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PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 401k Plan overview

Plan NamePLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND
Plan identification number 501

PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

PLUMBERS & STEAMFITTERS LOCAL 760 HEALTH & WELFARE has sponsored the creation of one or more 401k plans.

Company Name:PLUMBERS & STEAMFITTERS LOCAL 760 HEALTH & WELFARE
Employer identification number (EIN):636065827
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01GREG EZELL GREG EZELL2018-11-30
5012017-01-01TEENA MILLER GREG EZELL2018-10-15

Plan Statistics for PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND

401k plan membership statisitcs for PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND

Measure Date Value
2022: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01955
Total number of active participants reported on line 7a of the Form 55002022-01-011,242
Number of retired or separated participants receiving benefits2022-01-01167
Total of all active and inactive participants2022-01-011,409
Total participants2022-01-011,409
Number of employers contributing to the scheme2022-01-0135
2021: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01916
Total number of active participants reported on line 7a of the Form 55002021-01-01732
Number of retired or separated participants receiving benefits2021-01-01223
Total of all active and inactive participants2021-01-01955
Total participants2021-01-01955
Number of employers contributing to the scheme2021-01-0138
2020: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01893
Total number of active participants reported on line 7a of the Form 55002020-01-01723
Number of retired or separated participants receiving benefits2020-01-01193
Total of all active and inactive participants2020-01-01916
Total participants2020-01-01916
Number of employers contributing to the scheme2020-01-0139
2019: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01859
Total number of active participants reported on line 7a of the Form 55002019-01-01673
Number of retired or separated participants receiving benefits2019-01-01220
Total of all active and inactive participants2019-01-01893
Total participants2019-01-01893
Number of employers contributing to the scheme2019-01-0135
2018: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01860
Total number of active participants reported on line 7a of the Form 55002018-01-01657
Number of retired or separated participants receiving benefits2018-01-01202
Total of all active and inactive participants2018-01-01859
Total participants2018-01-01859
Number of employers contributing to the scheme2018-01-0127
2017: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01500
Total number of active participants reported on line 7a of the Form 55002017-01-01849
Number of retired or separated participants receiving benefits2017-01-01179
Total of all active and inactive participants2017-01-011,028
Total participants2017-01-011,028
Number of employers contributing to the scheme2017-01-0126

