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UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameUA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND
Plan identification number 501

UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

TRUSTEES - U.A. LOCAL UNION NO. 614 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES - U.A. LOCAL UNION NO. 614 HEALTH AND WELFARE FUND
Employer identification number (EIN):620637976
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01
5012021-04-01
5012020-04-01
5012019-04-01
5012018-04-01
5012017-04-01BEN SNYDER JOHN JERKINS2019-01-16
5012017-04-01BEN SNYDER JOHN JERKINS2019-01-15
5012016-04-01ROBERT E. SPROLES J. JAMES ESTABROOK2018-01-16
5012015-04-01BEN SNYDER JAMES ESTABROOK2017-01-16
5012014-04-01BOBBY SPROLES
5012013-04-01NEEDLES ASSOC FILING SRVC PRVDR NEEDLES ASSOC FILING SRVC PRVDR2015-01-15
5012012-04-01NEEDLES ASSOC FILING SRVC PRVDR NEEDLES ASSOC FILING SRVC PRVDR2014-01-10
5012011-04-01FILING SRVC PRVDR NEEDLES ASSOC FILING SRVC PRVDR NEEDLES ASSOC2013-01-15
5012010-04-01FILING SRVC PRVDR NEEDLES ASSOC FILING SRVC PRVDR NEEDLES ASSOC2012-01-03
5012009-04-01NEEDLES ASSOC FILLING SRVC PRVDR NEEDLES ASSOC FILLING SRVC PRVDR2011-01-17
5012009-04-01NEEDLES ASSOC FILLING SRVC PRVDR NEEDLES ASSOC FILLING SRVC PRVDR2011-01-17
5012009-04-01NEEDLES ASSOC FILLING SRVC PRVDR NEEDLES ASSOC FILLING SRVC PRVDR2011-01-17

Plan Statistics for UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND

401k plan membership statisitcs for UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND

Measure Date Value
2022: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-04-01593
Total number of active participants reported on line 7a of the Form 55002022-04-01523
Number of retired or separated participants receiving benefits2022-04-01113
Total of all active and inactive participants2022-04-01636
Number of employers contributing to the scheme2022-04-01144
2021: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-04-01570
Total number of active participants reported on line 7a of the Form 55002021-04-01481
Number of retired or separated participants receiving benefits2021-04-01112
Total of all active and inactive participants2021-04-01593
Number of employers contributing to the scheme2021-04-01160
2020: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-04-01609
Total number of active participants reported on line 7a of the Form 55002020-04-01462
Number of retired or separated participants receiving benefits2020-04-01108
Total of all active and inactive participants2020-04-01570
Number of employers contributing to the scheme2020-04-01162
2019: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-04-01679
Total number of active participants reported on line 7a of the Form 55002019-04-01504
Number of retired or separated participants receiving benefits2019-04-01105
Total of all active and inactive participants2019-04-01609
Number of employers contributing to the scheme2019-04-01164
2018: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-04-01725
Total number of active participants reported on line 7a of the Form 55002018-04-01573
Number of retired or separated participants receiving benefits2018-04-01106
Total of all active and inactive participants2018-04-01679
Number of employers contributing to the scheme2018-04-01171
2017: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-04-01727
Total number of active participants reported on line 7a of the Form 55002017-04-01607
Number of retired or separated participants receiving benefits2017-04-01118
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01725
Number of employers contributing to the scheme2017-04-01128
2016: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-04-01709
Total number of active participants reported on line 7a of the Form 55002016-04-01604
Number of retired or separated participants receiving benefits2016-04-01123
Total of all active and inactive participants2016-04-01727
Number of employers contributing to the scheme2016-04-01128
2015: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-04-01573
Total number of active participants reported on line 7a of the Form 55002015-04-01574
Number of retired or separated participants receiving benefits2015-04-01135
Total of all active and inactive participants2015-04-01709
Number of employers contributing to the scheme2015-04-01132
2014: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-04-01576
Total number of active participants reported on line 7a of the Form 55002014-04-01462
Number of retired or separated participants receiving benefits2014-04-01111
Total of all active and inactive participants2014-04-01573
Number of employers contributing to the scheme2014-04-0183
2013: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-04-01580
Total number of active participants reported on line 7a of the Form 55002013-04-01470
Number of retired or separated participants receiving benefits2013-04-01106
Total of all active and inactive participants2013-04-01576
Number of employers contributing to the scheme2013-04-0175
2012: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-04-01467
Total number of active participants reported on line 7a of the Form 55002012-04-01478
Number of retired or separated participants receiving benefits2012-04-01102
Total of all active and inactive participants2012-04-01580
Number of employers contributing to the scheme2012-04-0175
2011: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-04-01577
Total number of active participants reported on line 7a of the Form 55002011-04-01467
Total of all active and inactive participants2011-04-01467
2010: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-04-01626
Total number of active participants reported on line 7a of the Form 55002010-04-01482
Number of retired or separated participants receiving benefits2010-04-0195
Total of all active and inactive participants2010-04-01577
2009: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-04-01612
Total number of active participants reported on line 7a of the Form 55002009-04-01533
Number of retired or separated participants receiving benefits2009-04-0193
Total of all active and inactive participants2009-04-01626

Financial Data on UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND

Measure Date Value
2023 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-03-31$-100,744
Total unrealized appreciation/depreciation of assets2023-03-31$-100,744
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$5,354,546
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$5,032,874
Total income from all sources (including contributions)2023-03-31$8,208,275
Total loss/gain on sale of assets2023-03-31$0
Total of all expenses incurred2023-03-31$7,624,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$6,924,357
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$8,173,948
Value of total assets at end of year2023-03-31$8,324,868
Value of total assets at beginning of year2023-03-31$7,419,659
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$700,381
Total interest from all sources2023-03-31$135,071
Total dividends received (eg from common stock, registered investment company shares)2023-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Administrative expenses professional fees incurred2023-03-31$181,362
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$1,000,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$520,246
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-03-31$261,875
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-03-31$738,111
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-03-31$4,893,843
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-03-31$4,392,272
Other income not declared elsewhere2023-03-31$0
Administrative expenses (other) incurred2023-03-31$15,435
Liabilities. Value of operating payables at end of year2023-03-31$48,093
Liabilities. Value of operating payables at beginning of year2023-03-31$139,031
Total non interest bearing cash at end of year2023-03-31$841,188
Total non interest bearing cash at beginning of year2023-03-31$181,599
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$583,537
Value of net assets at end of year (total assets less liabilities)2023-03-31$2,970,322
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$2,386,785
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Investment advisory and management fees2023-03-31$18,856
Income. Interest from US Government securities2023-03-31$119,471
Income. Interest from corporate debt instruments2023-03-31$13,271
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-03-31$850,169
