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CTI VEBA PLAN TRUST 401k Plan overview

Plan NameCTI VEBA PLAN TRUST
Plan identification number 501

CTI VEBA PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

CTI V.E.B.A. PLAN TRUST has sponsored the creation of one or more 401k plans.

Company Name:CTI V.E.B.A. PLAN TRUST
Employer identification number (EIN):742403237
NAIC Classification:484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CTI VEBA PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012018-01-01
5012018-01-01
5012017-01-01EVELYN BOND
5012017-01-01EVELYN BOND
5012016-01-01
5012015-01-01FRANCES TRIBBLE
5012014-01-01FRANCES TRIBBLE
5012013-01-01FRANCES TRIBBLE
5012012-01-01FRANCES TRIBBLE
5012011-01-01FRANCES TRIBBLE
5012009-01-01FRANCES TRIBBLE
5012009-01-01FRANCES TRIBBLE

Plan Statistics for CTI VEBA PLAN TRUST

401k plan membership statisitcs for CTI VEBA PLAN TRUST

Measure Date Value
2022: CTI VEBA PLAN TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01641
Total number of active participants reported on line 7a of the Form 55002022-01-01534
Total of all active and inactive participants2022-01-01534
Total participants2022-01-01534
Number of employers contributing to the scheme2022-01-010
2021: CTI VEBA PLAN TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01713
Total number of active participants reported on line 7a of the Form 55002021-01-01641
Total of all active and inactive participants2021-01-01641
Total participants2021-01-01641
Number of employers contributing to the scheme2021-01-010
2020: CTI VEBA PLAN TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01671
Total number of active participants reported on line 7a of the Form 55002020-01-01713
Total of all active and inactive participants2020-01-01713
Total participants2020-01-01713
Number of employers contributing to the scheme2020-01-010
2019: CTI VEBA PLAN TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01671
Total number of active participants reported on line 7a of the Form 55002019-01-01671
Total of all active and inactive participants2019-01-01671
Total participants2019-01-01671
Number of employers contributing to the scheme2019-01-010
2018: CTI VEBA PLAN TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01787
Total number of active participants reported on line 7a of the Form 55002018-01-01671
Total of all active and inactive participants2018-01-01671
Total participants2018-01-01671
Number of employers contributing to the scheme2018-01-010
2017: CTI VEBA PLAN TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01789
Total number of active participants reported on line 7a of the Form 55002017-01-01787
Total of all active and inactive participants2017-01-01787
Total participants2017-01-01787
Number of employers contributing to the scheme2017-01-010
2016: CTI VEBA PLAN TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01387
Total number of active participants reported on line 7a of the Form 55002016-01-01789
Total of all active and inactive participants2016-01-01789
Total participants2016-01-01789
2015: CTI VEBA PLAN TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01341
Total number of active participants reported on line 7a of the Form 55002015-01-01387
Total of all active and inactive participants2015-01-01387
Total participants2015-01-010
Number of employers contributing to the scheme2015-01-010
2014: CTI VEBA PLAN TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01304
Total number of active participants reported on line 7a of the Form 55002014-01-01341
Total of all active and inactive participants2014-01-01341
Total participants2014-01-010
Number of employers contributing to the scheme2014-01-010
2013: CTI VEBA PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01291
Total number of active participants reported on line 7a of the Form 55002013-01-01304
Total of all active and inactive participants2013-01-01304
Total participants2013-01-010
Number of employers contributing to the scheme2013-01-010
2012: CTI VEBA PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01307
Total number of active participants reported on line 7a of the Form 55002012-01-01291
Total of all active and inactive participants2012-01-01291
Total participants2012-01-010
2011: CTI VEBA PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01294
Total number of active participants reported on line 7a of the Form 55002011-01-01307
Total of all active and inactive participants2011-01-01307
Total participants2011-01-01307
2009: CTI VEBA PLAN TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01302
Total number of active participants reported on line 7a of the Form 55002009-01-01296
Total of all active and inactive participants2009-01-01296
Total participants2009-01-01296