Financial Data on PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND

Measure Date Value
2022 : PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-4,122,193
Total unrealized appreciation/depreciation of assets2022-12-31$-4,122,193
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$297,746
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$54,314
Total income from all sources (including contributions)2022-12-31$10,670,472
Total loss/gain on sale of assets2022-12-31$-60,625
Total of all expenses incurred2022-12-31$10,594,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$10,214,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$13,023,270
Value of total assets at end of year2022-12-31$24,018,025
Value of total assets at beginning of year2022-12-31$23,698,827
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$380,242
Total interest from all sources2022-12-31$172,081
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$354,303
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$310,446
Administrative expenses professional fees incurred2022-12-31$86,128
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$459,583
Participant contributions at beginning of year2022-12-31$6,319
Assets. Other investments not covered elsewhere at end of year2022-12-31$1,419,595
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$1,849,046
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$36,465
Administrative expenses (other) incurred2022-12-31$151,278
Liabilities. Value of operating payables at end of year2022-12-31$297,746
Liabilities. Value of operating payables at beginning of year2022-12-31$54,314
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$75,766
Value of net assets at end of year (total assets less liabilities)2022-12-31$23,720,279
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$23,644,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$142,836
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$6,744,964
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$12,537,297
Interest earned on other investments2022-12-31$56,152
Income. Interest from US Government securities2022-12-31$4,530
Income. Interest from corporate debt instruments2022-12-31$59,088
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$9,088,887
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$5,843,982
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$5,843,982
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$52,311
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$10,214,464
Asset value of US Government securities at end of year2022-12-31$100,890
Asset value of US Government securities at beginning of year2022-12-31$118,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$1,303,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$12,563,687
Employer contributions (assets) at end of year2022-12-31$1,421,785
Employer contributions (assets) at beginning of year2022-12-31$1,238,932
Income. Dividends from common stock2022-12-31$43,857
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$1,851,439
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$2,057,002
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$3,344,242
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$9,758
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$11,006
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$1,087,189
Aggregate carrying amount (costs) on sale of assets2022-12-31$1,147,814
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm EIN2022-12-31650804414
2021 : PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-160,622
Total unrealized appreciation/depreciation of assets2021-12-31$-160,622
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$54,314
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$276,818
Total income from all sources (including contributions)2021-12-31$14,806,036
Total loss/gain on sale of assets2021-12-31$12,318
Total of all expenses incurred2021-12-31$11,767,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$11,377,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$12,856,606
Value of total assets at end of year2021-12-31$23,698,827
Value of total assets at beginning of year2021-12-31$20,882,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$389,825
Total interest from all sources2021-12-31$154,200
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$530,823
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$530,823
Administrative expenses professional fees incurred2021-12-31$75,441
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$529,596
Participant contributions at end of year2021-12-31$6,319
Participant contributions at beginning of year2021-12-31$4,595
Assets. Other investments not covered elsewhere at end of year2021-12-31$1,849,046
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$1,349,693
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$36,465
Administrative expenses (other) incurred2021-12-31$168,915
Liabilities. Value of operating payables at end of year2021-12-31$54,314
Liabilities. Value of operating payables at beginning of year2021-12-31$276,818
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$3,038,371
Value of net assets at end of year (total assets less liabilities)2021-12-31$23,644,513
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,606,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$145,469
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$12,537,297
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,085,768
Interest earned on other investments2021-12-31$59,044
Income. Interest from US Government securities2021-12-31$5,070
Income. Interest from corporate debt instruments2021-12-31$64,223
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$5,843,982
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$8,417,565
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$8,417,565
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$25,863
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$11,377,840
Asset value of US Government securities at end of year2021-12-31$118,778
Asset value of US Government securities at beginning of year2021-12-31$125,018
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,412,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$12,327,010
Employer contributions (assets) at end of year2021-12-31$1,238,932
Employer contributions (assets) at beginning of year2021-12-31$1,417,955
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$2,057,002
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$2,433,646
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$11,006
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$12,255
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$534,861
Aggregate carrying amount (costs) on sale of assets2021-12-31$522,543
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm EIN2021-12-31650804414
2020 : PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$212,205
Total unrealized appreciation/depreciation of assets2020-12-31$212,205
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$276,818
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$45,481
Total income from all sources (including contributions)2020-12-31$14,415,116
Total loss/gain on sale of assets2020-12-31$-29,326
Total of all expenses incurred2020-12-31$11,024,982
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$10,665,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$12,980,957
Value of total assets at end of year2020-12-31$21,136,984
Value of total assets at beginning of year2020-12-31$17,515,513
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$359,854
Total interest from all sources2020-12-31$178,513
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$199,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$199,589
Administrative expenses professional fees incurred2020-12-31$75,844
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$471,073
Participant contributions at end of year2020-12-31$4,595
Participant contributions at beginning of year2020-12-31$4,689
Assets. Other investments not covered elsewhere at end of year2020-12-31$1,349,693
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$1,819,316
