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USW MARKET FORGE RETIREE HEALTH CARE PLAN 401k Plan overview

Plan NameUSW MARKET FORGE RETIREE HEALTH CARE PLAN
Plan identification number 501

USW MARKET FORGE RETIREE HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

COMMITTEE OF THE USW MARKET FORGE RETIREE HEALTH TRUST has sponsored the creation of one or more 401k plans.

Company Name:COMMITTEE OF THE USW MARKET FORGE RETIREE HEALTH TRUST
Employer identification number (EIN):476743456
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USW MARKET FORGE RETIREE HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01DAVID SLANEY2020-06-25
5012018-01-01DAVID SLANEY2019-09-30
5012017-01-01
5012016-01-01
5012015-04-01

Plan Statistics for USW MARKET FORGE RETIREE HEALTH CARE PLAN

401k plan membership statisitcs for USW MARKET FORGE RETIREE HEALTH CARE PLAN

Measure Date Value
2019: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0114
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
2018: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0114
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-0114
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0114
2017: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-0114
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0114
2016: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0118
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-0117
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0117
2015: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-010
Total number of active participants reported on line 7a of the Form 55002015-04-010
Number of retired or separated participants receiving benefits2015-04-0114
Number of other retired or separated participants entitled to future benefits2015-04-014
Total of all active and inactive participants2015-04-0118

Financial Data on USW MARKET FORGE RETIREE HEALTH CARE PLAN

Measure Date Value
2019 : USW MARKET FORGE RETIREE HEALTH CARE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$8,976
Total income from all sources (including contributions)2019-12-31$2,200
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$28,718
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$11,190
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,057
Value of total assets at end of year2019-12-31$0
Value of total assets at beginning of year2019-12-31$35,494
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$17,528
Total interest from all sources2019-12-31$143
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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$7,500
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$100,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,057
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,286
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,850
Administrative expenses (other) incurred2019-12-31$4,794
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$375
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$3,090
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-26,518
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$26,518
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
Investment advisory and management fees2019-12-31$375
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$31,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$31,118
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$143
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$11,190
Contract administrator fees2019-12-31$4,859
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$6,751
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
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 name2019-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2019-12-31383806684
2018 : USW MARKET FORGE RETIREE HEALTH CARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$8,976
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,536
Total income from all sources (including contributions)2018-12-31$6,740
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$85,021
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$70,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,702
Value of total assets at end of year2018-12-31$35,494
Value of total assets at beginning of year2018-12-31$108,335
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$14,678
Total interest from all sources2018-12-31$1,038
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
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$5,000
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$100,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,702
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,286
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,319
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,850
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,587
Administrative expenses (other) incurred2018-12-31$2,178
Liabilities. Value of operating payables at end of year2018-12-31$375
Liabilities. Value of operating payables at beginning of year2018-12-31$375
Total non interest bearing cash at end of year2018-12-31$3,090
Total non interest bearing cash at beginning of year2018-12-31$3,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-78,281
Value of net assets at end of year (total assets less liabilities)2018-12-31$26,518
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$104,799
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
Investment advisory and management fees2018-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$31,118
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$103,536
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$103,536
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,038
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$64,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$6,294
Contract administrator fees2018-12-31$6,000
Liabilities. Value of benefit claims payable at end of year2018-12-31$6,751
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,574
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
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 name2018-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2018-12-31383806684
2017 : USW MARKET FORGE RETIREE HEALTH CARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,536
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$9,221
Total income from all sources (including contributions)2017-12-31$8,261
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$83,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$68,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$7,207
Value of total assets at end of year2017-12-31$108,335
Value of total assets at beginning of year2017-12-31$189,394
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$14,969
Total interest from all sources2017-12-31$1,054
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$5,000
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$100,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$7,207
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,319
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,584
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,587
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,732
Administrative expenses (other) incurred2017-12-31$2,469
Liabilities. Value of operating payables at end of year2017-12-31$375
Liabilities. Value of operating payables at beginning of year2017-12-31$375
Total non interest bearing cash at end of year2017-12-31$3,480
Total non interest bearing cash at beginning of year2017-12-31$2,788
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-75,374
Value of net assets at end of year (total assets less liabilities)2017-12-31$104,799
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$180,173
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
Investment advisory and management fees2017-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$103,536
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$185,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$185,022
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,054
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$62,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$6,294
Contract administrator fees2017-12-31$6,000
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,574
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$7,114
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
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 name2017-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2017-12-31383806684
2016 : USW MARKET FORGE RETIREE HEALTH CARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$9,221
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,167
Total income from all sources (including contributions)2016-12-31$7,843
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$100,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$85,949
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$7,035
Value of total assets at end of year2016-12-31$189,394
Value of total assets at beginning of year2016-12-31$274,612
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$14,166
Total interest from all sources2016-12-31$808
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$4,000
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$100,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$7,035
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,584
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$46
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,732
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,792
Administrative expenses (other) incurred2016-12-31$2,666
Liabilities. Value of operating payables at end of year2016-12-31$375
Liabilities. Value of operating payables at beginning of year2016-12-31$375
Total non interest bearing cash at end of year2016-12-31$2,788
Total non interest bearing cash at beginning of year2016-12-31$3,373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-92,272
Value of net assets at end of year (total assets less liabilities)2016-12-31$180,173
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$272,445
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
Investment advisory and management fees2016-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$185,022
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$269,730
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$269,730
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$808
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$70,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$15,197
Contract administrator fees2016-12-31$6,000
Liabilities. Value of benefit claims payable at end of year2016-12-31$7,114
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$1,463
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2016-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2016-12-31383806684
2015 : USW MARKET FORGE RETIREE HEALTH CARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$319,362
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$3,858
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$50,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$42,595
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,694
Value of total assets at end of year2015-12-31$274,612
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,180
Total interest from all sources2015-12-31$164
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$100,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$3,694
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$46
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,792
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Administrative expenses (other) incurred2015-12-31$1,055
Liabilities. Value of operating payables at end of year2015-12-31$375
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$3,373
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-46,917
Value of net assets at end of year (total assets less liabilities)2015-12-31$272,445
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
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
Investment advisory and management fees2015-12-31$1,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$269,730
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$164
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$39,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,567
Contract administrator fees2015-12-31$6,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$1,463
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$0
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2015-12-31MCELHANEY & ASSOCIATES, LLC
Accountancy firm EIN2015-12-31383806684

Form 5500 Responses for USW MARKET FORGE RETIREE HEALTH CARE PLAN

2019: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: USW MARKET FORGE RETIREE HEALTH CARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01First time form 5500 has been submittedYes
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number2025D/S
Policy instance 1
Insurance contract or identification number2025D/S
Number of Individuals Covered12
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $58,972
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. (National Association of Insurance Commissioners NAIC id number: 95688 )
Policy contract number2025D/S
Policy instance 1
Insurance contract or identification number2025D/S
Number of Individuals Covered12
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $62,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TUFTS HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number2025D/2025S
Policy instance 1
Insurance contract or identification number2025D/2025S
Number of Individuals Covered18
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $39,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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