Financial Data on CTI VEBA PLAN TRUST

Measure Date Value
2022 : CTI VEBA PLAN TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$783,390
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$696,630
Total income from all sources (including contributions)2022-12-31$3,197,685
Total of all expenses incurred2022-12-31$3,197,685
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,052,208
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,197,685
Value of total assets at end of year2022-12-31$783,390
Value of total assets at beginning of year2022-12-31$696,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$145,477
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$145,477
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$728,497
Participant contributions at end of year2022-12-31$35,358
Participant contributions at beginning of year2022-12-31$75,157
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$637,447
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$73,427
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$5,989
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$2,042
Total non interest bearing cash at end of year2022-12-31$63,689
Total non interest bearing cash at beginning of year2022-12-31$72,139
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$641,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,469,188
Employer contributions (assets) at end of year2022-12-31$46,896
Employer contributions (assets) at beginning of year2022-12-31$475,907
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,410,424
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$777,401
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$694,588
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ROBERTS GROUP CPAS
Accountancy firm EIN2022-12-31562386438
2021 : CTI VEBA PLAN TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$696,630
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$622,074
Total income from all sources (including contributions)2021-12-31$3,903,165
Total of all expenses incurred2021-12-31$3,903,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,717,137
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,903,165
Value of total assets at end of year2021-12-31$696,630
Value of total assets at beginning of year2021-12-31$622,074
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$186,028
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$838,503
Participant contributions at end of year2021-12-31$75,157
Participant contributions at beginning of year2021-12-31$80,406
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$73,427
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$458,359
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$2,042
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$420,860
Total non interest bearing cash at end of year2021-12-31$72,139
Total non interest bearing cash at beginning of year2021-12-31$83,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$681,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,064,662
Employer contributions (assets) at end of year2021-12-31$475,907
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,035,674
Contract administrator fees2021-12-31$186,028
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$694,588
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$201,214
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2021-12-31562386438
2020 : CTI VEBA PLAN TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$622,074
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$518,993
Total income from all sources (including contributions)2020-12-31$2,961,879
Total of all expenses incurred2020-12-31$2,961,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,845,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,961,879
Value of total assets at end of year2020-12-31$622,074
Value of total assets at beginning of year2020-12-31$518,993
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$116,834
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$906,369
Participant contributions at end of year2020-12-31$80,406
Participant contributions at beginning of year2020-12-31$75,758
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$458,359
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$316,118
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$420,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$2,276
Total non interest bearing cash at end of year2020-12-31$83,309
Total non interest bearing cash at beginning of year2020-12-31$7,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$699,437
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,055,510
Employer contributions (assets) at beginning of year2020-12-31$119,707
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,145,608
Contract administrator fees2020-12-31$116,834
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$201,214
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$516,717
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2020-12-31562386438
2019 : CTI VEBA PLAN TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$518,993
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$344,510
Total income from all sources (including contributions)2019-12-31$3,253,255
Total of all expenses incurred2019-12-31$3,253,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,988,086
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,253,255
Value of total assets at end of year2019-12-31$518,993
Value of total assets at beginning of year2019-12-31$344,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$265,169
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$939,012
Participant contributions at end of year2019-12-31$75,758
Participant contributions at beginning of year2019-12-31$165,685
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$316,118
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$2,276
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,222
Total non interest bearing cash at end of year2019-12-31$7,410
Total non interest bearing cash at beginning of year2019-12-31$125,328
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$845,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,314,243
Employer contributions (assets) at end of year2019-12-31$119,707
Employer contributions (assets) at beginning of year2019-12-31$52,677
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,142,768
Contract administrator fees2019-12-31$265,169
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$516,717
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$342,288
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2019-12-31562386438
2018 : CTI VEBA PLAN TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$344,510
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$904,721
Total income from all sources (including contributions)2018-12-31$3,530,514
Total of all expenses incurred2018-12-31$3,530,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,267,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,530,514
Value of total assets at end of year2018-12-31$344,510
Value of total assets at beginning of year2018-12-31$904,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$262,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$55,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$993,422
Participant contributions at end of year2018-12-31$165,685
Participant contributions at beginning of year2018-12-31$53,472
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$820
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$306,215
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$2,222
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,282
Total non interest bearing cash at end of year2018-12-31$125,328
Total non interest bearing cash at beginning of year2018-12-31$44,334
