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PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 401k Plan overview

Plan NamePLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN
Plan identification number 501

PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TRUSTEES PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN
Employer identification number (EIN):596134281
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01BRETT MIRSKY2023-10-13
5012021-01-01BRETT MIRSKY2022-10-07 ANDY FRATTIN2022-10-07
5012020-01-01BRETT MIRSKY2021-10-07 ANDY FRATTIN2021-10-07
5012019-01-01BRETT MIRSKY2020-10-02 TOM FONSECA2020-10-02
5012018-01-01BRETT MIRSKY2019-10-11 TOM FONSECA2019-10-11
5012017-01-01BRETT MIRSKY TOM FONSECA2018-10-19
5012017-01-01BRETT MIRSKY TOM FONSECA2018-10-15
5012016-01-01BRETT MIRSKY TOM FONSECA2017-10-16
5012015-01-01BRETT MIRSKY TOM FONSECA2016-10-14
5012014-01-01BRETT MIRSKY TOM FONSECA2015-10-12
5012013-01-01TOM FONSECA BRETT MIRSKY2014-10-10
5012012-01-01TOM FONSECA BRETT MIRSKY2013-10-15
5012011-01-01BRETT MIRSKY TOM FONSECA2012-10-12
5012009-01-01BRETT MIRSKY TOM FONSECA2010-10-01

Plan Statistics for PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN

401k plan membership statisitcs for PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN

Measure Date Value
2022: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01312
Total number of active participants reported on line 7a of the Form 55002022-01-01257
Number of retired or separated participants receiving benefits2022-01-0149
Total of all active and inactive participants2022-01-01306
Number of employers contributing to the scheme2022-01-0130
2021: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01313
Total number of active participants reported on line 7a of the Form 55002021-01-01268
Number of retired or separated participants receiving benefits2021-01-0144
Total of all active and inactive participants2021-01-01312
Number of employers contributing to the scheme2021-01-0128
2020: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01271
Total number of active participants reported on line 7a of the Form 55002020-01-01274
Number of retired or separated participants receiving benefits2020-01-0139
Total of all active and inactive participants2020-01-01313
Number of employers contributing to the scheme2020-01-0126
2019: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01271
Total number of active participants reported on line 7a of the Form 55002019-01-01233
Number of retired or separated participants receiving benefits2019-01-0138
Total of all active and inactive participants2019-01-01271
Number of employers contributing to the scheme2019-01-0130
2018: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01296
Total number of active participants reported on line 7a of the Form 55002018-01-01233
Number of retired or separated participants receiving benefits2018-01-0138
Total of all active and inactive participants2018-01-01271
Number of employers contributing to the scheme2018-01-0126
2017: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01247
Total number of active participants reported on line 7a of the Form 55002017-01-01262
Number of retired or separated participants receiving benefits2017-01-0134
Total of all active and inactive participants2017-01-01296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-017
Total participants2017-01-01303
Number of employers contributing to the scheme2017-01-0124
2016: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01232
Total number of active participants reported on line 7a of the Form 55002016-01-01210
Number of retired or separated participants receiving benefits2016-01-0137
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01247
Total participants2016-01-01247
Number of employers contributing to the scheme2016-01-0125
2015: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01242
Total number of active participants reported on line 7a of the Form 55002015-01-01195
Number of retired or separated participants receiving benefits2015-01-0137
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01232
Total participants2015-01-01232
Number of employers contributing to the scheme2015-01-0124
2014: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01215
Total number of active participants reported on line 7a of the Form 55002014-01-01203
Number of retired or separated participants receiving benefits2014-01-0139
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01242
Number of employers contributing to the scheme2014-01-0122
2013: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01204
Total number of active participants reported on line 7a of the Form 55002013-01-01179
Number of retired or separated participants receiving benefits2013-01-0136
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01215
Number of employers contributing to the scheme2013-01-0122
2012: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01225
Total number of active participants reported on line 7a of the Form 55002012-01-01170
Number of retired or separated participants receiving benefits2012-01-0134
Total of all active and inactive participants2012-01-01204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01204
Number of employers contributing to the scheme2012-01-0119
2011: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01228
Total number of active participants reported on line 7a of the Form 55002011-01-01191
Number of retired or separated participants receiving benefits2011-01-0134
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01225
Total participants2011-01-01225
2009: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01245
Total number of active participants reported on line 7a of the Form 55002009-01-01190
Number of retired or separated participants receiving benefits2009-01-0132
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-01224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01224
Number of employers contributing to the scheme2009-01-0128

Financial Data on PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN

Measure Date Value
2022 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-48,255
Total unrealized appreciation/depreciation of assets2022-12-31$-48,255
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,016,375
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,032,193
Total income from all sources (including contributions)2022-12-31$3,690,954
Total loss/gain on sale of assets2022-12-31$56,865
Total of all expenses incurred2022-12-31$4,254,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,939,878
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,990,592
Value of total assets at end of year2022-12-31$6,201,990
Value of total assets at beginning of year2022-12-31$6,781,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$314,704
Total interest from all sources2022-12-31$63,529
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$96,736
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$96,736
Administrative expenses professional fees incurred2022-12-31$82,704
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$22,409
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$22,775
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$225,195
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$29,980
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$20,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$204,502
Other income not declared elsewhere2022-12-31$5,785
Administrative expenses (other) incurred2022-12-31$103,382
Liabilities. Value of operating payables at end of year2022-12-31$3,118
Liabilities. Value of operating payables at beginning of year2022-12-31$6,232
Total non interest bearing cash at end of year2022-12-31$427,800
Total non interest bearing cash at beginning of year2022-12-31$432,768
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-563,628
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,185,615
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,749,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$60,177
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,441,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,939,182
Interest earned on other investments2022-12-31$5
