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NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 401k Plan overview

Plan NameNORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST
Plan identification number 501

NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST Benefits

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

401k Sponsoring company profile

NORTH CAROLINA BANKERS ASSOCIATION INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTH CAROLINA BANKERS ASSOCIATION INC.
Employer identification number (EIN):562138565
NAIC Classification:522190
NAIC Description:Other Depository Credit Intermediation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-06-01
5012020-06-01
5012019-06-01
5012018-06-01
5012017-06-01LAUREN PERRY
5012016-06-01LAUREN PERRY
5012015-06-01LAUREN PERRY
5012014-06-01LAUREN PERRY
5012013-06-01LAUREN PERRY
5012012-06-01LAUREN PERRY
5012011-06-01LAUREN PERRY
5012010-06-01LAUREN RUTHERFORD
5012009-06-01LAUREN RUTHERFORD

Plan Statistics for NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST

401k plan membership statisitcs for NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST

Measure Date Value
2021: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-06-012,408
Total number of active participants reported on line 7a of the Form 55002021-06-012,254
Number of retired or separated participants receiving benefits2021-06-0125
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-012,279
2020: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-06-012,265
Total number of active participants reported on line 7a of the Form 55002020-06-012,433
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-012,433
2019: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-06-012,571
Total number of active participants reported on line 7a of the Form 55002019-06-012,265
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-012,265
2018: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-06-012,616
Total number of active participants reported on line 7a of the Form 55002018-06-012,571
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-012,571
2017: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-06-013,107
Total number of active participants reported on line 7a of the Form 55002017-06-012,588
Number of retired or separated participants receiving benefits2017-06-0121
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-012,609
2016: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-06-013,589
Total number of active participants reported on line 7a of the Form 55002016-06-013,069
Number of retired or separated participants receiving benefits2016-06-0138
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-013,107
2015: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-06-013,263
Total number of active participants reported on line 7a of the Form 55002015-06-013,541
Number of retired or separated participants receiving benefits2015-06-0148
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-013,589
2014: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-06-012,712
Total number of active participants reported on line 7a of the Form 55002014-06-013,206
Number of retired or separated participants receiving benefits2014-06-0157
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-013,263
2013: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-06-012,914
Total number of active participants reported on line 7a of the Form 55002013-06-012,676
Number of retired or separated participants receiving benefits2013-06-0119
Number of other retired or separated participants entitled to future benefits2013-06-0126
Total of all active and inactive participants2013-06-012,721
2012: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-06-013,181
Total number of active participants reported on line 7a of the Form 55002012-06-012,828
Number of retired or separated participants receiving benefits2012-06-0146
Number of other retired or separated participants entitled to future benefits2012-06-0128
Total of all active and inactive participants2012-06-012,902
2011: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-06-012,734
Total number of active participants reported on line 7a of the Form 55002011-06-013,096
Number of retired or separated participants receiving benefits2011-06-0156
Number of other retired or separated participants entitled to future benefits2011-06-0129
Total of all active and inactive participants2011-06-013,181
2010: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year2010-06-012,520
Total number of active participants reported on line 7a of the Form 55002010-06-012,652
Number of retired or separated participants receiving benefits2010-06-0144
Number of other retired or separated participants entitled to future benefits2010-06-0138
Total of all active and inactive participants2010-06-012,734
2009: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-06-012,857
Total number of active participants reported on line 7a of the Form 55002009-06-012,302
Number of retired or separated participants receiving benefits2009-06-0170
Number of other retired or separated participants entitled to future benefits2009-06-01148
Total of all active and inactive participants2009-06-012,520