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-03-31$556,659
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-03-31$556,659
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-03-31$2,329
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$774,510
Asset value of US Government securities at end of year2023-03-31$5,089,030
Asset value of US Government securities at beginning of year2023-03-31$5,290,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31Yes
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$7,653,702
Employer contributions (assets) at end of year2023-03-31$887,326
Employer contributions (assets) at beginning of year2023-03-31$652,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$6,149,847
Asset. Corporate debt instrument debt (other) at end of year2023-03-31$395,280
Asset. Corporate debt instrument debt (other) at beginning of year2023-03-31$0
Contract administrator fees2023-03-31$484,728
Liabilities. Value of benefit claims payable at end of year2023-03-31$412,610
Liabilities. Value of benefit claims payable at beginning of year2023-03-31$501,571
Did the plan have assets held for investment2023-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2023-03-31510435869
2022 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-03-31$-251,396
Total unrealized appreciation/depreciation of assets2022-03-31$-251,396
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$5,032,874
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-31$4,416,417
Total income from all sources (including contributions)2022-03-31$7,086,849
Total loss/gain on sale of assets2022-03-31$39,334
Total of all expenses incurred2022-03-31$7,835,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$7,193,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$7,151,755
Value of total assets at end of year2022-03-31$7,419,659
Value of total assets at beginning of year2022-03-31$7,551,759
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$642,136
Total interest from all sources2022-03-31$105,257
Total dividends received (eg from common stock, registered investment company shares)2022-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Administrative expenses professional fees incurred2022-03-31$149,514
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$1,000,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$535,182
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-03-31$738,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-03-31$277,994
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-03-31$4,392,272
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-03-31$4,172,272
Other income not declared elsewhere2022-03-31$41,899
Administrative expenses (other) incurred2022-03-31$17,136
Liabilities. Value of operating payables at end of year2022-03-31$139,031
Liabilities. Value of operating payables at beginning of year2022-03-31$24,145
Total non interest bearing cash at end of year2022-03-31$181,599
Total non interest bearing cash at beginning of year2022-03-31$343,262
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-748,557
Value of net assets at end of year (total assets less liabilities)2022-03-31$2,386,785
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$3,135,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Investment advisory and management fees2022-03-31$18,935
Income. Interest from US Government securities2022-03-31$102,590
Income. Interest from corporate debt instruments2022-03-31$2,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-03-31$556,659
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-03-31$880,782
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-03-31$880,782
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-03-31$140
Expenses. Payments to insurance carriers foe the provision of benefits2022-03-31$658,560
Asset value of US Government securities at end of year2022-03-31$5,290,568
Asset value of US Government securities at beginning of year2022-03-31$5,165,701
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31Yes
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$6,616,573
Employer contributions (assets) at end of year2022-03-31$652,722
Employer contributions (assets) at beginning of year2022-03-31$632,084
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$6,534,710
Asset. Corporate debt instrument debt (other) at end of year2022-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-03-31$251,936
Contract administrator fees2022-03-31$456,551
Liabilities. Value of benefit claims payable at end of year2022-03-31$501,571
Liabilities. Value of benefit claims payable at beginning of year2022-03-31$220,000
Did the plan have assets held for investment2022-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Aggregate proceeds on sale of assets2022-03-31$1,850,000
Aggregate carrying amount (costs) on sale of assets2022-03-31$1,810,666
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2022-03-31510435869
2021 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-03-31$-108,365
Total unrealized appreciation/depreciation of assets2021-03-31$-108,365
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$4,416,417
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-31$5,377,984
Total income from all sources (including contributions)2021-03-31$6,835,053
Total loss/gain on sale of assets2021-03-31$56,008
Total of all expenses incurred2021-03-31$6,723,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$6,107,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$6,757,885
Value of total assets at end of year2021-03-31$7,551,759
Value of total assets at beginning of year2021-03-31$8,401,500
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$615,658
Total interest from all sources2021-03-31$129,525
Total dividends received (eg from common stock, registered investment company shares)2021-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Administrative expenses professional fees incurred2021-03-31$74,186
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$1,000,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$547,814
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-03-31$277,994
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-03-31$322,492
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-03-31$4,172,272
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-31$4,782,451
Administrative expenses (other) incurred2021-03-31$13,749
Liabilities. Value of operating payables at end of year2021-03-31$24,145
Liabilities. Value of operating payables at beginning of year2021-03-31$25,533
Total non interest bearing cash at end of year2021-03-31$343,262
Total non interest bearing cash at beginning of year2021-03-31$183,321
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$111,826
Value of net assets at end of year (total assets less liabilities)2021-03-31$3,135,342
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$3,023,516
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Investment advisory and management fees2021-03-31$21,127
Income. Interest from US Government securities2021-03-31$109,598
Income. Interest from corporate debt instruments2021-03-31$19,889
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-03-31$880,782
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-03-31$230,661
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-03-31$230,661
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-03-31$38
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-31$646,965
Asset value of US Government securities at end of year2021-03-31$5,165,701
Asset value of US Government securities at beginning of year2021-03-31$6,257,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31Yes
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$6,210,071
Employer contributions (assets) at end of year2021-03-31$632,084
Employer contributions (assets) at beginning of year2021-03-31$588,604
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$5,460,604
Asset. Corporate debt instrument debt (other) at end of year2021-03-31$251,936
Asset. Corporate debt instrument debt (other) at beginning of year2021-03-31$818,658
Contract administrator fees2021-03-31$506,596
Liabilities. Value of benefit claims payable at end of year2021-03-31$220,000
Liabilities. Value of benefit claims payable at beginning of year2021-03-31$570,000
Did the plan have assets held for investment2021-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Aggregate proceeds on sale of assets2021-03-31$1,606,427
Aggregate carrying amount (costs) on sale of assets2021-03-31$1,550,419
