BOARD OF TRUSTEES TEAMSTERS RETIREE TRUST has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022 : TEAMSTERS RETIREE TRUST 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-07-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-07-31 | $4,136,494 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-07-31 | $10,772,214 |
| Total income from all sources (including contributions) | 2022-07-31 | $34,754,315 |
| Total loss/gain on sale of assets | 2022-07-31 | $0 |
| Total of all expenses incurred | 2022-07-31 | $34,266,270 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-07-31 | $32,177,682 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-07-31 | $34,117,420 |
| Value of total assets at end of year | 2022-07-31 | $18,179,816 |
| Value of total assets at beginning of year | 2022-07-31 | $24,327,491 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-07-31 | $2,088,588 |
| Total interest from all sources | 2022-07-31 | $736 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-07-31 | $455,028 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-07-31 | $455,028 |
| Administrative expenses professional fees incurred | 2022-07-31 | $102,337 |
| Was this plan covered by a fidelity bond | 2022-07-31 | Yes |
| Value of fidelity bond cover | 2022-07-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-07-31 | No |
| Contributions received from participants | 2022-07-31 | $7,202,614 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2022-07-31 | $25,265,863 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-07-31 | $2,535,100 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-07-31 | $6,354,961 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-07-31 | $120,564 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-07-31 | $5,801,945 |
| Other income not declared elsewhere | 2022-07-31 | $1,503,545 |
| Administrative expenses (other) incurred | 2022-07-31 | $554,199 |
| Liabilities. Value of operating payables at end of year | 2022-07-31 | $199,727 |
| Liabilities. Value of operating payables at beginning of year | 2022-07-31 | $159,028 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-07-31 | No |
| Value of net income/loss | 2022-07-31 | $488,045 |
| Value of net assets at end of year (total assets less liabilities) | 2022-07-31 | $14,043,322 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-07-31 | $13,555,277 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-07-31 | No |
| Investment advisory and management fees | 2022-07-31 | $39,931 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-07-31 | $12,625,876 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-07-31 | $14,855,432 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-07-31 | $3,018,840 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-07-31 | $3,117,098 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-07-31 | $3,117,098 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-07-31 | $736 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-07-31 | $10,788,933 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-07-31 | $-1,322,414 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-07-31 | No |
| Contributions received in cash from employer | 2022-07-31 | $1,648,943 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-07-31 | $21,388,749 |
| Contract administrator fees | 2022-07-31 | $1,392,121 |
| Liabilities. Value of benefit claims payable at end of year | 2022-07-31 | $3,816,203 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-07-31 | $4,811,241 |
| Did the plan have assets held for investment | 2022-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-07-31 | Unqualified |
| Accountancy firm name | 2022-07-31 | WITHUMSMITH+BROWN, PC |
| Accountancy firm EIN | 2022-07-31 | 222027092 |
| 2021 : TEAMSTERS RETIREE TRUST 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-07-31 | $10,772,214 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-07-31 | $3,886,976 |
| Total income from all sources (including contributions) | 2021-07-31 | $32,011,564 |
| Total of all expenses incurred | 2021-07-31 | $33,214,415 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-07-31 | $31,280,639 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-07-31 | $29,787,096 |
| Value of total assets at end of year | 2021-07-31 | $24,327,491 |
| Value of total assets at beginning of year | 2021-07-31 | $18,645,104 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-07-31 | $1,933,776 |
| Total interest from all sources | 2021-07-31 | $1,073 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-07-31 | $325,033 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-07-31 | $325,033 |
| Administrative expenses professional fees incurred | 2021-07-31 | $86,685 |
| Was this plan covered by a fidelity bond | 2021-07-31 | Yes |
| Value of fidelity bond cover | 2021-07-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-07-31 | No |
| Contributions received from participants | 2021-07-31 | $7,063,568 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2021-07-31 | $22,155,275 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-07-31 | $6,354,961 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-07-31 | $1,151,245 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-07-31 | $5,801,945 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-07-31 | $472,959 |
| Other income not declared elsewhere | 2021-07-31 | $1,117,217 |
| Administrative expenses (other) incurred | 2021-07-31 | $582,775 |
| Liabilities. Value of operating payables at end of year | 2021-07-31 | $159,028 |
| Liabilities. Value of operating payables at beginning of year | 2021-07-31 | $52,115 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-07-31 | No |
| Value of net income/loss | 2021-07-31 | $-1,202,851 |
| Value of net assets at end of year (total assets less liabilities) | 2021-07-31 | $13,555,277 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-07-31 | $14,758,128 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-07-31 | No |
| Investment advisory and management fees | 2021-07-31 | $38,419 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-07-31 | $14,855,432 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-07-31 | $12,387,084 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-07-31 | $3,117,098 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-07-31 | $5,106,775 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-07-31 | $5,106,775 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-07-31 | $1,073 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-07-31 | $7,510,435 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-07-31 | $781,145 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-07-31 | No |
| Contributions received in cash from employer | 2021-07-31 | $568,253 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-07-31 | $23,770,204 |
