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GRAULS MARKET WELFARE BENEFIT PLAN 401k Plan overview

Plan NameGRAULS MARKET WELFARE BENEFIT PLAN
Plan identification number 501

GRAULS MARKET WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

GRAULS BENEFITS TRUST has sponsored the creation of one or more 401k plans.

Company Name:GRAULS BENEFITS TRUST
Employer identification number (EIN):521645447
NAIC Classification:445299
NAIC Description:All Other Specialty Food Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAULS MARKET WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01KATE POFFENBERGER2023-02-22 KATE POFFENBERGER2023-02-22
5012020-07-01KATE POFFENBERGER KATE POFFENBERGER
5012019-07-01KATE POFFENBERGER2021-02-23 KATE POFFENBERGER2021-02-23
5012018-07-01KATE POFFENBERGER2020-01-28 KATE POFFENBERGER2020-01-28
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01KATE POFFENBERGER
5012011-07-01KATE POFFENBERGER
5012009-07-01KATE POFFENBERGER
5012009-07-01KATE POFFENBERGER

Plan Statistics for GRAULS MARKET WELFARE BENEFIT PLAN

401k plan membership statisitcs for GRAULS MARKET WELFARE BENEFIT PLAN

Measure Date Value
2021: GRAULS MARKET WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01175
Total number of active participants reported on line 7a of the Form 55002021-07-01166
Total of all active and inactive participants2021-07-01166
2020: GRAULS MARKET WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01180
Total number of active participants reported on line 7a of the Form 55002020-07-01175
Total of all active and inactive participants2020-07-01175
2019: GRAULS MARKET WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01177
Total number of active participants reported on line 7a of the Form 55002019-07-01180
Total of all active and inactive participants2019-07-01180
2018: GRAULS MARKET WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01176
Total number of active participants reported on line 7a of the Form 55002018-07-01177
Total of all active and inactive participants2018-07-01177
2017: GRAULS MARKET WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01180
Total number of active participants reported on line 7a of the Form 55002017-07-01176
Total of all active and inactive participants2017-07-01176
2016: GRAULS MARKET WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01168
Total number of active participants reported on line 7a of the Form 55002016-07-01180
Total of all active and inactive participants2016-07-01180
2015: GRAULS MARKET WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01169
Total number of active participants reported on line 7a of the Form 55002015-07-01168
Total of all active and inactive participants2015-07-01168
2014: GRAULS MARKET WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01174
Total number of active participants reported on line 7a of the Form 55002014-07-01169
Total of all active and inactive participants2014-07-01169
2013: GRAULS MARKET WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01203
Total number of active participants reported on line 7a of the Form 55002013-07-01174
Total of all active and inactive participants2013-07-01174
2012: GRAULS MARKET WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01193
Total number of active participants reported on line 7a of the Form 55002012-07-01203
Total of all active and inactive participants2012-07-01203
2011: GRAULS MARKET WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01184
Total number of active participants reported on line 7a of the Form 55002011-07-01193
Total of all active and inactive participants2011-07-01193
Total participants2011-07-01193
2009: GRAULS MARKET WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01189
Total number of active participants reported on line 7a of the Form 55002009-07-01185
Total of all active and inactive participants2009-07-01185
Total participants2009-07-01185

