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HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 401k Plan overview

Plan NameHAWAII CARPENTERS NEW RETIREE MEDICAL PLAN
Plan identification number 502

HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

HAWAII CARPENTERS NEW RETIREE MEDICAL has sponsored the creation of one or more 401k plans.

Company Name:HAWAII CARPENTERS NEW RETIREE MEDICAL
Employer identification number (EIN):466977221
NAIC Classification:238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-09-01RONALD TAKETA2023-06-12
5022020-09-01RONALD TAKETA2022-06-01 ERIC HASHIZUME2022-06-01
5022020-09-01RONALD TAKETA2022-06-01 ERIC HASHIZUME2022-06-01
5022019-09-01RONALD TAKETA2021-06-02 ERIC HASHIZUME2021-06-02
5022019-09-01RONALD TAKETA2023-05-10 ERIC H. HASHIZUME2023-05-10
5022018-09-01RONALD TAKETA2021-01-15
5022018-09-01RONALD TAKETA2020-07-15 ERIC HASIZUME2020-07-15
5022017-09-01
5022016-09-01TOM ROSA

Plan Statistics for HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN

401k plan membership statisitcs for HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN

Measure Date Value
2021: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01518
Number of retired or separated participants receiving benefits2021-09-01387
Number of other retired or separated participants entitled to future benefits2021-09-01168
Total of all active and inactive participants2021-09-01555
Number of employers contributing to the scheme2021-09-01248
2020: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01492
Number of retired or separated participants receiving benefits2020-09-01366
Number of other retired or separated participants entitled to future benefits2020-09-01152
Total of all active and inactive participants2020-09-01518
Number of employers contributing to the scheme2020-09-01281
2019: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01464
Total number of active participants reported on line 7a of the Form 55002019-09-010
Number of retired or separated participants receiving benefits2019-09-01347
Number of other retired or separated participants entitled to future benefits2019-09-01145
Total of all active and inactive participants2019-09-01492
Number of employers contributing to the scheme2019-09-01249
2018: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01423
Number of retired or separated participants receiving benefits2018-09-01321
Number of other retired or separated participants entitled to future benefits2018-09-01143
Total of all active and inactive participants2018-09-01464
Number of employers contributing to the scheme2018-09-01258
2017: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01425
Number of retired or separated participants receiving benefits2017-09-01293
Number of other retired or separated participants entitled to future benefits2017-09-01130
Total of all active and inactive participants2017-09-01423
Number of employers contributing to the scheme2017-09-01256
2016: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01366
Number of retired or separated participants receiving benefits2016-09-01264
Number of other retired or separated participants entitled to future benefits2016-09-01130
Total of all active and inactive participants2016-09-01394
Number of employers contributing to the scheme2016-09-01265