| Contract administrator fees | 2021-07-31 | $1,225,897 |
| Liabilities. Value of benefit claims payable at end of year | 2021-07-31 | $4,811,241 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-07-31 | $3,361,902 |
| Did the plan have assets held for investment | 2021-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-07-31 | Unqualified |
| Accountancy firm name | 2021-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2021-07-31 | 522385296 |
| 2020 : TEAMSTERS RETIREE TRUST 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-07-31 | $3,886,976 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-07-31 | $3,874,726 |
| Total income from all sources (including contributions) | 2020-07-31 | $27,028,299 |
| Total of all expenses incurred | 2020-07-31 | $26,844,290 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-07-31 | $24,966,534 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-07-31 | $26,531,199 |
| Value of total assets at end of year | 2020-07-31 | $18,645,104 |
| Value of total assets at beginning of year | 2020-07-31 | $18,448,845 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-07-31 | $1,877,756 |
| Total interest from all sources | 2020-07-31 | $1,248 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-07-31 | $413,420 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-07-31 | $413,420 |
| Administrative expenses professional fees incurred | 2020-07-31 | $108,257 |
| Was this plan covered by a fidelity bond | 2020-07-31 | Yes |
| Value of fidelity bond cover | 2020-07-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-07-31 | No |
| Contributions received from participants | 2020-07-31 | $6,842,063 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2020-07-31 | $19,033,834 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-07-31 | $1,151,245 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-07-31 | $1,470,986 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-07-31 | $472,959 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-07-31 | $120,233 |
| Other income not declared elsewhere | 2020-07-31 | $498,985 |
| Administrative expenses (other) incurred | 2020-07-31 | $599,808 |
| Liabilities. Value of operating payables at end of year | 2020-07-31 | $52,115 |
| Liabilities. Value of operating payables at beginning of year | 2020-07-31 | $158,048 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-07-31 | No |
| Value of net income/loss | 2020-07-31 | $184,009 |
| Value of net assets at end of year (total assets less liabilities) | 2020-07-31 | $14,758,128 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-07-31 | $14,574,119 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-07-31 | No |
| Investment advisory and management fees | 2020-07-31 | $41,010 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-07-31 | $12,387,084 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-07-31 | $12,394,429 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-07-31 | $5,106,775 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-07-31 | $4,583,430 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-07-31 | $4,583,430 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-07-31 | $1,248 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-07-31 | $6,701,312 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-07-31 | $-416,553 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-07-31 | No |
| Contributions received in cash from employer | 2020-07-31 | $655,302 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-07-31 | $18,265,222 |
| Contract administrator fees | 2020-07-31 | $1,128,681 |
| Liabilities. Value of benefit claims payable at end of year | 2020-07-31 | $3,361,902 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-07-31 | $3,596,445 |
| Did the plan have assets held for investment | 2020-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-07-31 | Unqualified |
| Accountancy firm name | 2020-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2020-07-31 | 522385296 |
| 2019 : TEAMSTERS RETIREE TRUST 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-07-31 | $3,874,726 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-07-31 | $3,759,772 |
| Total income from all sources (including contributions) | 2019-07-31 | $25,085,800 |
| Total of all expenses incurred | 2019-07-31 | $23,812,514 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-07-31 | $22,034,337 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-07-31 | $24,012,401 |
| Value of total assets at end of year | 2019-07-31 | $18,448,845 |
| Value of total assets at beginning of year | 2019-07-31 | $17,060,605 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-07-31 | $1,778,177 |
| Total interest from all sources | 2019-07-31 | $1,090 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-07-31 | $284,743 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-07-31 | $284,743 |
| Administrative expenses professional fees incurred | 2019-07-31 | $112,354 |
| Was this plan covered by a fidelity bond | 2019-07-31 | Yes |
| Value of fidelity bond cover | 2019-07-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-07-31 | No |
| Contributions received from participants | 2019-07-31 | $6,802,840 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-07-31 | $16,535,132 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-07-31 | $1,470,986 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-07-31 | $1,239,299 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-07-31 | $120,233 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-07-31 | $117,658 |
| Other income not declared elsewhere | 2019-07-31 | $550,494 |
| Administrative expenses (other) incurred | 2019-07-31 | $572,780 |
| Liabilities. Value of operating payables at end of year | 2019-07-31 | $158,048 |
| Liabilities. Value of operating payables at beginning of year | 2019-07-31 | $139,242 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-07-31 | No |
| Value of net income/loss | 2019-07-31 | $1,273,286 |
| Value of net assets at end of year (total assets less liabilities) | 2019-07-31 | $14,574,119 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-07-31 | $13,300,833 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-07-31 | No |
| Investment advisory and management fees | 2019-07-31 | $38,532 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-07-31 | $12,394,429 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-07-31 | $11,875,225 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-07-31 | $4,583,430 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-07-31 | $3,946,081 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-07-31 | $3,946,081 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-07-31 | $1,090 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-07-31 | $5,931,498 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-07-31 | $237,072 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-07-31 | No |
