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PLAN DE BIENESTAR UGT 401k Plan overview

Plan NamePLAN DE BIENESTAR UGT
Plan identification number 501

PLAN DE BIENESTAR UGT Benefits

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

401k Sponsoring company profile

UNION GENERAL DE TRABAJADORES has sponsored the creation of one or more 401k plans.

Company Name:UNION GENERAL DE TRABAJADORES
Employer identification number (EIN):660268524
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLAN DE BIENESTAR UGT

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
5012019-01-01
5012018-01-01
5012017-01-01ERASTO ZAYAS NUNEZ
5012016-01-01ERASTO ZAYAS NUNEZ ERASTO ZAYAS NUNEZ2017-07-26
5012015-01-01ERASTO ZAYAS
5012014-01-01MINERVA DIAZ
5012013-01-01MINERVA DIAZ
5012012-01-01MINERVA DIAZ
5012011-01-01MINERVA DIAZ
5012009-01-01MINERVA DIAZ

Plan Statistics for PLAN DE BIENESTAR UGT

401k plan membership statisitcs for PLAN DE BIENESTAR UGT

Measure Date Value
2022: PLAN DE BIENESTAR UGT 2022 401k membership
Total participants, beginning-of-year2022-01-0196
Total number of active participants reported on line 7a of the Form 55002022-01-0193
Total of all active and inactive participants2022-01-0193
Total participants2022-01-0193
2021: PLAN DE BIENESTAR UGT 2021 401k membership
Total participants, beginning-of-year2021-01-01102
Total number of active participants reported on line 7a of the Form 55002021-01-0196
Total of all active and inactive participants2021-01-0196
Total participants2021-01-0196
2020: PLAN DE BIENESTAR UGT 2020 401k membership
Total participants, beginning-of-year2020-01-01126
Total number of active participants reported on line 7a of the Form 55002020-01-01102
Total of all active and inactive participants2020-01-01102
Total participants2020-01-01102
2019: PLAN DE BIENESTAR UGT 2019 401k membership
Total participants, beginning-of-year2019-01-01143
Total number of active participants reported on line 7a of the Form 55002019-01-01126
Total of all active and inactive participants2019-01-01126
Total participants2019-01-01126
2018: PLAN DE BIENESTAR UGT 2018 401k membership
Total participants, beginning-of-year2018-01-01157
Total number of active participants reported on line 7a of the Form 55002018-01-01143
Total of all active and inactive participants2018-01-01143
Total participants2018-01-01143
2017: PLAN DE BIENESTAR UGT 2017 401k membership
Total participants, beginning-of-year2017-01-01161
Total number of active participants reported on line 7a of the Form 55002017-01-01157
Total of all active and inactive participants2017-01-01157
Total participants2017-01-01157
2016: PLAN DE BIENESTAR UGT 2016 401k membership
Total participants, beginning-of-year2016-01-01161
Total number of active participants reported on line 7a of the Form 55002016-01-01146
Total of all active and inactive participants2016-01-01146
Total participants2016-01-01146
2015: PLAN DE BIENESTAR UGT 2015 401k membership
Total participants, beginning-of-year2015-01-01307
Total number of active participants reported on line 7a of the Form 55002015-01-01161
Total of all active and inactive participants2015-01-01161
Total participants2015-01-010
Number of employers contributing to the scheme2015-01-010
2014: PLAN DE BIENESTAR UGT 2014 401k membership
Total participants, beginning-of-year2014-01-01288
Total number of active participants reported on line 7a of the Form 55002014-01-01307
Total of all active and inactive participants2014-01-01307
Total participants2014-01-01307
2013: PLAN DE BIENESTAR UGT 2013 401k membership
Total participants, beginning-of-year2013-01-01264
Total number of active participants reported on line 7a of the Form 55002013-01-01288
Total of all active and inactive participants2013-01-01288
Total participants2013-01-01288
2012: PLAN DE BIENESTAR UGT 2012 401k membership
Total participants, beginning-of-year2012-01-01283
Total number of active participants reported on line 7a of the Form 55002012-01-01264
Total of all active and inactive participants2012-01-01264
Total participants2012-01-01264
2011: PLAN DE BIENESTAR UGT 2011 401k membership
Total participants, beginning-of-year2011-01-01209
Total number of active participants reported on line 7a of the Form 55002011-01-01283
Total of all active and inactive participants2011-01-01283
Total participants2011-01-01283
2009: PLAN DE BIENESTAR UGT 2009 401k membership
Total participants, beginning-of-year2009-01-01480
Total number of active participants reported on line 7a of the Form 55002009-01-01302
Total of all active and inactive participants2009-01-01302
Total participants2009-01-01302

