129 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-07-31 | No |
| Contributions received in cash from employer | 2014-07-31 | $5,063,743 |
| Employer contributions (assets) at end of year | 2014-07-31 | $692,064 |
| Employer contributions (assets) at beginning of year | 2014-07-31 | $643,297 |
| Income. Dividends from common stock | 2014-07-31 | $10,134 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-07-31 | $36,716 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-07-31 | $2,717,839 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-07-31 | $3,012,487 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-07-31 | $497,456 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-07-31 | $550,721 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-07-31 | $1,719 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-07-31 | $2,431 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-07-31 | $3,641 |
| Did the plan have assets held for investment | 2014-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-07-31 | No |
| Aggregate proceeds on sale of assets | 2014-07-31 | $3,313,004 |
| Aggregate carrying amount (costs) on sale of assets | 2014-07-31 | $3,095,852 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-07-31 | Unqualified |
| Accountancy firm name | 2014-07-31 | WOLFE NILGES NAHORSKI, P.C. |
| Accountancy firm EIN | 2014-07-31 | 431236296 |
| 2013 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-07-31 | $-205,991 |
| Total unrealized appreciation/depreciation of assets | 2013-07-31 | $-205,991 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-07-31 | $78,722 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-07-31 | $137,957 |
| Total income from all sources (including contributions) | 2013-07-31 | $6,264,645 |
| Total loss/gain on sale of assets | 2013-07-31 | $169,272 |
| Total of all expenses incurred | 2013-07-31 | $6,868,564 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-07-31 | $6,593,336 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-07-31 | $5,677,947 |
| Value of total assets at end of year | 2013-07-31 | $8,401,150 |
| Value of total assets at beginning of year | 2013-07-31 | $9,064,304 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-07-31 | $275,228 |
| Total interest from all sources | 2013-07-31 | $194,312 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-07-31 | $10,744 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-07-31 | No |
| Administrative expenses professional fees incurred | 2013-07-31 | $85,643 |
| Was this plan covered by a fidelity bond | 2013-07-31 | Yes |
| Value of fidelity bond cover | 2013-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-07-31 | No |
| Contributions received from participants | 2013-07-31 | $1,018,902 |
| Assets. Other investments not covered elsewhere at end of year | 2013-07-31 | $650,883 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-07-31 | $541,315 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-07-31 | $608,303 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-07-31 | $578,688 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-07-31 | $30,582 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-07-31 | $84,815 |
| Other income not declared elsewhere | 2013-07-31 | $53,085 |
| Administrative expenses (other) incurred | 2013-07-31 | $147,150 |
| Liabilities. Value of operating payables at end of year | 2013-07-31 | $46,421 |
| Liabilities. Value of operating payables at beginning of year | 2013-07-31 | $51,770 |
| Total non interest bearing cash at end of year | 2013-07-31 | $33,821 |
| Total non interest bearing cash at beginning of year | 2013-07-31 | $104,393 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-07-31 | No |
| Value of net income/loss | 2013-07-31 | $-603,919 |
| Value of net assets at end of year (total assets less liabilities) | 2013-07-31 | $8,322,428 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-07-31 | $8,926,347 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-07-31 | No |
| Investment advisory and management fees | 2013-07-31 | $42,435 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-07-31 | $1,604,107 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-07-31 | $1,474,865 |
| Interest earned on other investments | 2013-07-31 | $15,392 |
| Income. Interest from US Government securities | 2013-07-31 | $60,572 |
| Income. Interest from corporate debt instruments | 2013-07-31 | $118,052 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-07-31 | $219,842 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-07-31 | $890,511 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-07-31 | $890,511 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-07-31 | $296 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-07-31 | $6,572,365 |
| Asset value of US Government securities at end of year | 2013-07-31 | $1,074,048 |
| Asset value of US Government securities at beginning of year | 2013-07-31 | $1,537,578 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-07-31 | $365,276 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-07-31 | No |
| Contributions received in cash from employer | 2013-07-31 | $4,659,045 |
| Employer contributions (assets) at end of year | 2013-07-31 | $643,297 |
| Employer contributions (assets) at beginning of year | 2013-07-31 | $574,326 |
| Income. Dividends from common stock | 2013-07-31 | $10,744 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-07-31 | $20,971 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-07-31 | $3,012,487 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-07-31 | $2,847,415 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-07-31 | $550,721 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-07-31 | $512,792 |
| Liabilities. Value of benefit claims payable at end of year | 2013-07-31 | $1,719 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-07-31 | $1,372 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-07-31 | $3,641 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-07-31 | $2,421 |
| Did the plan have assets held for investment | 2013-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-07-31 | No |
| Aggregate proceeds on sale of assets | 2013-07-31 | $3,766,699 |
| Aggregate carrying amount (costs) on sale of assets | 2013-07-31 | $3,597,427 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-07-31 | Unqualified |
