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OHIO CARPENTERS' HEALTH PLAN 401k Plan overview

Plan NameOHIO CARPENTERS' HEALTH PLAN
Plan identification number 501

OHIO CARPENTERS' HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

JOINT BOARD OF TRUSTEES OHIO CARPENTERS' HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:JOINT BOARD OF TRUSTEES OHIO CARPENTERS' HEALTH FUND
Employer identification number (EIN):450593187
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OHIO CARPENTERS' HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01DONALD CRANE KEVIN REILLY2019-02-05
5012016-05-01DONALD CRANE KEVIN REILLY2018-02-05
5012015-05-01DONALD CRANE KEVIN REILLY2017-02-09
5012014-05-01DOUGLAS REFFITT KEVIN REILLY2016-02-10
5012013-05-01KEVIN REILLY DOUGLAS REFFITT2015-02-11
5012012-05-01KEVIN REILLY DOUGLAS REFFITT2014-02-14
5012011-05-01KEVIN REILLY DOUGLAS REFFITT2013-01-23
5012010-05-01KEVIN REILLY DOUGLAS REFFITT2012-10-04
5012009-05-01C. WAYNE WALDRON STEVEN KASARNICH2011-02-14

Plan Statistics for OHIO CARPENTERS' HEALTH PLAN

401k plan membership statisitcs for OHIO CARPENTERS' HEALTH PLAN

Measure Date Value
2017
Total participants, beginning-of-year2017-05-0111,624
Total number of active participants reported on line 7a of the Form 55002017-05-018,753
Number of retired or separated participants receiving benefits2017-05-013,047
Total of all active and inactive participants2017-05-0111,800
Number of employers contributing to the scheme2017-05-01808
2016
Total participants, beginning-of-year2016-05-0111,561
Total number of active participants reported on line 7a of the Form 55002016-05-018,559
Number of retired or separated participants receiving benefits2016-05-013,065
Total of all active and inactive participants2016-05-0111,624
Number of employers contributing to the scheme2016-05-01828
2015
Total participants, beginning-of-year2015-05-0111,674
Total number of active participants reported on line 7a of the Form 55002015-05-018,244
Number of retired or separated participants receiving benefits2015-05-013,317
Total of all active and inactive participants2015-05-0111,561
Number of employers contributing to the scheme2015-05-01832
2014
Total participants, beginning-of-year2014-05-0111,438
Total number of active participants reported on line 7a of the Form 55002014-05-018,315
Number of retired or separated participants receiving benefits2014-05-013,359
Total of all active and inactive participants2014-05-0111,674
Number of employers contributing to the scheme2014-05-01944
2013
Total participants, beginning-of-year2013-05-0111,143
Total number of active participants reported on line 7a of the Form 55002013-05-018,156
Number of retired or separated participants receiving benefits2013-05-013,423
Total of all active and inactive participants2013-05-0111,579
Number of employers contributing to the scheme2013-05-01912
2012
Total participants, beginning-of-year2012-05-0117,140
Total number of active participants reported on line 7a of the Form 55002012-05-018,081
Number of retired or separated participants receiving benefits2012-05-013,062
Total of all active and inactive participants2012-05-0111,143
Number of employers contributing to the scheme2012-05-01911
2011
Total participants, beginning-of-year2011-05-0110,504
Total number of active participants reported on line 7a of the Form 55002011-05-0113,317
Number of retired or separated participants receiving benefits2011-05-013,823
Total of all active and inactive participants2011-05-0117,140
Number of employers contributing to the scheme2011-05-011,154
2010
Total participants, beginning-of-year2010-05-019,360
Total number of active participants reported on line 7a of the Form 55002010-05-017,376
Number of retired or separated participants receiving benefits2010-05-011,264
Total of all active and inactive participants2010-05-018,640
Number of employers contributing to the scheme2010-05-01903
2009
Total participants, beginning-of-year2009-05-0110,575
Total number of active participants reported on line 7a of the Form 55002009-05-016,119
Number of retired or separated participants receiving benefits2009-05-013,241
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-019,360

Financial Data on OHIO CARPENTERS' HEALTH PLAN