| Contributions received in cash from employer | 2019-07-31 | $674,429 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-07-31 | $16,102,839 |
| Contract administrator fees | 2019-07-31 | $1,054,511 |
| Liabilities. Value of benefit claims payable at end of year | 2019-07-31 | $3,596,445 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-07-31 | $3,502,872 |
| Did the plan have assets held for investment | 2019-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-07-31 | Unqualified |
| Accountancy firm name | 2019-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2019-07-31 | 522385296 |
| 2018 : TEAMSTERS RETIREE TRUST 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-07-31 | $3,759,772 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-07-31 | $3,507,747 |
| Total income from all sources (including contributions) | 2018-07-31 | $22,921,078 |
| Total of all expenses incurred | 2018-07-31 | $21,987,392 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-07-31 | $20,384,055 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-07-31 | $21,499,949 |
| Value of total assets at end of year | 2018-07-31 | $17,060,605 |
| Value of total assets at beginning of year | 2018-07-31 | $15,874,894 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-07-31 | $1,603,337 |
| Total interest from all sources | 2018-07-31 | $830 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-07-31 | $323,934 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-07-31 | $323,934 |
| Administrative expenses professional fees incurred | 2018-07-31 | $98,822 |
| Was this plan covered by a fidelity bond | 2018-07-31 | Yes |
| Value of fidelity bond cover | 2018-07-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-07-31 | No |
| Contributions received from participants | 2018-07-31 | $6,434,676 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-07-31 | $14,388,657 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-07-31 | $1,239,299 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-07-31 | $1,176,696 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-07-31 | $117,658 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-07-31 | $104,994 |
| Other income not declared elsewhere | 2018-07-31 | $1,004,789 |
| Administrative expenses (other) incurred | 2018-07-31 | $503,932 |
| Liabilities. Value of operating payables at end of year | 2018-07-31 | $139,242 |
| Liabilities. Value of operating payables at beginning of year | 2018-07-31 | $140,857 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-07-31 | No |
| Value of net income/loss | 2018-07-31 | $933,686 |
| Value of net assets at end of year (total assets less liabilities) | 2018-07-31 | $13,300,833 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-07-31 | $12,367,147 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-07-31 | No |
| Investment advisory and management fees | 2018-07-31 | $38,195 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-07-31 | $11,875,225 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-07-31 | $11,462,815 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-07-31 | $3,946,081 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-07-31 | $3,235,383 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-07-31 | $3,235,383 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-07-31 | $830 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-07-31 | $5,336,187 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-07-31 | $91,576 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-07-31 | No |
| Contributions received in cash from employer | 2018-07-31 | $676,616 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-07-31 | $15,047,868 |
| Contract administrator fees | 2018-07-31 | $962,388 |
| Liabilities. Value of benefit claims payable at end of year | 2018-07-31 | $3,502,872 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-07-31 | $3,261,896 |
| Did the plan have assets held for investment | 2018-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-07-31 | Unqualified |
| Accountancy firm name | 2018-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2018-07-31 | 522385296 |
| 2017 : TEAMSTERS RETIREE TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-07-31 | $3,507,747 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-07-31 | $4,422,353 |
| Total income from all sources (including contributions) | 2017-07-31 | $22,196,272 |
| Total of all expenses incurred | 2017-07-31 | $21,547,386 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-07-31 | $18,856,888 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-07-31 | $21,047,157 |
| Value of total assets at end of year | 2017-07-31 | $15,874,894 |
| Value of total assets at beginning of year | 2017-07-31 | $16,140,614 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-07-31 | $2,690,498 |
| Total interest from all sources | 2017-07-31 | $949 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-07-31 | $283,276 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-07-31 | $283,276 |
| Administrative expenses professional fees incurred | 2017-07-31 | $124,736 |
| Was this plan covered by a fidelity bond | 2017-07-31 | Yes |
| Value of fidelity bond cover | 2017-07-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-07-31 | No |
| Contributions received from participants | 2017-07-31 | $5,999,086 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2017-07-31 | $14,156,610 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-07-31 | $1,176,696 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-07-31 | $1,391,355 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-07-31 | $104,994 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-07-31 | $1,562,991 |
| Other income not declared elsewhere | 2017-07-31 | $577,938 |
| Administrative expenses (other) incurred | 2017-07-31 | $1,666,094 |
| Liabilities. Value of operating payables at end of year | 2017-07-31 | $140,857 |
| Liabilities. Value of operating payables at beginning of year | 2017-07-31 | $171,200 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-07-31 | No |
| Value of net income/loss | 2017-07-31 | $648,886 |
| Value of net assets at end of year (total assets less liabilities) | 2017-07-31 | $12,367,147 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-07-31 | $11,718,261 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-07-31 | No |
| Investment advisory and management fees | 2017-07-31 | $39,192 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-07-31 | $11,462,815 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-07-31 | $10,898,530 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-07-31 | $3,235,383 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-07-31 | $3,850,729 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-07-31 | $3,850,729 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-07-31 | $949 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-07-31 | $4,356,796 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-07-31 | $286,952 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-07-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-07-31 | No |
