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G & L BENEFIT PLAN TRUST 401k Plan overview

Plan NameG & L BENEFIT PLAN TRUST
Plan identification number 501

G & L BENEFIT PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

BOARD OF TRUSTEES, LGBT BENEFIT PLAN TRUST has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, LGBT BENEFIT PLAN TRUST
Employer identification number (EIN):466654951
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan G & L BENEFIT PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01MILLER KAPLAN ARASE LLP
5012016-01-01MILLER KAPLAN ARASE LLP
5012015-01-01MILLER KAPLAN ARASE LLP
5012014-01-01GEORGE DELYANNIS
5012013-03-01BURTON BABAKANI

Plan Statistics for G & L BENEFIT PLAN TRUST

401k plan membership statisitcs for G & L BENEFIT PLAN TRUST

Measure Date Value
2022: G & L BENEFIT PLAN TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01624
Total number of active participants reported on line 7a of the Form 55002022-01-01673
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01673
Total participants2022-01-01673
Number of employers contributing to the scheme2022-01-011
2021: G & L BENEFIT PLAN TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01640
Total number of active participants reported on line 7a of the Form 55002021-01-01624
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01624
Total participants2021-01-01624
Number of employers contributing to the scheme2021-01-011
2020: G & L BENEFIT PLAN TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01625
Total number of active participants reported on line 7a of the Form 55002020-01-01640
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01640
Total participants2020-01-01640
Number of employers contributing to the scheme2020-01-011
2019: G & L BENEFIT PLAN TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01566
Total number of active participants reported on line 7a of the Form 55002019-01-01625
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01625
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01625
Number of employers contributing to the scheme2019-01-011
2018: G & L BENEFIT PLAN TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01539
Total number of active participants reported on line 7a of the Form 55002018-01-01566
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01566
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01566
Number of employers contributing to the scheme2018-01-011
2017: G & L BENEFIT PLAN TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01485
Total number of active participants reported on line 7a of the Form 55002017-01-01539
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01539
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01539
Number of employers contributing to the scheme2017-01-011
2016: G & L BENEFIT PLAN TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01448
Total number of active participants reported on line 7a of the Form 55002016-01-01485
Total of all active and inactive participants2016-01-01485
Total participants2016-01-01485
Number of employers contributing to the scheme2016-01-011
2015: G & L BENEFIT PLAN TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01422
Total number of active participants reported on line 7a of the Form 55002015-01-01448
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01448
Number of participants with account balances2015-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
Number of employers contributing to the scheme2015-01-011
2014: G & L BENEFIT PLAN TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01371
Total number of active participants reported on line 7a of the Form 55002014-01-01422
Total of all active and inactive participants2014-01-01422
Total participants2014-01-01422
Number of employers contributing to the scheme2014-01-011
2013: G & L BENEFIT PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-03-010
Total number of active participants reported on line 7a of the Form 55002013-03-01371
Number of retired or separated participants receiving benefits2013-03-010
Number of other retired or separated participants entitled to future benefits2013-03-010
Total of all active and inactive participants2013-03-01371
Total participants2013-03-01371
Number of employers contributing to the scheme2013-03-011

