401k Plan data: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE plan

ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 401k Plan overview

Plan Name	ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE
Plan identification number	502

ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE has sponsored the creation of one or more 401k plans.

Company Name: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE

Employer identification number (EIN): 452842534

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01
502 2016-01-01
502 2016-01-01
502 2015-01-01 ROBERT MCLAUCHLIN
502 2014-01-01 ROBERT MCLAUCHLIN
502 2013-01-01 ROBERT MCLAUCHLIN
502 2012-01-01 ROBERT MCLAUCHLIN

Plan Statistics for ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE

401k plan membership statisitcs for ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE

Measure Date Value
2017: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 254
Total of all active and inactive participants 2017-01-01 0
Number of employers contributing to the scheme 2017-01-01 10
2016: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 250
Number of retired or separated participants receiving benefits 2016-01-01 254
Total of all active and inactive participants 2016-01-01 254
Number of employers contributing to the scheme 2016-01-01 10
2015: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 243
Number of retired or separated participants receiving benefits 2015-01-01 250
Total of all active and inactive participants 2015-01-01 250
Number of employers contributing to the scheme 2015-01-01 10
2014: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 245
Number of retired or separated participants receiving benefits 2014-01-01 243
Total of all active and inactive participants 2014-01-01 243
Number of employers contributing to the scheme 2014-01-01 11
2013: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 248
Number of retired or separated participants receiving benefits 2013-01-01 245
Total of all active and inactive participants 2013-01-01 245
Number of employers contributing to the scheme 2013-01-01 11
2012: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 274
Number of retired or separated participants receiving benefits 2012-01-01 248
Total of all active and inactive participants 2012-01-01 248
Number of employers contributing to the scheme 2012-01-01 12

Measure	Date	Value
2017: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	254
Total of all active and inactive participants	2017-01-01	0
Number of employers contributing to the scheme	2017-01-01	10
2016: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	250
Number of retired or separated participants receiving benefits	2016-01-01	254
Total of all active and inactive participants	2016-01-01	254
Number of employers contributing to the scheme	2016-01-01	10
2015: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	243
Number of retired or separated participants receiving benefits	2015-01-01	250
Total of all active and inactive participants	2015-01-01	250
Number of employers contributing to the scheme	2015-01-01	10
2014: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	245
Number of retired or separated participants receiving benefits	2014-01-01	243
Total of all active and inactive participants	2014-01-01	243
Number of employers contributing to the scheme	2014-01-01	11
2013: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	248
Number of retired or separated participants receiving benefits	2013-01-01	245
Total of all active and inactive participants	2013-01-01	245
Number of employers contributing to the scheme	2013-01-01	11
2012: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	274
Number of retired or separated participants receiving benefits	2012-01-01	248
Total of all active and inactive participants	2012-01-01	248
Number of employers contributing to the scheme	2012-01-01	12