Measure Date Value
2017
Unrealized appreciation/depreciation of other (non real estate) assets2017-04-30$-707,600
Total unrealized appreciation/depreciation of assets2017-04-30$-707,600
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$92,326,257
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$87,659,459
Total income from all sources (including contributions)2017-04-30$117,442,618
Total loss/gain on sale of assets2017-04-30$746,807
Total of all expenses incurred2017-04-30$134,127,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$125,882,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$116,607,352
Value of total assets at end of year2017-04-30$146,790,687
Value of total assets at beginning of year2017-04-30$158,808,993
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$8,245,210
Total interest from all sources2017-04-30$1,283,993
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$2,557,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-04-30$2,407,533
Administrative expenses professional fees incurred2017-04-30$469,771
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$16,512,714
Assets. Other investments not covered elsewhere at end of year2017-04-30$29,898
Assets. Other investments not covered elsewhere at beginning of year2017-04-30$304,399
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-04-30$300,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$786,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-04-30$1,245,946
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-04-30$1,378,676
Other income not declared elsewhere2017-04-30$-5,577,000
Administrative expenses (other) incurred2017-04-30$6,893,602
Liabilities. Value of operating payables at end of year2017-04-30$2,476,311
Liabilities. Value of operating payables at beginning of year2017-04-30$3,253,783
Total non interest bearing cash at end of year2017-04-30$7,875,888
Total non interest bearing cash at beginning of year2017-04-30$6,839,179
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$-16,685,104
Value of net assets at end of year (total assets less liabilities)2017-04-30$54,464,430
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$71,149,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Investment advisory and management fees2017-04-30$215,987
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-04-30$64,711,546
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-04-30$72,588,132
Income. Interest from US Government securities2017-04-30$672,338
Income. Interest from corporate debt instruments2017-04-30$604,697
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$5,839,130
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$2,511,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$2,511,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$6,958
Asset value of US Government securities at end of year2017-04-30$26,169,189
Asset value of US Government securities at beginning of year2017-04-30$35,276,419
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-04-30$2,531,723
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30Yes
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$100,094,638
Employer contributions (assets) at end of year2017-04-30$11,923,594
Employer contributions (assets) at beginning of year2017-04-30$12,884,704
Income. Dividends from common stock2017-04-30$149,810
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$125,882,512
Asset. Corporate debt instrument debt (other) at end of year2017-04-30$24,813,754
Asset. Corporate debt instrument debt (other) at beginning of year2017-04-30$20,339,591
Contract administrator fees2017-04-30$665,850
Assets. Corporate common stocks other than exployer securities at end of year2017-04-30$5,127,577
Assets. Corporate common stocks other than exployer securities at beginning of year2017-04-30$7,278,282
Liabilities. Value of benefit claims payable at end of year2017-04-30$88,604,000
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$83,027,000
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Aggregate proceeds on sale of assets2017-04-30$58,746,307
Aggregate carrying amount (costs) on sale of assets2017-04-30$57,999,500
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30CIUNI & PANICHI, INC.