Financial Data on G & L BENEFIT PLAN TRUST

Measure Date Value
2022 : G & L BENEFIT PLAN TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,618
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,385
Total income from all sources (including contributions)2022-12-31$8,145,182
Total of all expenses incurred2022-12-31$8,072,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$7,761,624
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$8,145,182
Value of total assets at end of year2022-12-31$144,109
Value of total assets at beginning of year2022-12-31$81,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$310,798
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$116,389
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$24,647
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$4,159
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$14,700
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$2,031
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$11,864
Administrative expenses (other) incurred2022-12-31$15,559
Liabilities. Value of operating payables at end of year2022-12-31$587
Liabilities. Value of operating payables at beginning of year2022-12-31$521
Total non interest bearing cash at end of year2022-12-31$139,950
Total non interest bearing cash at beginning of year2022-12-31$55,068
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$72,760
Value of net assets at end of year (total assets less liabilities)2022-12-31$141,491
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$68,731
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$8,120,535
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$11,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$7,761,624
Contract administrator fees2022-12-31$178,850
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-12-31952036255
2021 : G & L BENEFIT PLAN TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$12,385
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,985
Total income from all sources (including contributions)2021-12-31$7,385,991
Total of all expenses incurred2021-12-31$7,331,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$7,042,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$7,385,991
Value of total assets at end of year2021-12-31$81,116
Value of total assets at beginning of year2021-12-31$22,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$288,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$98,077
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$12,068
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$14,700
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,994
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$11,864
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$8,204
Administrative expenses (other) incurred2021-12-31$8,859
Liabilities. Value of operating payables at end of year2021-12-31$521
Liabilities. Value of operating payables at beginning of year2021-12-31$781
Total non interest bearing cash at end of year2021-12-31$55,068
Total non interest bearing cash at beginning of year2021-12-31$20,930
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$54,792
Value of net assets at end of year (total assets less liabilities)2021-12-31$68,731
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$13,939
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$7,042,848
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$7,373,923
Employer contributions (assets) at end of year2021-12-31$11,348
Employer contributions (assets) at beginning of year2021-12-31$0
Contract administrator fees2021-12-31$181,415
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2021-12-31952036255
2020 : G & L BENEFIT PLAN TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$8,985
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$12,060
Total income from all sources (including contributions)2020-12-31$6,576,897
Total of all expenses incurred2020-12-31$6,697,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$6,391,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$6,576,897
Value of total assets at end of year2020-12-31$22,924
Value of total assets at beginning of year2020-12-31$146,700
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$305,778
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$114,835
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$25,789
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,994
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$1,985
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$8,204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$12,060
Administrative expenses (other) incurred2020-12-31$8,011
Liabilities. Value of operating payables at end of year2020-12-31$781
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$20,930
Total non interest bearing cash at beginning of year2020-12-31$144,715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-120,701
Value of net assets at end of year (total assets less liabilities)2020-12-31$13,939
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$134,640
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$6,551,108
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$6,391,820
Contract administrator fees2020-12-31$182,932
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2020-12-31952036255
2019 : G & L BENEFIT PLAN TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$12,060
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$446,019
Total income from all sources (including contributions)2019-12-31$5,694,076
Total of all expenses incurred2019-12-31$5,774,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,511,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,694,076
Value of total assets at end of year2019-12-31$146,700
Value of total assets at beginning of year2019-12-31$660,772
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$262,742
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$100,741
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$61,216
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,985
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,722
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$12,060
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$444,714
Administrative expenses (other) incurred2019-12-31$7,175
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$1,305
Total non interest bearing cash at end of year2019-12-31$144,715
Total non interest bearing cash at beginning of year2019-12-31$659,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-80,113
Value of net assets at end of year (total assets less liabilities)2019-12-31$134,640
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$214,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$5,511,447
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,632,860
Contract administrator fees2019-12-31$154,826
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2019-12-31952036255
2018 : G & L BENEFIT PLAN TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$446,019
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$19,571
Total income from all sources (including contributions)2018-12-31$4,829,614
Total of all expenses incurred2018-12-31$4,688,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,461,140
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,829,614
Value of total assets at end of year2018-12-31$660,772
Value of total assets at beginning of year2018-12-31$93,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$227,361
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$87,097
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$43,681
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,722
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$923
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$444,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$18,136
Administrative expenses (other) incurred2018-12-31$6,981
Liabilities. Value of operating payables at end of year2018-12-31$1,305
Liabilities. Value of operating payables at beginning of year2018-12-31$1,435
Total non interest bearing cash at end of year2018-12-31$659,050
Total non interest bearing cash at beginning of year2018-12-31$92,288
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$141,113