Financial Data on ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE

Measure	Date	Value
2017 : ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$55,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$588,438
Total income from all sources (including contributions)	2017-12-31	$1,914,733
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,538,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,330,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,914,733
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$266,872
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$207,975
Total interest from all sources	2017-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Administrative expenses professional fees incurred	2017-12-31	$147,417
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,130,235
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$159,018
Administrative expenses (other) incurred	2017-12-31	$16,434
Liabilities. Value of operating payables at beginning of year	2017-12-31	$7,096
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$376,705
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$-321,566
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$2,864
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$41,512
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$41,512
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$63,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$784,498
Employer contributions (assets) at beginning of year	2017-12-31	$66,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,267,043
Contract administrator fees	2017-12-31	$41,260
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$581,342
Did the plan have assets held for investment	2017-12-31	No
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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	ANASTASI MOORE & MARTIN PLLC
Accountancy firm EIN	2017-12-31	208149084
2016 : ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$588,438
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$648,849
Total income from all sources (including contributions)	2016-12-31	$1,829,357
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$1,948,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,757,797
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,829,357
Value of total assets at end of year	2016-12-31	$266,872
Value of total assets at beginning of year	2016-12-31	$446,269
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$190,546
Total interest from all sources	2016-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$133,156
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,004,929
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$159,018
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$72,348
Administrative expenses (other) incurred	2016-12-31	$19,003
Liabilities. Value of operating payables at end of year	2016-12-31	$7,096
Liabilities. Value of operating payables at beginning of year	2016-12-31	$12,254
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-118,986
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$-321,566
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$-202,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$41,512
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$192,305
Asset value of US Government securities at beginning of year	2016-12-31	$310,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$824,428
Employer contributions (assets) at end of year	2016-12-31	$66,342
Employer contributions (assets) at beginning of year	2016-12-31	$63,592
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,565,492
Contract administrator fees	2016-12-31	$38,387
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$581,342
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$636,595
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN	2016-12-31	208149084
2015 : ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$648,849
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$799,664
Total income from all sources (including contributions)	2015-12-31	$1,958,223
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,682,190
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,497,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,958,223
Value of total assets at end of year	2015-12-31	$446,269
Value of total assets at beginning of year	2015-12-31	$321,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$184,287
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$118,979
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,047,574
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$72,348
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$122,699
Administrative expenses (other) incurred	2015-12-31	$28,479
Liabilities. Value of operating payables at end of year	2015-12-31	$12,254
Liabilities. Value of operating payables at beginning of year	2015-12-31	$17,506
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$276,033
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$-202,580
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$-478,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$219,927
Asset value of US Government securities at end of year	2015-12-31	$310,329
Asset value of US Government securities at beginning of year	2015-12-31	$136,003
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$910,649
Employer contributions (assets) at end of year	2015-12-31	$63,592
Employer contributions (assets) at beginning of year	2015-12-31	$62,349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,277,976
Contract administrator fees	2015-12-31	$36,829
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$636,595
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$782,158
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	ANASTASI, MOORE & MARTIN
Accountancy firm EIN	2015-12-31	208149084
2014 : ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$799,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$630,866
Total income from all sources (including contributions)	2014-12-31	$2,317,146
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,655,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,482,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,317,146
Value of total assets at end of year	2014-12-31	$321,051
Value of total assets at beginning of year	2014-12-31	$490,991
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$173,778
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$113,454
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$761,528
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$122,699
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$163,096
Administrative expenses (other) incurred	2014-12-31	$26,893
Liabilities. Value of operating payables at end of year	2014-12-31	$17,506
Liabilities. Value of operating payables at beginning of year	2014-12-31	$6,815
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-338,738
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$-478,613
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$-139,875
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$146,721
Asset value of US Government securities at end of year	2014-12-31	$136,003
Asset value of US Government securities at beginning of year	2014-12-31	$245,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,555,618
Employer contributions (assets) at end of year	2014-12-31	$62,349
Employer contributions (assets) at beginning of year	2014-12-31	$82,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,335,385
Contract administrator fees	2014-12-31	$33,431
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$782,158
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$624,051
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN	2014-12-31	208149084
2013 : ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$630,866
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$576,850
Total income from all sources (including contributions)	2013-12-31	$1,985,413
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$1,940,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$1,788,726
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,985,413
Value of total assets at end of year	2013-12-31	$490,991
Value of total assets at beginning of year	2013-12-31	$392,135
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$151,847
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$103,653
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,246,730
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$163,096
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$36,236
Administrative expenses (other) incurred	2013-12-31	$9,913
Liabilities. Value of operating payables at end of year	2013-12-31	$6,815
Liabilities. Value of operating payables at beginning of year	2013-12-31	$7,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$44,840
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$-139,875
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$-184,715
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$6,917
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$170,151
Asset value of US Government securities at end of year	2013-12-31	$245,509
Asset value of US Government securities at beginning of year	2013-12-31	$275,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$738,683
Employer contributions (assets) at end of year	2013-12-31	$82,386
Employer contributions (assets) at beginning of year	2013-12-31	$80,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$1,618,575
Contract administrator fees	2013-12-31	$31,364
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	2013-12-31	No
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$624,051
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$569,702
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	ANASTASI, MOORE & MARTIN, PLLC
Accountancy firm EIN	2013-12-31	208149084
2012 : ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total transfer of assets to this plan	2012-12-31	$942,055
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$576,850
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$1,947,353
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$3,074,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,670,093
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,947,239
Value of total assets at end of year	2012-12-31	$392,135
Value of total assets at beginning of year	2012-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$404,030
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$98,854
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,180,097
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$36,236
Other income not declared elsewhere	2012-12-31	$114
Administrative expenses (other) incurred	2012-12-31	$251,744
Liabilities. Value of operating payables at end of year	2012-12-31	$7,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-1,126,770
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$-184,715
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$8,978
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$158,634
Asset value of US Government securities at end of year	2012-12-31	$275,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$767,142
Employer contributions (assets) at end of year	2012-12-31	$80,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,511,459
Contract administrator fees	2012-12-31	$44,454
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	2012-12-31	No
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$569,702
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	ANASTASI, MOORE, AND MARTIN, PLLC
Accountancy firm EIN	2012-12-31	208149084

Form 5500 Responses for ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE

2017: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2017 form 5500 responses
2017-01-01	Type of plan entity	Multi-employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2016 form 5500 responses
2016-01-01	Type of plan entity	Multi-employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2015 form 5500 responses
2015-01-01	Type of plan entity	Multi-employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2014 form 5500 responses
2014-01-01	Type of plan entity	Multi-employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2013 form 5500 responses
2013-01-01	Type of plan entity	Multi-employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )

Policy contract number

12103707

Policy instance

Insurance contract or identification number	12103707
Number of Individuals Covered	190
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

SL10306

Policy instance

Insurance contract or identification number	SL10306
Number of Individuals Covered	100
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $78,141
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: 47201 )

Policy contract number

12073360

Policy instance

Insurance contract or identification number	12073360
Number of Individuals Covered	182
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )

Policy contract number

ELSL-1137

Policy instance

Insurance contract or identification number	ELSL-1137
Number of Individuals Covered	218
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $173,009
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

EXRK

Policy instance

Insurance contract or identification number	EXRK
Number of Individuals Covered	485
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $146,721
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: 47201 )

Policy contract number

12073360

Policy instance

Insurance contract or identification number	12073360
Number of Individuals Covered	180
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

63629-1

Policy instance

Insurance contract or identification number	63629-1
Number of Individuals Covered	252
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $170,157
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: 47201 )

Policy contract number

12073360

Policy instance

Insurance contract or identification number	12073360
Number of Individuals Covered	127
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47201 )

Policy contract number

12073360

Policy instance

Insurance contract or identification number	12073360
Number of Individuals Covered	192
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

63629-1

Policy instance

Insurance contract or identification number	63629-1
Number of Individuals Covered	250
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $158,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ALASKA UNITED FOOD AND COMMERCIAL WORKERS RETIREE HEALTH AND WELFARE
Employer identification number (EIN):	452842534
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores