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NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 401k Plan overview

Plan NameNEW RIVER VALLEY UAW RETIREE MEDICAL PLAN
Plan identification number 507

NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN Benefits

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

401k Sponsoring company profile

VOLVO GROUP NORTH AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name:VOLVO GROUP NORTH AMERICA LLC
Employer identification number (EIN):582431188
NAIC Classification:336100

Additional information about VOLVO GROUP NORTH AMERICA LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2977435

More information about VOLVO GROUP NORTH AMERICA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01
5072021-01-01
5072020-01-01
5072019-01-01
5072018-01-01
5072017-01-01KAREN W HALL, CONTROLLER, HR
5072016-01-01KAREN W HALL, CONTROLLER, HR
5072015-01-01KAREN W HALL, CONTROLLER, HR
5072015-01-01
5072014-01-01KAREN W HALL, CONTROLLER, HR
5072013-01-01KAREN W HALL, CONTROLLER, HR
5072012-01-01KAREN W HALL, CONTROLLER, HR
5072011-01-01KAREN W HALL, CONTROLLER, HR KAREN W HALL, CONTROLLER, HR2012-09-27
5072010-01-01KAREN W HALL, CONTROLLER, HR KAREN W HALL, CONTROLLER, HR2011-10-21

Plan Statistics for NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN

401k plan membership statisitcs for NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN

Measure Date Value
2022: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01775
Total number of active participants reported on line 7a of the Form 55002022-01-01776
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01776
2021: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01866
Total number of active participants reported on line 7a of the Form 55002021-01-01775
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01775
2020: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01975
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-01866
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01866
2019: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01919
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-01975
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01975
2018: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01882
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-01919
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01919
2017: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01905
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-01882
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01882
2016: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01832
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-01905
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01905
2015: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01776
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-01832
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01832
2014: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01694
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-01776
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01776
2013: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01660
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-01694
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01694
2012: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01638
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-01660
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01660
2011: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01588
Number of retired or separated participants receiving benefits2011-01-01638
Total of all active and inactive participants2011-01-01638
2010: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01301
Total number of active participants reported on line 7a of the Form 55002010-01-010
Number of retired or separated participants receiving benefits2010-01-01588
Total of all active and inactive participants2010-01-01588