Income. Interest from corporate debt instruments2022-12-31$60,777
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$432,437
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$319,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$319,973
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,747
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$767,481
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-474,298
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$3,765,397
Employer contributions (assets) at end of year2022-12-31$422,403
Employer contributions (assets) at beginning of year2022-12-31$395,278
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,172,397
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$949,390
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$909,511
Contract administrator fees2022-12-31$68,441
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$1,475,793
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$2,741,096
Liabilities. Value of benefit claims payable at end of year2022-12-31$808,755
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,025,961
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$3,651,486
Aggregate carrying amount (costs) on sale of assets2022-12-31$3,594,621
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-12-31611436956
2021 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-604,862
Total unrealized appreciation/depreciation of assets2021-12-31$-604,862
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,032,193
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$791,723
Total income from all sources (including contributions)2021-12-31$4,624,857
Total loss/gain on sale of assets2021-12-31$246,895
Total of all expenses incurred2021-12-31$4,979,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,686,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$4,242,975
Value of total assets at end of year2021-12-31$6,781,436
Value of total assets at beginning of year2021-12-31$6,895,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$292,246
Total interest from all sources2021-12-31$44,084
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$138,969
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$115,234
Administrative expenses professional fees incurred2021-12-31$92,164
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$22,775
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$35,048
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$192,164
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$20,853
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$29,604
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$85,690
Administrative expenses (other) incurred2021-12-31$66,867
Liabilities. Value of operating payables at end of year2021-12-31$6,232
Liabilities. Value of operating payables at beginning of year2021-12-31$789
Total non interest bearing cash at end of year2021-12-31$432,768
Total non interest bearing cash at beginning of year2021-12-31$404,415
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-354,322
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,749,243
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,103,565
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$63,634
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,939,182
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,367,955
Interest earned on other investments2021-12-31$1,651
Income. Interest from corporate debt instruments2021-12-31$42,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$319,973
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$512,181
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$512,181
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$72
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$833,850
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$556,796
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,050,811
Employer contributions (assets) at end of year2021-12-31$395,278
Employer contributions (assets) at beginning of year2021-12-31$553,141
Income. Dividends from preferred stock2021-12-31$1,519
Income. Dividends from common stock2021-12-31$22,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,853,083
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$909,511
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$1,022,064
Contract administrator fees2021-12-31$69,581
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$2,741,096
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$970,880
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,025,961
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$705,244
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$2,219,990
Aggregate carrying amount (costs) on sale of assets2021-12-31$1,973,095
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-12-31611436956
2020 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$168,829
Total unrealized appreciation/depreciation of assets2020-12-31$168,829
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$791,723
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$411,853
Total income from all sources (including contributions)2020-12-31$4,894,867
Total loss/gain on sale of assets2020-12-31$65,808
Total of all expenses incurred2020-12-31$4,137,079
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,872,763
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,069,695
Value of total assets at end of year2020-12-31$6,895,288
Value of total assets at beginning of year2020-12-31$5,757,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$264,316
Total interest from all sources2020-12-31$52,140
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$180,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$175,543
Administrative expenses professional fees incurred2020-12-31$87,430
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$35,048
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$172,949
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$178,918
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$29,604
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$9,270
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$85,690
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$104,713
Administrative expenses (other) incurred2020-12-31$58,384
Liabilities. Value of operating payables at end of year2020-12-31$789
Liabilities. Value of operating payables at beginning of year2020-12-31$1,930
Total non interest bearing cash at end of year2020-12-31$404,415
Total non interest bearing cash at beginning of year2020-12-31$348,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$757,788
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,103,565
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,345,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$52,513
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,367,955
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,691,760
Income. Interest from corporate debt instruments2020-12-31$51,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$512,181
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$742,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$742,310
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$956
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$770,708
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$357,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,890,777
Employer contributions (assets) at end of year2020-12-31$553,141
Employer contributions (assets) at beginning of year2020-12-31$365,660
Income. Dividends from preferred stock2020-12-31$5,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,102,055
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$1,022,064
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$565,486
Contract administrator fees2020-12-31$65,989
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$970,880
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$861,595
Liabilities. Value of benefit claims payable at end of year2020-12-31$705,244
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$305,210
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$2,383,553