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$733,327
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,537,092
Employer contributions (assets) at end of year2018-12-31$52,677
Employer contributions (assets) at beginning of year2018-12-31$500,700
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,534,291
Contract administrator fees2018-12-31$262,896
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$342,288
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$903,439
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2018-12-31562386438
2017 : CTI VEBA PLAN TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$904,721
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$341,968
Total income from all sources (including contributions)2017-12-31$3,851,630
Total of all expenses incurred2017-12-31$3,863,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,672,735
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,851,630
Value of total assets at end of year2017-12-31$904,721
Value of total assets at beginning of year2017-12-31$353,839
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$190,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$55,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,042,748
Participant contributions at end of year2017-12-31$53,472
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$306,215
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$131,324
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,282
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$2,205
Total non interest bearing cash at end of year2017-12-31$44,334
Total non interest bearing cash at beginning of year2017-12-31$227,275
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-11,871
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,871
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in common/collective trusts at end of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$600,982
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,808,882
Employer contributions (assets) at end of year2017-12-31$500,700
Employer contributions (assets) at beginning of year2017-12-31$-4,760
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,071,753
Contract administrator fees2017-12-31$190,766
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$903,439
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$339,763
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2017-12-31562386438
2016 : CTI VEBA PLAN TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$341,968
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$489,535
Total income from all sources (including contributions)2016-12-31$4,906,422
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,894,551
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,759,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,906,422
Value of total assets at end of year2016-12-31$353,839
Value of total assets at beginning of year2016-12-31$489,535
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$134,601
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$55,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$351,970
Participant contributions at beginning of year2016-12-31$169,104
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$126,564
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$234,122
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$2,205
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$68,556
Total non interest bearing cash at end of year2016-12-31$227,275
Total non interest bearing cash at beginning of year2016-12-31$11,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$11,871
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,871
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$605,369
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,554,452
Employer contributions (assets) at beginning of year2016-12-31$75,228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,154,581
Contract administrator fees2016-12-31$134,601
Liabilities. Value of benefit claims payable at end of year2016-12-31$339,763
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$420,979
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2016-12-31562386438
2015 : CTI VEBA PLAN TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$489,535
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$323,104
Total income from all sources (including contributions)2015-12-31$3,427,556
Total of all expenses incurred2015-12-31$3,835,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,537,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,427,556
Value of total assets at end of year2015-12-31$489,535
Value of total assets at beginning of year2015-12-31$730,891
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$298,178
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$945,474
Participant contributions at end of year2015-12-31$169,104
Participant contributions at beginning of year2015-12-31$122,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$234,122
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$31,882
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$68,556
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$24,773
Total non interest bearing cash at end of year2015-12-31$11,081
Total non interest bearing cash at beginning of year2015-12-31$38,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-407,787
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$407,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in common/collective trusts at end of year2015-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$479,823
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,482,082
Employer contributions (assets) at end of year2015-12-31$75,228
Employer contributions (assets) at beginning of year2015-12-31$537,883
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,057,342
Contract administrator fees2015-12-31$298,178
Liabilities. Value of benefit claims payable at end of year2015-12-31$420,979
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$298,331
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2015-12-31562386438
2014 : CTI VEBA PLAN TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$323,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$297,676
Total income from all sources (including contributions)2014-12-31$3,437,188
Total of all expenses incurred2014-12-31$3,325,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$3,098,657
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,437,188
Value of total assets at end of year2014-12-31$730,891
Value of total assets at beginning of year2014-12-31$593,587
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$226,655
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$612,429
Participant contributions at end of year2014-12-31$122,617
Participant contributions at beginning of year2014-12-31$96,851
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$31,882
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$15,873
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$24,773
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$3,640
Total non interest bearing cash at end of year2014-12-31$38,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$111,876
Value of net assets at end of year (total assets less liabilities)2014-12-31$407,787
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$295,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in common/collective trusts at end of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$326,692
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,824,759
Employer contributions (assets) at end of year2014-12-31$537,883
Employer contributions (assets) at beginning of year2014-12-31$480,863
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,771,965