| Contributions received in cash from employer | 2017-07-31 | $891,461 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-07-31 | $14,500,092 |
| Contract administrator fees | 2017-07-31 | $860,476 |
| Liabilities. Value of benefit claims payable at end of year | 2017-07-31 | $3,261,896 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-07-31 | $2,688,162 |
| Did the plan have assets held for investment | 2017-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-07-31 | Unqualified |
| Accountancy firm name | 2017-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2017-07-31 | 522385296 |
| 2016 : TEAMSTERS RETIREE TRUST 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-07-31 | $4,422,353 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-07-31 | $2,625,871 |
| Total income from all sources (including contributions) | 2016-07-31 | $19,842,218 |
| Total of all expenses incurred | 2016-07-31 | $19,837,311 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-07-31 | $17,040,924 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-07-31 | $19,400,399 |
| Value of total assets at end of year | 2016-07-31 | $16,140,614 |
| Value of total assets at beginning of year | 2016-07-31 | $14,339,225 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-07-31 | $2,796,387 |
| Total interest from all sources | 2016-07-31 | $686 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-07-31 | $533,231 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-07-31 | $533,231 |
| Administrative expenses professional fees incurred | 2016-07-31 | $112,231 |
| Was this plan covered by a fidelity bond | 2016-07-31 | Yes |
| Value of fidelity bond cover | 2016-07-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-07-31 | No |
| Contributions received from participants | 2016-07-31 | $5,803,021 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-07-31 | $12,604,815 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-07-31 | $1,391,355 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-07-31 | $1,321,648 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-07-31 | $1,562,991 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-07-31 | $127,101 |
| Other income not declared elsewhere | 2016-07-31 | $304,217 |
| Administrative expenses (other) incurred | 2016-07-31 | $1,867,317 |
| Liabilities. Value of operating payables at end of year | 2016-07-31 | $171,200 |
| Liabilities. Value of operating payables at beginning of year | 2016-07-31 | $182,427 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-07-31 | No |
| Value of net income/loss | 2016-07-31 | $4,907 |
| Value of net assets at end of year (total assets less liabilities) | 2016-07-31 | $11,718,261 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-07-31 | $11,713,354 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-07-31 | No |
| Investment advisory and management fees | 2016-07-31 | $32,197 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-07-31 | $10,898,530 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-07-31 | $10,762,802 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-07-31 | $3,850,729 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-07-31 | $2,254,775 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-07-31 | $2,254,775 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-07-31 | $686 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-07-31 | $3,528,400 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-07-31 | $-396,315 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-07-31 | No |
| Contributions received in cash from employer | 2016-07-31 | $992,563 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-07-31 | $13,512,524 |
| Contract administrator fees | 2016-07-31 | $784,642 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-07-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-07-31 | $2,688,162 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-07-31 | $2,316,343 |
| Did the plan have assets held for investment | 2016-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-07-31 | Unqualified |
| Accountancy firm name | 2016-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2016-07-31 | 522385296 |
| 2015 : TEAMSTERS RETIREE TRUST 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-07-31 | $-309,608 |
| Total unrealized appreciation/depreciation of assets | 2015-07-31 | $-309,608 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-07-31 | $2,625,871 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-07-31 | $1,975,761 |
| Total income from all sources (including contributions) | 2015-07-31 | $18,391,980 |
| Total loss/gain on sale of assets | 2015-07-31 | $-261,771 |
| Total of all expenses incurred | 2015-07-31 | $17,258,880 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-07-31 | $16,062,598 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-07-31 | $17,555,850 |
| Value of total assets at end of year | 2015-07-31 | $14,339,225 |
| Value of total assets at beginning of year | 2015-07-31 | $12,556,015 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-07-31 | $1,196,282 |
| Total interest from all sources | 2015-07-31 | $535 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-07-31 | $305,403 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-07-31 | $305,403 |
| Administrative expenses professional fees incurred | 2015-07-31 | $124,463 |
| Was this plan covered by a fidelity bond | 2015-07-31 | Yes |
| Value of fidelity bond cover | 2015-07-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-07-31 | No |
| Contributions received from participants | 2015-07-31 | $5,757,850 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2015-07-31 | $10,873,098 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-07-31 | $1,321,648 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-07-31 | $1,715,673 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-07-31 | $127,101 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-07-31 | $112,799 |
| Other income not declared elsewhere | 2015-07-31 | $1,101,571 |
| Administrative expenses (other) incurred | 2015-07-31 | $332,753 |
| Liabilities. Value of operating payables at end of year | 2015-07-31 | $182,427 |
| Liabilities. Value of operating payables at beginning of year | 2015-07-31 | $114,960 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-07-31 | No |
| Value of net income/loss | 2015-07-31 | $1,133,100 |
| Value of net assets at end of year (total assets less liabilities) | 2015-07-31 | $11,713,354 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-07-31 | $10,580,254 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-07-31 | No |