Aggregate carrying amount (costs) on sale of assets2020-12-31$2,317,745
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-12-31611436956
2019 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$29,249
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$29,249
Total unrealized appreciation/depreciation of assets2019-12-31$29,249
Total unrealized appreciation/depreciation of assets2019-12-31$29,249
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$411,853
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$411,853
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,091,602
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,091,602
Total income from all sources (including contributions)2019-12-31$3,805,183
Total income from all sources (including contributions)2019-12-31$3,805,183
Total loss/gain on sale of assets2019-12-31$49,972
Total loss/gain on sale of assets2019-12-31$49,972
Total of all expenses incurred2019-12-31$2,533,443
Total of all expenses incurred2019-12-31$2,533,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,288,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,288,232
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,323,864
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,323,864
Value of total assets at end of year2019-12-31$5,757,630
Value of total assets at end of year2019-12-31$5,757,630
Value of total assets at beginning of year2019-12-31$5,165,639
Value of total assets at beginning of year2019-12-31$5,165,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$245,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$245,211
Total interest from all sources2019-12-31$35,480
Total interest from all sources2019-12-31$35,480
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$93,304
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$93,304
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$76,824
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$76,824
Administrative expenses professional fees incurred2019-12-31$73,500
Administrative expenses professional fees incurred2019-12-31$73,500
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$172,949
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-12-31$172,949
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$272,680
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-12-31$272,680
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Value of fidelity bond cover2019-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$182,611
Contributions received from participants2019-12-31$182,611
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$9,270
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$9,270
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$320,344
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$320,344
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$104,713
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$104,713
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$130,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$130,397
Administrative expenses (other) incurred2019-12-31$67,220
Administrative expenses (other) incurred2019-12-31$67,220
Liabilities. Value of operating payables at end of year2019-12-31$1,930
Liabilities. Value of operating payables at end of year2019-12-31$1,930
Liabilities. Value of operating payables at beginning of year2019-12-31$667
Liabilities. Value of operating payables at beginning of year2019-12-31$667
Total non interest bearing cash at end of year2019-12-31$348,600
Total non interest bearing cash at end of year2019-12-31$348,600
Total non interest bearing cash at beginning of year2019-12-31$282,168
Total non interest bearing cash at beginning of year2019-12-31$282,168
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,271,740
Value of net income/loss2019-12-31$1,271,740
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,345,777
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,345,777
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,074,037
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,074,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$45,539
Investment advisory and management fees2019-12-31$45,539
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,691,760
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,691,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,068,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,068,865
Income. Interest from corporate debt instruments2019-12-31$32,330
Income. Interest from corporate debt instruments2019-12-31$32,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$742,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$742,310
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$519,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$519,635
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$519,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$519,635
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$3,150
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$708,483
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$708,483
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$273,314
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$273,314
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,141,253
Contributions received in cash from employer2019-12-31$3,141,253
Employer contributions (assets) at end of year2019-12-31$365,660
Employer contributions (assets) at end of year2019-12-31$365,660
Employer contributions (assets) at beginning of year2019-12-31$386,534
Employer contributions (assets) at beginning of year2019-12-31$386,534
Income. Dividends from preferred stock2019-12-31$11,530
Income. Dividends from preferred stock2019-12-31$11,530
Income. Dividends from common stock2019-12-31$4,950
Income. Dividends from common stock2019-12-31$4,950
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,579,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,579,749
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$565,486
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$565,486
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$604,958
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$604,958
Contract administrator fees2019-12-31$58,952
Contract administrator fees2019-12-31$58,952
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$861,595
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$861,595
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$710,455
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$710,455
Liabilities. Value of benefit claims payable at end of year2019-12-31$305,210
Liabilities. Value of benefit claims payable at end of year2019-12-31$305,210
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$960,538
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$960,538
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$1,781,267
Aggregate proceeds on sale of assets2019-12-31$1,781,267
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,731,295
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,731,295
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NOVAK FRANCELLA LLC
Accountancy firm name2019-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2019-12-31611436956
Accountancy firm EIN2019-12-31611436956
2018 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-216,093
Total unrealized appreciation/depreciation of assets2018-12-31$-216,093
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,091,602
Total income from all sources (including contributions)2018-12-31$2,911,505
Total loss/gain on sale of assets2018-12-31$19,689
Total of all expenses incurred2018-12-31$4,430,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,669,319
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,846,050
Value of total assets at end of year2018-12-31$5,165,639
Value of total assets at beginning of year2018-12-31$5,593,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$761,179
Total interest from all sources2018-12-31$36,974
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$227,466
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$121,303
Administrative expenses professional fees incurred2018-12-31$93,746
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-12-31$272,680