Accountancy firm EIN2017-04-30341322309
2016
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$192,307
Total unrealized appreciation/depreciation of assets2016-04-30$192,307
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$87,659,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$84,061,421
Total income from all sources (including contributions)2016-04-30$114,843,942
Total loss/gain on sale of assets2016-04-30$-411,963
Total of all expenses incurred2016-04-30$141,611,894
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$134,356,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$116,608,073
Value of total assets at end of year2016-04-30$158,808,993
Value of total assets at beginning of year2016-04-30$181,978,907
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$7,255,791
Total interest from all sources2016-04-30$1,372,240
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$2,539,943
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-04-30$2,367,781
Administrative expenses professional fees incurred2016-04-30$331,863
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$16,950,838
Assets. Other investments not covered elsewhere at end of year2016-04-30$304,399
Assets. Other investments not covered elsewhere at beginning of year2016-04-30$278,435
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$786,934
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$1,467,754
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-04-30$1,378,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-04-30$1,197,324
Other income not declared elsewhere2016-04-30$-2,043,000
Administrative expenses (other) incurred2016-04-30$6,080,370
Liabilities. Value of operating payables at end of year2016-04-30$3,253,783
Liabilities. Value of operating payables at beginning of year2016-04-30$1,880,097
Total non interest bearing cash at end of year2016-04-30$6,839,179
Total non interest bearing cash at beginning of year2016-04-30$3,541,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-26,767,952
Value of net assets at end of year (total assets less liabilities)2016-04-30$71,149,534
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$97,917,486
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Investment advisory and management fees2016-04-30$199,218
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-04-30$72,588,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-04-30$83,774,724
Income. Interest from US Government securities2016-04-30$660,962
Income. Interest from corporate debt instruments2016-04-30$705,771
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$2,511,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$11,060,007
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$11,060,007
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$5,507
Asset value of US Government securities at end of year2016-04-30$35,276,419
Asset value of US Government securities at beginning of year2016-04-30$37,038,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-04-30$-3,413,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$99,657,235
Employer contributions (assets) at end of year2016-04-30$12,884,704
Employer contributions (assets) at beginning of year2016-04-30$15,445,739
Income. Dividends from common stock2016-04-30$172,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$134,356,103
Asset. Corporate debt instrument debt (other) at end of year2016-04-30$20,339,591
Asset. Corporate debt instrument debt (other) at beginning of year2016-04-30$22,268,650
Contract administrator fees2016-04-30$644,340
Assets. Corporate common stocks other than exployer securities at end of year2016-04-30$7,278,282
Assets. Corporate common stocks other than exployer securities at beginning of year2016-04-30$7,103,705
Liabilities. Value of benefit claims payable at end of year2016-04-30$83,027,000
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$80,984,000
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Aggregate proceeds on sale of assets2016-04-30$53,138,242
Aggregate carrying amount (costs) on sale of assets2016-04-30$53,550,205
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30CIUNI & PANICHI, INC.
Accountancy firm EIN2016-04-30341322309
2015
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$-97,900
Total unrealized appreciation/depreciation of assets2015-04-30$-97,900
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$84,061,421
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$75,223,744
Total income from all sources (including contributions)2015-04-30$109,219,220
Total loss/gain on sale of assets2015-04-30$613,458
Total of all expenses incurred2015-04-30$121,930,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$114,654,804
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$112,988,356
Value of total assets at end of year2015-04-30$181,978,907
Value of total assets at beginning of year2015-04-30$185,852,428
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$7,275,614
Total interest from all sources2015-04-30$1,178,078
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$2,662,280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-04-30$2,467,452
Administrative expenses professional fees incurred2015-04-30$406,950
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$16,856,680
Assets. Other investments not covered elsewhere at end of year2015-04-30$278,435
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$1,467,754
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$346,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-04-30$1,197,324
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-04-30$2,548,067
Other income not declared elsewhere2015-04-30$-11,374,000
Administrative expenses (other) incurred2015-04-30$5,996,102
Liabilities. Value of operating payables at end of year2015-04-30$1,880,097
Liabilities. Value of operating payables at beginning of year2015-04-30$3,065,677
Total non interest bearing cash at end of year2015-04-30$3,541,115
Total non interest bearing cash at beginning of year2015-04-30$9,120,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-12,711,198
Value of net assets at end of year (total assets less liabilities)2015-04-30$97,917,486
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$110,628,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Investment advisory and management fees2015-04-30$244,132
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-04-30$83,774,724
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-04-30$84,454,023
Income. Interest from US Government securities2015-04-30$639,490
Income. Interest from corporate debt instruments2015-04-30$532,727
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$11,060,007
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$22,846,201
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$22,846,201
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$5,861
Asset value of US Government securities at end of year2015-04-30$37,038,778
Asset value of US Government securities at beginning of year2015-04-30$27,932,124
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-04-30$3,248,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30Yes
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$96,131,676
Employer contributions (assets) at end of year2015-04-30$15,445,739
Employer contributions (assets) at beginning of year2015-04-30$16,393,254
Income. Dividends from common stock2015-04-30$194,828
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$114,654,804
Asset. Corporate debt instrument debt (other) at end of year2015-04-30$22,268,650
Asset. Corporate debt instrument debt (other) at beginning of year2015-04-30$16,257,590
Contract administrator fees2015-04-30$628,430
Assets. Corporate common stocks other than exployer securities at end of year2015-04-30$7,103,705
Assets. Corporate common stocks other than exployer securities at beginning of year2015-04-30$8,477,288
Liabilities. Value of benefit claims payable at end of year2015-04-30$80,984,000
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$69,610,000
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-04-30$24,016
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Aggregate proceeds on sale of assets2015-04-30$55,823,691
Aggregate carrying amount (costs) on sale of assets2015-04-30$55,210,233
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30CIUNI & PANICHI, INC.
