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BEVERAGE DRIVERS HEALTH & WELFARE FUND 401k Plan overview

Plan NameBEVERAGE DRIVERS HEALTH & WELFARE FUND
Plan identification number 501

BEVERAGE DRIVERS HEALTH & WELFARE FUND Benefits

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

401k Sponsoring company profile

BEVERAGE & BREWERY DRIVERS HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BEVERAGE & BREWERY DRIVERS HEALTH & WELFARE FUND
Employer identification number (EIN):526056136
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEVERAGE DRIVERS HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01MICHAEL LORENCA2023-12-11 MICHAEL LORENCA2023-12-11
5012021-03-01FRANK MYERS2022-12-14 MICHAEL LORENCA2022-12-02
5012020-03-01MICHAEL LORENCA2021-12-01 MICHAEL LORENCA2021-12-01
5012019-03-01MICHAEL LORENCA2020-12-11 MICHAEL LORENCA2020-12-11
5012018-03-01 MICHAEL LORENCA2019-12-04
5012018-03-01FRANKLIN B. MYERS2019-12-04 MICHAEL LORENCA2019-12-04
5012017-03-01
5012016-03-01
5012015-03-01
5012014-03-01
5012013-03-01
5012012-03-01FRANKLIN B. MYERS
5012011-03-01FRANK MYERS
5012009-03-01FRANKLIN B MYERS

Plan Statistics for BEVERAGE DRIVERS HEALTH & WELFARE FUND

401k plan membership statisitcs for BEVERAGE DRIVERS HEALTH & WELFARE FUND

Measure Date Value
2022: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-03-01701
Total number of active participants reported on line 7a of the Form 55002022-03-01632
Number of retired or separated participants receiving benefits2022-03-01110
Total of all active and inactive participants2022-03-01742
Number of employers contributing to the scheme2022-03-015
2021: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-03-01696
Total number of active participants reported on line 7a of the Form 55002021-03-01584
Number of retired or separated participants receiving benefits2021-03-01117
Total of all active and inactive participants2021-03-01701
Number of employers contributing to the scheme2021-03-014
2020: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-03-01762
Total number of active participants reported on line 7a of the Form 55002020-03-01601
Number of retired or separated participants receiving benefits2020-03-0195
Total of all active and inactive participants2020-03-01696
Number of employers contributing to the scheme2020-03-014
2019: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-03-01762
Total number of active participants reported on line 7a of the Form 55002019-03-01667
Number of retired or separated participants receiving benefits2019-03-0195
Total of all active and inactive participants2019-03-01762
Number of employers contributing to the scheme2019-03-014
2018: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-03-01736
Total number of active participants reported on line 7a of the Form 55002018-03-01666
Number of retired or separated participants receiving benefits2018-03-0196
Total of all active and inactive participants2018-03-01762
Number of employers contributing to the scheme2018-03-014
2017: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-03-01737
Total number of active participants reported on line 7a of the Form 55002017-03-01639
Number of retired or separated participants receiving benefits2017-03-0197
Total of all active and inactive participants2017-03-01736
Number of employers contributing to the scheme2017-03-014
2016: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-03-01745
Total number of active participants reported on line 7a of the Form 55002016-03-01635
Number of retired or separated participants receiving benefits2016-03-01102
Total of all active and inactive participants2016-03-01737
Number of employers contributing to the scheme2016-03-014
2015: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-03-01769
Total number of active participants reported on line 7a of the Form 55002015-03-01652
Number of retired or separated participants receiving benefits2015-03-0193
Total of all active and inactive participants2015-03-01745
Number of employers contributing to the scheme2015-03-014
2014: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-03-01863
Total number of active participants reported on line 7a of the Form 55002014-03-01670
Number of retired or separated participants receiving benefits2014-03-0199
Total of all active and inactive participants2014-03-01769
Number of employers contributing to the scheme2014-03-014
2013: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-03-01872
Total number of active participants reported on line 7a of the Form 55002013-03-01758
Number of retired or separated participants receiving benefits2013-03-01105
Total of all active and inactive participants2013-03-01863
Number of employers contributing to the scheme2013-03-014
2012: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-03-01863
Total number of active participants reported on line 7a of the Form 55002012-03-01765
Number of retired or separated participants receiving benefits2012-03-01107
Total of all active and inactive participants2012-03-01872
Number of employers contributing to the scheme2012-03-014
2011: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-03-01824
Total number of active participants reported on line 7a of the Form 55002011-03-01748
Number of retired or separated participants receiving benefits2011-03-01115
Total of all active and inactive participants2011-03-01863
Number of employers contributing to the scheme2011-03-014
2009: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-03-01836
Total number of active participants reported on line 7a of the Form 55002009-03-01697
Number of retired or separated participants receiving benefits2009-03-01119
Total of all active and inactive participants2009-03-01816
Number of employers contributing to the scheme2009-03-014

Financial Data on BEVERAGE DRIVERS HEALTH & WELFARE FUND

Measure Date Value
2023 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-02-28$1,371,688
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-02-28$605,027
Total income from all sources (including contributions)2023-02-28$5,668,465
Total of all expenses incurred2023-02-28$8,024,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-02-28$7,573,907
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-02-28$6,554,362
Value of total assets at end of year2023-02-28$13,244,955
Value of total assets at beginning of year2023-02-28$14,833,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-02-28$450,243
Total interest from all sources2023-02-28$478
Total dividends received (eg from common stock, registered investment company shares)2023-02-28$379,141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2023-02-28$379,141
Administrative expenses professional fees incurred2023-02-28$144,264
Was this plan covered by a fidelity bond2023-02-28Yes
Value of fidelity bond cover2023-02-28$1,000,000
If this is an individual account plan, was there a blackout period2023-02-28No
Were there any nonexempt tranactions with any party-in-interest2023-02-28No
Contributions received from participants2023-02-28$282,091
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-02-28$14,416
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-02-28$13,110
Other income not declared elsewhere2023-02-28$14,129
Administrative expenses (other) incurred2023-02-28$203,750
Liabilities. Value of operating payables at end of year2023-02-28$21,030
Liabilities. Value of operating payables at beginning of year2023-02-28$30,718