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$708,400
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$182,444
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$320,344
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$130,397
Administrative expenses (other) incurred2018-12-31$555,524
Liabilities. Value of operating payables at end of year2018-12-31$667
Total non interest bearing cash at end of year2018-12-31$282,168
Total non interest bearing cash at beginning of year2018-12-31$1,338,874
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,518,993
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,074,037
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,593,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$49,605
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,068,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,390,389
Income. Interest from corporate debt instruments2018-12-31$34,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$519,635
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$202,898
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$202,898
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2,787
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$752,883
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,581
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,663,606
Employer contributions (assets) at end of year2018-12-31$386,534
Income. Dividends from preferred stock2018-12-31$16,073
Income. Dividends from common stock2018-12-31$90,090
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,916,436
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$604,958
Contract administrator fees2018-12-31$62,304
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$710,455
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$952,469
Liabilities. Value of benefit claims payable at end of year2018-12-31$960,538
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$1,141,711
Aggregate carrying amount (costs) on sale of assets2018-12-31$1,122,022
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2018-12-31611436956
2017 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$154,496
Total unrealized appreciation/depreciation of assets2017-12-31$154,496
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,703,363
Total loss/gain on sale of assets2017-12-31$-10,462
Total of all expenses incurred2017-12-31$2,811,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,549,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,424,639
Value of total assets at end of year2017-12-31$5,593,030
Value of total assets at beginning of year2017-12-31$4,700,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$261,678
Total interest from all sources2017-12-31$1,253
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$133,437
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$104,133
Administrative expenses professional fees incurred2017-12-31$76,687
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$708,400
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$330,738
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
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
Contributions received from participants2017-12-31$180,533
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$109,445
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$82,736
Administrative expenses (other) incurred2017-12-31$70,810
Total non interest bearing cash at end of year2017-12-31$1,338,874
Total non interest bearing cash at beginning of year2017-12-31$724,095
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$892,106
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,593,030
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,700,924
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
Investment advisory and management fees2017-12-31$47,585
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,390,389
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,199,078
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$202,898
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$200,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$200,902
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,253
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$162,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$3,244,106
Income. Dividends from preferred stock2017-12-31$14,727
Income. Dividends from common stock2017-12-31$14,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,277,405
Contract administrator fees2017-12-31$66,596
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$952,469
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$163,375
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2017-12-31$1,368,565
Aggregate carrying amount (costs) on sale of assets2017-12-31$1,379,027
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BMJ CPA PLC
Accountancy firm EIN2017-12-31453414091
2016 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$105,474
Total unrealized appreciation/depreciation of assets2016-12-31$105,474
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$13,383
Total income from all sources (including contributions)2016-12-31$2,865,906
Total loss/gain on sale of assets2016-12-31$48,653
Total of all expenses incurred2016-12-31$2,959,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,677,559
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,534,814
Value of total assets at end of year2016-12-31$4,700,924
Value of total assets at beginning of year2016-12-31$4,807,914
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$281,954
Total interest from all sources2016-12-31$351
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$176,614
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$174,828
Administrative expenses professional fees incurred2016-12-31$71,189
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$330,738
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$220,500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
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
Contributions received from participants2016-12-31$149,386
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$82,736
Administrative expenses (other) incurred2016-12-31$100,564
Liabilities. Value of operating payables at beginning of year2016-12-31$13,383
Total non interest bearing cash at end of year2016-12-31$724,095
Total non interest bearing cash at beginning of year2016-12-31$647,442
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-93,607
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,700,924
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,794,531
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
Investment advisory and management fees2016-12-31$47,051
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,199,078
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,398,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$200,902
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$541,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$541,804
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$351
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$306,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$2,385,428
Income. Dividends from preferred stock2016-12-31$1,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,371,519
Contract administrator fees2016-12-31$63,150
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$163,375
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
Aggregate proceeds on sale of assets2016-12-31$3,484,781
Aggregate carrying amount (costs) on sale of assets2016-12-31$3,436,128
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BMJ, CPA, PLC
Accountancy firm EIN2016-12-31453414091
2015 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-281,063
Total unrealized appreciation/depreciation of assets2015-12-31$-281,063
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$13,383
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$2,300,241
Total loss/gain on sale of assets2015-12-31$149,283
Total of all expenses incurred2015-12-31$3,129,537
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,880,145
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,220,743