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2021-03-31510435869
2020 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-03-31$185,758
Total unrealized appreciation/depreciation of assets2020-03-31$185,758
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$5,377,984
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-03-31$4,873,637
Total income from all sources (including contributions)2020-03-31$7,765,782
Total loss/gain on sale of assets2020-03-31$7,359
Total of all expenses incurred2020-03-31$8,075,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$7,515,627
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$7,427,041
Value of total assets at end of year2020-03-31$8,401,500
Value of total assets at beginning of year2020-03-31$8,207,035
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$560,037
Total interest from all sources2020-03-31$145,624
Total dividends received (eg from common stock, registered investment company shares)2020-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Administrative expenses professional fees incurred2020-03-31$47,534
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$1,000,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$471,246
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-03-31$322,492
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-03-31$165,647
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-03-31$4,782,451
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-03-31$4,162,722
Administrative expenses (other) incurred2020-03-31$12,142
Liabilities. Value of operating payables at end of year2020-03-31$25,533
Liabilities. Value of operating payables at beginning of year2020-03-31$25,915
Total non interest bearing cash at end of year2020-03-31$183,321
Total non interest bearing cash at beginning of year2020-03-31$506,432
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$-309,882
Value of net assets at end of year (total assets less liabilities)2020-03-31$3,023,516
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$3,333,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Investment advisory and management fees2020-03-31$23,479
Income. Interest from US Government securities2020-03-31$120,494
Income. Interest from corporate debt instruments2020-03-31$24,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-03-31$230,661
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-03-31$22,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-03-31$22,003
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-03-31$208
Expenses. Payments to insurance carriers foe the provision of benefits2020-03-31$626,413
Asset value of US Government securities at end of year2020-03-31$6,257,764
Asset value of US Government securities at beginning of year2020-03-31$4,991,310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31Yes
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$6,955,795
Employer contributions (assets) at end of year2020-03-31$588,604
Employer contributions (assets) at beginning of year2020-03-31$720,864
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$6,889,214
Asset. Corporate debt instrument debt (other) at end of year2020-03-31$818,658
Asset. Corporate debt instrument debt (other) at beginning of year2020-03-31$1,800,779
Contract administrator fees2020-03-31$476,882
Liabilities. Value of benefit claims payable at end of year2020-03-31$570,000
Liabilities. Value of benefit claims payable at beginning of year2020-03-31$685,000
Did the plan have assets held for investment2020-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Aggregate proceeds on sale of assets2020-03-31$3,660,923
Aggregate carrying amount (costs) on sale of assets2020-03-31$3,653,564
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31No
Opinion of an independent qualified public accountant for this plan2020-03-31Unqualified
Accountancy firm name2020-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2020-03-31510435869
2019 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-03-31$107,974
Total unrealized appreciation/depreciation of assets2019-03-31$107,974
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$4,873,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-03-31$5,293,774
Total income from all sources (including contributions)2019-03-31$7,191,602
Total loss/gain on sale of assets2019-03-31$-56,613
Total of all expenses incurred2019-03-31$4,855,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$4,332,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$7,029,813
Value of total assets at end of year2019-03-31$8,207,035
Value of total assets at beginning of year2019-03-31$6,291,083
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$523,215
Total interest from all sources2019-03-31$110,428
Total dividends received (eg from common stock, registered investment company shares)2019-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Administrative expenses professional fees incurred2019-03-31$47,146
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$1,000,000
If this is an individual account plan, was there a blackout period2019-03-31No
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Contributions received from participants2019-03-31$488,045
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-03-31$165,647
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-03-31$224,451
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-03-31$4,162,722
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-03-31$4,678,800
Administrative expenses (other) incurred2019-03-31$16,701
Liabilities. Value of operating payables at end of year2019-03-31$25,915
Liabilities. Value of operating payables at beginning of year2019-03-31$35,974
Total non interest bearing cash at end of year2019-03-31$506,432
Total non interest bearing cash at beginning of year2019-03-31$478,771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$2,336,089
Value of net assets at end of year (total assets less liabilities)2019-03-31$3,333,398
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$997,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Investment advisory and management fees2019-03-31$19,963
Income. Interest from US Government securities2019-03-31$63,740
Income. Interest from corporate debt instruments2019-03-31$45,202
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-03-31$22,003
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-03-31$172,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-03-31$172,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-03-31$1,486
Expenses. Payments to insurance carriers foe the provision of benefits2019-03-31$600,084
Asset value of US Government securities at end of year2019-03-31$4,991,310
Asset value of US Government securities at beginning of year2019-03-31$3,006,579
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31Yes
Was there a failure to transmit to the plan any participant contributions2019-03-31No
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$6,541,768
Employer contributions (assets) at end of year2019-03-31$720,864
Employer contributions (assets) at beginning of year2019-03-31$735,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-03-31$3,732,214
Asset. Corporate debt instrument debt (other) at end of year2019-03-31$1,800,779
Asset. Corporate debt instrument debt (other) at beginning of year2019-03-31$1,673,861
Contract administrator fees2019-03-31$439,405
Liabilities. Value of benefit claims payable at end of year2019-03-31$685,000
Liabilities. Value of benefit claims payable at beginning of year2019-03-31$579,000
Did the plan have assets held for investment2019-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Aggregate proceeds on sale of assets2019-03-31$4,010,139
Aggregate carrying amount (costs) on sale of assets2019-03-31$4,066,752
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-03-31No
Opinion of an independent qualified public accountant for this plan2019-03-31Unqualified
Accountancy firm name2019-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2019-03-31510435869
2018 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-03-31$-56,701
Total unrealized appreciation/depreciation of assets2018-03-31$-56,701
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$5,293,774
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-03-31$5,177,039
Total income from all sources (including contributions)2018-03-31$6,980,116
Total loss/gain on sale of assets2018-03-31$-2,579
Total of all expenses incurred2018-03-31$6,041,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$5,504,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$6,942,653