Financial Data on PLAN DE BIENESTAR UGT

Measure Date Value
2022 : PLAN DE BIENESTAR UGT 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$-51,779
Total unrealized appreciation/depreciation of assets2022-12-31$-51,779
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,329
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$72,979
Total income from all sources (including contributions)2022-12-31$300,481
Total loss/gain on sale of assets2022-12-31$-22,358
Total of all expenses incurred2022-12-31$470,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$413,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$360,689
Value of total assets at end of year2022-12-31$367,181
Value of total assets at beginning of year2022-12-31$598,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$56,564
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$13,929
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$13,929
Administrative expenses professional fees incurred2022-12-31$6,475
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$15,851
Participant contributions at end of year2022-12-31$1,978
Participant contributions at beginning of year2022-12-31$2,907
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$74,896
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$3,925
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$66,068
Administrative expenses (other) incurred2022-12-31$46,980
Liabilities. Value of operating payables at end of year2022-12-31$3,660
Liabilities. Value of operating payables at beginning of year2022-12-31$5,052
Total non interest bearing cash at end of year2022-12-31$23,517
Total non interest bearing cash at beginning of year2022-12-31$1,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-169,870
Value of net assets at end of year (total assets less liabilities)2022-12-31$355,852
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$525,722
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$3,109
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$218,832
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$538,940
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$4,916
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$8,124
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$8,124
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$413,787
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$344,838
Employer contributions (assets) at end of year2022-12-31$43,042
Employer contributions (assets) at beginning of year2022-12-31$42,811
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$7,669
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,859
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$259,900
Aggregate carrying amount (costs) on sale of assets2022-12-31$282,258
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31J&J CPA, LLC
Accountancy firm EIN2022-12-31660826734
2021 : PLAN DE BIENESTAR UGT 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$16,973
Total unrealized appreciation/depreciation of assets2021-12-31$16,973
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$72,979
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$43,865
Total income from all sources (including contributions)2021-12-31$418,672
Total loss/gain on sale of assets2021-12-31$-21,919
Total of all expenses incurred2021-12-31$540,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$447,659
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$396,208
Value of total assets at end of year2021-12-31$598,701
Value of total assets at beginning of year2021-12-31$691,338
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$92,764
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$27,410
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$27,410
Administrative expenses professional fees incurred2021-12-31$6,650
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$25,187
Participant contributions at end of year2021-12-31$2,907
Participant contributions at beginning of year2021-12-31$3,352
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$3,925
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$3,925
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$66,068
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$34,640
Administrative expenses (other) incurred2021-12-31$82,011
Liabilities. Value of operating payables at end of year2021-12-31$5,052
Liabilities. Value of operating payables at beginning of year2021-12-31$7,358
Total non interest bearing cash at end of year2021-12-31$1,994
Total non interest bearing cash at beginning of year2021-12-31$44,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-121,751
Value of net assets at end of year (total assets less liabilities)2021-12-31$525,722
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$647,473
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$4,103
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$538,940
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$580,088
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$8,124
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$3,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$3,385
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$447,659
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$371,021
Employer contributions (assets) at end of year2021-12-31$42,811
Employer contributions (assets) at beginning of year2021-12-31$55,721
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,859
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,867
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$178,298
Aggregate carrying amount (costs) on sale of assets2021-12-31$200,217
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31J&J CPA, LLC
Accountancy firm EIN2021-12-31660826734
2020 : PLAN DE BIENESTAR UGT 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$-2,123
Total unrealized appreciation/depreciation of assets2020-12-31$-2,123
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$43,863
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$8,952
Total income from all sources (including contributions)2020-12-31$435,390
Total loss/gain on sale of assets2020-12-31$-1,815
Total of all expenses incurred2020-12-31$610,694
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$537,256
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$410,105
Value of total assets at end of year2020-12-31$691,338
Value of total assets at beginning of year2020-12-31$831,731
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$73,438
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$29,223
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$29,223
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$72,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$3,925
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$8,206
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$34,640
Administrative expenses (other) incurred2020-12-31$69,234
Liabilities. Value of operating payables at end of year2020-12-31$7,356
Liabilities. Value of operating payables at beginning of year2020-12-31$7,457