| Accountancy firm name | 2013-07-31 | WOLFE NILGES NAHORSKI, P.C. |
| Accountancy firm EIN | 2013-07-31 | 431236296 |
| 2012 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-07-31 | $75,683 |
| Total unrealized appreciation/depreciation of assets | 2012-07-31 | $75,683 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-07-31 | $137,957 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-07-31 | $55,945 |
| Total income from all sources (including contributions) | 2012-07-31 | $6,480,773 |
| Total loss/gain on sale of assets | 2012-07-31 | $13,676 |
| Total of all expenses incurred | 2012-07-31 | $6,488,017 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-07-31 | $6,227,357 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-07-31 | $6,004,202 |
| Value of total assets at end of year | 2012-07-31 | $9,064,304 |
| Value of total assets at beginning of year | 2012-07-31 | $8,989,536 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-07-31 | $260,660 |
| Total interest from all sources | 2012-07-31 | $187,636 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-07-31 | $15,555 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-07-31 | No |
| Administrative expenses professional fees incurred | 2012-07-31 | $78,309 |
| Was this plan covered by a fidelity bond | 2012-07-31 | Yes |
| Value of fidelity bond cover | 2012-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-07-31 | No |
| Contributions received from participants | 2012-07-31 | $1,060,964 |
| Assets. Other investments not covered elsewhere at end of year | 2012-07-31 | $541,315 |
| Assets. Other investments not covered elsewhere at beginning of year | 2012-07-31 | $448,442 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-07-31 | $578,688 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-07-31 | $643,564 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-07-31 | $84,815 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-07-31 | $20,957 |
| Other income not declared elsewhere | 2012-07-31 | $120,414 |
| Administrative expenses (other) incurred | 2012-07-31 | $138,788 |
| Liabilities. Value of operating payables at end of year | 2012-07-31 | $51,770 |
| Liabilities. Value of operating payables at beginning of year | 2012-07-31 | $34,784 |
| Total non interest bearing cash at end of year | 2012-07-31 | $104,393 |
| Total non interest bearing cash at beginning of year | 2012-07-31 | $102,241 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-07-31 | No |
| Value of net income/loss | 2012-07-31 | $-7,244 |
| Value of net assets at end of year (total assets less liabilities) | 2012-07-31 | $8,926,347 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-07-31 | $8,933,591 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-07-31 | No |
| Investment advisory and management fees | 2012-07-31 | $43,563 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-07-31 | $1,474,865 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-07-31 | $1,312,076 |
| Interest earned on other investments | 2012-07-31 | $18,119 |
| Income. Interest from US Government securities | 2012-07-31 | $63,119 |
| Income. Interest from corporate debt instruments | 2012-07-31 | $106,039 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-07-31 | $890,511 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-07-31 | $1,091,330 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-07-31 | $1,091,330 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-07-31 | $359 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-07-31 | $6,216,431 |
| Asset value of US Government securities at end of year | 2012-07-31 | $1,537,578 |
| Asset value of US Government securities at beginning of year | 2012-07-31 | $1,653,282 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-07-31 | $63,607 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-07-31 | No |
| Contributions received in cash from employer | 2012-07-31 | $4,943,238 |
| Employer contributions (assets) at end of year | 2012-07-31 | $574,326 |
| Employer contributions (assets) at beginning of year | 2012-07-31 | $522,747 |
| Income. Dividends from common stock | 2012-07-31 | $15,555 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-07-31 | $10,926 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-07-31 | $2,847,415 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-07-31 | $2,685,204 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-07-31 | $512,792 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-07-31 | $528,316 |
| Liabilities. Value of benefit claims payable at end of year | 2012-07-31 | $1,372 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-07-31 | $204 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-07-31 | $2,421 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-07-31 | $2,334 |
| Did the plan have assets held for investment | 2012-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-07-31 | No |
| Aggregate proceeds on sale of assets | 2012-07-31 | $1,606,846 |
| Aggregate carrying amount (costs) on sale of assets | 2012-07-31 | $1,593,170 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-07-31 | Unqualified |
| Accountancy firm name | 2012-07-31 | WOLFE NILGES NAHORSKI, P.C. |
| Accountancy firm EIN | 2012-07-31 | 431236296 |
| 2011 : CEMENT MASONS UNION LOCAL NO 527 TRUST FUND 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-07-31 | $115,855 |
| Total unrealized appreciation/depreciation of assets | 2011-07-31 | $115,855 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-07-31 | $55,945 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-07-31 | $102,324 |
| Total income from all sources (including contributions) | 2011-07-31 | $6,519,482 |
| Total loss/gain on sale of assets | 2011-07-31 | $62,172 |
| Total of all expenses incurred | 2011-07-31 | $6,026,378 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-07-31 | $5,756,970 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-07-31 | $5,745,332 |
| Value of total assets at end of year | 2011-07-31 | $8,989,536 |
| Value of total assets at beginning of year | 2011-07-31 | $8,542,811 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-07-31 | $269,408 |
| Total interest from all sources | 2011-07-31 | $191,246 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-07-31 | $11,921 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-07-31 | No |