Total non interest bearing cash at end of year2023-02-28$1,211,104
Total non interest bearing cash at beginning of year2023-02-28$1,936,447
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-02-28No
Value of net income/loss2023-02-28$-2,355,685
Value of net assets at end of year (total assets less liabilities)2023-02-28$11,873,267
Value of net assets at beginning of year (total assets less liabilities)2023-02-28$14,228,952
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2023-02-28No
Were any leases to which the plan was party in default or uncollectible2023-02-28No
Investment advisory and management fees2023-02-28$8,825
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-02-28$11,480,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-02-28$12,382,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-02-28$15,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-02-28$478
Expenses. Payments to insurance carriers foe the provision of benefits2023-02-28$423,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-02-28$-1,279,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-02-28Yes
Was there a failure to transmit to the plan any participant contributions2023-02-28No
Has the plan failed to provide any benefit when due under the plan2023-02-28No
Contributions received in cash from employer2023-02-28$6,272,271
Employer contributions (assets) at end of year2023-02-28$523,382
Employer contributions (assets) at beginning of year2023-02-28$501,624
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-02-28$7,150,268
Contract administrator fees2023-02-28$93,404
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-02-28No
Liabilities. Value of benefit claims payable at end of year2023-02-28$1,350,658
Liabilities. Value of benefit claims payable at beginning of year2023-02-28$574,309
Did the plan have assets held for investment2023-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-02-28No
Opinion of an independent qualified public accountant for this plan2023-02-28Unqualified
Accountancy firm name2023-02-28CALIBRE CPA GROUP PLLC
Accountancy firm EIN2023-02-28470900880
2022 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$605,027
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$672,825
Total income from all sources (including contributions)2022-02-28$6,733,464
Total of all expenses incurred2022-02-28$5,531,060
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-02-28$5,179,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-02-28$6,114,074
Value of total assets at end of year2022-02-28$14,833,979
Value of total assets at beginning of year2022-02-28$13,699,373
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-02-28$351,746
Total dividends received (eg from common stock, registered investment company shares)2022-02-28$463,660
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2022-02-28$463,660
Administrative expenses professional fees incurred2022-02-28$108,611
Was this plan covered by a fidelity bond2022-02-28Yes
Value of fidelity bond cover2022-02-28$1,000,000
If this is an individual account plan, was there a blackout period2022-02-28No
Were there any nonexempt tranactions with any party-in-interest2022-02-28No
Contributions received from participants2022-02-28$307,137
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-02-28$13,110
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-02-28$25,587
Other income not declared elsewhere2022-02-28$71,479
Administrative expenses (other) incurred2022-02-28$165,372
Liabilities. Value of operating payables at end of year2022-02-28$30,718
Liabilities. Value of operating payables at beginning of year2022-02-28$98,516
Total non interest bearing cash at end of year2022-02-28$1,936,447
Total non interest bearing cash at beginning of year2022-02-28$2,909,039
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Value of net income/loss2022-02-28$1,202,404
Value of net assets at end of year (total assets less liabilities)2022-02-28$14,228,952
Value of net assets at beginning of year (total assets less liabilities)2022-02-28$13,026,548
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2022-02-28No
Were any leases to which the plan was party in default or uncollectible2022-02-28No
Investment advisory and management fees2022-02-28$6,325
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-02-28$12,382,798
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-02-28$10,335,038
Expenses. Payments to insurance carriers foe the provision of benefits2022-02-28$424,350
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-02-28$84,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-02-28Yes
Was there a failure to transmit to the plan any participant contributions2022-02-28No
Has the plan failed to provide any benefit when due under the plan2022-02-28No
Contributions received in cash from employer2022-02-28$5,806,937
Employer contributions (assets) at end of year2022-02-28$501,624
Employer contributions (assets) at beginning of year2022-02-28$429,709
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-02-28$4,754,964
Contract administrator fees2022-02-28$71,438
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-02-28No
Liabilities. Value of benefit claims payable at end of year2022-02-28$574,309
Liabilities. Value of benefit claims payable at beginning of year2022-02-28$574,309
Did the plan have assets held for investment2022-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-02-28No
Opinion of an independent qualified public accountant for this plan2022-02-28Unqualified
Accountancy firm name2022-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2022-02-28470900880
2021 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$672,825
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$508,863
Total income from all sources (including contributions)2021-02-28$7,348,374
Total of all expenses incurred2021-02-28$5,373,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-02-28$5,007,873
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-02-28$6,121,621
Value of total assets at end of year2021-02-28$13,699,373
Value of total assets at beginning of year2021-02-28$11,560,429
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-02-28$365,519
Total dividends received (eg from common stock, registered investment company shares)2021-02-28$248,218
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2021-02-28$248,218
Administrative expenses professional fees incurred2021-02-28$83,876
Was this plan covered by a fidelity bond2021-02-28Yes
Value of fidelity bond cover2021-02-28$1,000,000
If this is an individual account plan, was there a blackout period2021-02-28No
Were there any nonexempt tranactions with any party-in-interest2021-02-28No
Contributions received from participants2021-02-28$311,216
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-02-28$25,587
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-02-28$66,156
Other income not declared elsewhere2021-02-28$22,206
Administrative expenses (other) incurred2021-02-28$189,631
Liabilities. Value of operating payables at end of year2021-02-28$98,516
Liabilities. Value of operating payables at beginning of year2021-02-28$15,847
Total non interest bearing cash at end of year2021-02-28$2,909,039
Total non interest bearing cash at beginning of year2021-02-28$1,766,978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Value of net income/loss2021-02-28$1,974,982