Value of total assets at end of year2018-03-31$6,291,083
Value of total assets at beginning of year2018-03-31$5,235,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$536,707
Total interest from all sources2018-03-31$96,743
Total dividends received (eg from common stock, registered investment company shares)2018-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Administrative expenses professional fees incurred2018-03-31$48,904
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$1,000,000
If this is an individual account plan, was there a blackout period2018-03-31No
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$517,937
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-03-31$224,451
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-03-31$29,097
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-03-31$4,678,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-03-31$4,535,000
Administrative expenses (other) incurred2018-03-31$23,160
Liabilities. Value of operating payables at end of year2018-03-31$35,974
Liabilities. Value of operating payables at beginning of year2018-03-31$127,039
Total non interest bearing cash at end of year2018-03-31$478,771
Total non interest bearing cash at beginning of year2018-03-31$570,577
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$938,831
Value of net assets at end of year (total assets less liabilities)2018-03-31$997,309
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$58,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Investment advisory and management fees2018-03-31$11,792
Income. Interest from US Government securities2018-03-31$52,623
Income. Interest from corporate debt instruments2018-03-31$43,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-03-31$172,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-03-31$487,957
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-03-31$487,957
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-03-31$147
Expenses. Payments to insurance carriers foe the provision of benefits2018-03-31$638,647
Asset value of US Government securities at end of year2018-03-31$3,006,579
Asset value of US Government securities at beginning of year2018-03-31$1,713,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31Yes
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$6,424,716
Employer contributions (assets) at end of year2018-03-31$735,383
Employer contributions (assets) at beginning of year2018-03-31$865,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$4,865,931
Asset. Corporate debt instrument debt (other) at end of year2018-03-31$1,673,861
Asset. Corporate debt instrument debt (other) at beginning of year2018-03-31$1,568,155
Contract administrator fees2018-03-31$452,851
Liabilities. Value of benefit claims payable at end of year2018-03-31$579,000
Liabilities. Value of benefit claims payable at beginning of year2018-03-31$515,000
Did the plan have assets held for investment2018-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Aggregate proceeds on sale of assets2018-03-31$794,686
Aggregate carrying amount (costs) on sale of assets2018-03-31$797,265
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31No
Opinion of an independent qualified public accountant for this plan2018-03-31Unqualified
Accountancy firm name2018-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2018-03-31510435869
2017 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-03-31$-46,667
Total unrealized appreciation/depreciation of assets2017-03-31$-46,667
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$5,177,039
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$5,046,663
Total income from all sources (including contributions)2017-03-31$7,150,213
Total loss/gain on sale of assets2017-03-31$-4,231
Total of all expenses incurred2017-03-31$6,694,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$6,146,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$7,145,842
Value of total assets at end of year2017-03-31$5,235,517
Value of total assets at beginning of year2017-03-31$4,649,414
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$547,644
Total interest from all sources2017-03-31$55,269
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Administrative expenses professional fees incurred2017-03-31$51,598
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$1,000,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$535,257
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-03-31$29,097
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-03-31$967,887
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-03-31$4,535,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-03-31$4,542,000
Administrative expenses (other) incurred2017-03-31$44,807
Liabilities. Value of operating payables at end of year2017-03-31$127,039
Liabilities. Value of operating payables at beginning of year2017-03-31$21,663
Total non interest bearing cash at end of year2017-03-31$570,577
Total non interest bearing cash at beginning of year2017-03-31$2,339,614
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$455,727
Value of net assets at end of year (total assets less liabilities)2017-03-31$58,478
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$-397,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Investment advisory and management fees2017-03-31$9,089
Income. Interest from US Government securities2017-03-31$15,632
Income. Interest from corporate debt instruments2017-03-31$39,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-03-31$487,957
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-03-31$3
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-03-31$3
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-03-31$483
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$194,362
Asset value of US Government securities at end of year2017-03-31$1,713,931
Asset value of US Government securities at beginning of year2017-03-31$601,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31Yes
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$6,610,585
Employer contributions (assets) at end of year2017-03-31$865,800
Employer contributions (assets) at beginning of year2017-03-31$740,659
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$5,952,480
Asset. Corporate debt instrument debt (other) at end of year2017-03-31$1,568,155
Contract administrator fees2017-03-31$442,150
Liabilities. Value of benefit claims payable at end of year2017-03-31$515,000
Liabilities. Value of benefit claims payable at beginning of year2017-03-31$483,000
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Aggregate proceeds on sale of assets2017-03-31$718,484
Aggregate carrying amount (costs) on sale of assets2017-03-31$722,715
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31No
Opinion of an independent qualified public accountant for this plan2017-03-31Unqualified
Accountancy firm name2017-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2017-03-31510435869
2016 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-03-31$-8,130
Total unrealized appreciation/depreciation of assets2016-03-31$-8,130
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$5,046,663
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$4,441,463
Total income from all sources (including contributions)2016-03-31$6,617,403
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$8,127,447
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$7,581,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$6,613,887
Value of total assets at end of year2016-03-31$4,649,414
Value of total assets at beginning of year2016-03-31$5,554,258
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$545,504
Total interest from all sources2016-03-31$11,646
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$0
Administrative expenses professional fees incurred2016-03-31$43,117
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$1,000,000
If this is an individual account plan, was there a blackout period2016-03-31No
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$559,437
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-03-31$967,887
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-03-31$39,839
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-03-31$4,542,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-03-31$3,780,000
Administrative expenses (other) incurred2016-03-31$50,102
Liabilities. Value of operating payables at end of year2016-03-31$21,663
Liabilities. Value of operating payables at beginning of year2016-03-31$29,463
Total non interest bearing cash at end of year2016-03-31$2,339,614