Accountancy firm EIN2015-04-30341322309
2014
Unrealized appreciation/depreciation of other (non real estate) assets2014-04-30$86,986
Total unrealized appreciation/depreciation of assets2014-04-30$86,986
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$75,223,744
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$52,650,394
Total income from all sources (including contributions)2014-04-30$85,374,849
Total loss/gain on sale of assets2014-04-30$-656,953
Total of all expenses incurred2014-04-30$102,769,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$96,880,646
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$105,478,432
Value of total assets at end of year2014-04-30$185,852,428
Value of total assets at beginning of year2014-04-30$180,673,257
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$5,888,382
Total interest from all sources2014-04-30$1,913,114
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$3,645,931
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-04-30$3,486,677
Administrative expenses professional fees incurred2014-04-30$475,093
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$17,173,471
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$346,992
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$560,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-04-30$2,548,067
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-04-30$3,820,711
Other income not declared elsewhere2014-04-30$-22,820,000
Administrative expenses (other) incurred2014-04-30$4,510,827
Liabilities. Value of operating payables at end of year2014-04-30$3,065,677
Liabilities. Value of operating payables at beginning of year2014-04-30$2,039,683
Total non interest bearing cash at end of year2014-04-30$9,120,940
Total non interest bearing cash at beginning of year2014-04-30$3,721,347
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$-17,394,179
Value of net assets at end of year (total assets less liabilities)2014-04-30$110,628,684
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$128,022,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Investment advisory and management fees2014-04-30$201,462
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-04-30$84,454,023
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-04-30$68,492,761
Income. Interest from US Government securities2014-04-30$982,755
Income. Interest from corporate debt instruments2014-04-30$926,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$22,846,201
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$7,717,191
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$7,717,191
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$3,784
Asset value of US Government securities at end of year2014-04-30$27,932,124
Asset value of US Government securities at beginning of year2014-04-30$42,330,923
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-04-30$-2,272,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30Yes
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$88,304,961
Employer contributions (assets) at end of year2014-04-30$16,393,254
Employer contributions (assets) at beginning of year2014-04-30$23,092,081
Income. Dividends from common stock2014-04-30$159,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$96,880,646
Asset. Corporate debt instrument debt (other) at end of year2014-04-30$16,257,590
Asset. Corporate debt instrument debt (other) at beginning of year2014-04-30$27,602,200
Contract administrator fees2014-04-30$701,000
Assets. Corporate common stocks other than exployer securities at end of year2014-04-30$8,477,288
Assets. Corporate common stocks other than exployer securities at beginning of year2014-04-30$7,136,306
Liabilities. Value of benefit claims payable at end of year2014-04-30$69,610,000
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$46,790,000
Assets. Value of buildings and other operty used in plan operation at end of year2014-04-30$24,016
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-04-30$19,509
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Aggregate proceeds on sale of assets2014-04-30$55,301,027
Aggregate carrying amount (costs) on sale of assets2014-04-30$55,957,980
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30CIUNI & PANICHI, INC.