Value of net assets at end of year (total assets less liabilities)2021-02-28$13,026,548
Value of net assets at beginning of year (total assets less liabilities)2021-02-28$11,051,566
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2021-02-28No
Were any leases to which the plan was party in default or uncollectible2021-02-28No
Investment advisory and management fees2021-02-28$8,900
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-02-28$10,335,038
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-02-28$9,142,458
Expenses. Payments to insurance carriers foe the provision of benefits2021-02-28$397,317
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-02-28$956,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-02-28Yes
Was there a failure to transmit to the plan any participant contributions2021-02-28No
Has the plan failed to provide any benefit when due under the plan2021-02-28No
Contributions received in cash from employer2021-02-28$5,810,405
Employer contributions (assets) at end of year2021-02-28$429,709
Employer contributions (assets) at beginning of year2021-02-28$584,837
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-02-28$4,610,556
Contract administrator fees2021-02-28$83,112
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-02-28No
Liabilities. Value of benefit claims payable at end of year2021-02-28$574,309
Liabilities. Value of benefit claims payable at beginning of year2021-02-28$493,016
Did the plan have assets held for investment2021-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-02-28No
Opinion of an independent qualified public accountant for this plan2021-02-28Unqualified
Accountancy firm name2021-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2021-02-28470900880
2020 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$508,863
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$746,630
Total income from all sources (including contributions)2020-02-29$7,171,473
Total of all expenses incurred2020-02-29$5,209,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-29$4,857,325
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-29$6,394,579
Value of total assets at end of year2020-02-29$11,560,429
Value of total assets at beginning of year2020-02-29$9,836,001
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-29$351,953
Total dividends received (eg from common stock, registered investment company shares)2020-02-29$264,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2020-02-29$264,061
Administrative expenses professional fees incurred2020-02-29$66,005
Was this plan covered by a fidelity bond2020-02-29Yes
Value of fidelity bond cover2020-02-29$1,000,000
If this is an individual account plan, was there a blackout period2020-02-29No
Were there any nonexempt tranactions with any party-in-interest2020-02-29No
Contributions received from participants2020-02-29$314,288
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-02-29$66,156
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-02-29$14,408
Other income not declared elsewhere2020-02-29$62,232
Administrative expenses (other) incurred2020-02-29$196,011
Liabilities. Value of operating payables at end of year2020-02-29$15,847
Liabilities. Value of operating payables at beginning of year2020-02-29$65,156
Total non interest bearing cash at end of year2020-02-29$1,766,978
Total non interest bearing cash at beginning of year2020-02-29$924,346
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Value of net income/loss2020-02-29$1,962,195
Value of net assets at end of year (total assets less liabilities)2020-02-29$11,051,566
Value of net assets at beginning of year (total assets less liabilities)2020-02-29$9,089,371
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-29No
Were any leases to which the plan was party in default or uncollectible2020-02-29No
Investment advisory and management fees2020-02-29$6,825
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-02-29$9,142,458
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-02-29$8,427,795
Expenses. Payments to insurance carriers foe the provision of benefits2020-02-29$481,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-02-29$450,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-29Yes
Was there a failure to transmit to the plan any participant contributions2020-02-29No
Has the plan failed to provide any benefit when due under the plan2020-02-29No
Contributions received in cash from employer2020-02-29$6,080,291
Employer contributions (assets) at end of year2020-02-29$584,837
Employer contributions (assets) at beginning of year2020-02-29$469,452
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-29$4,376,063
Contract administrator fees2020-02-29$83,112
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-02-29No
Liabilities. Value of benefit claims payable at end of year2020-02-29$493,016
Liabilities. Value of benefit claims payable at beginning of year2020-02-29$681,474
Did the plan have assets held for investment2020-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-02-29No
Opinion of an independent qualified public accountant for this plan2020-02-29Unqualified
Accountancy firm name2020-02-29CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2020-02-29470900880
2018 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$736,352
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$856,470
Total income from all sources (including contributions)2018-02-28$6,467,826
Total of all expenses incurred2018-02-28$6,825,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$6,434,540
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$5,890,496
Value of total assets at end of year2018-02-28$9,993,853
Value of total assets at beginning of year2018-02-28$10,471,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-28$390,686
Total dividends received (eg from common stock, registered investment company shares)2018-02-28$269,986
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2018-02-28$269,986
Administrative expenses professional fees incurred2018-02-28$90,617
Was this plan covered by a fidelity bond2018-02-28Yes
Value of fidelity bond cover2018-02-28$1,000,000
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Contributions received from participants2018-02-28$316,252
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-02-28$17,890
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-02-28$91,966
Other income not declared elsewhere2018-02-28$61,806
Administrative expenses (other) incurred2018-02-28$202,682
Liabilities. Value of operating payables at end of year2018-02-28$33,594
Liabilities. Value of operating payables at beginning of year2018-02-28$120,556
Total non interest bearing cash at end of year2018-02-28$895,068
Total non interest bearing cash at beginning of year2018-02-28$615,778
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$-357,400
Value of net assets at end of year (total assets less liabilities)2018-02-28$9,257,501
Value of net assets at beginning of year (total assets less liabilities)2018-02-28$9,614,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Investment advisory and management fees2018-02-28$7,575
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-02-28$8,655,320
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-02-28$9,489,796
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$436,954
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-02-28$245,538
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28Yes