Financial Data on NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN

Measure Date Value
2017 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$327
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,008
Total income from all sources (including contributions)2017-12-31$6,437,040
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,577,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,408,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,429,887
Value of total assets at end of year2017-12-31$327
Value of total assets at beginning of year2017-12-31$1,142,446
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$168,641
Total interest from all sources2017-12-31$7,153
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$168,641
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$327
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$388
Liabilities. Value of operating payables at end of year2017-12-31$327
Liabilities. Value of operating payables at beginning of year2017-12-31$2,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-1,140,438
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,140,438
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,142,058
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,142,058
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$7,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$6,429,887
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,408,837
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2017-12-31410746749
2016 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,008
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$363,040
Total income from all sources (including contributions)2016-12-31$4,750,104
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$6,061,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,707,655
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,745,519
Value of total assets at end of year2016-12-31$1,142,446
Value of total assets at beginning of year2016-12-31$2,815,336
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$354,307
Total interest from all sources2016-12-31$4,585
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$354,307
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$388
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Liabilities. Value of operating payables at end of year2016-12-31$2,008
Liabilities. Value of operating payables at beginning of year2016-12-31$2,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-1,311,858
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,140,438
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,452,296
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,142,058
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,815,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,815,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$4,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,745,519
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,707,655
Liabilities. Value of benefit claims payable at end of year2016-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$361,000
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$363,040
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$760,040
Total income from all sources (including contributions)2015-12-31$5,461,554
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$5,526,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,252,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,461,192
Value of total assets at end of year2015-12-31$2,815,336
Value of total assets at beginning of year2015-12-31$3,276,991
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$273,760
Total interest from all sources2015-12-31$362
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$20,263
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Liabilities. Value of operating payables at end of year2015-12-31$2,040
Liabilities. Value of operating payables at beginning of year2015-12-31$2,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-64,655
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,452,296
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,516,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$8,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,815,336
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,276,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,276,991
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$362
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$5,461,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,252,449
Contract administrator fees2015-12-31$245,433
Liabilities. Value of benefit claims payable at end of year2015-12-31$361,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$758,000
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-12-31410746749
2014 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$760,040
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$5,524
Total income from all sources (including contributions)2014-12-31$4,001,968
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$4,987,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$4,687,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,001,580
Value of total assets at end of year2014-12-31$3,276,991
Value of total assets at beginning of year2014-12-31$3,508,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$299,930
Total interest from all sources2014-12-31$388
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$18,361
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Liabilities. Value of operating payables at end of year2014-12-31$2,040
Liabilities. Value of operating payables at beginning of year2014-12-31$5,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-985,846
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,516,951
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,502,797
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$11,572
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,276,991
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,508,321
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,508,321
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$388
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,001,580
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,687,884
Contract administrator fees2014-12-31$269,997
Liabilities. Value of benefit claims payable at end of year2014-12-31$758,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2014-12-31410746749
2013 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,524
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,568
Total income from all sources (including contributions)2013-12-31$4,095,103
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,123,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,726,383
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,094,713
Value of total assets at end of year2013-12-31$3,508,321
Value of total assets at beginning of year2013-12-31$3,533,023
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$397,378
Total interest from all sources2013-12-31$390
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$17,540
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$3,726,383
Liabilities. Value of operating payables at end of year2013-12-31$5,524
Liabilities. Value of operating payables at beginning of year2013-12-31$1,568
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-28,658
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,502,797
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,531,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$11,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,508,321
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,533,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,533,023
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$390
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,094,713
Contract administrator fees2013-12-31$368,359
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2013-12-31410746749
2012 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,568
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,811
Total income from all sources (including contributions)2012-12-31$4,537,745
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$4,568,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,146,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,537,745
Value of total assets at end of year2012-12-31$3,533,023
Value of total assets at beginning of year2012-12-31$3,566,299
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$422,160
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$22,548
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$4,146,618
Liabilities. Value of operating payables at end of year2012-12-31$1,568
Liabilities. Value of operating payables at beginning of year2012-12-31$3,811
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-31,033
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,531,455
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,562,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$8,485
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,533,023
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,566,299
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,566,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$4,537,745
Contract administrator fees2012-12-31$391,127
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2012-12-31410746749
2011 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,811
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$111,282
Total income from all sources (including contributions)2011-12-31$4,481,983
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,409,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,062,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,480,218
Value of total assets at end of year2011-12-31$3,566,299
Value of total assets at beginning of year2011-12-31$3,601,136
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$346,387
Total interest from all sources2011-12-31$1,765
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$28,186
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$4,062,962
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$436
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$107,000
Liabilities. Value of operating payables at end of year2011-12-31$3,811
Liabilities. Value of operating payables at beginning of year2011-12-31$4,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$72,634
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,562,488
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,489,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$7,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,566,299
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$3,514,716
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$3,514,716
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$4,480,218
Employer contributions (assets) at beginning of year2011-12-31$85,984
Contract administrator fees2011-12-31$310,256
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2011-12-31410746749
2010 : NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$3,767,676
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$111,282
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$4,189,596
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$4,467,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$4,290,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,184,162
Value of total assets at end of year2010-12-31$3,601,136
Value of total assets at beginning of year2010-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$177,314
Total interest from all sources2010-12-31$5,434
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$4,290,104
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$436
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$107,000
Administrative expenses (other) incurred2010-12-31$10,290
Liabilities. Value of operating payables at end of year2010-12-31$4,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-277,822
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,489,854
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$3,514,716
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$5,434
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,184,162
Employer contributions (assets) at end of year2010-12-31$85,984
Contract administrator fees2010-12-31$167,024
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31LARSONALLEN LLP
Accountancy firm EIN2010-12-31410746749

Form 5500 Responses for NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN

2022: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: NEW RIVER VALLEY UAW RETIREE MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number1207
Policy instance 1
Insurance contract or identification number1207
Number of Individuals Covered1553
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number1207
Policy instance 1
Insurance contract or identification number1207
Number of Individuals Covered1529
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number1207
Policy instance 1
Insurance contract or identification number1207
Number of Individuals Covered1540
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54658 )
Policy contract number1207
Policy instance 1
Insurance contract or identification number1207
Number of Individuals Covered1530
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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