Financial Data on NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST

Measure Date Value
2022 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$2,315,822
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$2,584,305
Total income from all sources (including contributions)2022-05-31$28,961,338
Total loss/gain on sale of assets2022-05-31$0
Total of all expenses incurred2022-05-31$31,030,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-31$28,204,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-31$27,265,533
Value of total assets at end of year2022-05-31$13,216,517
Value of total assets at beginning of year2022-05-31$15,554,504
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-31$2,826,402
Total interest from all sources2022-05-31$52,533
Total dividends received (eg from common stock, registered investment company shares)2022-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-31No
Administrative expenses professional fees incurred2022-05-31$73,335
Was this plan covered by a fidelity bond2022-05-31Yes
Value of fidelity bond cover2022-05-31$1,000,000
If this is an individual account plan, was there a blackout period2022-05-31No
Were there any nonexempt tranactions with any party-in-interest2022-05-31No
Contributions received from participants2022-05-31$27,265,533
Assets. Other investments not covered elsewhere at end of year2022-05-31$324,804
Assets. Other investments not covered elsewhere at beginning of year2022-05-31$171,444
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-05-31$1,024,956
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-05-31$1,244,597
Other income not declared elsewhere2022-05-31$1,643,272
Administrative expenses (other) incurred2022-05-31$4,373
Liabilities. Value of operating payables at end of year2022-05-31$489,822
Liabilities. Value of operating payables at beginning of year2022-05-31$45,305
Total non interest bearing cash at end of year2022-05-31$2,402,373
Total non interest bearing cash at beginning of year2022-05-31$3,004,283
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Value of net income/loss2022-05-31$-2,069,504
Value of net assets at end of year (total assets less liabilities)2022-05-31$10,900,695
Value of net assets at beginning of year (total assets less liabilities)2022-05-31$12,970,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-31No
Were any leases to which the plan was party in default or uncollectible2022-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-05-31$9,464,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-05-31$11,134,180
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-05-31$11,134,180
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-05-31$52,533
Expenses. Payments to insurance carriers foe the provision of benefits2022-05-31$1,787,690
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-31No
Was there a failure to transmit to the plan any participant contributions2022-05-31No
Has the plan failed to provide any benefit when due under the plan2022-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-05-31$26,416,750
Contract administrator fees2022-05-31$2,748,694
Liabilities. Value of benefit claims payable at end of year2022-05-31$1,826,000
Liabilities. Value of benefit claims payable at beginning of year2022-05-31$2,539,000
Did the plan have assets held for investment2022-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-31No
Opinion of an independent qualified public accountant for this plan2022-05-31Unqualified
Accountancy firm name2022-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2022-05-31560574444
2021 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$2,584,305
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$2,611,285
Total income from all sources (including contributions)2021-05-31$26,889,505
Total loss/gain on sale of assets2021-05-31$0
Total of all expenses incurred2021-05-31$29,468,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$26,169,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$25,565,240
Value of total assets at end of year2021-05-31$15,554,504
Value of total assets at beginning of year2021-05-31$18,160,949
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$3,299,582
Total interest from all sources2021-05-31$126,318
Total dividends received (eg from common stock, registered investment company shares)2021-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Administrative expenses professional fees incurred2021-05-31$90,935
Was this plan covered by a fidelity bond2021-05-31Yes
Value of fidelity bond cover2021-05-31$1,000,000
If this is an individual account plan, was there a blackout period2021-05-31No
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$25,565,240
Assets. Other investments not covered elsewhere at end of year2021-05-31$171,444
Assets. Other investments not covered elsewhere at beginning of year2021-05-31$435,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-05-31$1,244,597
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-05-31$920,338
Other income not declared elsewhere2021-05-31$1,197,947
Administrative expenses (other) incurred2021-05-31$183,312
Liabilities. Value of operating payables at end of year2021-05-31$45,305
Liabilities. Value of operating payables at beginning of year2021-05-31$571,285
Total non interest bearing cash at end of year2021-05-31$3,004,283
Total non interest bearing cash at beginning of year2021-05-31$5,260,266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Value of net income/loss2021-05-31$-2,579,465
Value of net assets at end of year (total assets less liabilities)2021-05-31$12,970,199
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$15,549,664
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-05-31$11,134,180
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-05-31$11,544,659
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-05-31$11,544,659
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-05-31$126,318
Expenses. Payments to insurance carriers foe the provision of benefits2021-05-31$1,432,699
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31No
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-05-31$24,736,689
Contract administrator fees2021-05-31$3,025,335
Liabilities. Value of benefit claims payable at end of year2021-05-31$2,539,000
Liabilities. Value of benefit claims payable at beginning of year2021-05-31$2,040,000
Did the plan have assets held for investment2021-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
Accountancy firm name2021-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2021-05-31560574444
2020 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-05-31$0