Financial Data on HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN

Measure Date Value
2022 : HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-08-31$-4,705,078
Total unrealized appreciation/depreciation of assets2022-08-31$-4,705,078
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$1,167,911
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$1,063,813
Total income from all sources (including contributions)2022-08-31$-5,094,690
Total loss/gain on sale of assets2022-08-31$2,028,530
Total of all expenses incurred2022-08-31$2,569,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$2,089,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$6,768,466
Value of total assets at end of year2022-08-31$134,759,263
Value of total assets at beginning of year2022-08-31$142,319,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$480,279
Total interest from all sources2022-08-31$899,408
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$2,336,664
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-08-31$2,336,664
Administrative expenses professional fees incurred2022-08-31$90,635
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$500,000
If this is an individual account plan, was there a blackout period2022-08-31No
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$232,738
Assets. Other investments not covered elsewhere at beginning of year2022-08-31$41,359,087
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-08-31$72,868
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-08-31$61,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-08-31$1,150,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-08-31$1,050,000
Administrative expenses (other) incurred2022-08-31$31,255
Liabilities. Value of operating payables at end of year2022-08-31$17,911
Liabilities. Value of operating payables at beginning of year2022-08-31$13,813
Total non interest bearing cash at end of year2022-08-31$297,057
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$-7,664,656
Value of net assets at end of year (total assets less liabilities)2022-08-31$133,591,352
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$141,256,008
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Investment advisory and management fees2022-08-31$261,226
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-08-31$96,570,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-08-31$62,692,352
Income. Interest from corporate debt instruments2022-08-31$889,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-08-31$668,317
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-08-31$2,158,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-08-31$2,158,291
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-08-31$10,073
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$2,089,687
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-08-31$-12,422,680
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31No
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$6,535,728
Employer contributions (assets) at end of year2022-08-31$559,411
Employer contributions (assets) at beginning of year2022-08-31$615,223
Asset. Corporate debt instrument debt (other) at end of year2022-08-31$36,590,781
Asset. Corporate debt instrument debt (other) at beginning of year2022-08-31$35,433,793
Contract administrator fees2022-08-31$97,163
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-08-31No
Did the plan have assets held for investment2022-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Aggregate proceeds on sale of assets2022-08-31$89,424,090
Aggregate carrying amount (costs) on sale of assets2022-08-31$87,395,560
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31EIDE BAILLY LLP
Accountancy firm EIN2022-08-31450250958
2021 : HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-08-31$4,697,706
Total unrealized appreciation/depreciation of assets2021-08-31$4,697,706
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$1,063,813
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$10,683
Total income from all sources (including contributions)2021-08-31$24,211,932
Total loss/gain on sale of assets2021-08-31$7,022,860
Total of all expenses incurred2021-08-31$2,587,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$2,167,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$7,288,979
Value of total assets at end of year2021-08-31$142,319,821
Value of total assets at beginning of year2021-08-31$119,642,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$420,541
Total interest from all sources2021-08-31$1,186,194
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$1,213,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-08-31$1,213,610
Administrative expenses professional fees incurred2021-08-31$145,698
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$500,000
If this is an individual account plan, was there a blackout period2021-08-31No
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$249,671
Assets. Other investments not covered elsewhere at end of year2021-08-31$41,359,087
Assets. Other investments not covered elsewhere at beginning of year2021-08-31$31,518,432
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-08-31$61,075
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-08-31$75,755
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-08-31$1,050,000
Administrative expenses (other) incurred2021-08-31$33,279
Liabilities. Value of operating payables at end of year2021-08-31$13,813
Liabilities. Value of operating payables at beginning of year2021-08-31$10,683
Total non interest bearing cash at end of year2021-08-31$207,423
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$21,624,168
Value of net assets at end of year (total assets less liabilities)2021-08-31$141,256,008
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$119,631,840
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Investment advisory and management fees2021-08-31$149,028
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-08-31$62,692,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-08-31$53,793,594
Interest earned on other investments2021-08-31$508,365
Income. Interest from corporate debt instruments2021-08-31$676,878
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-08-31$2,158,291
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-08-31$3,134,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-08-31$3,134,232
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-31$951
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$2,167,223
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-08-31$2,802,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31No
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$7,039,308
Employer contributions (assets) at end of year2021-08-31$615,223
Employer contributions (assets) at beginning of year2021-08-31$648,382
Asset. Corporate debt instrument debt (other) at end of year2021-08-31$35,433,793
Asset. Corporate debt instrument debt (other) at beginning of year2021-08-31$30,472,128
Contract administrator fees2021-08-31$92,536
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-08-31No
Did the plan have assets held for investment2021-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Aggregate proceeds on sale of assets2021-08-31$111,479,187
Aggregate carrying amount (costs) on sale of assets2021-08-31$104,456,327
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31EIDE BAILLY LLP
Accountancy firm EIN2021-08-31450250958
2020 : HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-08-31$6,087,040
Total unrealized appreciation/depreciation of assets2020-08-31$6,087,040
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$10,683
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$1,609,785
Total income from all sources (including contributions)2020-08-31$19,103,344
Total loss/gain on sale of assets2020-08-31$796,318
Total of all expenses incurred2020-08-31$2,454,071
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$2,064,157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$7,166,673
Value of total assets at end of year2020-08-31$119,566,768
Value of total assets at beginning of year2020-08-31$104,516,597
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$389,914
Total interest from all sources2020-08-31$1,023,917
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$1,238,442
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-08-31$1,238,442
Administrative expenses professional fees incurred2020-08-31$62,431
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$500,000
If this is an individual account plan, was there a blackout period2020-08-31No
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$316,054
Assets. Other investments not covered elsewhere at end of year2020-08-31$31,518,432
Assets. Other investments not covered elsewhere at beginning of year2020-08-31$25,896,349
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-08-31$75,755
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-08-31$80,279
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-08-31$1,600,000
Administrative expenses (other) incurred2020-08-31$34,846
Liabilities. Value of operating payables at end of year2020-08-31$10,683
Liabilities. Value of operating payables at beginning of year2020-08-31$9,785
Total non interest bearing cash at end of year2020-08-31$68,357
Total non interest bearing cash at beginning of year2020-08-31$94,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$16,649,273
Value of net assets at end of year (total assets less liabilities)2020-08-31$119,556,085
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$102,906,812
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Investment advisory and management fees2020-08-31$205,039
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-08-31$53,793,594
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-08-31$45,107,876
Interest earned on other investments2020-08-31$535,542
Income. Interest from corporate debt instruments2020-08-31$476,808
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-08-31$3,134,232
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-08-31$2,636,122
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-08-31$2,636,122
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-08-31$11,567
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$2,064,157
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-08-31$2,790,954
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31Yes
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$6,850,619
Employer contributions (assets) at end of year2020-08-31$648,382
Employer contributions (assets) at beginning of year2020-08-31$677,342
Asset. Corporate debt instrument debt (other) at end of year2020-08-31$30,472,128
Asset. Corporate debt instrument debt (other) at beginning of year2020-08-31$30,118,629
Contract administrator fees2020-08-31$87,598