| Investment advisory and management fees | 2015-07-31 | $10,405 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-07-31 | $10,762,802 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-07-31 | $10,329,793 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-07-31 | $2,254,775 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-07-31 | $510,549 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-07-31 | $510,549 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-07-31 | $535 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-07-31 | $3,041,006 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-07-31 | No |
| Contributions received in cash from employer | 2015-07-31 | $924,902 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-07-31 | $13,021,592 |
| Contract administrator fees | 2015-07-31 | $728,661 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-07-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-07-31 | $2,316,343 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-07-31 | $1,748,002 |
| Did the plan have assets held for investment | 2015-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-07-31 | No |
| Aggregate proceeds on sale of assets | 2015-07-31 | $27,004,344 |
| Aggregate carrying amount (costs) on sale of assets | 2015-07-31 | $27,266,115 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-07-31 | Unqualified |
| Accountancy firm name | 2015-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2015-07-31 | 522385296 |
| 2014 : TEAMSTERS RETIREE TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-07-31 | $1,975,761 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-07-31 | $2,497,565 |
| Total income from all sources (including contributions) | 2014-07-31 | $18,752,526 |
| Total of all expenses incurred | 2014-07-31 | $17,664,756 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-07-31 | $16,532,280 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-07-31 | $16,812,627 |
| Value of total assets at end of year | 2014-07-31 | $12,556,015 |
| Value of total assets at beginning of year | 2014-07-31 | $11,990,049 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-07-31 | $1,132,476 |
| Total interest from all sources | 2014-07-31 | $413 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-07-31 | $331,891 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-07-31 | $331,891 |
| Administrative expenses professional fees incurred | 2014-07-31 | $98,981 |
| Was this plan covered by a fidelity bond | 2014-07-31 | Yes |
| Value of fidelity bond cover | 2014-07-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-07-31 | No |
| Contributions received from participants | 2014-07-31 | $5,823,131 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2014-07-31 | $10,348,131 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-07-31 | $1,715,673 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-07-31 | $1,214,292 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-07-31 | $112,799 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-07-31 | $113,406 |
| Other income not declared elsewhere | 2014-07-31 | $1,470,107 |
| Administrative expenses (other) incurred | 2014-07-31 | $385,144 |
| Liabilities. Value of operating payables at end of year | 2014-07-31 | $114,960 |
| Liabilities. Value of operating payables at beginning of year | 2014-07-31 | $94,864 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-07-31 | No |
| Value of net income/loss | 2014-07-31 | $1,087,770 |
| Value of net assets at end of year (total assets less liabilities) | 2014-07-31 | $10,580,254 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-07-31 | $9,492,484 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-07-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-07-31 | $10,329,793 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-07-31 | $9,360,414 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-07-31 | $510,549 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-07-31 | $1,415,343 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-07-31 | $1,415,343 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-07-31 | $413 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-07-31 | $2,469,193 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-07-31 | $137,488 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-07-31 | No |
| Contributions received in cash from employer | 2014-07-31 | $641,365 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-07-31 | $14,063,087 |
| Contract administrator fees | 2014-07-31 | $648,351 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-07-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-07-31 | $1,748,002 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-07-31 | $2,289,295 |
| Did the plan have assets held for investment | 2014-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-07-31 | Unqualified |
| Accountancy firm name | 2014-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2014-07-31 | 522385296 |
| 2013 : TEAMSTERS RETIREE TRUST 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-07-31 | $2,497,565 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-07-31 | $2,181,657 |
| Total income from all sources (including contributions) | 2013-07-31 | $15,712,134 |
| Total of all expenses incurred | 2013-07-31 | $15,256,092 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-07-31 | $14,192,944 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-07-31 | $14,737,761 |
| Value of total assets at end of year | 2013-07-31 | $11,990,049 |
| Value of total assets at beginning of year | 2013-07-31 | $11,218,099 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-07-31 | $1,063,148 |
| Total interest from all sources | 2013-07-31 | $379 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-07-31 | $318,024 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-07-31 | $318,024 |
| Administrative expenses professional fees incurred | 2013-07-31 | $95,509 |
| Was this plan covered by a fidelity bond | 2013-07-31 | Yes |
| Value of fidelity bond cover | 2013-07-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-07-31 | No |
| Contributions received from participants | 2013-07-31 | $5,696,795 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2013-07-31 | $8,593,264 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-07-31 | $1,214,292 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-07-31 | $914,604 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-07-31 | $113,406 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-07-31 | $102,851 |
| Other income not declared elsewhere | 2013-07-31 | $963,349 |
| Administrative expenses (other) incurred | 2013-07-31 | $392,400 |
| Liabilities. Value of operating payables at end of year | 2013-07-31 | $94,864 |