Total unrealized appreciation/depreciation of assets2020-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$2,611,285
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$2,611,285
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$2,220,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$2,220,057
Total income from all sources (including contributions)2020-05-31$26,754,776
Total income from all sources (including contributions)2020-05-31$26,754,776
Total loss/gain on sale of assets2020-05-31$0
Total loss/gain on sale of assets2020-05-31$0
Total of all expenses incurred2020-05-31$26,820,177
Total of all expenses incurred2020-05-31$26,820,177
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$23,798,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$23,798,510
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$25,139,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$25,139,894
Value of total assets at end of year2020-05-31$18,160,949
Value of total assets at end of year2020-05-31$18,160,949
Value of total assets at beginning of year2020-05-31$17,835,122
Value of total assets at beginning of year2020-05-31$17,835,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$3,021,667
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$3,021,667
Total interest from all sources2020-05-31$213,234
Total interest from all sources2020-05-31$213,234
Total dividends received (eg from common stock, registered investment company shares)2020-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Administrative expenses professional fees incurred2020-05-31$80,475
Administrative expenses professional fees incurred2020-05-31$80,475
Was this plan covered by a fidelity bond2020-05-31Yes
Was this plan covered by a fidelity bond2020-05-31Yes
Value of fidelity bond cover2020-05-31$1,000,000
Value of fidelity bond cover2020-05-31$1,000,000
If this is an individual account plan, was there a blackout period2020-05-31No
If this is an individual account plan, was there a blackout period2020-05-31No
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$25,139,894
Contributions received from participants2020-05-31$25,139,894
Assets. Other investments not covered elsewhere at end of year2020-05-31$435,686
Assets. Other investments not covered elsewhere at end of year2020-05-31$435,686
Assets. Other investments not covered elsewhere at beginning of year2020-05-31$907,410
Assets. Other investments not covered elsewhere at beginning of year2020-05-31$907,410
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-05-31$920,338
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-05-31$920,338
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-05-31$648,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-05-31$648,022
Other income not declared elsewhere2020-05-31$1,401,648
Other income not declared elsewhere2020-05-31$1,401,648
Administrative expenses (other) incurred2020-05-31$214,407
Administrative expenses (other) incurred2020-05-31$214,407
Liabilities. Value of operating payables at end of year2020-05-31$571,285
Liabilities. Value of operating payables at end of year2020-05-31$571,285
Liabilities. Value of operating payables at beginning of year2020-05-31$415,057
Liabilities. Value of operating payables at beginning of year2020-05-31$415,057
Total non interest bearing cash at end of year2020-05-31$5,260,266
Total non interest bearing cash at end of year2020-05-31$5,260,266
Total non interest bearing cash at beginning of year2020-05-31$4,375,233
Total non interest bearing cash at beginning of year2020-05-31$4,375,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Value of net income/loss2020-05-31$-65,401
Value of net income/loss2020-05-31$-65,401
Value of net assets at end of year (total assets less liabilities)2020-05-31$15,549,664
Value of net assets at end of year (total assets less liabilities)2020-05-31$15,549,664
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$15,615,065
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$15,615,065
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-05-31$11,544,659
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-05-31$11,544,659
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-05-31$11,904,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-05-31$11,904,457
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-05-31$11,904,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-05-31$11,904,457
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-05-31$213,234
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-05-31$213,234
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$938,369
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$938,369
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31No
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$22,860,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$22,860,141
Contract administrator fees2020-05-31$2,726,785
Contract administrator fees2020-05-31$2,726,785
Liabilities. Value of benefit claims payable at end of year2020-05-31$2,040,000
Liabilities. Value of benefit claims payable at end of year2020-05-31$2,040,000
Liabilities. Value of benefit claims payable at beginning of year2020-05-31$1,805,000
Liabilities. Value of benefit claims payable at beginning of year2020-05-31$1,805,000
Did the plan have assets held for investment2020-05-31Yes
Did the plan have assets held for investment2020-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
Accountancy firm name2020-05-31CHERRY BEKAERT LLP
Accountancy firm name2020-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2020-05-31560574444
Accountancy firm EIN2020-05-31560574444
2018 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$1,911,941
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$2,305,533
Total income from all sources (including contributions)2018-05-31$28,262,984
Total loss/gain on sale of assets2018-05-31$0
Total of all expenses incurred2018-05-31$28,199,500
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$24,906,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$26,881,085
Value of total assets at end of year2018-05-31$15,705,002
Value of total assets at beginning of year2018-05-31$16,035,110
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$3,293,174
Total interest from all sources2018-05-31$110,099
Total dividends received (eg from common stock, registered investment company shares)2018-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Administrative expenses professional fees incurred2018-05-31$101,766
Was this plan covered by a fidelity bond2018-05-31Yes
Value of fidelity bond cover2018-05-31$1,000,000
If this is an individual account plan, was there a blackout period2018-05-31No