Value of total assets at end of year2015-12-31$4,807,914
Value of total assets at beginning of year2015-12-31$5,623,827
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$249,392
Total interest from all sources2015-12-31$44
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$211,234
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$209,047
Administrative expenses professional fees incurred2015-12-31$42,739
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$220,500
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$447,000
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$153,252
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$82,465
Administrative expenses (other) incurred2015-12-31$93,763
Liabilities. Value of operating payables at end of year2015-12-31$13,383
Total non interest bearing cash at end of year2015-12-31$647,442
Total non interest bearing cash at beginning of year2015-12-31$654,831
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-829,296
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,794,531
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,623,827
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$52,805
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,398,168
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$4,121,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$541,804
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$260,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$260,897
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$44
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$459,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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$2,067,491
Income. Dividends from common stock2015-12-31$2,187
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,420,702
Contract administrator fees2015-12-31$60,085
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$57,456
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
Aggregate proceeds on sale of assets2015-12-31$2,799,081
Aggregate carrying amount (costs) on sale of assets2015-12-31$2,649,798
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BMJ CPA PLC
Accountancy firm EIN2015-12-31453414091
2014 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$117,440
Total unrealized appreciation/depreciation of assets2014-12-31$117,440
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$84,450
Total income from all sources (including contributions)2014-12-31$2,595,558
Total loss/gain on sale of assets2014-12-31$10,714
Total of all expenses incurred2014-12-31$2,492,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,233,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,228,838
Value of total assets at end of year2014-12-31$5,623,827
Value of total assets at beginning of year2014-12-31$5,605,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$258,740
Total interest from all sources2014-12-31$2,536
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$236,030
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$229,151
Administrative expenses professional fees incurred2014-12-31$48,768
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$447,000
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$385,000
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$164,233
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$82,465
Administrative expenses (other) incurred2014-12-31$97,294
Liabilities. Value of operating payables at beginning of year2014-12-31$84,450
Total non interest bearing cash at end of year2014-12-31$654,831
Total non interest bearing cash at beginning of year2014-12-31$417,126
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$102,879
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,623,827
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,520,948
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$57,688
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$4,121,178
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,846,505
Income. Interest from US Government securities2014-12-31$1,343
Income. Interest from corporate debt instruments2014-12-31$492
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$260,897
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$727,550
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$727,550
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$701
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$478,468
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$125,537
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$2,064,605
Income. Dividends from common stock2014-12-31$6,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,755,471
Contract administrator fees2014-12-31$54,990
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$57,456
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$103,680
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
Aggregate proceeds on sale of assets2014-12-31$3,713,651
Aggregate carrying amount (costs) on sale of assets2014-12-31$3,702,937
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BMJ CPA PLC
Accountancy firm EIN2014-12-31453414091
2013 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-64,360
Total unrealized appreciation/depreciation of assets2013-12-31$-64,360
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$84,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$74,664
Total income from all sources (including contributions)2013-12-31$2,207,639
Total loss/gain on sale of assets2013-12-31$16,852
Total of all expenses incurred2013-12-31$2,345,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,105,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,082,532
Value of total assets at end of year2013-12-31$5,605,398
Value of total assets at beginning of year2013-12-31$5,733,535
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$239,602
Total interest from all sources2013-12-31$1,370
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$171,245
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$166,280
Administrative expenses professional fees incurred2013-12-31$59,067
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$385,000
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$477,801
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$152,056
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$10,945
Administrative expenses (other) incurred2013-12-31$77,307
Liabilities. Value of operating payables at end of year2013-12-31$84,450
Liabilities. Value of operating payables at beginning of year2013-12-31$74,664
Total non interest bearing cash at end of year2013-12-31$417,126
Total non interest bearing cash at beginning of year2013-12-31$418,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-137,923
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,520,948
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,658,871
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$58,965
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,846,505
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,447,612
Income. Interest from US Government securities2013-12-31$1,354
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$727,550
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$673,465
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$673,465
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$16
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$430,189
Asset value of US Government securities at end of year2013-12-31$125,537
Asset value of US Government securities at beginning of year2013-12-31$128,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
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$1,930,476
Income. Dividends from common stock2013-12-31$4,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,675,771
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$497,094
Contract administrator fees2013-12-31$44,263
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$103,680
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$80,023
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
Aggregate proceeds on sale of assets2013-12-31$1,832,827
Aggregate carrying amount (costs) on sale of assets2013-12-31$1,815,975