| Liabilities. Value of operating payables at beginning of year | 2013-07-31 | $276,888 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-07-31 | No |
| Value of net income/loss | 2013-07-31 | $456,042 |
| Value of net assets at end of year (total assets less liabilities) | 2013-07-31 | $9,492,484 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-07-31 | $9,036,442 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-07-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-07-31 | $9,360,414 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-07-31 | $9,349,769 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-07-31 | $1,415,343 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-07-31 | $953,726 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-07-31 | $953,726 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-07-31 | $379 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-07-31 | $2,426,862 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-07-31 | $-307,379 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-07-31 | No |
| Contributions received in cash from employer | 2013-07-31 | $447,702 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-07-31 | $11,766,082 |
| Contract administrator fees | 2013-07-31 | $575,239 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-07-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-07-31 | $2,289,295 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-07-31 | $1,801,918 |
| Did the plan have assets held for investment | 2013-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-07-31 | Unqualified |
| Accountancy firm name | 2013-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2013-07-31 | 522385296 |
| 2012 : TEAMSTERS RETIREE TRUST 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-07-31 | $2,181,657 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-07-31 | $3,001,090 |
| Total income from all sources (including contributions) | 2012-07-31 | $13,875,440 |
| Total of all expenses incurred | 2012-07-31 | $15,246,299 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-07-31 | $14,106,880 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-07-31 | $11,803,318 |
| Value of total assets at end of year | 2012-07-31 | $11,218,099 |
| Value of total assets at beginning of year | 2012-07-31 | $13,408,391 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-07-31 | $1,139,419 |
| Total interest from all sources | 2012-07-31 | $541 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-07-31 | $500,030 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-07-31 | $500,030 |
| Administrative expenses professional fees incurred | 2012-07-31 | $90,447 |
| Was this plan covered by a fidelity bond | 2012-07-31 | Yes |
| Value of fidelity bond cover | 2012-07-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-07-31 | No |
| Contributions received from participants | 2012-07-31 | $4,623,555 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-07-31 | $6,702,556 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-07-31 | $914,604 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-07-31 | $678,526 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-07-31 | $102,851 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-07-31 | $110,831 |
| Other income not declared elsewhere | 2012-07-31 | $1,396,694 |
| Administrative expenses (other) incurred | 2012-07-31 | $528,624 |
| Liabilities. Value of operating payables at end of year | 2012-07-31 | $276,888 |
| Liabilities. Value of operating payables at beginning of year | 2012-07-31 | $91,311 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-07-31 | No |
| Value of net income/loss | 2012-07-31 | $-1,370,859 |
| Value of net assets at end of year (total assets less liabilities) | 2012-07-31 | $9,036,442 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-07-31 | $10,407,301 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-07-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-07-31 | $9,349,769 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-07-31 | $12,374,883 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-07-31 | $953,726 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-07-31 | $354,982 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-07-31 | $354,982 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-07-31 | $541 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-07-31 | $2,238,971 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-07-31 | $174,857 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-07-31 | No |
| Contributions received in cash from employer | 2012-07-31 | $477,207 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-07-31 | $11,867,909 |
| Contract administrator fees | 2012-07-31 | $520,348 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-07-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-07-31 | $1,801,918 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-07-31 | $2,798,948 |
| Did the plan have assets held for investment | 2012-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-07-31 | Unqualified |
| Accountancy firm name | 2012-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2012-07-31 | 522385296 |
| 2011 : TEAMSTERS RETIREE TRUST 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-07-31 | $3,001,090 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-07-31 | $1,661,711 |
| Total income from all sources (including contributions) | 2011-07-31 | $11,539,323 |
| Total of all expenses incurred | 2011-07-31 | $14,279,035 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-07-31 | $13,382,964 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-07-31 | $9,778,448 |
| Value of total assets at end of year | 2011-07-31 | $13,408,391 |
| Value of total assets at beginning of year | 2011-07-31 | $14,808,724 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-07-31 | $896,071 |
| Total interest from all sources | 2011-07-31 | $2,543 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-07-31 | $617,269 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-07-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-07-31 | $617,269 |
| Administrative expenses professional fees incurred | 2011-07-31 | $80,342 |
| Was this plan covered by a fidelity bond | 2011-07-31 | Yes |
| Value of fidelity bond cover | 2011-07-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2011-07-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-07-31 | No |
| Contributions received from participants | 2011-07-31 | $4,104,454 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-07-31 | $5,262,979 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-07-31 | $678,526 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-07-31 | $844,646 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-07-31 | $110,831 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-07-31 | $208,045 |
| Other income not declared elsewhere | 2011-07-31 | $1,050,959 |