Accountancy firm EIN2014-04-30341322309
2013
Unrealized appreciation/depreciation of other (non real estate) assets2013-04-30$359,665
Total unrealized appreciation/depreciation of assets2013-04-30$359,665
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$52,650,394
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$102,388,353
Total income from all sources (including contributions)2013-04-30$147,644,725
Total loss/gain on sale of assets2013-04-30$1,428,784
Total of all expenses incurred2013-04-30$109,508,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$100,971,776
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$106,053,177
Value of total assets at end of year2013-04-30$180,673,257
Value of total assets at beginning of year2013-04-30$192,275,174
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$8,536,907
Total interest from all sources2013-04-30$1,979,731
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$1,961,963
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-04-30$1,781,029
Administrative expenses professional fees incurred2013-04-30$1,272,567
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$16,572,500
Participant contributions at end of year2013-04-30$0
Participant contributions at beginning of year2013-04-30$338,007
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$560,939
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$11,660,380
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-04-30$3,820,711
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-04-30$6,092,187
Other income not declared elsewhere2013-04-30$32,758,148
Administrative expenses (other) incurred2013-04-30$7,111,418
Liabilities. Value of operating payables at end of year2013-04-30$2,039,683
Liabilities. Value of operating payables at beginning of year2013-04-30$11,022,167
Total non interest bearing cash at end of year2013-04-30$3,721,347
Total non interest bearing cash at beginning of year2013-04-30$7,791,951
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$38,136,042
Value of net assets at end of year (total assets less liabilities)2013-04-30$128,022,863
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$89,886,821
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Investment advisory and management fees2013-04-30$152,922
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-04-30$68,492,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-04-30$54,476,770
Income. Interest from US Government securities2013-04-30$964,329
Income. Interest from corporate debt instruments2013-04-30$984,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$7,717,191
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$28,638,095
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$28,638,095
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$30,989
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$97,764,769
Asset value of US Government securities at end of year2013-04-30$42,330,923
Asset value of US Government securities at beginning of year2013-04-30$45,963,140
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-04-30$3,103,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30Yes
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$89,480,677
Employer contributions (assets) at end of year2013-04-30$23,092,081
Employer contributions (assets) at beginning of year2013-04-30$9,635,513
Income. Dividends from common stock2013-04-30$180,934
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$3,207,007
Asset. Corporate debt instrument debt (other) at end of year2013-04-30$27,602,200
Asset. Corporate debt instrument debt (other) at beginning of year2013-04-30$25,918,049
Assets. Corporate common stocks other than exployer securities at end of year2013-04-30$7,136,306
Assets. Corporate common stocks other than exployer securities at beginning of year2013-04-30$7,778,089
Liabilities. Value of benefit claims payable at end of year2013-04-30$46,790,000
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$85,273,999
Assets. Value of buildings and other operty used in plan operation at end of year2013-04-30$19,509
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-04-30$75,180
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Aggregate proceeds on sale of assets2013-04-30$220,379,384
Aggregate carrying amount (costs) on sale of assets2013-04-30$218,950,600
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30CIUNI & PANICHI, INC.