| Administrative expenses professional fees incurred | 2011-07-31 | $88,825 |
| Was this plan covered by a fidelity bond | 2011-07-31 | Yes |
| Value of fidelity bond cover | 2011-07-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-07-31 | No |
| Contributions received from participants | 2011-07-31 | $1,007,267 |
| Assets. Other investments not covered elsewhere at end of year | 2011-07-31 | $448,442 |
| Assets. Other investments not covered elsewhere at beginning of year | 2011-07-31 | $332,335 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-07-31 | $643,564 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-07-31 | $562,786 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-07-31 | $20,957 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-07-31 | $53,549 |
| Other income not declared elsewhere | 2011-07-31 | $234,051 |
| Administrative expenses (other) incurred | 2011-07-31 | $140,213 |
| Liabilities. Value of operating payables at end of year | 2011-07-31 | $34,784 |
| Liabilities. Value of operating payables at beginning of year | 2011-07-31 | $35,776 |
| Total non interest bearing cash at end of year | 2011-07-31 | $102,241 |
| Total non interest bearing cash at beginning of year | 2011-07-31 | $102,029 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-07-31 | No |
| Value of net income/loss | 2011-07-31 | $493,104 |
| Value of net assets at end of year (total assets less liabilities) | 2011-07-31 | $8,933,591 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-07-31 | $8,440,487 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-07-31 | No |
| Investment advisory and management fees | 2011-07-31 | $40,370 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-07-31 | $1,312,076 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-07-31 | $1,106,534 |
| Interest earned on other investments | 2011-07-31 | $28,950 |
| Income. Interest from US Government securities | 2011-07-31 | $59,993 |
| Income. Interest from corporate debt instruments | 2011-07-31 | $101,287 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-07-31 | $1,091,330 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-07-31 | $1,387,400 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-07-31 | $1,387,400 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-07-31 | $1,016 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-07-31 | $5,748,703 |
| Asset value of US Government securities at end of year | 2011-07-31 | $1,653,282 |
| Asset value of US Government securities at beginning of year | 2011-07-31 | $1,458,337 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-07-31 | $158,905 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-07-31 | No |
| Contributions received in cash from employer | 2011-07-31 | $4,738,065 |
| Employer contributions (assets) at end of year | 2011-07-31 | $522,747 |
| Employer contributions (assets) at beginning of year | 2011-07-31 | $568,999 |
| Income. Dividends from common stock | 2011-07-31 | $11,921 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-07-31 | $8,267 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-07-31 | $2,685,204 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-07-31 | $2,545,329 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-07-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-07-31 | $528,316 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-07-31 | $477,696 |
| Liabilities. Value of benefit claims payable at end of year | 2011-07-31 | $204 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-07-31 | $12,999 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-07-31 | $2,334 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-07-31 | $1,366 |
| Did the plan have assets held for investment | 2011-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-07-31 | No |
| Aggregate proceeds on sale of assets | 2011-07-31 | $2,417,014 |
| Aggregate carrying amount (costs) on sale of assets | 2011-07-31 | $2,354,842 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-07-31 | Unqualified |
| Accountancy firm name | 2011-07-31 | WOLFE NILGES NAHORSKI, P.C. |
| Accountancy firm EIN | 2011-07-31 | 431236296 |
| ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 ) |
| Policy contract number | 10295 |
| Policy instance | 5 |
| Insurance contract or identification number | 10295 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $440,330 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | E000636 |
| Policy instance | 4 |
| Insurance contract or identification number | E000636 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $322,831 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249194 |
| Policy instance | 3 |
| Insurance contract or identification number | 249194 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $1,300 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,894 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,300 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00417764 |
| Policy instance | 2 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 531 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $10,143 | | Total amount of fees paid to insurance company | USD $4,606 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $84,521 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,143 | | Amount paid for insurance broker fees | 4606 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 662 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $10,373 | | Total amount of fees paid to insurance company | USD $32,544 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $649,228 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,373 | | Amount paid for insurance broker fees | 32544 | | Insurance broker organization code? | 3 |
|
| ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 ) |
| Policy contract number | 10295 |
| Policy instance | 6 |
| Insurance contract or identification number | 10295 | | Number of Individuals Covered | 547 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $420,741 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 551 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 683 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $21,639 | | Total amount of fees paid to insurance company | USD $18,608 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $584,258 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,110 | | Amount paid for insurance broker fees | 18608 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00417764 |