| Administrative expenses (other) incurred | 2011-07-31 | $360,743 |
| Liabilities. Value of operating payables at end of year | 2011-07-31 | $91,311 |
| Liabilities. Value of operating payables at beginning of year | 2011-07-31 | $60,084 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-07-31 | No |
| Value of net income/loss | 2011-07-31 | $-2,739,712 |
| Value of net assets at end of year (total assets less liabilities) | 2011-07-31 | $10,407,301 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-07-31 | $13,147,013 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-07-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-07-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-07-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-07-31 | $12,374,883 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-07-31 | $12,867,509 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-07-31 | $354,982 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-07-31 | $1,096,569 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-07-31 | $1,096,569 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-07-31 | $2,543 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-07-31 | $2,003,032 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-07-31 | $90,104 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-07-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-07-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-07-31 | No |
| Contributions received in cash from employer | 2011-07-31 | $411,015 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-07-31 | $11,379,932 |
| Contract administrator fees | 2011-07-31 | $454,986 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-07-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-07-31 | $2,798,948 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-07-31 | $1,393,582 |
| Did the plan have assets held for investment | 2011-07-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-07-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-07-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-07-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-07-31 | Unqualified |
| Accountancy firm name | 2011-07-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2011-07-31 | 522385296 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807 |
| Policy instance | 2 |
| Insurance contract or identification number | 7807 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $734,096 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00258001 | | Number of Individuals Covered | 1552 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $305,876 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 5 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $60,889 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 ) |
| Policy contract number | D9112/9115/9117 |
| Policy instance | 4 |
| Insurance contract or identification number | D9112/9115/9117 | | Number of Individuals Covered | 2470 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2022-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,496,561 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 3 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1484 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,278,486 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807 |
| Policy instance | 1 |
| Insurance contract or identification number | 7807 | | Number of Individuals Covered | 221 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,596,933 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $144,119 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001 | | Number of Individuals Covered | 1871 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $313,280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1343 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,112,602 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 199 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,598,769 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $574,291 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 ) |
| Policy contract number | D9112/9115/9117 |
| Policy instance | 6 |
| Insurance contract or identification number | D9112/9115/9117 | | Number of Individuals Covered | 1934 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $3,262,782 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 155 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $739,173 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 261 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,343,102 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2019-06-01 | | Insurance policy end date | 2020-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $177,293 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) |
| Policy contract number | 101906-2 |
| Policy instance | 6 |
| Insurance contract or identification number | 101906-2 | | Number of Individuals Covered | 1054 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 ) |
| Policy contract number | D9112/9115/9117 |
| Policy instance | 7 |
| Insurance contract or identification number | D9112/9115/9117 | | Number of Individuals Covered | 1934 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $3,121,806 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001 | | Number of Individuals Covered | 1709 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $298,612 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1395 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $910,480 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2018-06-01 | | Insurance policy end date | 2019-05-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $196,105 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1289 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $994,926 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 175 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,570,384 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 ) |
| Policy contract number | D9112/9115/9117 |
| Policy instance | 7 |
| Insurance contract or identification number | D9112/9115/9117 | | Number of Individuals Covered | 1856 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,794,093 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $330,093 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001 | | Number of Individuals Covered | 1598 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $289,314 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) |
| Policy contract number | 101906-2 |
| Policy instance | 6 |
| Insurance contract or identification number | 101906-2 | | Number of Individuals Covered | 1023 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,285 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001 | | Number of Individuals Covered | 1486 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $265,025 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,245,781 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) |