Total non interest bearing cash at beginning of year2016-03-31$2,399,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$-1,510,044
Value of net assets at end of year (total assets less liabilities)2016-03-31$-397,249
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$1,112,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Investment advisory and management fees2016-03-31$9,499
Income. Interest from US Government securities2016-03-31$10,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-03-31$3
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-03-31$1,857,172
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-03-31$1,857,172
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-03-31$771
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$100,142
Asset value of US Government securities at end of year2016-03-31$601,251
Asset value of US Government securities at beginning of year2016-03-31$609,381
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31Yes
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$6,054,450
Employer contributions (assets) at end of year2016-03-31$740,659
Employer contributions (assets) at beginning of year2016-03-31$647,923
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$7,481,801
Contract administrator fees2016-03-31$442,786
Liabilities. Value of benefit claims payable at end of year2016-03-31$483,000
Liabilities. Value of benefit claims payable at beginning of year2016-03-31$632,000
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31No
Opinion of an independent qualified public accountant for this plan2016-03-31Unqualified
Accountancy firm name2016-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2016-03-31510435869
2015 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-03-31$36,618
Total unrealized appreciation/depreciation of assets2015-03-31$36,618
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$4,441,463
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$4,110,977
Total income from all sources (including contributions)2015-03-31$6,253,501
Total loss/gain on sale of assets2015-03-31$-45,009
Total of all expenses incurred2015-03-31$7,324,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$6,762,382
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$6,247,627
Value of total assets at end of year2015-03-31$5,554,258
Value of total assets at beginning of year2015-03-31$6,294,559
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$561,906
Total interest from all sources2015-03-31$14,265
Total dividends received (eg from common stock, registered investment company shares)2015-03-31$0
Administrative expenses professional fees incurred2015-03-31$35,014
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$1,000,000
If this is an individual account plan, was there a blackout period2015-03-31No
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$555,443
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-03-31$39,839
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-03-31$71,362
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-03-31$3,780,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-03-31$3,583,000
Administrative expenses (other) incurred2015-03-31$75,247
Liabilities. Value of operating payables at end of year2015-03-31$29,463
Liabilities. Value of operating payables at beginning of year2015-03-31$45,977
Total non interest bearing cash at end of year2015-03-31$2,399,943
Total non interest bearing cash at beginning of year2015-03-31$711,487
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$-1,070,787
Value of net assets at end of year (total assets less liabilities)2015-03-31$1,112,795
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$2,183,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Investment advisory and management fees2015-03-31$11,880
Income. Interest from US Government securities2015-03-31$12,607
Income. Interest from corporate debt instruments2015-03-31$1,158
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-03-31$1,857,172
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-03-31$3,374,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-03-31$3,374,046
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-03-31$500
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$99,306
Asset value of US Government securities at end of year2015-03-31$609,381
Asset value of US Government securities at beginning of year2015-03-31$1,216,795
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31Yes
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$5,692,184
Employer contributions (assets) at end of year2015-03-31$647,923
Employer contributions (assets) at beginning of year2015-03-31$669,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$6,663,076
Asset. Corporate debt instrument debt (other) at beginning of year2015-03-31$250,990
Contract administrator fees2015-03-31$439,765
Liabilities. Value of benefit claims payable at end of year2015-03-31$632,000
Liabilities. Value of benefit claims payable at beginning of year2015-03-31$482,000
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Aggregate proceeds on sale of assets2015-03-31$850,013
Aggregate carrying amount (costs) on sale of assets2015-03-31$895,022
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31No
Opinion of an independent qualified public accountant for this plan2015-03-31Unqualified
Accountancy firm name2015-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2015-03-31510435869
2014 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-03-31$-3,588
Total unrealized appreciation/depreciation of assets2014-03-31$-3,588
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$4,110,977
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$4,394,041
Total income from all sources (including contributions)2014-03-31$6,818,718
Total loss/gain on sale of assets2014-03-31$-21,629
Total of all expenses incurred2014-03-31$5,907,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$5,383,510
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$6,808,699
Value of total assets at end of year2014-03-31$6,294,559
Value of total assets at beginning of year2014-03-31$5,666,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$524,353
Total interest from all sources2014-03-31$35,236
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$0
Administrative expenses professional fees incurred2014-03-31$40,040
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$516,669
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-03-31$71,362
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-03-31$43,598
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-03-31$3,583,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-03-31$3,899,000
Administrative expenses (other) incurred2014-03-31$36,283
Liabilities. Value of operating payables at end of year2014-03-31$45,977
Liabilities. Value of operating payables at beginning of year2014-03-31$65,041
Total non interest bearing cash at end of year2014-03-31$711,487
Total non interest bearing cash at beginning of year2014-03-31$153,850
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$910,855
Value of net assets at end of year (total assets less liabilities)2014-03-31$2,183,582
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$1,272,727
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Investment advisory and management fees2014-03-31$12,122
Income. Interest from US Government securities2014-03-31$16,375
Income. Interest from corporate debt instruments2014-03-31$18,861
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-03-31$3,374,046
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-03-31$1,279,326
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-03-31$1,279,326
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$105,381
Asset value of US Government securities at end of year2014-03-31$1,216,795
Asset value of US Government securities at beginning of year2014-03-31$1,529,697
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31Yes
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$6,292,030
Employer contributions (assets) at end of year2014-03-31$669,879
Employer contributions (assets) at beginning of year2014-03-31$593,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$5,278,129
Asset. Corporate debt instrument debt (other) at end of year2014-03-31$250,990
Asset. Corporate debt instrument debt (other) at beginning of year2014-03-31$2,066,580
Contract administrator fees2014-03-31$435,908
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-03-31No
Liabilities. Value of benefit claims payable at end of year2014-03-31$482,000