Financial Data on GRAULS MARKET WELFARE BENEFIT PLAN

Measure Date Value
2022 : GRAULS MARKET WELFARE BENEFIT PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-06-30$2,042,549
Total of all expenses incurred2022-06-30$2,056,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,918,243
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$2,042,537
Value of total assets at end of year2022-06-30$79,824
Value of total assets at beginning of year2022-06-30$94,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$138,590
Total interest from all sources2022-06-30$12
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$18,416
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$800,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$310,033
Participant contributions at end of year2022-06-30$22,505
Participant contributions at beginning of year2022-06-30$24,062
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$2,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$6,250
Total non interest bearing cash at end of year2022-06-30$55,319
Total non interest bearing cash at beginning of year2022-06-30$63,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-14,284
Value of net assets at end of year (total assets less liabilities)2022-06-30$79,824
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$94,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$12
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,918,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$1,732,504
Contract administrator fees2022-06-30$120,174
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Did the plan have assets held for investment2022-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2022-06-30520982413
2021 : GRAULS MARKET WELFARE BENEFIT PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-06-30$2,084,239
Total of all expenses incurred2021-06-30$2,082,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$1,945,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$2,084,228
Value of total assets at end of year2021-06-30$94,108
Value of total assets at beginning of year2021-06-30$91,938
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$136,839
Total interest from all sources2021-06-30$11
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$16,150
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$800,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$317,661
Participant contributions at end of year2021-06-30$24,062
Participant contributions at beginning of year2021-06-30$25,457
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$6,250
Total non interest bearing cash at end of year2021-06-30$63,796
Total non interest bearing cash at beginning of year2021-06-30$66,481
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$2,170
Value of net assets at end of year (total assets less liabilities)2021-06-30$94,108
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$91,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$11
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$1,945,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$1,766,567
Contract administrator fees2021-06-30$120,689
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Did the plan have assets held for investment2021-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2021-06-30520982413
2020 : GRAULS MARKET WELFARE BENEFIT PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-06-30$1,851,815
Total of all expenses incurred2020-06-30$1,988,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,834,751
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,851,736
Value of total assets at end of year2020-06-30$91,938
Value of total assets at beginning of year2020-06-30$228,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$153,485
Total interest from all sources2020-06-30$79
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$22,255
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$1,000,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$323,439
Participant contributions at end of year2020-06-30$25,457
Participant contributions at beginning of year2020-06-30$24,686
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$167,611
Total non interest bearing cash at end of year2020-06-30$66,481
Total non interest bearing cash at beginning of year2020-06-30$36,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-136,421
Value of net assets at end of year (total assets less liabilities)2020-06-30$91,938
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$228,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$79
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,834,751
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$1,528,297
Contract administrator fees2020-06-30$131,230
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2020-06-30520982413
2019 : GRAULS MARKET WELFARE BENEFIT PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-06-30$2,193,277
Total of all expenses incurred2019-06-30$2,012,085
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,856,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$2,193,132
Value of total assets at end of year2019-06-30$228,359
Value of total assets at beginning of year2019-06-30$47,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$155,942
Total interest from all sources2019-06-30$145
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$22,185
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$700,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$321,184
Participant contributions at end of year2019-06-30$24,686
Participant contributions at beginning of year2019-06-30$24,390
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$167,611
Total non interest bearing cash at end of year2019-06-30$36,062
Total non interest bearing cash at beginning of year2019-06-30$22,777
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$181,192
Value of net assets at end of year (total assets less liabilities)2019-06-30$228,359
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$47,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$145
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$1,856,143
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$1,871,948
Contract administrator fees2019-06-30$133,757
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2019-06-30520982413
2018 : GRAULS MARKET WELFARE BENEFIT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-06-30$1,692,288
Total of all expenses incurred2018-06-30$1,856,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$1,718,354
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$1,692,199
Value of total assets at end of year2018-06-30$47,167
Value of total assets at beginning of year2018-06-30$211,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$138,369
Total interest from all sources2018-06-30$89
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$22,307
Was this plan covered by a fidelity bond2018-06-30No
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$321,473
Participant contributions at end of year2018-06-30$24,390
Participant contributions at beginning of year2018-06-30$21,120
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$146,687
Total non interest bearing cash at end of year2018-06-30$22,777
Total non interest bearing cash at beginning of year2018-06-30$43,795
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-164,435
Value of net assets at end of year (total assets less liabilities)2018-06-30$47,167
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$211,602
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$89
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$1,718,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$1,370,726
Contract administrator fees2018-06-30$116,062
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2018-06-30520982413
2017 : GRAULS MARKET WELFARE BENEFIT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-06-30$1,949,615
Total of all expenses incurred2017-06-30$1,843,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$1,721,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$1,949,606
Value of total assets at end of year2017-06-30$211,602
Value of total assets at beginning of year2017-06-30$105,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$121,833
Total interest from all sources2017-06-30$9
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$19,926
Was this plan covered by a fidelity bond2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$270,350
Participant contributions at end of year2017-06-30$21,120
Participant contributions at beginning of year2017-06-30$20,880
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$146,687
Total non interest bearing cash at end of year2017-06-30$43,795
Total non interest bearing cash at beginning of year2017-06-30$84,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$106,237
Value of net assets at end of year (total assets less liabilities)2017-06-30$211,602
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$105,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$9
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$1,721,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$1,679,256
Contract administrator fees2017-06-30$101,907
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2017-06-30520982413
2016 : GRAULS MARKET WELFARE BENEFIT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-06-30$1,859,242
Total of all expenses incurred2016-06-30$1,852,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$1,729,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,859,233
Value of total assets at end of year2016-06-30$105,365
Value of total assets at beginning of year2016-06-30$98,608
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$123,260
Total interest from all sources2016-06-30$9
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$22,589
