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WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 401k Plan overview

Plan NameWEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST
Plan identification number 501

WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSOCIATION
Employer identification number (EIN):550599095
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-07-01MARK DRENNAN MARK DRENNAN2014-02-05
5012011-07-01MARK DRENNAN MARK DRENNAN2013-03-21
5012010-07-01MARK DRENNAN MARK DRENNAN2012-04-16
5012009-07-01DAVID MCWATTERS DAVID MCWATTERS2011-04-07
5012007-07-01DAVID MCWATTERS

Plan Statistics for WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST

401k plan membership statisitcs for WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST

Measure Date Value
2012: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-01111
Total number of active participants reported on line 7a of the Form 55002012-07-01128
Total of all active and inactive participants2012-07-01128
2011: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-01123
Total number of active participants reported on line 7a of the Form 55002011-07-01111
Total of all active and inactive participants2011-07-01111
2010: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2010 401k membership
Total participants, beginning-of-year2010-07-01137
Total number of active participants reported on line 7a of the Form 55002010-07-01123
Total of all active and inactive participants2010-07-01123
2009: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-01295
Total number of active participants reported on line 7a of the Form 55002009-07-01137
Total of all active and inactive participants2009-07-01137
2007: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2007 401k membership
Total participants, beginning-of-year2007-07-01383
Total number of active participants reported on line 7a of the Form 55002007-07-01353
Total of all active and inactive participants2007-07-01353

Financial Data on WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST

Measure Date Value
2013 : WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$295,297
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$209,273
Total income from all sources (including contributions)2013-06-30$1,414,334
Total of all expenses incurred2013-06-30$1,606,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$1,384,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$1,368,236
Value of total assets at end of year2013-06-30$1,643,130
Value of total assets at beginning of year2013-06-30$1,749,234
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$222,076
Total interest from all sources2013-06-30$29,852
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$54,678
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$1,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Administrative expenses (other) incurred2013-06-30$103,471
Liabilities. Value of operating payables at end of year2013-06-30$18,101
Total non interest bearing cash at end of year2013-06-30$353,388
Total non interest bearing cash at beginning of year2013-06-30$34,121
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-192,128
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,347,833
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,539,961
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$8,947
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$1,146,433
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$822,886
Interest earned on other investments2013-06-30$29,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$23,297
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$570,826
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$570,826
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$237,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$16,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$1,368,236
Employer contributions (assets) at end of year2013-06-30$120,012
Employer contributions (assets) at beginning of year2013-06-30$321,401
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$1,147,287
Contract administrator fees2013-06-30$54,980
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Liabilities. Value of benefit claims payable at end of year2013-06-30$277,196
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$209,273
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30GRAY, GRIFFITH & MAYS, A.C.
Accountancy firm EIN2013-06-30550621482
2012 : WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-66,569
Total unrealized appreciation/depreciation of assets2012-06-30$-66,569
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$209,273
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$626,840
Total income from all sources (including contributions)2012-06-30$1,274,722
Total of all expenses incurred2012-06-30$1,001,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,284,034
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$1,295,415
Value of total assets at end of year2012-06-30$1,749,234
Value of total assets at beginning of year2012-06-30$1,893,092
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$-283,021
Total interest from all sources2012-06-30$45,876
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$40,317
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$1,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Administrative expenses (other) incurred2012-06-30$-337,505
Total non interest bearing cash at end of year2012-06-30$34,121
Total non interest bearing cash at beginning of year2012-06-30$22,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$273,709
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,539,961
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,266,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$822,886
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$866,059
Interest earned on other investments2012-06-30$45,876
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$570,826
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$476,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$476,247
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$233,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$1,295,415
Employer contributions (assets) at end of year2012-06-30$321,401
Employer contributions (assets) at beginning of year2012-06-30$325,655
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$1,050,338
Contract administrator fees2012-06-30$14,167
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2012-06-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2012-06-30$202,246
Liabilities. Value of benefit claims payable at end of year2012-06-30$209,273
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$626,840
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30ARNETT FOSTER TOOTHMAN PLLC
Accountancy firm EIN2012-06-30550486667
2011 : WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$159,505
Total unrealized appreciation/depreciation of assets2011-06-30$159,505
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$626,840
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$888,164
Total income from all sources (including contributions)2011-06-30$1,577,745
Total of all expenses incurred2011-06-30$1,324,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$1,443,002
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,375,814
Value of total assets at end of year2011-06-30$1,893,092
Value of total assets at beginning of year2011-06-30$1,901,610
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$-118,063
Total interest from all sources2011-06-30$42,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$50,133
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$1,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Administrative expenses (other) incurred2011-06-30$-181,401
Total non interest bearing cash at end of year2011-06-30$22,885
Total non interest bearing cash at beginning of year2011-06-30$45,643
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$252,806
Value of net assets at end of year (total assets less liabilities)2011-06-30$1,266,252
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$1,013,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$866,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$763,724
Interest earned on other investments2011-06-30$42,426
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$476,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$508,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$508,192
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$214,245
Asset value of US Government securities at beginning of year2011-06-30$102,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,375,814
Employer contributions (assets) at end of year2011-06-30$325,655
Employer contributions (assets) at beginning of year2011-06-30$180,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$1,228,757
Asset. Corporate debt instrument debt (other) at beginning of year2011-06-30$77,489
Contract administrator fees2011-06-30$13,205
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2011-06-30$202,246
Assets. Corporate common stocks other than exployer securities at beginning of year2011-06-30$224,249
Liabilities. Value of benefit claims payable at end of year2011-06-30$626,840
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$888,164
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30ARNETT & FOSTER, P.L.L.C.
Accountancy firm EIN2011-06-30550486667

Form 5500 Responses for WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST

2012: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2011 form 5500 responses
2011-07-01Type of plan entityMulitple employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2010 form 5500 responses
2010-07-01Type of plan entityMulitple employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2009 form 5500 responses
2009-07-01Type of plan entityMulitple employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes
2007: WEST VIRGINIA BEHAVIORAL HEALTHCARE PROVIDERS ASSO BENEFIT PLAN TRUST 2007 form 5500 responses
2007-07-01Type of plan entityMulitple employer plan
2007-07-01This submission is the final filingNo
2007-07-01Plan funding arrangement – InsuranceYes
2007-07-01Plan funding arrangement – TrustYes
2007-07-01Plan benefit arrangement – InsuranceYes
2007-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberN04857148
Policy instance 1
Insurance contract or identification numberN04857148
Number of Individuals Covered128
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $12,802
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
Welfare Benefit Premiums Paid to CarrierUSD $144,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,802
Insurance broker organization code?3
Insurance broker nameCOMMERICAL INSURANCE SERVICES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number370967
Policy instance 2
Insurance contract or identification number370967
Number of Individuals Covered128
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,309
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 nameCOMMERICAL INSURANCE SERVICES
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberN04857148
Policy instance 1
Insurance contract or identification numberN04857148
Number of Individuals Covered111
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $114,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number370967
Policy instance 2
Insurance contract or identification number370967
Number of Individuals Covered111
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $9,891
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
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $118,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberN04857148
Policy instance 1
Insurance contract or identification numberN04857148
Number of Individuals Covered123
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $116,610
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number370967
Policy instance 2
Insurance contract or identification number370967
Number of Individuals Covered123
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $10,056
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
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $97,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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