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BMJ CPA PLC
Accountancy firm EIN2013-12-31453414091
2012 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$84,647
Total unrealized appreciation/depreciation of assets2012-12-31$84,647
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$74,664
Total income from all sources (including contributions)2012-12-31$2,274,128
Total loss/gain on sale of assets2012-12-31$115,384
Total of all expenses incurred2012-12-31$1,946,085
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,779,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,932,653
Value of total assets at end of year2012-12-31$5,733,535
Value of total assets at beginning of year2012-12-31$5,330,828
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$166,691
Total interest from all sources2012-12-31$5,099
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$136,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$129,302
Administrative expenses professional fees incurred2012-12-31$51,529
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-12-31$477,801
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$130,240
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$10,945
Administrative expenses (other) incurred2012-12-31$21,371
Liabilities. Value of operating payables at end of year2012-12-31$74,664
Total non interest bearing cash at end of year2012-12-31$418,587
Total non interest bearing cash at beginning of year2012-12-31$769,262
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$328,043
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,658,871
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,330,828
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$55,352
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,447,612
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,845,203
Income. Interest from US Government securities2012-12-31$2,831
Income. Interest from corporate debt instruments2012-12-31$1,965
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$673,465
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$509,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$509,433
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$303
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$266,994
Asset value of US Government securities at end of year2012-12-31$128,008
Asset value of US Government securities at beginning of year2012-12-31$178,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
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$1,802,413
Income. Dividends from preferred stock2012-12-31$3,071
Income. Dividends from common stock2012-12-31$3,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,512,400
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$497,094
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$5,663
Contract administrator fees2012-12-31$38,439
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$80,023
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$22,483
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
Aggregate proceeds on sale of assets2012-12-31$1,305,105
Aggregate carrying amount (costs) on sale of assets2012-12-31$1,189,721
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BMJ CPA PLC
Accountancy firm EIN2012-12-31453414091
2011 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-30,394
Total unrealized appreciation/depreciation of assets2011-12-31$-30,394
Total income from all sources (including contributions)2011-12-31$2,335,276
Total loss/gain on sale of assets2011-12-31$94,882
Total of all expenses incurred2011-12-31$1,676,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,514,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,162,441
Value of total assets at end of year2011-12-31$5,330,828
Value of total assets at beginning of year2011-12-31$4,672,209
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$162,327
Total interest from all sources2011-12-31$23,239
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$75,714
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$62,705
Administrative expenses professional fees incurred2011-12-31$53,025
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$135,792
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$-19,791
Other income not declared elsewhere2011-12-31$9,394
Administrative expenses (other) incurred2011-12-31$23,544
Total non interest bearing cash at end of year2011-12-31$769,262
Total non interest bearing cash at beginning of year2011-12-31$778,116
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$658,619
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,330,828
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,672,209
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$44,488
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,845,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,287,945
Income. Interest from US Government securities2011-12-31$14,173
Income. Interest from corporate debt instruments2011-12-31$7,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$509,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,300,540
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,300,540
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1,479
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$357,787
Asset value of US Government securities at end of year2011-12-31$178,784
Asset value of US Government securities at beginning of year2011-12-31$1,256,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
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$2,026,649
Income. Dividends from preferred stock2011-12-31$12,669
Income. Dividends from common stock2011-12-31$340
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,176,334
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$5,663
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$48,897
Contract administrator fees2011-12-31$41,270
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$22,483
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
Aggregate proceeds on sale of assets2011-12-31$8,721,502
Aggregate carrying amount (costs) on sale of assets2011-12-31$8,626,620
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BMJ CPA PLC
Accountancy firm EIN2011-12-31453414091
2010 : PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-120,092
Total unrealized appreciation/depreciation of assets2010-12-31$-120,092
Total income from all sources (including contributions)2010-12-31$2,258,619
Total loss/gain on sale of assets2010-12-31$96,220
Total of all expenses incurred2010-12-31$1,732,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,576,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,080,146
Value of total assets at end of year2010-12-31$4,672,209
Value of total assets at beginning of year2010-12-31$4,146,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$155,771
Total interest from all sources2010-12-31$26,383
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$37,740
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$48,156
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$133,812
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$-120,676
Administrative expenses (other) incurred2010-12-31$23,458
Total non interest bearing cash at end of year2010-12-31$778,116
Total non interest bearing cash at beginning of year2010-12-31$643,994
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$526,047
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,672,209
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,146,162
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
Investment advisory and management fees2010-12-31$37,022
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,287,945
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,034,334
Income. Interest from US Government securities2010-12-31$22,201
Income. Interest from corporate debt instruments2010-12-31$3,251
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,300,540
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,086,853
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,086,853
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$931
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$359,747