| Policy instance | 3 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 537 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $13,298 | | Total amount of fees paid to insurance company | USD $2,843 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $95,621 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,648 | | Amount paid for insurance broker fees | 2843 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249194 |
| Policy instance | 4 |
| Insurance contract or identification number | 249194 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $800 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,602 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $800 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | E000636 |
| Policy instance | 5 |
| Insurance contract or identification number | E000636 | | Number of Individuals Covered | 330 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $340,978 | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 679 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $10,943 | | Total amount of fees paid to insurance company | USD $15,958 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $638,869 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,943 | | Amount paid for insurance broker fees | 15958 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 684 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | 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 number | 00417764 |
| Policy instance | 3 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 569 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $12,296 | | Total amount of fees paid to insurance company | USD $6,874 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $102,470 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,296 | | Amount paid for insurance broker fees | 6874 | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249194 |
| Policy instance | 4 |
| Insurance contract or identification number | 249194 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,588 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | E00063633405 |
| Policy instance | 5 |
| Insurance contract or identification number | E00063633405 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $285,948 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 ) |
| Policy contract number | 10295 |
| Policy instance | 6 |
| Insurance contract or identification number | 10295 | | Number of Individuals Covered | 551 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $350,899 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 ) |
| Policy contract number | EXL-30330 |
| Policy instance | 5 |
| Insurance contract or identification number | EXL-30330 | | Number of Individuals Covered | 519 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $128,184 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249194 |
| Policy instance | 4 |
| Insurance contract or identification number | 249194 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,933 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 688 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | 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 number | 00417764 |
| Policy instance | 3 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 571 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $14,302 | | Total amount of fees paid to insurance company | USD $6,503 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $119,186 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,302 | | Amount paid for insurance broker fees | 6503 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 670 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $9,926 | | Total amount of fees paid to insurance company | USD $16,130 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $573,048 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,926 | | Amount paid for insurance broker fees | 16130 | | Insurance broker organization code? | 3 |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 6 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 126 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $351,986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 ) |
| Policy contract number | |
| Policy instance | 7 |
| Number of Individuals Covered | 520 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $295,201 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249194 |
| Policy instance | 4 |
| Insurance contract or identification number | 249194 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 6 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $368,248 | | 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 number | 00417764 |
| Policy instance | 3 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 544 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $11,365 | | Total amount of fees paid to insurance company | USD $5,091 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $94,704 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 681 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 ) |
| Policy contract number | EXL-30330 |
| Policy instance | 5 |
| Insurance contract or identification number | EXL-30330 | | Number of Individuals Covered | 515 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $182,523 | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 679 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $9,689 | | Total amount of fees paid to insurance company | USD $13,312 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $548,380 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 703 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 6207170000 |
| Policy instance | 3 |
| Insurance contract or identification number | 6207170000 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,780,782 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 8 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $382,383 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 254424 |
| Policy instance | 9 |