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$36,465
Administrative expenses (other) incurred2020-12-31$178,544
Liabilities. Value of operating payables at end of year2020-12-31$276,818
Liabilities. Value of operating payables at beginning of year2020-12-31$45,481
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,390,134
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,860,166
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$17,470,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$105,466
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$7,085,768
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$5,555,150
Interest earned on other investments2020-12-31$62,930
Income. Interest from US Government securities2020-12-31$3,778
Income. Interest from corporate debt instruments2020-12-31$68,754
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$8,417,565
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$6,421,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$6,421,464
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$43,051
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$10,665,128
Asset value of US Government securities at end of year2020-12-31$125,018
Asset value of US Government securities at beginning of year2020-12-31$118,851
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$873,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$12,509,884
Employer contributions (assets) at end of year2020-12-31$1,671,979
Employer contributions (assets) at beginning of year2020-12-31$1,216,134
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$2,433,646
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$2,328,183
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$12,255
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$15,261
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$626,787
Aggregate carrying amount (costs) on sale of assets2020-12-31$656,113
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm EIN2020-12-31650804414
2019 : PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$243,418
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$243,418
Total unrealized appreciation/depreciation of assets2019-12-31$243,418
Total unrealized appreciation/depreciation of assets2019-12-31$243,418
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$45,481
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$45,481
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$75,980
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$75,980
Expenses. Interest paid2019-12-31$8,249
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$8,249
Expenses. Interest paid2019-12-31$8,249
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-12-31$8,249
Total income from all sources (including contributions)2019-12-31$12,847,586
Total income from all sources (including contributions)2019-12-31$12,847,586
Total loss/gain on sale of assets2019-12-31$-6,626
Total loss/gain on sale of assets2019-12-31$-6,626
Total of all expenses incurred2019-12-31$9,530,412
Total of all expenses incurred2019-12-31$9,530,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$9,166,579
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$9,166,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$11,242,098
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$11,242,098
Value of total assets at end of year2019-12-31$17,515,513
Value of total assets at end of year2019-12-31$17,515,513
Value of total assets at beginning of year2019-12-31$14,228,838
Value of total assets at beginning of year2019-12-31$14,228,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$355,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$355,584
Total interest from all sources2019-12-31$209,860
Total interest from all sources2019-12-31$209,860
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$179,593
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$179,593
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$179,593
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$179,593
Administrative expenses professional fees incurred2019-12-31$10,562
Administrative expenses professional fees incurred2019-12-31$10,562
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$459,868
Contributions received from participants2019-12-31$459,868
Participant contributions at end of year2019-12-31$4,689
Participant contributions at end of year2019-12-31$4,689
Participant contributions at beginning of year2019-12-31$8,454
Participant contributions at beginning of year2019-12-31$8,454
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,819,316
Assets. Other investments not covered elsewhere at end of year2019-12-31$1,819,316
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$1,851,237
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$1,851,237
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$36,465
Administrative expenses (other) incurred2019-12-31$237,964
Administrative expenses (other) incurred2019-12-31$237,964
Liabilities. Value of operating payables at end of year2019-12-31$45,481
Liabilities. Value of operating payables at end of year2019-12-31$45,481
Liabilities. Value of operating payables at beginning of year2019-12-31$75,980
Liabilities. Value of operating payables at beginning of year2019-12-31$75,980
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,317,174
Value of net income/loss2019-12-31$3,317,174
Value of net assets at end of year (total assets less liabilities)2019-12-31$17,470,032
Value of net assets at end of year (total assets less liabilities)2019-12-31$17,470,032
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$14,152,858
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$14,152,858
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$107,058
Investment advisory and management fees2019-12-31$107,058
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,555,150
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,555,150
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,260,419
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,260,419
Interest earned on other investments2019-12-31$88,082
Interest earned on other investments2019-12-31$88,082
Income. Interest from US Government securities2019-12-31$12,734
Income. Interest from US Government securities2019-12-31$12,734
Income. Interest from corporate debt instruments2019-12-31$71,573
Income. Interest from corporate debt instruments2019-12-31$71,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$6,421,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$6,421,464
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,472,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,472,381
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,472,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,472,381
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$37,471
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$37,471
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,166,579
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,166,579
Asset value of US Government securities at end of year2019-12-31$118,851
Asset value of US Government securities at end of year2019-12-31$118,851
Asset value of US Government securities at beginning of year2019-12-31$405,896
Asset value of US Government securities at beginning of year2019-12-31$405,896
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$979,243
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$979,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$10,782,230
Contributions received in cash from employer2019-12-31$10,782,230
Employer contributions (assets) at end of year2019-12-31$1,216,134
Employer contributions (assets) at end of year2019-12-31$1,216,134
Employer contributions (assets) at beginning of year2019-12-31$917,805
Employer contributions (assets) at beginning of year2019-12-31$917,805
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$2,328,183
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$2,328,183
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$2,095,308
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$2,095,308
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$159,896