Asset value of US Government securities at end of year2010-12-31$1,256,711
Asset value of US Government securities at beginning of year2010-12-31$1,330,781
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$138,222
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$1,946,334
Income. Dividends from common stock2010-12-31$37,740
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,337,730
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$48,897
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$50,200
Contract administrator fees2010-12-31$47,135
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
Aggregate proceeds on sale of assets2010-12-31$7,714,244
Aggregate carrying amount (costs) on sale of assets2010-12-31$7,618,024
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BMJ CPA PLC
Accountancy firm EIN2010-12-31453414091

Form 5500 Responses for PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN

2022: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedYes
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 benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-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 planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
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 planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-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 planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-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 planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-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 benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-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 planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: PLUMBERS & FITTERS LOCAL UNION 295 WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 )
Policy contract numberH2001
Policy instance 3
Insurance contract or identification numberH2001
Number of Individuals Covered71
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0138
Policy instance 2
Insurance contract or identification numberD0138
Number of Individuals Covered270
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $45,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?2
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000086-03
Policy instance 1
Insurance contract or identification number47MSL-000086-03
Number of Individuals Covered270
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $581,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number312262 & 264
Policy instance 3
Insurance contract or identification number312262 & 264
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $173,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?1
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0138
Policy instance 2
Insurance contract or identification numberD0138
Number of Individuals Covered299
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,528
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $45,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,528
Insurance broker organization code?2
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000086-03
Policy instance 1
Insurance contract or identification number47MSL-000086-03
Number of Individuals Covered279
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $60,893
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $608,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,893
Insurance broker organization code?3
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000086-03
Policy instance 1
Insurance contract or identification number47MSL-000086-03
Number of Individuals Covered248
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $50,866
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $508,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,866
Insurance broker organization code?3
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0138
Policy instance 2
Insurance contract or identification numberD0138
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $42,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number312262 & 264
Policy instance 3
Insurance contract or identification number312262 & 264
Number of Individuals Covered52
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $9,050
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $159,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,050
Insurance broker organization code?3
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000086-02
Policy instance 1
Insurance contract or identification number47MSL-000086-02
Number of Individuals Covered213
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $54,933
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $549,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,933
Insurance broker organization code?3
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0138
Policy instance 2
Insurance contract or identification numberD0138
Number of Individuals Covered275
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $6,040
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,040
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number312262 & 264
Policy instance 3
Insurance contract or identification number312262 & 264
Number of Individuals Covered56
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,625
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $140,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,625
Insurance broker organization code?3
BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 )
Policy contract number47MSL-000086-01
Policy instance 1
Insurance contract or identification number47MSL-000086-01
Number of Individuals Covered227
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $38,482
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $384,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,482
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE467024
Policy instance 2
Insurance contract or identification numberAE467024
Number of Individuals Covered54
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $208,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0138
Policy instance 3
Insurance contract or identification numberD0138
Number of Individuals Covered275
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $6,040
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $41,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,040
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD1038
Policy instance 4
Insurance contract or identification numberD1038
Number of Individuals Covered206
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $5,338
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 BenefitYes
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 $35,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,714
Insurance broker organization code?3
Insurance broker nameLASSITER-WARE INC
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0138
Policy instance 4
Insurance contract or identification numberD0138
Number of Individuals Covered206
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $5,338
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 BenefitYes
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 $35,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,624
Insurance broker organization code?3
Insurance broker nameLASSITER-WARE INC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE467024
Policy instance 3
Insurance contract or identification numberAE467024
Number of Individuals Covered54
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 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
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 numberHCL17708
Policy instance 2
Insurance contract or identification numberHCL17708
Number of Individuals Covered210
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $18,659
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 $243,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees422
Additional information about fees paid to insurance brokerOTHER COMMISSIONS OVERRIDE
Insurance broker organization code?3
Insurance broker nameLASSITER-WARE INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 1
Insurance contract or identification number12331739