Value of net assets at end of year (total assets less liabilities)2018-12-31$214,753
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$73,640
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,461,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,785,933
Contract administrator fees2018-12-31$133,283
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2018-12-31952036255
2017 : G & L BENEFIT PLAN TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$19,571
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$29,404
Total income from all sources (including contributions)2017-12-31$4,550,417
Total of all expenses incurred2017-12-31$4,510,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,296,810
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,550,417
Value of total assets at end of year2017-12-31$93,211
Value of total assets at beginning of year2017-12-31$63,277
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$213,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$84,654
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$30,680
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$923
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,391
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$18,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$29,404
Administrative expenses (other) incurred2017-12-31$8,127
Liabilities. Value of operating payables at end of year2017-12-31$1,435
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$92,288
Total non interest bearing cash at beginning of year2017-12-31$61,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$39,767
Value of net assets at end of year (total assets less liabilities)2017-12-31$73,640
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$33,873
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,296,810
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,519,737
Contract administrator fees2017-12-31$121,059
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2017-12-31952036255
2016 : G & L BENEFIT PLAN TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$29,404
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$364,168
Total income from all sources (including contributions)2016-12-31$4,389,175
Total of all expenses incurred2016-12-31$4,376,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,186,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,389,175
Value of total assets at end of year2016-12-31$63,277
Value of total assets at beginning of year2016-12-31$385,733
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$190,689
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$78,233
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$26,286
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,391
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,599
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$29,404
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$363,433
Administrative expenses (other) incurred2016-12-31$5,089
Liabilities. Value of operating payables at end of year2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$735
Total non interest bearing cash at end of year2016-12-31$61,886
Total non interest bearing cash at beginning of year2016-12-31$384,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$12,308
Value of net assets at end of year (total assets less liabilities)2016-12-31$33,873
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$21,565
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,186,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,362,889
Contract administrator fees2016-12-31$107,367
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2016-12-31952036255
2015 : G & L BENEFIT PLAN TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$364,168
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$344,465
Total income from all sources (including contributions)2015-12-31$3,680,852
Total of all expenses incurred2015-12-31$3,668,397
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,492,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,680,852
Value of total assets at end of year2015-12-31$385,733
Value of total assets at beginning of year2015-12-31$353,575
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$176,194
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$72,922
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$9,963
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,599
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,349
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$363,433
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$344,465
Administrative expenses (other) incurred2015-12-31$5,894
Liabilities. Value of operating payables at end of year2015-12-31$735
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$384,134
Total non interest bearing cash at beginning of year2015-12-31$352,226
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$12,455
Value of net assets at end of year (total assets less liabilities)2015-12-31$21,565
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$9,110
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,492,203
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,670,889
Contract administrator fees2015-12-31$97,378
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2015-12-31952036255
2014 : G & L BENEFIT PLAN TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$344,465
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$292,108
Total income from all sources (including contributions)2014-12-31$3,332,634
Total of all expenses incurred2014-12-31$3,316,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,176,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,332,634
Value of total assets at end of year2014-12-31$353,575
Value of total assets at beginning of year2014-12-31$285,282
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$140,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$49,935
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$28,385
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,349
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,274
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$344,465
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$277,058
Administrative expenses (other) incurred2014-12-31$4,435
Liabilities. Value of operating payables at end of year2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$15,050
Total non interest bearing cash at end of year2014-12-31$352,226
Total non interest bearing cash at beginning of year2014-12-31$284,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$15,936
Value of net assets at end of year (total assets less liabilities)2014-12-31$9,110
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-6,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,176,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,304,249
Contract administrator fees2014-12-31$85,801
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2014-12-31952036255
2013 : G & L BENEFIT PLAN TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$292,108
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,973,966
Total of all expenses incurred2013-12-31$1,980,792
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,891,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,973,966
Value of total assets at end of year2013-12-31$285,282
Value of total assets at beginning of year2013-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$89,776
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$19,665
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$39,429
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,274
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$277,058
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Administrative expenses (other) incurred2013-12-31$28,877
Liabilities. Value of operating payables at end of year2013-12-31$15,050
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$284,008
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-6,826
Value of net assets at end of year (total assets less liabilities)2013-12-31$-6,826
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,891,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,934,537
Contract administrator fees2013-12-31$41,234
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2013-12-31952036255