Liabilities. Value of benefit claims payable at beginning of year2014-03-31$430,000
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Aggregate proceeds on sale of assets2014-03-31$2,103,275
Aggregate carrying amount (costs) on sale of assets2014-03-31$2,124,904
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31No
Opinion of an independent qualified public accountant for this plan2014-03-31Unqualified
Accountancy firm name2014-03-31NEEDLES & ASSOICATES, LLC
Accountancy firm EIN2014-03-31510435869
2013 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-03-31$-105,294
Total unrealized appreciation/depreciation of assets2013-03-31$-105,294
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$4,394,041
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$4,068,705
Total income from all sources (including contributions)2013-03-31$5,329,122
Total loss/gain on sale of assets2013-03-31$-48,157
Total of all expenses incurred2013-03-31$7,558,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$7,037,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$4,990,645
Value of total assets at end of year2013-03-31$5,666,768
Value of total assets at beginning of year2013-03-31$7,570,892
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$521,395
Total interest from all sources2013-03-31$224,842
Total dividends received (eg from common stock, registered investment company shares)2013-03-31$0
Administrative expenses professional fees incurred2013-03-31$39,729
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$480,911
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-03-31$43,598
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-03-31$79,972
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-03-31$3,899,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-03-31$3,225,000
Other income not declared elsewhere2013-03-31$267,086
Administrative expenses (other) incurred2013-03-31$233,672
Liabilities. Value of operating payables at end of year2013-03-31$65,041
Liabilities. Value of operating payables at beginning of year2013-03-31$42,705
Total non interest bearing cash at end of year2013-03-31$153,850
Total non interest bearing cash at beginning of year2013-03-31$184,411
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$-2,229,460
Value of net assets at end of year (total assets less liabilities)2013-03-31$1,272,727
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$3,502,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Investment advisory and management fees2013-03-31$22,720
Income. Interest from corporate debt instruments2013-03-31$224,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-03-31$1,279,326
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-03-31$889,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-03-31$889,766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-03-31$115,647
Asset value of US Government securities at end of year2013-03-31$1,529,697
Asset value of US Government securities at beginning of year2013-03-31$1,525,569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31Yes
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$4,509,734
Employer contributions (assets) at end of year2013-03-31$593,717
Employer contributions (assets) at beginning of year2013-03-31$542,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$6,921,540
Asset. Corporate debt instrument debt (other) at end of year2013-03-31$2,066,580
Asset. Corporate debt instrument debt (other) at beginning of year2013-03-31$4,348,898
Contract administrator fees2013-03-31$225,274
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-03-31No
Liabilities. Value of benefit claims payable at end of year2013-03-31$430,000
Liabilities. Value of benefit claims payable at beginning of year2013-03-31$801,000
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Aggregate proceeds on sale of assets2013-03-31$2,718,128
Aggregate carrying amount (costs) on sale of assets2013-03-31$2,766,285
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31No
Opinion of an independent qualified public accountant for this plan2013-03-31Unqualified
Accountancy firm name2013-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2013-03-31510435869
2012 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-03-31$-149,779
Total unrealized appreciation/depreciation of assets2012-03-31$-149,779
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$4,068,705
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$3,620,759
Total income from all sources (including contributions)2012-03-31$5,099,188
Total loss/gain on sale of assets2012-03-31$-41,552
Total of all expenses incurred2012-03-31$6,567,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$6,051,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$4,880,047
Value of total assets at end of year2012-03-31$7,570,892
Value of total assets at beginning of year2012-03-31$8,591,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$516,186
Total interest from all sources2012-03-31$313,901
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$0
Administrative expenses professional fees incurred2012-03-31$242,463
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$500,000
If this is an individual account plan, was there a blackout period2012-03-31No
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$478,875
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-03-31$79,972
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-03-31$116,131
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-03-31$3,225,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-03-31$3,033,019
Other income not declared elsewhere2012-03-31$96,571
Administrative expenses (other) incurred2012-03-31$27,703
Liabilities. Value of operating payables at end of year2012-03-31$42,705
Liabilities. Value of operating payables at beginning of year2012-03-31$22,130
Total non interest bearing cash at end of year2012-03-31$184,411
Total non interest bearing cash at beginning of year2012-03-31$72,938
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$-1,468,330
Value of net assets at end of year (total assets less liabilities)2012-03-31$3,502,187
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$4,970,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Investment advisory and management fees2012-03-31$23,450
Income. Interest from corporate debt instruments2012-03-31$313,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-03-31$889,766
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-03-31$1,884,784
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-03-31$1,884,784
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-03-31$120,128
Asset value of US Government securities at end of year2012-03-31$1,525,569
Asset value of US Government securities at beginning of year2012-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31Yes
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$4,401,172
Employer contributions (assets) at end of year2012-03-31$542,276
Employer contributions (assets) at beginning of year2012-03-31$591,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$5,931,204
Asset. Corporate debt instrument debt (other) at end of year2012-03-31$4,348,898
Asset. Corporate debt instrument debt (other) at beginning of year2012-03-31$5,925,871
Contract administrator fees2012-03-31$222,570
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-03-31No
Liabilities. Value of benefit claims payable at end of year2012-03-31$801,000
Liabilities. Value of benefit claims payable at beginning of year2012-03-31$565,610
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Aggregate proceeds on sale of assets2012-03-31$1,647,164
Aggregate carrying amount (costs) on sale of assets2012-03-31$1,688,716
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31No
Opinion of an independent qualified public accountant for this plan2012-03-31Unqualified
Accountancy firm name2012-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2012-03-31510435869
2011 : UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-03-31$-64,454
Total unrealized appreciation/depreciation of assets2011-03-31$-64,454
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$3,620,759
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$3,182,314
Total income from all sources (including contributions)2011-03-31$5,337,612
Total loss/gain on sale of assets2011-03-31$-22,779
Total of all expenses incurred2011-03-31$6,883,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$6,374,305
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$4,906,314