| Insurance contract or identification number | 254424 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $100 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,153 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $100 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 697 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $10,174 | | Total amount of fees paid to insurance company | USD $15,378 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $578,481 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,474 | | Amount paid for insurance broker fees | 15378 | | Insurance broker organization code? | 3 | | Insurance broker name | CLJM LLC DBA HUNTLEIGH MCGEHEE |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249258 |
| Policy instance | 7 |
| Insurance contract or identification number | 249258 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249239 |
| Policy instance | 6 |
| Insurance contract or identification number | 249239 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 249194 |
| Policy instance | 5 |
| Insurance contract or identification number | 249194 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $500 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,781 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $500 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00417764 |
| Policy instance | 4 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 540 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-12-31 | | Total amount of commissions paid to insurance broker | USD $12,984 | | Total amount of fees paid to insurance company | USD $6,454 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $108,197 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,984 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 6454 | | Insurance broker name | CORNERSTONE INSURANCE GROUP LL |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 666 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker name | |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 654 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $9,866 | | Total amount of fees paid to insurance company | USD $14,838 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $543,461 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,866 | | Amount paid for insurance broker fees | 14838 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 6207170000 |
| Policy instance | 3 |
| Insurance contract or identification number | 6207170000 | | Number of Individuals Covered | 1584 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,306,965 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker name | |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00417764 |
| Policy instance | 4 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 530 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $13,083 | | Total amount of fees paid to insurance company | USD $6,376 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $109,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,083 | | Amount paid for insurance broker fees | 6376 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9194 |
| Policy instance | 5 |
| Insurance contract or identification number | Q9194 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $500 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $39,703 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $500 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9239 |
| Policy instance | 6 |
| Insurance contract or identification number | Q9239 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9258 |
| Policy instance | 7 |
| Insurance contract or identification number | Q9258 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | R4424 |
| Policy instance | 9 |
| Insurance contract or identification number | R4424 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $150 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,911 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $150 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 8 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $404,399 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | R9602 |
| Policy instance | 10 |
| Insurance contract or identification number | R9602 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | R4424 |
| Policy instance | 9 |
| Insurance contract or identification number | R4424 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $150 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,853 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $150 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 8 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 157 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $392,574 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9258 |
| Policy instance | 7 |
| Insurance contract or identification number | Q9258 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,239 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9239 |
| Policy instance | 6 |
| Insurance contract or identification number | Q9239 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,239 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9194 |
| Policy instance | 5 |
| Insurance contract or identification number | Q9194 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $550 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,826 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $550 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 652 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | 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 number | 00417764 |
| Policy instance | 4 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 525 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $12,477 | | Total amount of fees paid to insurance company | USD $4,259 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $103,977 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,477 | | Amount paid for insurance broker fees | 4259 | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID G BOYKIN |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 6207170000 |
| Policy instance | 3 |
| Insurance contract or identification number | 6207170000 | | Number of Individuals Covered | 1567 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,317,984 | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 643 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $9,544 | | Total amount of fees paid to insurance company | USD $9,555 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $507,906 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,544 | | Amount paid for insurance broker fees | 9555 | | Insurance broker organization code? | 3 | | Insurance broker name | DEWITT INSURANCE AGENCY INC |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | R4424 |