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$26,881,085
Assets. Other investments not covered elsewhere at end of year2018-05-31$145,111
Assets. Other investments not covered elsewhere at beginning of year2018-05-31$45,335
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-05-31$1,175,035
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-05-31$929,262
Other income not declared elsewhere2018-05-31$1,271,800
Administrative expenses (other) incurred2018-05-31$61,888
Liabilities. Value of operating payables at end of year2018-05-31$46,941
Liabilities. Value of operating payables at beginning of year2018-05-31$25,533
Total non interest bearing cash at end of year2018-05-31$2,518,040
Total non interest bearing cash at beginning of year2018-05-31$2,752,947
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Value of net income/loss2018-05-31$63,484
Value of net assets at end of year (total assets less liabilities)2018-05-31$13,793,061
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$13,729,577
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-05-31$11,866,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-05-31$12,307,566
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-05-31$12,307,566
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-05-31$110,099
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$1,089,570
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31No
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-31$23,816,756
Contract administrator fees2018-05-31$3,129,520
Liabilities. Value of benefit claims payable at end of year2018-05-31$1,865,000
Liabilities. Value of benefit claims payable at beginning of year2018-05-31$2,280,000
Did the plan have assets held for investment2018-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
Accountancy firm name2018-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2018-05-31560574444
2017 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$2,305,533
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$2,804,618
Total income from all sources (including contributions)2017-05-31$29,190,375
Total loss/gain on sale of assets2017-05-31$0
Total of all expenses incurred2017-05-31$29,873,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$26,391,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$27,762,399
Value of total assets at end of year2017-05-31$16,035,110
Value of total assets at beginning of year2017-05-31$17,217,221
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$3,481,571
Total interest from all sources2017-05-31$96,551
Total dividends received (eg from common stock, registered investment company shares)2017-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31No
Administrative expenses professional fees incurred2017-05-31$83,915
Was this plan covered by a fidelity bond2017-05-31Yes
Value of fidelity bond cover2017-05-31$1,000,000
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$27,762,399
Assets. Other investments not covered elsewhere at end of year2017-05-31$45,335
Assets. Other investments not covered elsewhere at beginning of year2017-05-31$1,059
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-05-31$929,262
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-05-31$1,111,139
Other income not declared elsewhere2017-05-31$1,331,425
Administrative expenses (other) incurred2017-05-31$236,975
Liabilities. Value of operating payables at end of year2017-05-31$25,533
Liabilities. Value of operating payables at beginning of year2017-05-31$184,618
Total non interest bearing cash at end of year2017-05-31$2,752,947
Total non interest bearing cash at beginning of year2017-05-31$2,841,085
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$-683,026
Value of net assets at end of year (total assets less liabilities)2017-05-31$13,729,577
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$14,412,603
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-05-31$12,307,566
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-05-31$13,263,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-05-31$13,263,938
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-05-31$96,551
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$776,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31No
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$25,615,087
Contract administrator fees2017-05-31$3,160,681
Liabilities. Value of benefit claims payable at end of year2017-05-31$2,280,000
Liabilities. Value of benefit claims payable at beginning of year2017-05-31$2,620,000
Did the plan have assets held for investment2017-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2017-05-31560574444
2016 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$2,804,618
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$2,581,072
Total income from all sources (including contributions)2016-05-31$27,592,428
Total loss/gain on sale of assets2016-05-31$0
Total of all expenses incurred2016-05-31$29,944,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$26,180,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$26,457,944
Value of total assets at end of year2016-05-31$17,217,221
Value of total assets at beginning of year2016-05-31$19,345,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$3,763,820
Total interest from all sources2016-05-31$108,164
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Administrative expenses professional fees incurred2016-05-31$90,166
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$1,000,000
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$26,457,944
Assets. Other investments not covered elsewhere at end of year2016-05-31$1,059
Assets. Other investments not covered elsewhere at beginning of year2016-05-31$292,360
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$1,111,139
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$968,883
Other income not declared elsewhere2016-05-31$1,026,320
Administrative expenses (other) incurred2016-05-31$280,482
Liabilities. Value of operating payables at end of year2016-05-31$184,618
Liabilities. Value of operating payables at beginning of year2016-05-31$16,072
Total non interest bearing cash at end of year2016-05-31$2,841,085
Total non interest bearing cash at beginning of year2016-05-31$2,458,580
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-2,352,295
Value of net assets at end of year (total assets less liabilities)2016-05-31$14,412,603
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$16,764,898
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-05-31$13,263,938
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$15,626,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$15,626,147