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$5,574,244
Employer contributions (assets) at end of year2018-02-28$425,575
Employer contributions (assets) at beginning of year2018-02-28$273,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-02-28$5,997,586
Contract administrator fees2018-02-28$89,812
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-02-28No
Liabilities. Value of benefit claims payable at end of year2018-02-28$702,758
Liabilities. Value of benefit claims payable at beginning of year2018-02-28$735,914
Did the plan have assets held for investment2018-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-28No
Opinion of an independent qualified public accountant for this plan2018-02-28Unqualified
Accountancy firm name2018-02-28CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2018-02-28470900880
2017 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$856,470
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$677,089
Total income from all sources (including contributions)2017-02-28$6,561,141
Total of all expenses incurred2017-02-28$6,995,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$6,498,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$5,544,134
Value of total assets at end of year2017-02-28$10,471,371
Value of total assets at beginning of year2017-02-28$10,726,076
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$496,745
Total dividends received (eg from common stock, registered investment company shares)2017-02-28$280,293
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2017-02-28$280,293
Administrative expenses professional fees incurred2017-02-28$97,150
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$1,000,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$273,267
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-02-28$91,966
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-02-28$72,024
Other income not declared elsewhere2017-02-28$77,292
Administrative expenses (other) incurred2017-02-28$245,713
Liabilities. Value of operating payables at end of year2017-02-28$120,556
Liabilities. Value of operating payables at beginning of year2017-02-28$36,810
Total non interest bearing cash at end of year2017-02-28$615,778
Total non interest bearing cash at beginning of year2017-02-28$725,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$-434,086
Value of net assets at end of year (total assets less liabilities)2017-02-28$9,614,901
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$10,048,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Investment advisory and management fees2017-02-28$7,575
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-02-28$9,489,796
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-02-28$9,650,324
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$432,023
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-02-28$659,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28Yes
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$5,270,867
Employer contributions (assets) at end of year2017-02-28$273,831
Employer contributions (assets) at beginning of year2017-02-28$277,996
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-02-28$6,066,459
Contract administrator fees2017-02-28$146,307
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-02-28No
Liabilities. Value of benefit claims payable at end of year2017-02-28$735,914
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$640,279
Did the plan have assets held for investment2017-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28SALTER & COMPANY, LLC
Accountancy firm EIN2017-02-28208078757
2016 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$677,089
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$824,299
Total income from all sources (including contributions)2016-02-29$5,118,875
Total of all expenses incurred2016-02-29$5,790,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$5,182,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$5,398,694
Value of total assets at end of year2016-02-29$10,726,076
Value of total assets at beginning of year2016-02-29$11,544,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$607,946
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$281,066
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2016-02-29$281,066
Administrative expenses professional fees incurred2016-02-29$86,356
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$1,000,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$278,112
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$72,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$55,425
Other income not declared elsewhere2016-02-29$69,942
Administrative expenses (other) incurred2016-02-29$280,509
Liabilities. Value of operating payables at end of year2016-02-29$36,810
Liabilities. Value of operating payables at beginning of year2016-02-29$40,411
Total non interest bearing cash at end of year2016-02-29$725,732
Total non interest bearing cash at beginning of year2016-02-29$433,208
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-671,316
Value of net assets at end of year (total assets less liabilities)2016-02-29$10,048,987
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$10,720,303
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$6,301
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-02-29$9,650,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-02-29$10,650,084
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$422,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-02-29$-630,827
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29Yes
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$5,120,582
Employer contributions (assets) at end of year2016-02-29$277,996
Employer contributions (assets) at beginning of year2016-02-29$396,308
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$4,759,604
Contract administrator fees2016-02-29$234,780
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-02-29No
Liabilities. Value of benefit claims payable at end of year2016-02-29$640,279
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$783,888
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-02-29$9,577
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29SALTER & COMPANY, LLC
Accountancy firm EIN2016-02-29208078757
2015 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$824,299
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$705,140
Total income from all sources (including contributions)2015-02-28$6,419,135
Total loss/gain on sale of assets2015-02-28$-45,365
Total of all expenses incurred2015-02-28$7,418,605
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$6,762,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$5,845,457
Value of total assets at end of year2015-02-28$11,544,602
Value of total assets at beginning of year2015-02-28$12,424,913
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$655,970
Total interest from all sources2015-02-28$60,994
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$222,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2015-02-28$222,998
Administrative expenses professional fees incurred2015-02-28$81,351
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$1,000,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$289,855
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$55,425
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-02-28$44,632
Other income not declared elsewhere2015-02-28$70,050