Total non interest bearing cash at end of year2020-12-31$44,867
Total non interest bearing cash at beginning of year2020-12-31$59,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-175,304
Value of net assets at end of year (total assets less liabilities)2020-12-31$647,475
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$822,779
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$4,204
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$580,088
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$710,403
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$3,385
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$5,720
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$5,720
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$537,256
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$338,105
Employer contributions (assets) at end of year2020-12-31$59,073
Employer contributions (assets) at beginning of year2020-12-31$47,699
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,867
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,495
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$155,600
Aggregate carrying amount (costs) on sale of assets2020-12-31$157,415
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31J&J CPA. LLC
Accountancy firm EIN2020-12-31660826734
2019 : PLAN DE BIENESTAR UGT 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$43,920
Total unrealized appreciation/depreciation of assets2019-12-31$43,920
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$8,952
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$107,628
Total income from all sources (including contributions)2019-12-31$568,874
Total loss/gain on sale of assets2019-12-31$-1,169
Total of all expenses incurred2019-12-31$650,989
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$572,444
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$490,737
Value of total assets at end of year2019-12-31$831,731
Value of total assets at beginning of year2019-12-31$1,012,522
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$78,545
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$35,386
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$35,386
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$79,671
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$8,206
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,928
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$94,524
Administrative expenses (other) incurred2019-12-31$72,623
Liabilities. Value of operating payables at end of year2019-12-31$7,457
Liabilities. Value of operating payables at beginning of year2019-12-31$11,133
Total non interest bearing cash at end of year2019-12-31$59,703
Total non interest bearing cash at beginning of year2019-12-31$40,111
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-82,115
Value of net assets at end of year (total assets less liabilities)2019-12-31$822,779
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$904,894
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 leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$5,922
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$710,403
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$823,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$5,720
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$794
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$794
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$572,444
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$411,066
Employer contributions (assets) at end of year2019-12-31$47,699
Employer contributions (assets) at beginning of year2019-12-31$144,575
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,495
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,971
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
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$190,850
Aggregate carrying amount (costs) on sale of assets2019-12-31$192,019
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31J&J CPA, LLC
Accountancy firm EIN2019-12-31660826734
2018 : PLAN DE BIENESTAR UGT 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-52,633
Total unrealized appreciation/depreciation of assets2018-12-31$-52,633
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$107,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$142,282
Total income from all sources (including contributions)2018-12-31$662,477
Total loss/gain on sale of assets2018-12-31$1,368
Total of all expenses incurred2018-12-31$732,482
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$652,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$673,294
Value of total assets at end of year2018-12-31$1,012,522
Value of total assets at beginning of year2018-12-31$1,117,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$79,705
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$40,448
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$40,448
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$87,868
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$3,928
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$3,925
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$94,524
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$66,977
Administrative expenses (other) incurred2018-12-31$79,705
Liabilities. Value of operating payables at end of year2018-12-31$11,133
Liabilities. Value of operating payables at beginning of year2018-12-31$13,434
Total non interest bearing cash at end of year2018-12-31$40,111
Total non interest bearing cash at beginning of year2018-12-31$3,349
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-70,005
Value of net assets at end of year (total assets less liabilities)2018-12-31$904,894
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$974,899
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$823,114
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$933,795
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$794
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$7,143
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$7,143
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$652,777
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$585,426
Employer contributions (assets) at end of year2018-12-31$144,575
Employer contributions (assets) at beginning of year2018-12-31$168,969
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,971
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$61,871
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$99,900
Aggregate carrying amount (costs) on sale of assets2018-12-31$98,532
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31J&J CPA, LLC
Accountancy firm EIN2018-12-31660826734
2017 : PLAN DE BIENESTAR UGT 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$26,937
Total unrealized appreciation/depreciation of assets2017-12-31$26,937
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$142,282
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$64,713
Total income from all sources (including contributions)2017-12-31$592,758
Total loss/gain on sale of assets2017-12-31$-2,715