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$108,164
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$1,295,914
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31No
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$24,884,989
Contract administrator fees2016-05-31$3,393,172
Liabilities. Value of benefit claims payable at end of year2016-05-31$2,620,000
Liabilities. Value of benefit claims payable at beginning of year2016-05-31$2,565,000
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2016-05-31560574444
2015 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$2,581,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$2,174,144
Total income from all sources (including contributions)2015-05-31$24,401,507
Total loss/gain on sale of assets2015-05-31$0
Total of all expenses incurred2015-05-31$26,879,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$23,360,072
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$23,904,928
Value of total assets at end of year2015-05-31$19,345,970
Value of total assets at beginning of year2015-05-31$21,416,802
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$3,519,195
Total interest from all sources2015-05-31$109,589
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Administrative expenses professional fees incurred2015-05-31$92,887
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$1,000,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$23,904,928
Assets. Other investments not covered elsewhere at end of year2015-05-31$292,360
Assets. Other investments not covered elsewhere at beginning of year2015-05-31$349,400
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$968,883
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$917,519
Other income not declared elsewhere2015-05-31$386,990
Administrative expenses (other) incurred2015-05-31$307,226
Liabilities. Value of operating payables at end of year2015-05-31$16,072
Liabilities. Value of operating payables at beginning of year2015-05-31$9,144
Total non interest bearing cash at end of year2015-05-31$2,458,580
Total non interest bearing cash at beginning of year2015-05-31$4,515,970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$-2,477,760
Value of net assets at end of year (total assets less liabilities)2015-05-31$16,764,898
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$19,242,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$15,626,147
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$15,633,913
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$15,633,913
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$109,589
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$750,131
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31No
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$22,609,941
Contract administrator fees2015-05-31$3,119,082
Liabilities. Value of benefit claims payable at end of year2015-05-31$2,565,000
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$2,165,000
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2015-05-31560574444
2014 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$2,174,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$1,931,440
Total income from all sources (including contributions)2014-05-31$20,566,950
Total loss/gain on sale of assets2014-05-31$0
Total of all expenses incurred2014-05-31$22,270,656
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$19,396,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$20,101,802
Value of total assets at end of year2014-05-31$21,416,802
Value of total assets at beginning of year2014-05-31$22,877,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$2,874,149
Total interest from all sources2014-05-31$110,344
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Administrative expenses professional fees incurred2014-05-31$79,432
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$1,000,000
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$20,101,802
Assets. Other investments not covered elsewhere at end of year2014-05-31$349,400
Assets. Other investments not covered elsewhere at beginning of year2014-05-31$248,368
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$917,519
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$787,290
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-05-31$6,440
Other income not declared elsewhere2014-05-31$354,804
Administrative expenses (other) incurred2014-05-31$70,301
Liabilities. Value of operating payables at end of year2014-05-31$9,144
Liabilities. Value of operating payables at beginning of year2014-05-31$0
Total non interest bearing cash at end of year2014-05-31$4,515,970
Total non interest bearing cash at beginning of year2014-05-31$6,968,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$-1,703,706
Value of net assets at end of year (total assets less liabilities)2014-05-31$19,242,658
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$20,946,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$15,633,913
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$14,873,567
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$14,873,567
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$110,344
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$612,887
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31No
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$18,783,620
Contract administrator fees2014-05-31$2,724,416
Liabilities. Value of benefit claims payable at end of year2014-05-31$2,165,000
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$1,925,000
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31CHERRY BEKAERT LLP
Accountancy firm EIN2014-05-31560574444
2013 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$1,931,440
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$1,965,000
Total income from all sources (including contributions)2013-05-31$24,602,558
Total of all expenses incurred2013-05-31$22,812,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$19,885,433
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$24,123,587
Value of total assets at end of year2013-05-31$22,877,804
Value of total assets at beginning of year2013-05-31$21,121,004
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$2,926,765
Total interest from all sources2013-05-31$115,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Administrative expenses professional fees incurred2013-05-31$66,909
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$1,000,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$24,123,587
Assets. Other investments not covered elsewhere at end of year2013-05-31$248,368
Assets. Other investments not covered elsewhere at beginning of year2013-05-31$103,858