Administrative expenses (other) incurred2015-02-28$330,496
Liabilities. Value of operating payables at end of year2015-02-28$40,411
Liabilities. Value of operating payables at beginning of year2015-02-28$34,858
Total non interest bearing cash at end of year2015-02-28$433,208
Total non interest bearing cash at beginning of year2015-02-28$484,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$-999,470
Value of net assets at end of year (total assets less liabilities)2015-02-28$10,720,303
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$11,719,773
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$11,623
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-02-28$10,650,084
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-02-28$4,783,813
Income. Interest from US Government securities2015-02-28$43,696
Income. Interest from corporate debt instruments2015-02-28$17,273
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-02-28$487,014
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-02-28$487,014
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$25
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$473,603
Asset value of US Government securities at beginning of year2015-02-28$4,696,438
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-02-28$265,001
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28Yes
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$5,555,602
Employer contributions (assets) at end of year2015-02-28$396,308
Employer contributions (assets) at beginning of year2015-02-28$456,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$6,289,032
Asset. Corporate debt instrument debt (other) at beginning of year2015-02-28$1,461,052
Contract administrator fees2015-02-28$232,500
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-02-28No
Liabilities. Value of benefit claims payable at end of year2015-02-28$783,888
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$670,282
Assets. Value of buildings and other operty used in plan operation at end of year2015-02-28$9,577
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-02-28$11,052
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Aggregate proceeds on sale of assets2015-02-28$15,795,185
Aggregate carrying amount (costs) on sale of assets2015-02-28$15,840,550
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28SALTER & COMPANY, LLC
Accountancy firm EIN2015-02-28208078757
2014 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-02-28$-80,921
Total unrealized appreciation/depreciation of assets2014-02-28$-80,921
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$705,140
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$552,879
Total income from all sources (including contributions)2014-02-28$6,520,974
Total loss/gain on sale of assets2014-02-28$-22,328
Total of all expenses incurred2014-02-28$6,292,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$5,736,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$5,850,757
Value of total assets at end of year2014-02-28$12,424,913
Value of total assets at beginning of year2014-02-28$12,044,615
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$556,898
Total interest from all sources2014-02-28$137,856
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$147,260
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2014-02-28$147,260
Administrative expenses professional fees incurred2014-02-28$104,498
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$1,000,000
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$302,311
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-28$44,632
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-28$66,886
Other income not declared elsewhere2014-02-28$72,424
Administrative expenses (other) incurred2014-02-28$208,324
Liabilities. Value of operating payables at end of year2014-02-28$34,858
Liabilities. Value of operating payables at beginning of year2014-02-28$15,129
Total non interest bearing cash at end of year2014-02-28$484,641
Total non interest bearing cash at beginning of year2014-02-28$705,818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$228,037
Value of net assets at end of year (total assets less liabilities)2014-02-28$11,719,773
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$11,491,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Investment advisory and management fees2014-02-28$18,348
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-02-28$4,783,813
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-02-28$4,220,627
Income. Interest from US Government securities2014-02-28$93,622
Income. Interest from corporate debt instruments2014-02-28$44,197
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-02-28$487,014
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-02-28$517,624
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-02-28$517,624
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-02-28$37
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$437,868
Asset value of US Government securities at end of year2014-02-28$4,696,438
Asset value of US Government securities at beginning of year2014-02-28$3,962,375
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-02-28$415,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28No
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$5,548,446
Employer contributions (assets) at end of year2014-02-28$456,271
Employer contributions (assets) at beginning of year2014-02-28$423,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$5,298,171
Asset. Corporate debt instrument debt (other) at end of year2014-02-28$1,461,052
Asset. Corporate debt instrument debt (other) at beginning of year2014-02-28$2,139,782
Contract administrator fees2014-02-28$225,728
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-02-28No
Liabilities. Value of benefit claims payable at end of year2014-02-28$670,282
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$537,750
Assets. Value of buildings and other operty used in plan operation at end of year2014-02-28$11,052
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-02-28$7,995
Did the plan have assets held for investment2014-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Aggregate proceeds on sale of assets2014-02-28$4,454,959
Aggregate carrying amount (costs) on sale of assets2014-02-28$4,477,287
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28SALTER & COMPANY, LLC
Accountancy firm EIN2014-02-28208078757
2013 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-02-28$-72,143
Total unrealized appreciation/depreciation of assets2013-02-28$-72,143
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$552,879
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$486,941
Total income from all sources (including contributions)2013-02-28$6,369,884
Total loss/gain on sale of assets2013-02-28$12,152
Total of all expenses incurred2013-02-28$5,282,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$4,767,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$5,878,542
Value of total assets at end of year2013-02-28$12,044,615
Value of total assets at beginning of year2013-02-28$10,891,192
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$514,752
Total interest from all sources2013-02-28$156,637
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$109,632
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2013-02-28$100,261
Administrative expenses professional fees incurred2013-02-28$83,904