Total of all expenses incurred2017-12-31$653,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$573,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$532,061
Value of total assets at end of year2017-12-31$1,117,181
Value of total assets at beginning of year2017-12-31$1,100,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$80,307
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$36,475
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$36,475
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$32,844
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$3,925
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$4,975
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$66,977
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Administrative expenses (other) incurred2017-12-31$80,307
Liabilities. Value of operating payables at end of year2017-12-31$13,434
Liabilities. Value of operating payables at beginning of year2017-12-31$12,338
Total non interest bearing cash at end of year2017-12-31$3,349
Total non interest bearing cash at beginning of year2017-12-31$39,749
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-60,732
Value of net assets at end of year (total assets less liabilities)2017-12-31$974,899
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,035,631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$933,795
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,040,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$7,143
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,208
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,208
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$573,183
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$499,217
Employer contributions (assets) at end of year2017-12-31$168,969
Employer contributions (assets) at beginning of year2017-12-31$13,395
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$61,871
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$52,375
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$166,900
Aggregate carrying amount (costs) on sale of assets2017-12-31$169,615
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31J & J CPA, LLC
Accountancy firm EIN2017-12-31660826734
2016 : PLAN DE BIENESTAR UGT 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$49,444
Total unrealized appreciation/depreciation of assets2016-12-31$49,444
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$64,713
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$68,933
Total income from all sources (including contributions)2016-12-31$520,219
Total loss/gain on sale of assets2016-12-31$-13,475
Total of all expenses incurred2016-12-31$654,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$565,764
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$446,127
Value of total assets at end of year2016-12-31$1,100,344
Value of total assets at beginning of year2016-12-31$1,238,496
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$88,387
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$38,123
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$38,123
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$250,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$4,975
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$28,334
Administrative expenses (other) incurred2016-12-31$88,387
Liabilities. Value of operating payables at end of year2016-12-31$12,338
Liabilities. Value of operating payables at beginning of year2016-12-31$11,212
Total non interest bearing cash at end of year2016-12-31$39,749
Total non interest bearing cash at beginning of year2016-12-31$39,508
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-133,932
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,035,631
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,169,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,040,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,120,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,208
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$5,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$5,622
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$565,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$446,127
Employer contributions (assets) at end of year2016-12-31$13,395
Employer contributions (assets) at beginning of year2016-12-31$44,571
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$52,375
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$57,721
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$167,319
Aggregate carrying amount (costs) on sale of assets2016-12-31$180,794
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31J & J CPA, LLC
Accountancy firm EIN2016-12-31660826734
2015 : PLAN DE BIENESTAR UGT 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-83,456
Total unrealized appreciation/depreciation of assets2015-12-31$-83,456
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$68,933
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$116,894
Total income from all sources (including contributions)2015-12-31$647,745
Total loss/gain on sale of assets2015-12-31$4,403
Total of all expenses incurred2015-12-31$993,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$906,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$679,870
Value of total assets at end of year2015-12-31$1,238,496
Value of total assets at beginning of year2015-12-31$1,631,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$86,493
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$46,928
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$46,928
Administrative expenses professional fees incurred2015-12-31$6,720
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$250,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$28,334
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$24,467
Administrative expenses (other) incurred2015-12-31$70,540
Liabilities. Value of operating payables at end of year2015-12-31$11,212
Liabilities. Value of operating payables at beginning of year2015-12-31$9,091
Total non interest bearing cash at end of year2015-12-31$39,508
Total non interest bearing cash at beginning of year2015-12-31$66,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-345,259
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,169,563
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,514,822
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$9,233
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,120,461
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,452,244
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$5,622
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$15,195
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$15,195
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$906,511
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$679,870
Employer contributions (assets) at end of year2015-12-31$44,571
Employer contributions (assets) at beginning of year2015-12-31$73,357
Liabilities. Value of benefit claims payable at end of year2015-12-31$57,721