| Policy contract number | 101906-2 |
| Policy instance | 6 |
| Insurance contract or identification number | 101906-2 | | Number of Individuals Covered | 1860 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,775 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $219,831 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1363 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $892,737 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $392,330 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 ) |
| Policy contract number | D9112/9115/9117 |
| Policy instance | 7 |
| Insurance contract or identification number | D9112/9115/9117 | | Number of Individuals Covered | 1807 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,014,242 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001-0007 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001-0007 | | Number of Individuals Covered | 1228 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $219,893 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 ) |
| Policy contract number | D9112 |
| Policy instance | 7 |
| Insurance contract or identification number | D9112 | | Number of Individuals Covered | 844 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $935,616 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $246,555 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 94 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $401,654 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $927,245 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1240 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $710,023 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) |
| Policy contract number | 101906-2 |
| Policy instance | 6 |
| Insurance contract or identification number | 101906-2 | | Number of Individuals Covered | 1455 | | Insurance policy start date | 2015-08-01 | | Insurance policy end date | 2016-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,808 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $259,497 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001-0007 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001-0007 | | Number of Individuals Covered | 1066 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $195,817 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 87 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $363,125 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 118 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $874,372 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1185 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $789,919 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) |
| Policy contract number | 101906-2 |
| Policy instance | 6 |
| Insurance contract or identification number | 101906-2 | | Number of Individuals Covered | 1285 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 ) |
| Policy contract number | 101906-2 |
| Policy instance | 6 |
| Insurance contract or identification number | 101906-2 | | Number of Individuals Covered | 1285 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $7,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1098 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $831,092 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $235,659 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001-0007 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001-0007 | | Number of Individuals Covered | 979 | | Insurance policy start date | 2013-08-01 | | Insurance policy end date | 2014-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $170,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 57 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $293,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $914,398 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1018 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $796,306 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 126 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,439,053 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 66 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $354,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001-0007 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001-0007 | | Number of Individuals Covered | 834 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $143,453 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2012-08-01 | | Insurance policy end date | 2013-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $326,927 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $381,675 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1078 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $214,294 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 123 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEALTH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $856,013 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 63 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEALTH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $195,157 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001-0007 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001-0007 | | Number of Individuals Covered | 793 | | Insurance policy start date | 2011-08-01 | | Insurance policy end date | 2012-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $122,074 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 103583 |
| Policy instance | 1 |
| Insurance contract or identification number | 103583 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $380,543 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | C9706 |
| Policy instance | 5 |
| Insurance contract or identification number | C9706 | | Number of Individuals Covered | 1177 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $527,735 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0026 |
| Policy instance | 4 |
| Insurance contract or identification number | 7807-0026 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEALTH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $800,492 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 7807-0025 |
| Policy instance | 3 |
| Insurance contract or identification number | 7807-0025 | | Number of Individuals Covered | 45 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | HEALTH CARE SERVICE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $151,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00258001-0007 |
| Policy instance | 2 |
| Insurance contract or identification number | 00258001-0007 | | Number of Individuals Covered | 484 | | Insurance policy start date | 2010-08-01 | | Insurance policy end date | 2011-07-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $100,102 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