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$1,000,000
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$314,653
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-28$66,886
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-28$92,448
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-02-28$1,780
Other income not declared elsewhere2013-02-28$83,740
Administrative expenses (other) incurred2013-02-28$181,998
Liabilities. Value of operating payables at end of year2013-02-28$15,129
Liabilities. Value of operating payables at beginning of year2013-02-28$16,264
Total non interest bearing cash at end of year2013-02-28$705,818
Total non interest bearing cash at beginning of year2013-02-28$736,300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$1,087,485
Value of net assets at end of year (total assets less liabilities)2013-02-28$11,491,736
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$10,404,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Investment advisory and management fees2013-02-28$30,282
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-02-28$4,220,627
Income. Interest from US Government securities2013-02-28$95,136
Income. Interest from corporate debt instruments2013-02-28$61,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-02-28$517,624
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-02-28$1,157,481
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-02-28$1,157,481
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-02-28$56
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$422,350
Asset value of US Government securities at end of year2013-02-28$3,962,375
Asset value of US Government securities at beginning of year2013-02-28$3,350,395
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-02-28$201,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28Yes
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$5,563,889
Employer contributions (assets) at end of year2013-02-28$423,508
Employer contributions (assets) at beginning of year2013-02-28$425,748
Income. Dividends from common stock2013-02-28$9,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$4,345,297
Asset. Corporate debt instrument debt (other) at end of year2013-02-28$2,139,782
Asset. Corporate debt instrument debt (other) at beginning of year2013-02-28$2,697,524
Contract administrator fees2013-02-28$218,568
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-02-28No
Assets. Corporate common stocks other than exployer securities at beginning of year2013-02-28$2,422,318
Liabilities. Value of benefit claims payable at end of year2013-02-28$537,750
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$468,897
Assets. Value of buildings and other operty used in plan operation at end of year2013-02-28$7,995
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-02-28$8,978
Did the plan have assets held for investment2013-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Aggregate proceeds on sale of assets2013-02-28$13,244,290
Aggregate carrying amount (costs) on sale of assets2013-02-28$13,232,138
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28SALTER & COMPANY, LLC
Accountancy firm EIN2013-02-28208078757
2012 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-02-29$275,992
Total unrealized appreciation/depreciation of assets2012-02-29$275,992
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$486,941
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$563,681
Total income from all sources (including contributions)2012-02-29$5,914,462
Total loss/gain on sale of assets2012-02-29$-158,424
Total of all expenses incurred2012-02-29$4,737,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$4,238,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$5,527,491
Value of total assets at end of year2012-02-29$10,891,192
Value of total assets at beginning of year2012-02-29$9,791,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$499,088
Total interest from all sources2012-02-29$160,672
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$15,902
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Administrative expenses professional fees incurred2012-02-29$85,736
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$1,000,000
If this is an individual account plan, was there a blackout period2012-02-29No
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$323,483
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-02-29$92,448
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-02-29$73,224
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-02-29$1,780
Other income not declared elsewhere2012-02-29$92,829
Administrative expenses (other) incurred2012-02-29$163,645
Liabilities. Value of operating payables at end of year2012-02-29$16,264
Liabilities. Value of operating payables at beginning of year2012-02-29$64,112
Total non interest bearing cash at end of year2012-02-29$736,300
Total non interest bearing cash at beginning of year2012-02-29$101,495
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$1,176,644
Value of net assets at end of year (total assets less liabilities)2012-02-29$10,404,251
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$9,227,607
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Investment advisory and management fees2012-02-29$37,971
Income. Interest from US Government securities2012-02-29$84,167
Income. Interest from corporate debt instruments2012-02-29$76,447
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-02-29$1,157,481
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-02-29$1,668,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-02-29$1,668,004
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-29$58
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$402,514
Asset value of US Government securities at end of year2012-02-29$3,350,395
Asset value of US Government securities at beginning of year2012-02-29$2,885,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29Yes
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$5,204,008
Employer contributions (assets) at end of year2012-02-29$425,748
Employer contributions (assets) at beginning of year2012-02-29$375,926
Income. Dividends from common stock2012-02-29$15,902
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$3,836,216
Asset. Corporate debt instrument debt (other) at end of year2012-02-29$2,697,524
Asset. Corporate debt instrument debt (other) at beginning of year2012-02-29$2,422,021
Contract administrator fees2012-02-29$211,736
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-02-29No
Assets. Corporate common stocks other than exployer securities at end of year2012-02-29$2,422,318
Assets. Corporate common stocks other than exployer securities at beginning of year2012-02-29$2,258,437
Liabilities. Value of benefit claims payable at end of year2012-02-29$468,897
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$499,569
Assets. Value of buildings and other operty used in plan operation at end of year2012-02-29$8,978
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-02-29$7,171
Did the plan have assets held for investment2012-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Aggregate proceeds on sale of assets2012-02-29$8,399,930
Aggregate carrying amount (costs) on sale of assets2012-02-29$8,558,354
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29SALTER & COMPANY, LLC
Accountancy firm EIN2012-02-29208078757