Value of total assets at end of year2011-03-31$8,591,276
Value of total assets at beginning of year2011-03-31$9,698,557
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$509,033
Total interest from all sources2011-03-31$376,282
Total dividends received (eg from common stock, registered investment company shares)2011-03-31$0
Administrative expenses professional fees incurred2011-03-31$241,226
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$500,000
If this is an individual account plan, was there a blackout period2011-03-31No
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$449,706
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-03-31$116,131
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-03-31$147,386
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-03-31$3,033,019
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-03-31$2,324,265
Other income not declared elsewhere2011-03-31$142,249
Administrative expenses (other) incurred2011-03-31$23,219
Liabilities. Value of operating payables at end of year2011-03-31$22,130
Liabilities. Value of operating payables at beginning of year2011-03-31$287,758
Total non interest bearing cash at end of year2011-03-31$72,938
Total non interest bearing cash at beginning of year2011-03-31$236,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$-1,545,726
Value of net assets at end of year (total assets less liabilities)2011-03-31$4,970,517
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$6,516,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Investment advisory and management fees2011-03-31$24,201
Income. Interest from corporate debt instruments2011-03-31$376,282
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$1,884,784
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$618,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$618,276
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-03-31$126,369
Asset value of US Government securities at end of year2011-03-31$0
Asset value of US Government securities at beginning of year2011-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31Yes
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$4,456,608
Employer contributions (assets) at end of year2011-03-31$591,552
Employer contributions (assets) at beginning of year2011-03-31$674,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$6,247,936
Asset. Corporate debt instrument debt (other) at end of year2011-03-31$5,925,871
Asset. Corporate debt instrument debt (other) at beginning of year2011-03-31$8,021,723
Contract administrator fees2011-03-31$220,387
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-03-31No
Liabilities. Value of benefit claims payable at end of year2011-03-31$565,610
Liabilities. Value of benefit claims payable at beginning of year2011-03-31$570,291
Did the plan have assets held for investment2011-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Aggregate proceeds on sale of assets2011-03-31$2,008,468
Aggregate carrying amount (costs) on sale of assets2011-03-31$2,031,247
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31No
Opinion of an independent qualified public accountant for this plan2011-03-31Unqualified
Accountancy firm name2011-03-31NEEDLES & ASSOCIATES, LLC
Accountancy firm EIN2011-03-31510435869

Form 5500 Responses for UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND

2022: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-04-01Type of plan entityMulti-employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planYes
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-04-01Type of plan entityMulti-employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-04-01Type of plan entityMulti-employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planYes
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-04-01Type of plan entityMulti-employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planYes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-04-01Type of plan entityMulti-employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planYes
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-04-01Type of plan entityMulti-employer plan
2017-04-01Submission has been amendedYes
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planYes
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-04-01Type of plan entityMulti-employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planYes
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-04-01Type of plan entityMulti-employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planYes
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-04-01Type of plan entityMulti-employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-04-01Type of plan entityMulti-employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planYes
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-04-01Type of plan entityMulti-employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-04-01Type of plan entityMulti-employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-04-01Type of plan entityMulti-employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: UA LOCAL UNION NO. 614 HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-04-01Type of plan entityMulti-employer plan
2009-04-01Submission has been amendedYes
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34164
Policy instance 3
Insurance contract or identification numberHCL34164
Number of Individuals Covered645
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $18,429
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $249,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,982
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306682
Policy instance 2
Insurance contract or identification number306682
Number of Individuals Covered173
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $8,650
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $456,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,650
Insurance broker organization code?0
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered1173
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $3,452
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $24,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,452
Amount paid for insurance broker fees0
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34164
Policy instance 3
Insurance contract or identification numberHCL34164
Number of Individuals Covered593
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $12,862
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $174,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,720
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306682
Policy instance 2
Insurance contract or identification number306682
Number of Individuals Covered169
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $9,050
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $417,077
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?0
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered1217
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $2,931
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $25,766
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,931
Insurance broker organization code?3
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered489
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $3,359
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $26,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,359
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306682
Policy instance 2
Insurance contract or identification number306682
Number of Individuals Covered172
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $8,950
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $327,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,950
Insurance broker organization code?0
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34164
Policy instance 3
Insurance contract or identification numberHCL34164
Number of Individuals Covered575
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $13,123
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $177,940
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,897
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34164
Policy instance 3
Insurance contract or identification numberHCL34164
Number of Individuals Covered609
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $3,825
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $175,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,098
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306682
Policy instance 2
Insurance contract or identification number306682