Accountancy firm EIN2013-04-30341322309
2012
Unrealized appreciation/depreciation of other (non real estate) assets2012-04-30$-648,296
Total unrealized appreciation/depreciation of assets2012-04-30$-648,296
Total transfer of assets to this plan2012-04-30$20,338,170
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$102,388,353
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$89,784,753
Total income from all sources (including contributions)2012-04-30$116,656,645
Total loss/gain on sale of assets2012-04-30$492,822
Total of all expenses incurred2012-04-30$102,268,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$94,085,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$112,425,583
Value of total assets at end of year2012-04-30$192,275,174
Value of total assets at beginning of year2012-04-30$144,944,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$8,182,611
Total interest from all sources2012-04-30$1,957,104
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$2,225,243
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-04-30$2,059,083
Administrative expenses professional fees incurred2012-04-30$1,462,446
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$21,863,895
Participant contributions at end of year2012-04-30$338,007
Participant contributions at beginning of year2012-04-30$417,929
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$11,660,380
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$1,420,147
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-04-30$6,092,187
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-04-30$5,552,981
Other income not declared elsewhere2012-04-30$223,107
Administrative expenses (other) incurred2012-04-30$6,491,282
Liabilities. Value of operating payables at end of year2012-04-30$11,022,167
Liabilities. Value of operating payables at beginning of year2012-04-30$657,850
Total non interest bearing cash at end of year2012-04-30$7,791,951
Total non interest bearing cash at beginning of year2012-04-30$7,181,229
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$14,388,442
Value of net assets at end of year (total assets less liabilities)2012-04-30$89,886,821
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$55,160,209
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Investment advisory and management fees2012-04-30$228,883
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-04-30$54,476,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-04-30$50,441,563
Income. Interest from US Government securities2012-04-30$877,859
Income. Interest from corporate debt instruments2012-04-30$1,075,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$28,638,095
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$15,383,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$15,383,440
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$3,968
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$90,496,796
Asset value of US Government securities at end of year2012-04-30$45,963,140
Asset value of US Government securities at beginning of year2012-04-30$37,694,065
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-04-30$-18,918
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30Yes
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$90,561,688
Employer contributions (assets) at end of year2012-04-30$9,635,513
Employer contributions (assets) at beginning of year2012-04-30$8,677,482
Income. Dividends from common stock2012-04-30$166,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$3,588,796
Asset. Corporate debt instrument debt (other) at end of year2012-04-30$25,918,049
Asset. Corporate debt instrument debt (other) at beginning of year2012-04-30$14,468,551
Assets. Corporate common stocks other than exployer securities at end of year2012-04-30$7,778,089
Assets. Corporate common stocks other than exployer securities at beginning of year2012-04-30$9,169,968
Liabilities. Value of benefit claims payable at end of year2012-04-30$85,273,999
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$83,573,922
Assets. Value of buildings and other operty used in plan operation at end of year2012-04-30$75,180
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-04-30$90,588
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Aggregate proceeds on sale of assets2012-04-30$162,716,730
Aggregate carrying amount (costs) on sale of assets2012-04-30$162,223,908
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30CIUNI & PANICHI, INC.
Accountancy firm EIN2012-04-30341322309
2011
Unrealized appreciation/depreciation of other (non real estate) assets2011-04-30$970,519
Total unrealized appreciation/depreciation of assets2011-04-30$970,519
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$12,501,946
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$20,099,567
Total income from all sources (including contributions)2011-04-30$95,399,113
Total loss/gain on sale of assets2011-04-30$535,754
Total of all expenses incurred2011-04-30$82,874,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$77,887,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$85,439,770
Value of total assets at end of year2011-04-30$143,545,496
Value of total assets at beginning of year2011-04-30$138,618,064
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$4,986,370
Total interest from all sources2011-04-30$1,670,064
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$2,010,723
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-04-30$1,872,385
Administrative expenses professional fees incurred2011-04-30$1,105,376
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$18,586,554
Participant contributions at end of year2011-04-30$349,376
Participant contributions at beginning of year2011-04-30$332,861
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-04-30$45,013,244
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$1,073,276
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$2,226,977
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-04-30$5,552,982
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-04-30$13,212,309
Other income not declared elsewhere2011-04-30$1,202,353
Administrative expenses (other) incurred2011-04-30$3,726,612
Liabilities. Value of operating payables at end of year2011-04-30$1,000,972
Liabilities. Value of operating payables at beginning of year2011-04-30$851,258
Total non interest bearing cash at end of year2011-04-30$7,181,229
Total non interest bearing cash at beginning of year2011-04-30$386,942
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$12,525,053
Value of net assets at end of year (total assets less liabilities)2011-04-30$131,043,550
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$118,518,497
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Investment advisory and management fees2011-04-30$154,382