2011 : BEVERAGE DRIVERS HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-02-28$520,028
Total unrealized appreciation/depreciation of assets2011-02-28$520,028
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$563,681
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$579,526
Total income from all sources (including contributions)2011-02-28$5,962,985
Total loss/gain on sale of assets2011-02-28$-45,216
Total of all expenses incurred2011-02-28$4,608,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$4,133,928
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$5,215,521
Value of total assets at end of year2011-02-28$9,791,288
Value of total assets at beginning of year2011-02-28$8,452,316
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$474,240
Total interest from all sources2011-02-28$166,316
Total dividends received (eg from common stock, registered investment company shares)2011-02-28$13,773
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Administrative expenses professional fees incurred2011-02-28$86,604
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$1,000,000
If this is an individual account plan, was there a blackout period2011-02-28No
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$321,344
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-02-28$73,224
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-02-28$77,535
Other income not declared elsewhere2011-02-28$92,563
Administrative expenses (other) incurred2011-02-28$146,854
Liabilities. Value of operating payables at end of year2011-02-28$64,112
Liabilities. Value of operating payables at beginning of year2011-02-28$45,315
Total non interest bearing cash at end of year2011-02-28$101,495
Total non interest bearing cash at beginning of year2011-02-28$430,588
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$1,354,817
Value of net assets at end of year (total assets less liabilities)2011-02-28$9,227,607
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$7,872,790
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Investment advisory and management fees2011-02-28$35,218
Income. Interest from US Government securities2011-02-28$112,325
Income. Interest from corporate debt instruments2011-02-28$53,931
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-02-28$1,668,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-02-28$548,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-02-28$548,247
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$60
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$401,846
Asset value of US Government securities at end of year2011-02-28$2,885,010
Asset value of US Government securities at beginning of year2011-02-28$3,776,130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28Yes
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$4,894,177
Employer contributions (assets) at end of year2011-02-28$375,926
Employer contributions (assets) at beginning of year2011-02-28$398,710
Income. Dividends from common stock2011-02-28$13,773
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$3,732,082
Asset. Corporate debt instrument debt (other) at end of year2011-02-28$2,422,021
Asset. Corporate debt instrument debt (other) at beginning of year2011-02-28$1,624,973
Contract administrator fees2011-02-28$205,564
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-02-28No
Assets. Corporate common stocks other than exployer securities at end of year2011-02-28$2,258,437
Assets. Corporate common stocks other than exployer securities at beginning of year2011-02-28$1,591,266
Liabilities. Value of benefit claims payable at end of year2011-02-28$499,569
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$534,211
Assets. Value of buildings and other operty used in plan operation at end of year2011-02-28$7,171
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-02-28$4,867
Did the plan have assets held for investment2011-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Aggregate proceeds on sale of assets2011-02-28$4,936,763
Aggregate carrying amount (costs) on sale of assets2011-02-28$4,981,979
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28SALTER & COMPANY, LLC
Accountancy firm EIN2011-02-28208078757

Form 5500 Responses for BEVERAGE DRIVERS HEALTH & WELFARE FUND

2022: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2022 form 5500 responses
2022-03-01Type of plan entityMulti-employer plan
2022-03-01Plan is a collectively bargained planYes
2022-03-01Plan funding arrangement – TrustYes
2022-03-01Plan benefit arrangement – InsuranceYes
2022-03-01Plan benefit arrangement - TrustYes
2021: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2021 form 5500 responses
2021-03-01Type of plan entityMulti-employer plan
2021-03-01Plan is a collectively bargained planYes
2021-03-01Plan funding arrangement – TrustYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement - TrustYes
2020: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2020 form 5500 responses
2020-03-01Type of plan entityMulti-employer plan
2020-03-01Plan is a collectively bargained planYes
2020-03-01Plan funding arrangement – TrustYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement - TrustYes
2019: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2019 form 5500 responses
2019-03-01Type of plan entityMulti-employer plan
2019-03-01Plan is a collectively bargained planYes
2019-03-01Plan funding arrangement – TrustYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement - TrustYes
2018: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2018 form 5500 responses
2018-03-01Type of plan entityMulti-employer plan
2018-03-01Submission has been amendedYes
2018-03-01Plan is a collectively bargained planYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes
2017: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2017 form 5500 responses
2017-03-01Type of plan entityMulti-employer plan
2017-03-01Plan is a collectively bargained planYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2016 form 5500 responses
2016-03-01Type of plan entityMulti-employer plan
2016-03-01Plan is a collectively bargained planYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2015 form 5500 responses
2015-03-01Type of plan entityMulti-employer plan
2015-03-01Plan is a collectively bargained planYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2014 form 5500 responses
2014-03-01Type of plan entityMulti-employer plan
2014-03-01Plan is a collectively bargained planYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2013 form 5500 responses
2013-03-01Type of plan entityMulti-employer plan
2013-03-01Plan is a collectively bargained planYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2012 form 5500 responses
2012-03-01Type of plan entityMulti-employer plan
2012-03-01Plan is a collectively bargained planYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2011 form 5500 responses
2011-03-01Type of plan entityMulti-employer plan
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2009: BEVERAGE DRIVERS HEALTH & WELFARE FUND 2009 form 5500 responses
2009-03-01Type of plan entityMulti-employer plan
2009-03-01This submission is the final filingNo
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12030-19
Policy instance 3
Insurance contract or identification number12030-19
Number of Individuals Covered1408
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered1398
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $353,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered718