Contract administrator fees2014-12-31$226,655
Liabilities. Value of benefit claims payable at end of year2014-12-31$298,331
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$294,036
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ROBERTS ALEXONIS GROUP
Accountancy firm EIN2014-12-31562386438
2013 : CTI VEBA PLAN TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$297,676
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$285,058
Total income from all sources (including contributions)2013-12-31$3,149,809
Total of all expenses incurred2013-12-31$2,611,109
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,401,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,149,809
Value of total assets at end of year2013-12-31$1,694,311
Value of total assets at beginning of year2013-12-31$1,142,993
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$209,203
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$658,147
Participant contributions at end of year2013-12-31$96,851
Participant contributions at beginning of year2013-12-31$16,840
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$15,873
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$22,884
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$3,640
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$158
Total non interest bearing cash at beginning of year2013-12-31$14,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$538,700
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,396,635
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$857,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in common/collective trusts at end of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$302,953
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,491,662
Employer contributions (assets) at end of year2013-12-31$1,581,587
Employer contributions (assets) at beginning of year2013-12-31$1,088,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,098,953
Contract administrator fees2013-12-31$209,203
Liabilities. Value of benefit claims payable at end of year2013-12-31$294,036
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$284,900
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ROBERTS & ASSOCIATES, PLLC
Accountancy firm EIN2013-12-31562386438
2012 : CTI VEBA PLAN TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$285,058
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$185,349
Total income from all sources (including contributions)2012-12-31$2,876,748
Total of all expenses incurred2012-12-31$2,789,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,628,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,876,748
Value of total assets at end of year2012-12-31$1,142,993
Value of total assets at beginning of year2012-12-31$956,317
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$161,775
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$494,378
Participant contributions at end of year2012-12-31$16,840
Participant contributions at beginning of year2012-12-31$9,139
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$22,884
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$158
Total non interest bearing cash at end of year2012-12-31$14,678
Total non interest bearing cash at beginning of year2012-12-31$21,938
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$86,967
Value of net assets at end of year (total assets less liabilities)2012-12-31$857,935
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$770,968
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in common/collective trusts at end of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$352,398
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,382,370
Employer contributions (assets) at end of year2012-12-31$1,088,591
Employer contributions (assets) at beginning of year2012-12-31$925,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,275,608
Contract administrator fees2012-12-31$161,775
Liabilities. Value of benefit claims payable at end of year2012-12-31$284,900
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$185,349
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ROBERTS & ASSOCIATES, PLLC
Accountancy firm EIN2012-12-31562386438
2011 : CTI VEBA PLAN TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$185,349
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$315,416
Total income from all sources (including contributions)2011-12-31$2,839,487
Total of all expenses incurred2011-12-31$2,541,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,356,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,839,487
Value of total assets at end of year2011-12-31$956,317
Value of total assets at beginning of year2011-12-31$788,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$185,209
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$562,908
Participant contributions at end of year2011-12-31$9,139
Participant contributions at beginning of year2011-12-31$15,399
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$328
Total non interest bearing cash at end of year2011-12-31$21,938
Total non interest bearing cash at beginning of year2011-12-31$3,025
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$298,190
Value of net assets at end of year (total assets less liabilities)2011-12-31$770,968
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$472,778
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$344,319
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,276,579
Employer contributions (assets) at end of year2011-12-31$925,240
Employer contributions (assets) at beginning of year2011-12-31$769,770
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,011,769
Contract administrator fees2011-12-31$185,209
Liabilities. Value of benefit claims payable at end of year2011-12-31$185,349
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$315,088
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ROBERTS & ASSOCIATES, PLLC
Accountancy firm EIN2011-12-31562386438
2010 : CTI VEBA PLAN TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$315,416
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$148,984
Total income from all sources (including contributions)2010-12-31$2,495,041
Total of all expenses incurred2010-12-31$2,386,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,171,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,495,041
Value of total assets at end of year2010-12-31$788,194
Value of total assets at beginning of year2010-12-31$513,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$214,700
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$519,522
Participant contributions at end of year2010-12-31$15,399
Participant contributions at beginning of year2010-12-31$153,835
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$328
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$11,983
Total non interest bearing cash at end of year2010-12-31$3,025
Total non interest bearing cash at beginning of year2010-12-31$5,287
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$108,749
Value of net assets at end of year (total assets less liabilities)2010-12-31$472,778
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$364,029
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$289,729
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,975,519
Employer contributions (assets) at end of year2010-12-31$769,770
Employer contributions (assets) at beginning of year2010-12-31$353,891
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,881,863
Contract administrator fees2010-12-31$214,700
Liabilities. Value of benefit claims payable at end of year2010-12-31$315,088
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$137,001
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31ROBERTS & ASSOCIATES, PLLC
Accountancy firm EIN2010-12-31562386438