| Policy instance | 9 |
| Insurance contract or identification number | R4424 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,696 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 8 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $411,158 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9258 |
| Policy instance | 7 |
| Insurance contract or identification number | Q9258 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,424 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9239 |
| Policy instance | 6 |
| Insurance contract or identification number | Q9239 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,424 | | 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 number | 00417764 |
| Policy instance | 4 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 523 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $12,697 | | Total amount of fees paid to insurance company | USD $4,927 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $105,956 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,715 | | Amount paid for insurance broker fees | 4927 | | Insurance broker organization code? | 3 | | Insurance broker name | DAN R BREWER |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9194 |
| Policy instance | 5 |
| Insurance contract or identification number | Q9194 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,832 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 6207170000 |
| Policy instance | 3 |
| Insurance contract or identification number | 6207170000 | | Number of Individuals Covered | 1561 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,495,419 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 649 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 647 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $9,298 | | Total amount of fees paid to insurance company | USD $10,224 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $494,551 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,311 | | Amount paid for insurance broker fees | 10224 | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID G BOYKIN |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9194 |
| Policy instance | 5 |
| Insurance contract or identification number | Q9194 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $59,040 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9239 |
| Policy instance | 6 |
| Insurance contract or identification number | Q9239 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,744 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9258 |
| Policy instance | 7 |
| Insurance contract or identification number | Q9258 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,744 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | R4424 |
| Policy instance | 9 |
| Insurance contract or identification number | R4424 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,216 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 6207170000 |
| Policy instance | 3 |
| Insurance contract or identification number | 6207170000 | | Number of Individuals Covered | 1618 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,092,333 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 673 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 671 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $10,919 | | Total amount of fees paid to insurance company | USD $9,836 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $470,597 | | 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 number | 00417764 |
| Policy instance | 4 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 532 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $14,668 | | Total amount of fees paid to insurance company | USD $5,006 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $122,087 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 8 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $429,557 | | 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 number | 00322768 |
| Policy instance | 1 |
| Insurance contract or identification number | 00322768 | | Number of Individuals Covered | 701 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $23,303 | | Total amount of fees paid to insurance company | USD $5,562 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $499,328 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | 12069540 |
| Policy instance | 2 |
| Insurance contract or identification number | 12069540 | | Number of Individuals Covered | 701 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) |
| Policy contract number | 6207170000 |
| Policy instance | 3 |
| Insurance contract or identification number | 6207170000 | | Number of Individuals Covered | 1696 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,636,553 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9239 |
| Policy instance | 6 |
| Insurance contract or identification number | Q9239 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,089 | | 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 number | 00417764 |
| Policy instance | 4 |
| Insurance contract or identification number | 00417764 | | Number of Individuals Covered | 572 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $16,579 | | Total amount of fees paid to insurance company | USD $3,021 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $138,161 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9194 |
| Policy instance | 5 |
| Insurance contract or identification number | Q9194 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $900 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $62,268 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | Q9258 |
| Policy instance | 7 |
| Insurance contract or identification number | Q9258 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $750 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,341 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GHP (National Association of Insurance Commissioners NAIC id number: 96377 ) |
| Policy contract number | 6501052711 |
| Policy instance | 8 |
| Insurance contract or identification number | 6501052711 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $376,038 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