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $3,219
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $21,460
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,219
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12030-19
Policy instance 3
Insurance contract or identification number12030-19
Number of Individuals Covered1400
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,416
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered1388
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $351,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered698
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $2,793
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $18,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,793
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered1502
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $2,799
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,926
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,799
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered1382
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $329,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12030-19
Policy instance 3
Insurance contract or identification number12030-19
Number of Individuals Covered1457
Insurance policy start date2020-10-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered734
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $3,429
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,429
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered1560
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $401,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12030-19
Policy instance 3
Insurance contract or identification number12030-19
Number of Individuals Covered1567
Insurance policy start date2019-10-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered734
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $3,429
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,429
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered1601
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $362,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754288
Policy instance 3
Insurance contract or identification number0754288
Number of Individuals Covered769
Insurance policy start date2018-03-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number12030-19
Policy instance 4
Insurance contract or identification number12030-19
Number of Individuals Covered1686
Insurance policy start date2018-10-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754288
Policy instance 3
Insurance contract or identification number0754288
Number of Individuals Covered740
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered1593
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $361,802
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered768
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $2,955
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,955
Insurance broker organization code?3
Insurance broker nameJ N SAVASTA CORP
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754288
Policy instance 3
Insurance contract or identification number0754288
Number of Individuals Covered730
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered106
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $3,489
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $23,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,489
Insurance broker organization code?3
Insurance broker nameJ N SAVASTA CORP
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered735
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $351,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered802
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $391,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754288
Policy instance 3
Insurance contract or identification number0754288
Number of Individuals Covered838
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered878
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $1,600
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
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $10,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,336
Insurance broker organization code?3
Insurance broker nameJ N SAVASTA CORP
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered846
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $351,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered780
Insurance policy start date2013-10-01
Insurance policy end date2014-10-01
Total amount of commissions paid to insurance brokerUSD $3,465
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
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $23,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,465
Insurance broker organization code?3
Insurance broker nameTHE REIN COMPANY INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754288
Policy instance 3
Insurance contract or identification number0754288
Number of Individuals Covered839
Insurance policy start date2013-06-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0754288
Policy instance 4
Insurance contract or identification number0754288
Number of Individuals Covered879
Insurance policy start date2013-06-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker name
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number212197
Policy instance 3
Insurance contract or identification number212197
Number of Individuals Covered878
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker name
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered848
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $337,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered778
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $3,204
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
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $21,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,204
Insurance broker organization code?3
Insurance broker nameTHE REIN COMPANY INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered765
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $3,090
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
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $20,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered863
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $320,701
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number212197
Policy instance 3
Insurance contract or identification number212197
Number of Individuals Covered869
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL-142381
Policy instance 1
Insurance contract or identification numberGL-142381
Number of Individuals Covered840
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $3,922
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
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $21,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number7216
Policy instance 2
Insurance contract or identification number7216
Number of Individuals Covered824
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $0
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $313,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number212197
Policy instance 3
Insurance contract or identification number212197
Number of Individuals Covered825
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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