Number of Individuals Covered304
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 BenefitNo
Vision Insurance Welfare BenefitYes
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 $23,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker nameLASSITER-WARE INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 5
Insurance contract or identification number12331739
Number of Individuals Covered234
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitYes
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 $23,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2470882
Policy instance 2
Insurance contract or identification number2470882
Number of Individuals Covered234
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
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 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 $8,797
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 numberHCL17708
Policy instance 4
Insurance contract or identification numberHCL17708
Number of Individuals Covered226
Insurance policy start date2014-05-01
Insurance policy end date2015-05-01
Total amount of commissions paid to insurance brokerUSD $23,260
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?No
Welfare Benefit Premiums Paid to CarrierUSD $266,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,974
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameNELSEN INSURANCE CONSULTING INC
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AL5T
Policy instance 3
Insurance contract or identification numberG000AL5T
Number of Individuals Covered236
Insurance policy start date2004-04-01
Insurance policy end date2015-04-01
Total amount of commissions paid to insurance brokerUSD $4,537
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 BenefitYes
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 $30,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,171
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameDONALD J NELSON
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3220922
Policy instance 1
Insurance contract or identification number3220922
Number of Individuals Covered234
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
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?No
Welfare Benefit Premiums Paid to CarrierUSD $111,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3220922
Policy instance 1
Insurance contract or identification number3220922
Number of Individuals Covered240
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 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 $8,093
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3220922
Policy instance 2
Insurance contract or identification number3220922
Number of Individuals Covered240
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
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
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 $103,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000ALST
Policy instance 3
Insurance contract or identification numberG000ALST
Number of Individuals Covered209
Insurance policy start date2013-04-01
Insurance policy end date2014-04-01
Total amount of commissions paid to insurance brokerUSD $4,171
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 BenefitYes
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 $27,809
Commission paid to Insurance BrokerUSD $4,171
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameDONALD J NELSEN
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17708
Policy instance 5
Insurance contract or identification numberHCL17708
Number of Individuals Covered226
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $23,260
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
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 $266,326
Commission paid to Insurance BrokerUSD $3,286
Additional information about fees paid to insurance brokerOTHER COMMISSION OVERRIDE
Insurance broker organization code?3
Insurance broker nameDONALD J NELSEN JR
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 4
Insurance contract or identification number12331739
Number of Individuals Covered225
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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 $21,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AL5T
Policy instance 3
Insurance contract or identification numberG000AL5T
Number of Individuals Covered213
Insurance policy start date2012-04-01
Insurance policy end date2013-04-01
Total amount of commissions paid to insurance brokerUSD $3,962
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 BenefitYes
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 $26,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,962
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameDONALD J NELSON
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 4
Insurance contract or identification number12331739
Number of Individuals Covered215
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 BenefitYes
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 $18,902
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3220922
Policy instance 2
Insurance contract or identification number3220922
Number of Individuals Covered210
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
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
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 $96,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2470882
Policy instance 1
Insurance contract or identification number2470882
Number of Individuals Covered210
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 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 $7,973
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 numberHCL17708
Policy instance 5
Insurance contract or identification numberHCL17708
Number of Individuals Covered212
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $20,367
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?No
Welfare Benefit Premiums Paid to CarrierUSD $241,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,131
Insurance broker organization code?3
Amount paid for insurance broker fees2236
Additional information about fees paid to insurance brokerOTHER COMMISSIONS OVERRIDE
Insurance broker nameNELSEN INSURANCE CONSULTING INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 2
Insurance contract or identification number12331739
Number of Individuals Covered199
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,392
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 numberHCL17708
Policy instance 1
Insurance contract or identification numberHCL17708
Number of Individuals Covered220
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $21,180
Welfare Benefit Premiums Paid to CarrierUSD $251,397
Commission paid to Insurance BrokerUSD $18,855
Additional information about fees paid to insurance brokerCOMMISSIONS PAID OR WITHHELD
Insurance broker organization code?3
Amount paid for insurance broker fees0
Insurance broker nameNATIONAL EMPLOYEE BENEFITS ADMINIST
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 2
Insurance contract or identification number12331739
Number of Individuals Covered218
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,378
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17708
Policy instance 1
Insurance contract or identification numberHCL17708
Number of Individuals Covered223
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $19,686
Welfare Benefit Premiums Paid to CarrierUSD $233,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3220922
Policy instance 1
Insurance contract or identification number3220922
Number of Individuals Covered216
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12331739
Policy instance 2
Insurance contract or identification number12331739
Number of Individuals Covered216
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,268
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberCL170168
Policy instance 3
Insurance contract or identification numberCL170168
Number of Individuals Covered224
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $237,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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