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-05-31$787,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-05-31$907,775
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-05-31$6,440
Other income not declared elsewhere2013-05-31$363,618
Administrative expenses (other) incurred2013-05-31$42,903
Total non interest bearing cash at end of year2013-05-31$6,968,579
Total non interest bearing cash at beginning of year2013-05-31$6,837,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$1,790,360
Value of net assets at end of year (total assets less liabilities)2013-05-31$20,946,364
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$19,156,004
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-05-31$14,873,567
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-05-31$13,272,079
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-05-31$13,272,079
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-05-31$115,353
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$686,279
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31No
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$19,199,154
Contract administrator fees2013-05-31$2,816,953
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-05-31No
Liabilities. Value of benefit claims payable at end of year2013-05-31$1,925,000
Liabilities. Value of benefit claims payable at beginning of year2013-05-31$1,965,000
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2013-05-31560747981
2012 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$1,965,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$1,401,901
Total income from all sources (including contributions)2012-05-31$23,568,653
Total of all expenses incurred2012-05-31$23,487,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$20,553,814
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$23,077,305
Value of total assets at end of year2012-05-31$21,121,004
Value of total assets at beginning of year2012-05-31$20,477,183
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$2,934,117
Total interest from all sources2012-05-31$209,625
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Administrative expenses professional fees incurred2012-05-31$104,097
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$1,000,000
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$23,077,305
Assets. Other investments not covered elsewhere at end of year2012-05-31$103,858
Assets. Other investments not covered elsewhere at beginning of year2012-05-31$275,521
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-05-31$907,775
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-05-31$520,902
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-05-31$1,901
Other income not declared elsewhere2012-05-31$281,723
Administrative expenses (other) incurred2012-05-31$86,101
Total non interest bearing cash at end of year2012-05-31$6,837,292
Total non interest bearing cash at beginning of year2012-05-31$6,662,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$80,722
Value of net assets at end of year (total assets less liabilities)2012-05-31$19,156,004
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$19,075,282
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$13,272,079
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$13,017,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$13,017,772
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$209,625
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$1,091,067
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31No
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$19,462,747
Contract administrator fees2012-05-31$2,743,919
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-05-31No
Liabilities. Value of benefit claims payable at end of year2012-05-31$1,965,000
Liabilities. Value of benefit claims payable at beginning of year2012-05-31$1,400,000
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2012-05-31560747981
2011 : NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$1,401,901
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$1,503,893
Total income from all sources (including contributions)2011-05-31$22,973,818
Total of all expenses incurred2011-05-31$19,734,630
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$16,994,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$22,641,930
Value of total assets at end of year2011-05-31$20,477,183
Value of total assets at beginning of year2011-05-31$17,339,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$2,740,622
Total interest from all sources2011-05-31$329,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Administrative expenses professional fees incurred2011-05-31$66,768
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$1,000,000
If this is an individual account plan, was there a blackout period2011-05-31No
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Contributions received from participants2011-05-31$22,641,930
Assets. Other investments not covered elsewhere at end of year2011-05-31$275,521
Assets. Other investments not covered elsewhere at beginning of year2011-05-31$338,504
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-05-31$520,902
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$719,750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-05-31$1,901
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-05-31$3,893
Other income not declared elsewhere2011-05-31$2,278
Administrative expenses (other) incurred2011-05-31$133,743
Total non interest bearing cash at end of year2011-05-31$6,662,988
Total non interest bearing cash at beginning of year2011-05-31$3,274,330
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$3,239,188
Value of net assets at end of year (total assets less liabilities)2011-05-31$19,075,282
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$15,836,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$13,017,772
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$13,007,403
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$13,007,403
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$329,610
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$940,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31No
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$16,053,552
Contract administrator fees2011-05-31$2,540,111
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-05-31No
Liabilities. Value of benefit claims payable at end of year2011-05-31$1,400,000
Liabilities. Value of benefit claims payable at beginning of year2011-05-31$1,500,000
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2011-05-31560747981