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$107,803
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$295,256
Aggregate carrying amount (costs) on sale of assets2015-12-31$290,853
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31NEXIA PUERTO RICO, PSC
Accountancy firm EIN2015-12-31660828219
2014 : PLAN DE BIENESTAR UGT 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-27,723
Total unrealized appreciation/depreciation of assets2014-12-31$-27,723
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$116,894
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$142,420
Total income from all sources (including contributions)2014-12-31$1,299,553
Total loss/gain on sale of assets2014-12-31$4,696
Total of all expenses incurred2014-12-31$1,487,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,408,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,246,705
Value of total assets at end of year2014-12-31$1,631,716
Value of total assets at beginning of year2014-12-31$1,844,878
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$78,239
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$75,875
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$75,875
Administrative expenses professional fees incurred2014-12-31$18,581
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$250,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$1,408,950
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$24,467
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$45,615
Administrative expenses (other) incurred2014-12-31$59,658
Liabilities. Value of operating payables at end of year2014-12-31$9,091
Liabilities. Value of operating payables at beginning of year2014-12-31$14,534
Total non interest bearing cash at end of year2014-12-31$66,453
Total non interest bearing cash at beginning of year2014-12-31$162,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-187,636
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,514,822
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,702,458
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,452,244
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,519,120
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$15,195
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$6,466
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$6,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,246,705
Employer contributions (assets) at end of year2014-12-31$73,357
Employer contributions (assets) at beginning of year2014-12-31$110,888
Liabilities. Value of benefit claims payable at end of year2014-12-31$107,803
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$127,886
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$38
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$119,720
Aggregate carrying amount (costs) on sale of assets2014-12-31$115,024
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31NEXIA PUERTO RICO, PSC
Accountancy firm EIN2014-12-31660828219
2013 : PLAN DE BIENESTAR UGT 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$6,067
Total unrealized appreciation/depreciation of assets2013-12-31$6,067
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$142,419
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$109,897
Total income from all sources (including contributions)2013-12-31$1,146,997
Total loss/gain on sale of assets2013-12-31$10,553
Total of all expenses incurred2013-12-31$1,391,975
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,285,337
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,057,763
Value of total assets at end of year2013-12-31$1,844,878
Value of total assets at beginning of year2013-12-31$2,057,334
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$106,638
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$72,614
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$72,614
Administrative expenses professional fees incurred2013-12-31$28,167
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$250,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$1,285,337
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$45,615
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$40,562
Administrative expenses (other) incurred2013-12-31$78,471
Liabilities. Value of operating payables at end of year2013-12-31$14,533
Liabilities. Value of operating payables at beginning of year2013-12-31$12,521
Total non interest bearing cash at end of year2013-12-31$162,751
Total non interest bearing cash at beginning of year2013-12-31$34,399
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-244,978
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,702,459
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,947,437
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,519,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,849,005
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$6,466
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$428
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$428
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,057,763
Employer contributions (assets) at end of year2013-12-31$110,888
Employer contributions (assets) at beginning of year2013-12-31$132,864
Liabilities. Value of benefit claims payable at end of year2013-12-31$127,886
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$97,376
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$38
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$76
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$419,120
Aggregate carrying amount (costs) on sale of assets2013-12-31$408,567
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31NEXIA CARDONA & CO., CPA, PSC
Accountancy firm EIN2013-12-31660718138
2012 : PLAN DE BIENESTAR UGT 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$92,587
Total unrealized appreciation/depreciation of assets2012-12-31$92,587
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$109,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$17,635
Total income from all sources (including contributions)2012-12-31$1,119,124
Total loss/gain on sale of assets2012-12-31$5,475
Total of all expenses incurred2012-12-31$1,364,910
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,212,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$913,035
Value of total assets at end of year2012-12-31$2,057,334
Value of total assets at beginning of year2012-12-31$2,210,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$152,707
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$108,027
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$108,027
Administrative expenses professional fees incurred2012-12-31$42,596
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$25,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$1,212,203
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$40,562
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$92,675
Administrative expenses (other) incurred2012-12-31$110,111
Liabilities. Value of operating payables at end of year2012-12-31$12,521
Liabilities. Value of operating payables at beginning of year2012-12-31$15,091