Number of Individuals Covered172
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $8,950
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $335,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,950
Insurance broker organization code?0
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered6
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $2,971
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $27,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,784
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34164
Policy instance 3
Insurance contract or identification numberHCL34164
Number of Individuals Covered598
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $14,504
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $174,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,711
Additional information about fees paid to insurance brokerMEDICAL
Insurance broker organization code?3
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number306682
Policy instance 2
Insurance contract or identification number306682
Number of Individuals Covered167
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $8,600
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $29,704,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,600
Amount paid for insurance broker fees0
Insurance broker organization code?0
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered6
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $2,584
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $25,839
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,584
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number655365
Policy instance 3
Insurance contract or identification number655365
Number of Individuals Covered607
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $7,415
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $185,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,415
Insurance broker organization code?3
Insurance broker nameXS INSURANCE, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberAE466926
Policy instance 2
Insurance contract or identification numberAE466926
Number of Individuals Covered165
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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 $382,864
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 numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered1044
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $3,411
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $27,914
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,499
Insurance broker organization code?3
Insurance broker nameH.J. KNIGHT INTERNATIONAL
5 STAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77879 )
Policy contract numberD0136
Policy instance 1
Insurance contract or identification numberD0136
Number of Individuals Covered1038
Insurance policy start date2016-01-06
Insurance policy end date2016-03-16
Total amount of commissions paid to insurance brokerUSD $2,077
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
Other welfare benefits providedAD&D
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 $2,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,077
Insurance broker organization code?3
Insurance broker nameNELSON INS CONSULTING
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0136021
Policy instance 2
Insurance contract or identification number0136021
Number of Individuals Covered2494
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,914
Total amount of fees paid to insurance companyUSD $116
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
Other welfare benefits providedAD&D
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 $23,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,914
Amount paid for insurance broker fees116
Additional information about fees paid to insurance brokerSUPPLEMENTAL SUPPLMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameDIGITAL INSURANCE INC.
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number655365
Policy instance 3
Insurance contract or identification number655365
Number of Individuals Covered602
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $4,577
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 $76,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,577
Insurance broker organization code?3
Insurance broker nameXS INSURANCE, INC.
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number653365
Policy instance 1
Insurance contract or identification number653365
Number of Individuals Covered533
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $5,227
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 $75,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,227
Insurance broker organization code?3
Insurance broker nameXS INSURANCE, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0136021
Policy instance 2
Insurance contract or identification number0136021
Number of Individuals Covered2507
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,971
Total amount of fees paid to insurance companyUSD $81
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
Other welfare benefits providedAD&D
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 $24,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,006
Amount paid for insurance broker fees81
Additional information about fees paid to insurance brokerSUPPLEMENTAL SUPPLMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameBENEFIT SOLUTIONS
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number013621
Policy instance 1
Insurance contract or identification number013621
Number of Individuals Covered2559
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,046
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
Other welfare benefits providedAD&D
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 $24,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,046
Insurance broker organization code?3
Insurance broker nameBENEFIT SOLUTIONS
FORT DEARBORN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number655365
Policy instance 2
Insurance contract or identification number655365
Number of Individuals Covered491
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $6,680
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 $80,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,680
Insurance broker name
FORT DEARBORN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number655365
Policy instance 2
Insurance contract or identification number655365
Number of Individuals Covered580
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
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 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 $90,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number013621
Policy instance 1
Insurance contract or identification number013621
Number of Individuals Covered2752
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $1,765
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
Other welfare benefits providedAD&D
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 $25,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,765
Insurance broker organization code?3
Insurance broker nameBENEFIT SOLUTIONS
FORT DEARBORN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract number655365
Policy instance 2
Insurance contract or identification number655365
Number of Individuals Covered491
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $6,680
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 $95,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number013621
Policy instance 1
Insurance contract or identification number013621
Number of Individuals Covered2480
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,985
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
Other welfare benefits providedAD&D
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 $24,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract number0655365
Policy instance 2
Insurance contract or identification number0655365
Number of Individuals Covered589
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $7,006
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 $100,455
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number013621
Policy instance 1
Insurance contract or identification number013621
Number of Individuals Covered2836
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,262
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
Other welfare benefits providedAD&D
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 $27,114

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