Form 5500 Responses for CTI VEBA PLAN TRUST

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

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 8
Insurance contract or identification numberG000AVHV
Number of Individuals Covered149
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $15,355
Total amount of fees paid to insurance companyUSD $6,530
Other welfare benefits providedLIFE AND AD&D VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $102,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,355
Amount paid for insurance broker fees6530
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 2
Insurance contract or identification numberG000AVHV
Number of Individuals Covered351
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $2,417
Total amount of fees paid to insurance companyUSD $1,130
Other welfare benefits providedLIFE INSURANCE AND AD&D
Welfare Benefit Premiums Paid to CarrierUSD $16,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,417
Amount paid for insurance broker fees1130
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 3
Insurance contract or identification numberG000AVHV
Number of Individuals Covered144
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $19,014
Total amount of fees paid to insurance companyUSD $8,157
Other welfare benefits providedSHORT-TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $126,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,014
Amount paid for insurance broker fees8157
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 4
Insurance contract or identification numberG000AVHV
Number of Individuals Covered77
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $4,699
Total amount of fees paid to insurance companyUSD $1,995
Other welfare benefits providedCRITICAL ILLNESS VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $31,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,699
Amount paid for insurance broker fees1995
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 5
Insurance contract or identification numberG000AVHV
Number of Individuals Covered123
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $5,120
Total amount of fees paid to insurance companyUSD $2,373
Other welfare benefits providedACCIDENT ONLY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $34,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,120
Amount paid for insurance broker fees2373
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343186
Policy instance 6
Insurance contract or identification number3343186
Number of Individuals Covered534
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $641,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 7
Insurance contract or identification numberG000AVHV
Number of Individuals Covered127
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $10,222
Total amount of fees paid to insurance companyUSD $4,346
Other welfare benefits providedLONG TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $68,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,222
Amount paid for insurance broker fees4346
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 2
Insurance contract or identification numberG000AVHV
Number of Individuals Covered381
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $2,852
Total amount of fees paid to insurance companyUSD $1,317
Other welfare benefits providedLIFE INSURANCE AND AD&D
Welfare Benefit Premiums Paid to CarrierUSD $19,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,852
Amount paid for insurance broker fees1317
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 3
Insurance contract or identification numberG000AVHV
Number of Individuals Covered168
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $20,084
Total amount of fees paid to insurance companyUSD $8,914
Other welfare benefits providedSHORT-TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $133,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,084
Amount paid for insurance broker fees8914
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 4
Insurance contract or identification numberG000AVHV
Number of Individuals Covered83
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $5,008
Total amount of fees paid to insurance companyUSD $2,193
Other welfare benefits providedCRITICAL ILLNESS VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $33,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,008
Amount paid for insurance broker fees2193
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 5
Insurance contract or identification numberG000AVHV
Number of Individuals Covered138
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $5,930
Total amount of fees paid to insurance companyUSD $1,456
Other welfare benefits providedACCIDENT ONLY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $39,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,930
Amount paid for insurance broker fees1456
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343186
Policy instance 6
Insurance contract or identification number3343186
Number of Individuals Covered641
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $681,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 7
Insurance contract or identification numberG000AVHV
Number of Individuals Covered141
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $10,727
Total amount of fees paid to insurance companyUSD $4,702
Other welfare benefits providedLONG TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $71,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,727
Amount paid for insurance broker fees4702
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 8
Insurance contract or identification numberG000AVHV
Number of Individuals Covered165
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $16,043
Total amount of fees paid to insurance companyUSD $6,477
Other welfare benefits providedLIFE AND AD&D VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $106,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,043
Amount paid for insurance broker fees6477
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 8
Insurance contract or identification numberG000AVHV
Number of Individuals Covered179
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $14,982
Total amount of fees paid to insurance companyUSD $3,412
Other welfare benefits providedLIFE AND AD&D VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $99,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,982