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-04-30$50,441,563
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-04-30$46,871,633
Income. Interest from US Government securities2011-04-30$1,099,850
Income. Interest from corporate debt instruments2011-04-30$559,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$15,383,466
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$26,005,379
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$26,005,379
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$10,534
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-04-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-04-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$29,182,733
Asset value of US Government securities at end of year2011-04-30$39,992,991
Asset value of US Government securities at beginning of year2011-04-30$40,100,014
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-04-30$3,569,930
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30Yes
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$66,853,216
Employer contributions (assets) at end of year2011-04-30$7,693,414
Employer contributions (assets) at beginning of year2011-04-30$6,934,194
Income. Dividends from common stock2011-04-30$138,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$3,691,713
Asset. Corporate debt instrument debt (other) at end of year2011-04-30$12,169,625
Asset. Corporate debt instrument debt (other) at beginning of year2011-04-30$9,500,093
Assets. Corporate common stocks other than exployer securities at end of year2011-04-30$9,169,968
Assets. Corporate common stocks other than exployer securities at beginning of year2011-04-30$5,736,063
Liabilities. Value of benefit claims payable at end of year2011-04-30$5,947,992
Liabilities. Value of benefit claims payable at beginning of year2011-04-30$6,036,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-04-30$90,588
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-04-30$523,908
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Aggregate proceeds on sale of assets2011-04-30$249,195,336
Aggregate carrying amount (costs) on sale of assets2011-04-30$248,659,582
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30DELOITTE & TOUCHE LLP
Accountancy firm EIN2011-04-30133891517

Form 5500 Responses

2017
2017-05-01Type of plan entityMulti-employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planYes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016
2016-05-01Type of plan entityMulti-employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015
2015-05-01Type of plan entityMulti-employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement - TrustYes
2014
2014-05-01Type of plan entityMulti-employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement - TrustYes
2013
2013-05-01Type of plan entityMulti-employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement - TrustYes
2012
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010
2010-05-01Type of plan entityMulti-employer plan
2010-05-01Submission has been amendedYes
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planYes
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes
2009
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CONSUMERS LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62375 )
Policy contract number233252
Policy instance 1
Insurance contract or identification number233252
Number of Individuals Covered11808
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $587,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118272
Policy instance 1
Insurance contract or identification number0118272
Number of Individuals Covered6660
Insurance policy start date2012-07-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $108,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number9755
Policy instance 2
Insurance contract or identification number9755
Number of Individuals Covered6075
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,741
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,741
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH C
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1055
Policy instance 3
Insurance contract or identification number1055
Number of Individuals Covered15345
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $12,012
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,012
Insurance broker organization code?3
Insurance broker nameDELAWARE VALLEY HEALTH C
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 60053 )
Policy contract number152061
Policy instance 2
Insurance contract or identification number152061
Number of Individuals Covered1
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1055
Policy instance 5
Insurance contract or identification number1055
Number of Individuals Covered15026
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $10,910
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118272
Policy instance 4
Insurance contract or identification number0118272
Number of Individuals Covered5908
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $162,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number685225
Policy instance 1
Insurance contract or identification number685225
Number of Individuals Covered1897
Insurance policy start date2011-03-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $184,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF OHIO (National Association of Insurance Commissioners NAIC id number: 95204 )
Policy contract number1001
Policy instance 3
Insurance contract or identification number1001
Number of Individuals Covered56
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $217,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0118272
Policy instance 1
Insurance contract or identification number0118272
Number of Individuals Covered5961
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $175,795
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1055
Policy instance 3
Insurance contract or identification number1055
Number of Individuals Covered13862
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $11,965
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 60053 )
Policy contract number152061
Policy instance 2
Insurance contract or identification number152061
Number of Individuals Covered1
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,935
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF OHIO (National Association of Insurance Commissioners NAIC id number: 95204 )
Policy contract number1001
Policy instance 4
Insurance contract or identification number1001
Number of Individuals Covered83
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $275,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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