Total non interest bearing cash at end of year2012-12-31$34,399
Total non interest bearing cash at beginning of year2012-12-31$31,207
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-245,786
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,947,437
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,193,223
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,849,005
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,888,177
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$428
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$103,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$103,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$913,035
Employer contributions (assets) at end of year2012-12-31$132,864
Employer contributions (assets) at beginning of year2012-12-31$95,292
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$0
Liabilities. Value of benefit claims payable at end of year2012-12-31$97,376
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,544
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$76
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$113
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$245,260
Aggregate carrying amount (costs) on sale of assets2012-12-31$239,785
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31NEXIA CARDONA & CO., CPA, PSC
Accountancy firm EIN2012-12-31660718138
2011 : PLAN DE BIENESTAR UGT 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-103,225
Total unrealized appreciation/depreciation of assets2011-12-31$-103,225
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$17,635
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$15,136
Total income from all sources (including contributions)2011-12-31$810,713
Total loss/gain on sale of assets2011-12-31$54,683
Total of all expenses incurred2011-12-31$1,091,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$964,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$804,773
Value of total assets at end of year2011-12-31$2,210,858
Value of total assets at beginning of year2011-12-31$2,489,228
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$127,095
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$54,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$54,482
Administrative expenses professional fees incurred2011-12-31$67,732
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$25,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$964,487
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$92,675
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$262,418
Administrative expenses (other) incurred2011-12-31$59,363
Liabilities. Value of operating payables at end of year2011-12-31$15,091
Liabilities. Value of operating payables at beginning of year2011-12-31$14,662
Total non interest bearing cash at end of year2011-12-31$31,207
Total non interest bearing cash at beginning of year2011-12-31$97,610
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-280,869
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,193,223
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,474,092
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,888,177
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$225,596
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$103,394
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$301,696
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$301,696
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$804,773
Employer contributions (assets) at end of year2011-12-31$95,292
Employer contributions (assets) at beginning of year2011-12-31$1,128,472
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$473,285
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,544
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$474
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$113
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$151
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$660,749
Aggregate carrying amount (costs) on sale of assets2011-12-31$606,066
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31NEXIA CARDONA & CO., CPA, PSC
Accountancy firm EIN2011-12-31660718138
2010 : PLAN DE BIENESTAR UGT 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$46,460
Total unrealized appreciation/depreciation of assets2010-12-31$46,460
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$15,136
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$21,280
Total income from all sources (including contributions)2010-12-31$974,147
Total loss/gain on sale of assets2010-12-31$26,460
Total of all expenses incurred2010-12-31$1,060,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$957,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$869,857
Value of total assets at end of year2010-12-31$2,489,228
Value of total assets at beginning of year2010-12-31$2,581,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$102,767
Total interest from all sources2010-12-31$4,687
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$26,683
Administrative expenses professional fees incurred2010-12-31$43,744
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$25,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$957,979
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$262,418
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$295,524
Administrative expenses (other) incurred2010-12-31$59,023
Liabilities. Value of operating payables at end of year2010-12-31$14,662
Liabilities. Value of operating payables at beginning of year2010-12-31$12,813
Total non interest bearing cash at end of year2010-12-31$97,610
Total non interest bearing cash at beginning of year2010-12-31$355,833
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-86,599
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,474,092
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,560,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$225,596
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$224,372
Interest earned on other investments2010-12-31$403
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$301,696
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$46,547
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$46,547
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$869,857
Employer contributions (assets) at end of year2010-12-31$1,128,472
Employer contributions (assets) at beginning of year2010-12-31$1,021,635
Income. Dividends from common stock2010-12-31$26,683
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$473,285
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$637,872
Liabilities. Value of benefit claims payable at end of year2010-12-31$474
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$8,467
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$151
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$189
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$233,680
Aggregate carrying amount (costs) on sale of assets2010-12-31$207,220
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31NEXIA CARDONA & CO., CPA, PSC
Accountancy firm EIN2010-12-31660718138