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-08-31No
Did the plan have assets held for investment2020-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Aggregate proceeds on sale of assets2020-08-31$52,292,118
Aggregate carrying amount (costs) on sale of assets2020-08-31$51,495,800
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31No
Opinion of an independent qualified public accountant for this plan2020-08-31Unqualified
Accountancy firm name2020-08-31EIDE BAILLY LLP
Accountancy firm EIN2020-08-31450250958
2019 : HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-08-31$6,388,934
Total unrealized appreciation/depreciation of assets2019-08-31$6,388,934
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$1,609,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$7,556
Total income from all sources (including contributions)2019-08-31$10,307,113
Total loss/gain on sale of assets2019-08-31$3,025,105
Total of all expenses incurred2019-08-31$1,997,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$1,648,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$7,465,503
Value of total assets at end of year2019-08-31$104,516,597
Value of total assets at beginning of year2019-08-31$94,604,828
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$349,385
Total interest from all sources2019-08-31$1,803,396
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$1,238,475
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-08-31$1,238,475
Administrative expenses professional fees incurred2019-08-31$76,576
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$500,000
If this is an individual account plan, was there a blackout period2019-08-31No
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$371,034
Assets. Other investments not covered elsewhere at end of year2019-08-31$25,896,349
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-08-31$80,279
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-08-31$91,451
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-08-31$1,600,000
Administrative expenses (other) incurred2019-08-31$30,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$8,309,540
Value of net assets at end of year (total assets less liabilities)2019-08-31$102,906,812
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$94,597,272
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Investment advisory and management fees2019-08-31$161,083
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-08-31$45,107,876
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-08-31$78,914,005
Interest earned on other investments2019-08-31$156,187
Income. Interest from corporate debt instruments2019-08-31$467,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-08-31$2,636,122
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-08-31$4,190,123
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-08-31$4,190,123
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-08-31$1,179,236
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$1,648,188
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-08-31$-9,614,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31Yes
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$7,094,469
Employer contributions (assets) at end of year2019-08-31$677,342
Employer contributions (assets) at beginning of year2019-08-31$552,430
Asset. Corporate debt instrument debt (other) at end of year2019-08-31$30,118,629
Asset. Corporate debt instrument debt (other) at beginning of year2019-08-31$10,856,819
Contract administrator fees2019-08-31$81,389
Liabilities. Value of benefit claims payable at end of year2019-08-31$9,785
Liabilities. Value of benefit claims payable at beginning of year2019-08-31$7,556
Did the plan have assets held for investment2019-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Aggregate proceeds on sale of assets2019-08-31$105,301,528
Aggregate carrying amount (costs) on sale of assets2019-08-31$102,276,423
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31No
Opinion of an independent qualified public accountant for this plan2019-08-31Unqualified
Accountancy firm name2019-08-31EIDE BAILLY LLP
Accountancy firm EIN2019-08-31450250958
2018 : HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-08-31$416,282
Total unrealized appreciation/depreciation of assets2018-08-31$416,282
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$7,556
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$33,500
Total income from all sources (including contributions)2018-08-31$12,948,518
Total loss/gain on sale of assets2018-08-31$74,902
Total of all expenses incurred2018-08-31$2,032,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$1,716,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$7,339,917
Value of total assets at end of year2018-08-31$94,604,828
Value of total assets at beginning of year2018-08-31$83,715,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$316,577
Total interest from all sources2018-08-31$247,379
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$2,297,929
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-08-31$2,297,929
Administrative expenses professional fees incurred2018-08-31$81,153
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$500,000
If this is an individual account plan, was there a blackout period2018-08-31No
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$524,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-08-31$91,451
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$230,022
Administrative expenses (other) incurred2018-08-31$33,078
Liabilities. Value of operating payables at end of year2018-08-31$7,556
Liabilities. Value of operating payables at beginning of year2018-08-31$33,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$10,915,733
Value of net assets at end of year (total assets less liabilities)2018-08-31$94,597,272
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$83,681,539
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Investment advisory and management fees2018-08-31$126,310
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-08-31$78,914,005
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-08-31$71,004,130
Income. Interest from corporate debt instruments2018-08-31$208,393
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-08-31$4,190,123
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-08-31$1,522,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-08-31$1,522,023
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-08-31$38,986
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$1,716,208
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-08-31$2,572,109
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31Yes
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$6,815,712
Employer contributions (assets) at end of year2018-08-31$552,430
Employer contributions (assets) at beginning of year2018-08-31$626,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$0
Asset. Corporate debt instrument debt (other) at end of year2018-08-31$10,856,819
Asset. Corporate debt instrument debt (other) at beginning of year2018-08-31$10,332,010
Contract administrator fees2018-08-31$76,036
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-08-31No
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Aggregate proceeds on sale of assets2018-08-31$10,592,375
Aggregate carrying amount (costs) on sale of assets2018-08-31$10,517,473
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31JAMES P HASSELMAN CPA LLC
Accountancy firm EIN2018-08-31205496781
2017 : HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-08-31$346,102
Total unrealized appreciation/depreciation of assets2017-08-31$346,102
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$33,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$167,730
Total income from all sources (including contributions)2017-08-31$13,614,518
Total loss/gain on sale of assets2017-08-31$197,221
Total of all expenses incurred2017-08-31$1,727,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$1,437,173
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$8,140,347
Value of total assets at end of year2017-08-31$83,715,039
Value of total assets at beginning of year2017-08-31$71,962,747
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$290,823
Total interest from all sources2017-08-31$277,596
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$1,990,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-08-31$1,990,334
Administrative expenses professional fees incurred2017-08-31$77,811
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$500,000
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$431,007
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$230,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$82,776
Administrative expenses (other) incurred2017-08-31$13,284
Liabilities. Value of operating payables at end of year2017-08-31$33,500
Liabilities. Value of operating payables at beginning of year2017-08-31$21,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$11,886,522
Value of net assets at end of year (total assets less liabilities)2017-08-31$83,681,539
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$71,795,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Investment advisory and management fees2017-08-31$125,560
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-08-31$71,004,130
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-08-31$60,844,465
Income. Interest from corporate debt instruments2017-08-31$272,248
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-08-31$1,522,023
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-08-31$537,739
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-08-31$537,739
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-08-31$5,348
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$1,549,205
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-08-31$2,662,918
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31Yes
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$7,709,340
Employer contributions (assets) at end of year2017-08-31$626,854
Employer contributions (assets) at beginning of year2017-08-31$934,407
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$-112,032
Asset. Corporate debt instrument debt (other) at end of year2017-08-31$10,332,010
Asset. Corporate debt instrument debt (other) at beginning of year2017-08-31$9,563,360
Contract administrator fees2017-08-31$74,168
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-08-31No
Liabilities. Value of benefit claims payable at end of year2017-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$146,291
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Aggregate proceeds on sale of assets2017-08-31$13,901,673
Aggregate carrying amount (costs) on sale of assets2017-08-31$13,704,452
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31JAMES P HASSELMAN CPA LLC
Accountancy firm EIN2017-08-31205496781