Amount paid for insurance broker fees3412
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 7
Insurance contract or identification numberG000AVHV
Number of Individuals Covered158
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $10,910
Total amount of fees paid to insurance companyUSD $2,788
Other welfare benefits providedLONG TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $72,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,910
Amount paid for insurance broker fees2788
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3343186
Policy instance 6
Insurance contract or identification number3343186
Number of Individuals Covered713
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $699,436
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 5
Insurance contract or identification numberG000AVHV
Number of Individuals Covered154
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $5,825
Other welfare benefits providedACCIDENT ONLY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $38,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,825
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 4
Insurance contract or identification numberG000AVHV
Number of Individuals Covered104
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $4,970
Other welfare benefits providedCRITICAL ILLNESS VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $33,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,970
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 3
Insurance contract or identification numberG000AVHV
Number of Individuals Covered188
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $20,732
Total amount of fees paid to insurance companyUSD $4,188
Other welfare benefits providedSHORT-TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $138,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,732
Amount paid for insurance broker fees4188
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 2
Insurance contract or identification numberG000AVHV
Number of Individuals Covered434
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $3,041
Total amount of fees paid to insurance companyUSD $726
Other welfare benefits providedLIFE INSURANCE AND AD&D
Welfare Benefit Premiums Paid to CarrierUSD $20,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,041
Amount paid for insurance broker fees726
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number35208
Policy instance 1
Insurance contract or identification number35208
Number of Individuals Covered671
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $813,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 3
Insurance contract or identification numberG000AVHV
Number of Individuals Covered439
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $3,106
Total amount of fees paid to insurance companyUSD $1,206
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,707
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,106
Amount paid for insurance broker fees1206
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 4
Insurance contract or identification numberG000AVHV
Number of Individuals Covered159
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $17,920
Total amount of fees paid to insurance companyUSD $7,260
Other welfare benefits providedSHORT-TERM DISABILITY VOLUNTARY
Welfare Benefit Premiums Paid to CarrierUSD $119,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,920
Amount paid for insurance broker fees7260
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 5
Insurance contract or identification numberG000AVHV
Number of Individuals Covered173
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $11,929
Total amount of fees paid to insurance companyUSD $4,569
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,929
Amount paid for insurance broker fees4569
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AVHV
Policy instance 6
Insurance contract or identification numberG000AVHV
Number of Individuals Covered175
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $14,598
Total amount of fees paid to insurance companyUSD $5,765
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $97,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,598
Amount paid for insurance broker fees5765
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number35208
Policy instance 1
Insurance contract or identification number35208
Number of Individuals Covered671
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $10,000
Welfare Benefit Premiums Paid to CarrierUSD $733,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10000
Additional information about fees paid to insurance brokerSPECIAL INCENTIVE
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3339437
Policy instance 1
Insurance contract or identification number3339437
Number of Individuals Covered787
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $600,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number417004410851
Policy instance 1
Insurance contract or identification number417004410851
Number of Individuals Covered392
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Welfare Benefit Premiums Paid to CarrierUSD $480,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number417004410851
Policy instance 1
Insurance contract or identification number417004410851
Number of Individuals Covered337
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Welfare Benefit Premiums Paid to CarrierUSD $326,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number417004410851
Policy instance 1
Insurance contract or identification number417004410851
Number of Individuals Covered303
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Welfare Benefit Premiums Paid to CarrierUSD $302,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number417004410851
Policy instance 1
Insurance contract or identification number417004410851
Number of Individuals Covered291
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Welfare Benefit Premiums Paid to CarrierUSD $322,674
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number417004410851
Policy instance 1
Insurance contract or identification number417004410851
Number of Individuals Covered307
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Welfare Benefit Premiums Paid to CarrierUSD $304,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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