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$159,896
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$15,261
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$15,261
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$20,977
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$20,977
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$1,320,243
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,326,869
Aggregate carrying amount (costs) on sale of assets2019-12-31$1,326,869
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm name2019-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm EIN2019-12-31650804414
Accountancy firm EIN2019-12-31650804414
2018 : PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-126,269
Total unrealized appreciation/depreciation of assets2018-12-31$-126,269
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$75,980
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$27,868
Expenses. Interest paid2018-12-31$3,818
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-12-31$3,818
Total income from all sources (including contributions)2018-12-31$10,371,645
Total loss/gain on sale of assets2018-12-31$-58,572
Total of all expenses incurred2018-12-31$9,781,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,425,054
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$10,649,133
Value of total assets at end of year2018-12-31$14,228,838
Value of total assets at beginning of year2018-12-31$13,590,355
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$352,402
Total interest from all sources2018-12-31$201,946
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$238,506
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$231,529
Administrative expenses professional fees incurred2018-12-31$69,338
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31Yes
Amount of non-exempt transactions with any party-in-interest2018-12-31$112
Contributions received from participants2018-12-31$555,341
Participant contributions at end of year2018-12-31$8,454
Participant contributions at beginning of year2018-12-31$13,230
Assets. Other investments not covered elsewhere at end of year2018-12-31$1,851,237
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$1,888,765
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$36,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$36,465
Administrative expenses (other) incurred2018-12-31$179,989
Liabilities. Value of operating payables at end of year2018-12-31$75,980
Liabilities. Value of operating payables at beginning of year2018-12-31$27,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$590,371
Value of net assets at end of year (total assets less liabilities)2018-12-31$14,152,858
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,562,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$103,075
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,260,419
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,201,463
Interest earned on other investments2018-12-31$99,895
Income. Interest from US Government securities2018-12-31$9,145
Income. Interest from corporate debt instruments2018-12-31$68,508
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,472,381
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,477,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,477,189
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$24,398
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$9,425,054
Asset value of US Government securities at end of year2018-12-31$405,896
Asset value of US Government securities at beginning of year2018-12-31$312,289
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-533,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$10,093,792
Employer contributions (assets) at end of year2018-12-31$917,805
Employer contributions (assets) at beginning of year2018-12-31$1,196,815
Income. Dividends from common stock2018-12-31$6,977
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$2,095,308
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$1,976,169
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$159,896
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$457,023
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$20,977
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$30,947
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$725,428
Aggregate carrying amount (costs) on sale of assets2018-12-31$784,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Qualified
Accountancy firm name2018-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm EIN2018-12-31650804414
2017 : PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$572,976
Total unrealized appreciation/depreciation of assets2017-12-31$572,976
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$15,418
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,154
Expenses. Interest paid2017-12-31$7,582
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$7,582
Total income from all sources (including contributions)2017-12-31$10,008,694
Total loss/gain on sale of assets2017-12-31$110,771
Total of all expenses incurred2017-12-31$8,399,519
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$8,002,423
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,953,421
Value of total assets at end of year2017-12-31$14,030,100
Value of total assets at beginning of year2017-12-31$12,407,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$389,514
Total interest from all sources2017-12-31$178,814
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$173,222
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$158,281
Administrative expenses professional fees incurred2017-12-31$13,289
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$561,822
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31Yes
Amount of non-exempt transactions with any party-in-interest2017-12-31$173,024
Contributions received from participants2017-12-31$786,021
Participant contributions at end of year2017-12-31$13,230
Participant contributions at beginning of year2017-12-31$83,174
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$532,565
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$521,213
Other income not declared elsewhere2017-12-31$19,490
Administrative expenses (other) incurred2017-12-31$279,931
Liabilities. Value of operating payables at end of year2017-12-31$15,418
Liabilities. Value of operating payables at beginning of year2017-12-31$2,154
Total non interest bearing cash at beginning of year2017-12-31$2,435,399
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,609,175
Value of net assets at end of year (total assets less liabilities)2017-12-31$14,014,682
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$12,405,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$96,294
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,201,463
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,218,777
Income. Interest from US Government securities2017-12-31$109,113
Income. Interest from corporate debt instruments2017-12-31$51,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,477,386
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$17,994
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$8,002,423
Asset value of US Government securities at end of year2017-12-31$2,201,054
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$614,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$8,167,400
Employer contributions (assets) at end of year2017-12-31$1,131,370
Employer contributions (assets) at beginning of year2017-12-31$870,934
Income. Dividends from common stock2017-12-31$14,941
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$3,676,502
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$1,976,169
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$457,023
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$39,840
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$39,840
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$1,357,659
Aggregate carrying amount (costs) on sale of assets2017-12-31$1,246,888
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Qualified
Accountancy firm name2017-12-31BELLOWS ASSOCIATES, P.A.
Accountancy firm EIN2017-12-31650804414