Form 5500 Responses for HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN

2021: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Submission has been amendedYes
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Submission has been amendedYes
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Submission has been amendedYes
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: HAWAII CARPENTERS NEW RETIREE MEDICAL PLAN 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number10727
Policy instance 2
Insurance contract or identification number10727
Number of Individuals Covered74
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $412,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number12916 - 96262
Policy instance 1
Insurance contract or identification number12916 - 96262
Number of Individuals Covered446
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,244,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number12916-96262
Policy instance 1
Insurance contract or identification number12916-96262
Number of Individuals Covered415
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,372,687
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 number10727
Policy instance 2
Insurance contract or identification number10727
Number of Individuals Covered73
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $387,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number12916 - 96262
Policy instance 1
Insurance contract or identification number12916 - 96262
Number of Individuals Covered415
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,372,687
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 number10727
Policy instance 2
Insurance contract or identification number10727
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number12916 - 96262
Policy instance 1
Insurance contract or identification number12916 - 96262
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number10727
Policy instance 1
Insurance contract or identification number10727
Number of Individuals Covered61
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $294,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number12916-96262
Policy instance 2
Insurance contract or identification number12916-96262
Number of Individuals Covered367
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $808,863
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 number10727
Policy instance 2
Insurance contract or identification number10727
Number of Individuals Covered120
Insurance policy start date2018-09-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $198,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number12916 - 96262
Policy instance 1
Insurance contract or identification number12916 - 96262
Number of Individuals Covered331
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,091,553
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 number29
Policy instance 2
Insurance contract or identification number29
Number of Individuals Covered63
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $297,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number96262, 12916
Policy instance 1
Insurance contract or identification number96262, 12916
Number of Individuals Covered295
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $866,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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