Was this plan covered by a fidelity bond2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$268,030
Participant contributions at end of year2016-06-30$20,880
Participant contributions at beginning of year2016-06-30$25,650
Total non interest bearing cash at end of year2016-06-30$84,485
Total non interest bearing cash at beginning of year2016-06-30$72,958
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$6,757
Value of net assets at end of year (total assets less liabilities)2016-06-30$105,365
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$98,608
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$9
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$1,729,225
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$1,591,203
Contract administrator fees2016-06-30$100,671
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2016-06-30520982413
2015 : GRAULS MARKET WELFARE BENEFIT PLAN 2015 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$179,633
Total income from all sources (including contributions)2015-06-30$1,911,303
Total of all expenses incurred2015-06-30$1,812,695
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$1,696,054
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,911,292
Value of total assets at end of year2015-06-30$98,608
Value of total assets at beginning of year2015-06-30$179,633
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$116,641
Total interest from all sources2015-06-30$11
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$15,000
Was this plan covered by a fidelity bond2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$283,998
Participant contributions at end of year2015-06-30$25,650
Participant contributions at beginning of year2015-06-30$10,193
Total non interest bearing cash at end of year2015-06-30$72,958
Total non interest bearing cash at beginning of year2015-06-30$89,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$98,608
Value of net assets at end of year (total assets less liabilities)2015-06-30$98,608
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$11
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,696,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$1,627,294
Employer contributions (assets) at end of year2015-06-30$0
Employer contributions (assets) at beginning of year2015-06-30$79,572
Contract administrator fees2015-06-30$101,641
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$179,633
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2015-06-30520982413
2014 : GRAULS MARKET WELFARE BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$179,632
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$578,270
Total income from all sources (including contributions)2014-06-30$1,476,588
Total of all expenses incurred2014-06-30$1,476,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,353,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,476,566
Value of total assets at end of year2014-06-30$179,632
Value of total assets at beginning of year2014-06-30$578,270
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$123,574
Total interest from all sources2014-06-30$22
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$14,500
Was this plan covered by a fidelity bond2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$134,973
Participant contributions at end of year2014-06-30$10,192
Participant contributions at beginning of year2014-06-30$10,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$488,100
Total non interest bearing cash at end of year2014-06-30$89,868
Total non interest bearing cash at beginning of year2014-06-30$57,217
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$0
Value of net assets at end of year (total assets less liabilities)2014-06-30$0
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$22
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$1,353,014
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,341,593
Employer contributions (assets) at end of year2014-06-30$79,572
Employer contributions (assets) at beginning of year2014-06-30$510,453
Contract administrator fees2014-06-30$109,074
Liabilities. Value of benefit claims payable at end of year2014-06-30$179,632
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$90,170
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2014-06-30520982413
2013 : GRAULS MARKET WELFARE BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$578,270
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$600,093
Total income from all sources (including contributions)2013-06-30$2,010,939
Total of all expenses incurred2013-06-30$2,010,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$1,899,236
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$2,010,911
Value of total assets at end of year2013-06-30$578,270
Value of total assets at beginning of year2013-06-30$600,093
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$111,703
Total interest from all sources2013-06-30$28
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$15,525
Was this plan covered by a fidelity bond2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$136,113
Participant contributions at end of year2013-06-30$10,600
Participant contributions at beginning of year2013-06-30$11,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$488,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$445,400
Total non interest bearing cash at end of year2013-06-30$57,217
Total non interest bearing cash at beginning of year2013-06-30$70,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$0
Value of net assets at end of year (total assets less liabilities)2013-06-30$0
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$28
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$1,899,236
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$1,874,798
Employer contributions (assets) at end of year2013-06-30$510,453
Employer contributions (assets) at beginning of year2013-06-30$517,925
Contract administrator fees2013-06-30$96,178
Liabilities. Value of benefit claims payable at end of year2013-06-30$90,170
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$154,693
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30GROSS MENDELSOHN & ASSOCIATES, PA
Accountancy firm EIN2013-06-30520982413
2012 : GRAULS MARKET WELFARE BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$600,093
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$453,975
Total income from all sources (including contributions)2012-06-30$2,071,653
Total of all expenses incurred2012-06-30$2,071,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,946,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$2,071,613
Value of total assets at end of year2012-06-30$600,093
Value of total assets at beginning of year2012-06-30$453,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$125,245
Total interest from all sources2012-06-30$40
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$14,550
Was this plan covered by a fidelity bond2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$124,908
Participant contributions at end of year2012-06-30$11,300
Participant contributions at beginning of year2012-06-30$8,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$445,400
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$336,500
Total non interest bearing cash at end of year2012-06-30$70,868
Total non interest bearing cash at beginning of year2012-06-30$34,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$40
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$1,946,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$1,946,705
Employer contributions (assets) at end of year2012-06-30$517,925
Employer contributions (assets) at beginning of year2012-06-30$411,358
Contract administrator fees2012-06-30$110,695
Liabilities. Value of benefit claims payable at end of year2012-06-30$154,693
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$117,475
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30GROSS MENDELSOHN & ASSOCIATES PA
Accountancy firm EIN2012-06-30520982413
2011 : GRAULS MARKET WELFARE BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$453,975
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$236,155
Total income from all sources (including contributions)2011-06-30$1,645,541
Total of all expenses incurred2011-06-30$1,645,541
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$1,524,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,645,407
Value of total assets at end of year2011-06-30$453,975
Value of total assets at beginning of year2011-06-30$236,155
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$120,783
Total interest from all sources2011-06-30$134
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$13,777
Was this plan covered by a fidelity bond2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$104,474
Participant contributions at end of year2011-06-30$8,200
Participant contributions at beginning of year2011-06-30$9,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$336,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$184,400
Total non interest bearing cash at end of year2011-06-30$34,417
Total non interest bearing cash at beginning of year2011-06-30$21,560
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$134
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$1,524,758
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,540,933
Employer contributions (assets) at end of year2011-06-30$411,358
Employer contributions (assets) at beginning of year2011-06-30$205,595
Contract administrator fees2011-06-30$107,006
Liabilities. Value of benefit claims payable at end of year2011-06-30$117,475
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$51,755
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30GROSS MENDELSOHN & ASSOCIATES PA
Accountancy firm EIN2011-06-30520982413