Form 5500 Responses for PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND

2022: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PLUMBERS & STEAMFITTERS LOCAL UNION 760 HEALTH & WELFARE TRUST FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BWYY
Policy instance 2
Insurance contract or identification numberG000BWYY
Number of Individuals Covered796
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $25,945
Total amount of fees paid to insurance companyUSD $2,173
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $172,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,945
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees2173
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0024603
Policy instance 1
Insurance contract or identification number0024603
Number of Individuals Covered1791
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBABY YOURSELF; AIR MEDICAL SERVICES (AIRMED)
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000BWYY
Policy instance 3
Insurance contract or identification numberG000BWYY
Number of Individuals Covered865
Insurance policy start date2021-06-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $104,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,875
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Amount paid for insurance broker fees7452
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017826
Policy instance 2
Insurance contract or identification numberF017826
Number of Individuals Covered862
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $87,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,842
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number0024603
Policy instance 1
Insurance contract or identification number0024603
Number of Individuals Covered1767
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedBABY YOURSELF, AIR MEDICAL SERVICES (AIRMED)
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017826
Policy instance 2
Insurance contract or identification numberF017826
Number of Individuals Covered889
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $34,738
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $192,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number24603
Policy instance 1
Insurance contract or identification number24603
Number of Individuals Covered1796
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number24603
Policy instance 2
Insurance contract or identification number24603
Number of Individuals Covered1796
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017826
Policy instance 1
Insurance contract or identification numberF017826
Number of Individuals Covered889
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $34,738
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $192,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,969
Amount paid for insurance broker fees0
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017826
Policy instance 2
Insurance contract or identification numberF017826
Number of Individuals Covered853
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,114
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 $185,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,902
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number24603
Policy instance 1
Insurance contract or identification number24603
Number of Individuals Covered1738
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017826
Policy instance 2
Insurance contract or identification numberF017826
Number of Individuals Covered869
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $35,272
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT (ADD)
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 $195,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,853
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number24603
Policy instance 1
Insurance contract or identification number24603
Number of Individuals Covered1678
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017826
Policy instance 2
Insurance contract or identification numberF017826
Number of Individuals Covered914
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $27,533
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 providedACCIDENTAL DEATH AND DISMEMBERMENT (ADD)
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 $160,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,061
Insurance broker nameJOHN M. CRUICKSHANK
BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number24603
Policy instance 1
Insurance contract or identification number24603
Number of Individuals Covered1698
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXPANDED PSYCHIATRIC SERVICES (EPS)
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 $73,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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