Form 5500 Responses for G & L BENEFIT PLAN TRUST

2022: G & L BENEFIT PLAN TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: G & L BENEFIT PLAN TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: G & L BENEFIT PLAN TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: G & L BENEFIT PLAN TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: G & L BENEFIT PLAN TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: G & L BENEFIT PLAN TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: G & L BENEFIT PLAN TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: G & L BENEFIT PLAN TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: G & L BENEFIT PLAN TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: G & L BENEFIT PLAN TRUST 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01First time form 5500 has been submittedYes
2013-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number18276
Policy instance 6
Insurance contract or identification number18276
Number of Individuals Covered190
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $128,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number002311
Policy instance 5
Insurance contract or identification number002311
Number of Individuals Covered698
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $14,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 4
Insurance contract or identification numberMV13-001
Number of Individuals Covered668
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 3
Insurance contract or identification number100294
Number of Individuals Covered301
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,155
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 2
Insurance contract or identification number76798
Number of Individuals Covered183
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,892
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: 0000 )
Policy contract number231596
Policy instance 1
Insurance contract or identification number231596
Number of Individuals Covered687
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,468,531
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: 0000 )
Policy contract number231596
Policy instance 1
Insurance contract or identification number231596
Number of Individuals Covered649
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,774,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 2
Insurance contract or identification number76798
Number of Individuals Covered187
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,335
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 3
Insurance contract or identification number100294
Number of Individuals Covered282
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 4
Insurance contract or identification numberMV13-001
Number of Individuals Covered612
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,521
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number18276
Policy instance 6
Insurance contract or identification number18276
Number of Individuals Covered157
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number002311
Policy instance 5
Insurance contract or identification number002311
Number of Individuals Covered636
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $14,564
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: 0000 )
Policy contract number231596
Policy instance 1
Insurance contract or identification number231596
Number of Individuals Covered664
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,122,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number18276
Policy instance 6
Insurance contract or identification number18276
Number of Individuals Covered134
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 2
Insurance contract or identification number76798
Number of Individuals Covered188
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 3
Insurance contract or identification number100294
Number of Individuals Covered329
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 4
Insurance contract or identification numberMV13-001
Number of Individuals Covered639
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number002311
Policy instance 5
Insurance contract or identification number002311
Number of Individuals Covered664
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $14,580
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: 0000 )
Policy contract number231596
Policy instance 1
Insurance contract or identification number231596
Number of Individuals Covered649
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,246,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 2
Insurance contract or identification number76798
Number of Individuals Covered190
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 3
Insurance contract or identification number100294
Number of Individuals Covered325
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 4
Insurance contract or identification numberMV13-001
Number of Individuals Covered619
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number2311
Policy instance 5
Insurance contract or identification number2311
Number of Individuals Covered612
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $13,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number18276
Policy instance 6
Insurance contract or identification number18276
Number of Individuals Covered117
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number18276
Policy instance 8
Insurance contract or identification number18276
Number of Individuals Covered67
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number2311
Policy instance 7
Insurance contract or identification number2311
Number of Individuals Covered340
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $11,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 6
Insurance contract or identification numberMV13-001
Number of Individuals Covered492
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 5
Insurance contract or identification number100294
Number of Individuals Covered276
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Other welfare benefits providedPARTIALLY EXP-RATED & NON EXP-RATED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 4
Insurance contract or identification number76798
Number of Individuals Covered168
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901747
Policy instance 3
Insurance contract or identification number0901747
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number246434
Policy instance 2
Insurance contract or identification number246434
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,481
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: 0000 )
Policy contract number231596
Policy instance 1
Insurance contract or identification number231596
Number of Individuals Covered516
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,055,763
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: 0000 )
Policy contract number231596
Policy instance 1
Insurance contract or identification number231596
Number of Individuals Covered427
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,976,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number246434
Policy instance 2
Insurance contract or identification number246434
Number of Individuals Covered27
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $299,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901747
Policy instance 3
Insurance contract or identification number0901747
Number of Individuals Covered4
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $81,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 4
Insurance contract or identification number76798
Number of Individuals Covered100
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 5
Insurance contract or identification number100294
Number of Individuals Covered350
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Other welfare benefits providedPARTIALLY EXP-RATED & NON EXP-RATED
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 6
Insurance contract or identification numberMV13-001
Number of Individuals Covered436
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number2311
Policy instance 7
Insurance contract or identification number2311
Number of Individuals Covered454
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $9,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 1
Insurance contract or identification number76798
Number of Individuals Covered95
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0901747
Policy instance 2
Insurance contract or identification number0901747
Number of Individuals Covered5
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number240692, 246434
Policy instance 3
Insurance contract or identification number240692, 246434
Number of Individuals Covered130
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,027,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number2311
Policy instance 4
Insurance contract or identification number2311
Number of Individuals Covered420
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $8,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 5
Insurance contract or identification numberMV13-001
Number of Individuals Covered407
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 6
Insurance contract or identification number100294
Number of Individuals Covered338
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
Other welfare benefits providedPARTIALLY EXP-RATED & NON EXP-RATED
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: 0000 )
Policy contract number231596
Policy instance 7
Insurance contract or identification number231596
Number of Individuals Covered297
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,940,878
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: 0000 )
Policy contract number231596
Policy instance 2
Insurance contract or identification number231596
Number of Individuals Covered263
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,042,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76798
Policy instance 3
Insurance contract or identification number76798
Number of Individuals Covered66
Insurance policy start date2013-04-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0711097
Policy instance 4
Insurance contract or identification number0711097
Number of Individuals Covered6
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MES VISION (National Association of Insurance Commissioners NAIC id number: 62111 )
Policy contract numberMV13-001
Policy instance 5
Insurance contract or identification numberMV13-001
Number of Individuals Covered357
Insurance policy start date2013-04-01
Insurance policy end date2013-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100294
Policy instance 6
Insurance contract or identification number100294
Number of Individuals Covered316
Insurance policy start date2013-04-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number2311
Policy instance 7
Insurance contract or identification number2311
Number of Individuals Covered371
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Other welfare benefits providedEAP PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $5,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number240692
Policy instance 1
Insurance contract or identification number240692
Number of Individuals Covered112
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $554,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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