Form 5500 Responses for GRAULS MARKET WELFARE BENEFIT PLAN

2021: GRAULS MARKET WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entityMulitple employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: GRAULS MARKET WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entityMulitple employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: GRAULS MARKET WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entityMulitple employer plan
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: GRAULS MARKET WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-07-01Type of plan entityMulitple employer plan
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: GRAULS MARKET WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entityMulitple employer plan
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: GRAULS MARKET WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entityMulitple employer plan
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: GRAULS MARKET WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entityMulitple employer plan
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: GRAULS MARKET WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entityMulitple employer plan
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: GRAULS MARKET WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: GRAULS MARKET WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: GRAULS MARKET WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01Type of plan entityMulitple employer plan
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: GRAULS MARKET WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-07-01Type of plan entityMulitple employer plan
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12129-42
Policy instance 2
Insurance contract or identification number12129-42
Number of Individuals Covered153
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $616
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $616
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3340984
Policy instance 1
Insurance contract or identification number3340984
Number of Individuals Covered166
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $79,361
Total amount of fees paid to insurance companyUSD $40,197
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,945,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,361
Amount paid for insurance broker fees40197
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12129-42
Policy instance 2
Insurance contract or identification number12129-42
Number of Individuals Covered150
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $634
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $634
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3340984
Policy instance 1
Insurance contract or identification number3340984
Number of Individuals Covered175
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $79,322
Total amount of fees paid to insurance companyUSD $40,733
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,966,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,322
Amount paid for insurance broker fees40733
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3340984
Policy instance 1
Insurance contract or identification number3340984
Number of Individuals Covered194
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $92,765
Total amount of fees paid to insurance companyUSD $38,465
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,856,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,765
Amount paid for insurance broker fees38465
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3340984
Policy instance 1
Insurance contract or identification number3340984
Number of Individuals Covered194
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $94,598
Total amount of fees paid to insurance companyUSD $39,159
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,887,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,598
Amount paid for insurance broker fees39159
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3340984
Policy instance 1
Insurance contract or identification number3340984
Number of Individuals Covered181
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $82,906
Total amount of fees paid to insurance companyUSD $33,156
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,657,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )
Policy contract number1DCH
Policy instance 1
Insurance contract or identification number1DCH
Number of Individuals Covered168
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $86,938
Total amount of fees paid to insurance companyUSD $13,732
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,738,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,938
Amount paid for insurance broker fees13732
Insurance broker organization code?3
Insurance broker nameKELLY & ASSOCIATES INSURANCE GROUP
CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 )
Policy contract number1DCH
Policy instance 1
Insurance contract or identification number1DCH
Number of Individuals Covered170
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $85,318
Total amount of fees paid to insurance companyUSD $16,323
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,706,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,318
Amount paid for insurance broker fees16323
Insurance broker organization code?3
Insurance broker nameKELLEY & ASSOCIATES INSURANCE GROUP
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG19219
Policy instance 1
Insurance contract or identification numberG19219
Number of Individuals Covered190
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $2,677
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,677
Insurance broker organization code?3
Insurance broker nameKELLEY & ASSOCIATES INSURANCE GROUP
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG19219
Policy instance 1
Insurance contract or identification numberG19219
Number of Individuals Covered217
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $2,197
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,197
Insurance broker organization code?3
Insurance broker nameKELLEY & ASSOCIATES INSURANCE GROUP
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG19219
Policy instance 1
Insurance contract or identification numberG19219
Number of Individuals Covered196
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $2,472
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberG19219
Policy instance 1
Insurance contract or identification numberG19219
Number of Individuals Covered212
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $2,128
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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