Form 5500 Responses for NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST

2021: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2021 form 5500 responses
2021-06-01Type of plan entityMulitple employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2020 form 5500 responses
2020-06-01Type of plan entityMulitple employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes
2019: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2019 form 5500 responses
2019-06-01Type of plan entityMulitple employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2018: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2018 form 5500 responses
2018-06-01Type of plan entityMulitple employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes
2017: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2017 form 5500 responses
2017-06-01Type of plan entityMulitple employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement - TrustYes
2016: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2016 form 5500 responses
2016-06-01Type of plan entityMulitple employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2015 form 5500 responses
2015-06-01Type of plan entityMulitple employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2014 form 5500 responses
2014-06-01Type of plan entityMulitple employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2013 form 5500 responses
2013-06-01Type of plan entityMulitple employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2012 form 5500 responses
2012-06-01Type of plan entityMulitple employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2011 form 5500 responses
2011-06-01Type of plan entityMulitple employer plan
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2010: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2010 form 5500 responses
2010-06-01Type of plan entityMulitple employer plan
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan funding arrangement – TrustYes
2010-06-01Plan benefit arrangement – InsuranceYes
2010-06-01Plan benefit arrangement - TrustYes
2009: NORTH CAROLINA BANKERS ASSOCIATION HEALTH BENEFIT TRUST 2009 form 5500 responses
2009-06-01Type of plan entityMulitple employer plan
2009-06-01This submission is the final filingNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34101
Policy instance 2
Insurance contract or identification numberHCL34101
Number of Individuals Covered2254
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $151,953
Total amount of fees paid to insurance companyUSD $7,853
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,787,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,172
Amount paid for insurance broker fees5743
Additional information about fees paid to insurance brokerOTHER PAYMENTS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered3841
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $0
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 numberHCL34101
Policy instance 2
Insurance contract or identification numberHCL34101
Number of Individuals Covered2433
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $106,797
Total amount of fees paid to insurance companyUSD $6,030
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,256,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64,078
Amount paid for insurance broker fees4020
Additional information about fees paid to insurance brokerOTHER COMMISSION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered4114
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered3815
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
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 numberHCL34101
Policy instance 2
Insurance contract or identification numberHCL34101
Number of Individuals Covered2265
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $96,002
Total amount of fees paid to insurance companyUSD $3,427
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,129,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,601
Amount paid for insurance broker fees2077
Additional information about fees paid to insurance brokerOTHER COMMISSION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered4327
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
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 numberHCL34101
Policy instance 2
Insurance contract or identification numberHCL34101
Number of Individuals Covered2571
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $89,992
Total amount of fees paid to insurance companyUSD $3,411
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,058,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,995
Amount paid for insurance broker fees2830
Additional information about fees paid to insurance brokerOTHER COMMISSION
Insurance broker organization code?3
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-2850
Policy instance 3
Insurance contract or identification number947-2850
Number of Individuals Covered2588
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $74,701
Total amount of fees paid to insurance companyUSD $21,944
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCAPTIVE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $878,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,821
Amount paid for insurance broker fees21944
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANK SERVICES, INC.
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-2851
Policy instance 2
Insurance contract or identification number947-2851
Number of Individuals Covered2588
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $6,841
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCAPTIVE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $80,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,105
Insurance broker organization code?3
Insurance broker nameCOMMUNITY BANK SERVICES, INC.
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered4300
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-4770
Policy instance 2
Insurance contract or identification number949-4770
Number of Individuals Covered3549
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $89,934
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCAPTIVE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,058,044
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89,934
Insurance broker organization code?3
Insurance broker nameJAMES A SCOTT
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered5882
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered5163
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-4107
Policy instance 2
Insurance contract or identification number949-4107
Number of Individuals Covered3206
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $83,545
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCAPTIVE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $982,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83,545
Insurance broker organization code?3
Insurance broker nameJAMES A SCOTT
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-4107
Policy instance 2
Insurance contract or identification number949-4107
Number of Individuals Covered2678
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $74,660
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCAPTIVE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $878,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,660
Insurance broker organization code?3
Insurance broker nameJAMES A SCOTT
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract numberBNK
Policy instance 1
Insurance contract or identification numberBNK
Number of Individuals Covered4298
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-1561
Policy instance 1
Insurance contract or identification number949-1561
Number of Individuals Covered2902
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $75,676
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 $390,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,676
Insurance broker organization code?3
Insurance broker nameAIG BENEFIT SOLUTIONS
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-007499-00
Policy instance 1
Insurance contract or identification number16-007499-00
Number of Individuals Covered3181
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $80,650
Total amount of fees paid to insurance companyUSD $40,485
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 $1,008,121
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-007499-00
Policy instance 1
Insurance contract or identification number16-007499-00
Number of Individuals Covered2734
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $75,236
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 $940,456
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,236
Insurance broker organization code?3
Insurance broker nameCORPORATE BENEFIT SYSTEMS

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