Form 5500 Responses for PLAN DE BIENESTAR UGT

2022: PLAN DE BIENESTAR UGT 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 – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: PLAN DE BIENESTAR UGT 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 – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: PLAN DE BIENESTAR UGT 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: PLAN DE BIENESTAR UGT 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 planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: PLAN DE BIENESTAR UGT 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 planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: PLAN DE BIENESTAR UGT 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: PLAN DE BIENESTAR UGT 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PLAN DE BIENESTAR UGT 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: PLAN DE BIENESTAR UGT 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: PLAN DE BIENESTAR UGT 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: PLAN DE BIENESTAR UGT 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PLAN DE BIENESTAR UGT 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: PLAN DE BIENESTAR UGT 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

FIRST MEDICAL HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95722 )
Policy contract number2599+2600
Policy instance 3
Insurance contract or identification number2599+2600
Number of Individuals Covered114
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
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
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
Commission paid to Insurance BrokerUSD $27,008
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered86
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
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
Commission paid to Insurance BrokerUSD $17,506
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 79715 )
Policy contract number0900459002
Policy instance 1
Insurance contract or identification number0900459002
Number of Individuals Covered125
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
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
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
Commission paid to Insurance BrokerUSD $759
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered86
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
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
Commission paid to Insurance BrokerUSD $17,506
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 79715 )
Policy contract number0900459002
Policy instance 1
Insurance contract or identification number0900459002
Number of Individuals Covered112
Insurance policy start date2021-08-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $850
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 79715 )
Policy contract number09-00459-002
Policy instance 1
Insurance contract or identification number09-00459-002
Number of Individuals Covered117
Insurance policy start date2020-08-01
Insurance policy end date2021-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,416
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered87
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
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
Commission paid to Insurance BrokerUSD $24,132
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered100
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,061
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO (National Association of Insurance Commissioners NAIC id number: 79715 )
Policy contract number09-001459-002
Policy instance 1
Insurance contract or identification number09-001459-002
Number of Individuals Covered159
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
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
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
Commission paid to Insurance BrokerUSD $1,300
MULTINATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 72087 )
Policy contract number1-449-000
Policy instance 3
Insurance contract or identification number1-449-000
Number of Individuals Covered1437
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $6,904
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,904
Insurance broker nameSMARTQUOTE INSURANCE CORP
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered108
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $11,923
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
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004132
Policy instance 1
Insurance contract or identification numberSP0004132
Number of Individuals Covered49
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,358
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
Commission paid to Insurance BrokerUSD $4,358
Insurance broker nameHUMAN ADVANTAGE INSURANCE BROKERS
MULTINATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 72087 )
Policy contract number1-449-000
Policy instance 3
Insurance contract or identification number1-449-000
Number of Individuals Covered1435
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $8,822
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,822
Insurance broker nameSMARTQUOTE INSURANCE CORP
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered122
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $15,141
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,141
Insurance broker nameHUMAN ADVANTAGE INSURANCE BROKERS,
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004132
Policy instance 1
Insurance contract or identification numberSP0004132
Number of Individuals Covered39
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $8,102
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,102
Insurance broker nameHUMAN ADVANTAGE INSURANCE BROKERS,
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004138
Policy instance 2
Insurance contract or identification numberSP0004138
Number of Individuals Covered124
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
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 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
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0004132
Policy instance 1
Insurance contract or identification numberSP0004132
Number of Individuals Covered183
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
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 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
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberBENPLN07228
Policy instance 1
Insurance contract or identification numberBENPLN07228
Number of Individuals Covered141
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
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 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
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberBENPLN07225
Policy instance 2
Insurance contract or identification numberBENPLN07225
Number of Individuals Covered147
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
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 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
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberBENPLN07225
Policy instance 2
Insurance contract or identification numberBENPLN07225
Number of Individuals Covered120
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberBENPLN07228
Policy instance 1
Insurance contract or identification numberBENPLN07228
Number of Individuals Covered144
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number170210SP0004132
Policy instance 1
Insurance contract or identification number170210SP0004132
Number of Individuals Covered144
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number170243SP0004138
Policy instance 2
Insurance contract or identification number170243SP0004138
Number of Individuals Covered139
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract number70210 70243
Policy instance 1
Insurance contract or identification number70210 70243
Number of Individuals Covered136
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Other welfare benefits providedTELECONSULTA

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