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TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 401k Plan overview

Plan NameTEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN
Plan identification number 501

TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN Benefits

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

401k Sponsoring company profile

TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC.
Employer identification number (EIN):752567775
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Additional information about TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1994-11-14
Company Identification Number: 0133335501
Legal Registered Office Address: PO BOX 22775

OKLAHOMA CITY
United States of America (USA)
73123

More information about TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01MICHAEL PAULOWSKY
5012016-07-01MICHAEL PAULOWSKY
5012015-07-01MICHAEL PAULOWSKY
5012014-07-01MICHAEL PAULOWSKY
5012013-07-01MICHAEL PAULAWSKY
5012012-07-01MICHAEL PAULOWSKY MICHAEL PAULOWSKY2013-11-18
5012011-07-01MICHAEL G PAULOWSKY MICHAEL G PAULOWSKY2013-01-10

Plan Statistics for TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN

401k plan membership statisitcs for TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN

Measure Date Value
2022: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0120,220
Total number of active participants reported on line 7a of the Form 55002022-07-0120,580
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-0120,580
2021: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0123,490
Total number of active participants reported on line 7a of the Form 55002021-07-0120,220
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0120,220
2020: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0123,490
Total number of active participants reported on line 7a of the Form 55002020-07-0123,490
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-0123,490
2019: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0125,860
Total number of active participants reported on line 7a of the Form 55002019-07-0123,490
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-0123,490
2018: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0125,920
Total number of active participants reported on line 7a of the Form 55002018-07-0125,860
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-0125,860
2017: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0125,920
Total number of active participants reported on line 7a of the Form 55002017-07-0125,590
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-0125,590
2016: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0127,930
Total number of active participants reported on line 7a of the Form 55002016-07-0125,920
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-0125,920
2015: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0135,640
Total number of active participants reported on line 7a of the Form 55002015-07-0127,930
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0127,930
2014: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0135,360
Total number of active participants reported on line 7a of the Form 55002014-07-0135,640
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-0135,640
2013: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0135,560
Total number of active participants reported on line 7a of the Form 55002013-07-0135,360
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-0135,360
2012: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0135,680
Total number of active participants reported on line 7a of the Form 55002012-07-0135,560
Total of all active and inactive participants2012-07-0135,560
2011: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0132,300
Total number of active participants reported on line 7a of the Form 55002011-07-0135,680
Total of all active and inactive participants2011-07-0135,680

Financial Data on TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN

Measure Date Value
2023 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$607,649
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$689,683
Total income from all sources (including contributions)2023-06-30$2,279,087
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$2,478,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$1,445,977
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$2,135,557
Value of total assets at end of year2023-06-30$7,318,639
Value of total assets at beginning of year2023-06-30$7,599,815
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$1,032,252
Total interest from all sources2023-06-30$143,530
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Administrative expenses professional fees incurred2023-06-30$257,705
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$500,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2023-06-30$34,950
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$101,528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$3,910
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-06-30$172,957
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-06-30$185,651
Administrative expenses (other) incurred2023-06-30$61,518
Liabilities. Value of operating payables at end of year2023-06-30$88,382
Liabilities. Value of operating payables at beginning of year2023-06-30$65,235
Total non interest bearing cash at end of year2023-06-30$152,979
Total non interest bearing cash at beginning of year2023-06-30$214,237
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$-199,142
Value of net assets at end of year (total assets less liabilities)2023-06-30$6,710,990
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$6,910,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$6,888,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$7,163,516
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$7,163,516
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$143,530
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$1,028,964
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30Yes
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$2,100,607
Employer contributions (assets) at end of year2023-06-30$175,863
Employer contributions (assets) at beginning of year2023-06-30$218,152
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$417,013
Contract administrator fees2023-06-30$713,029
Liabilities. Value of benefit claims payable at end of year2023-06-30$346,310
Liabilities. Value of benefit claims payable at beginning of year2023-06-30$438,797
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30RUBINBROWN, LLP
Accountancy firm EIN2023-06-30430765316
2022 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$689,683
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,192,188
Total income from all sources (including contributions)2022-06-30$2,339,119
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$2,606,360
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,591,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$2,332,164
Value of total assets at end of year2022-06-30$7,599,815
Value of total assets at beginning of year2022-06-30$8,369,561
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$1,014,467
Total interest from all sources2022-06-30$6,955
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$218,970
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$41,400
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$3,910
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$185,651
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$566,598
Administrative expenses (other) incurred2022-06-30$24,383
Liabilities. Value of operating payables at end of year2022-06-30$65,235
Liabilities. Value of operating payables at beginning of year2022-06-30$101,843
Total non interest bearing cash at end of year2022-06-30$214,237
Total non interest bearing cash at beginning of year2022-06-30$459,285
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-267,241
Value of net assets at end of year (total assets less liabilities)2022-06-30$6,910,132
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$7,177,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$7,163,516
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$7,588,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$7,588,125
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$6,955
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,005,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$2,290,764
Employer contributions (assets) at end of year2022-06-30$218,152
Employer contributions (assets) at beginning of year2022-06-30$322,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$585,901
Contract administrator fees2022-06-30$771,114
Liabilities. Value of benefit claims payable at end of year2022-06-30$438,797
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$523,747
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30RUBINBROWN, LLP
Accountancy firm EIN2022-06-30430765316
2021 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,192,188
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,093,240
Total income from all sources (including contributions)2021-06-30$2,527,677
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$2,904,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$1,903,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$2,524,873
Value of total assets at end of year2021-06-30$8,369,561
Value of total assets at beginning of year2021-06-30$8,647,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$1,000,923
Total interest from all sources2021-06-30$2,804
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$202,297
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$41,700
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$105,279
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$566,598
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$663,650
Administrative expenses (other) incurred2021-06-30$57,416
Liabilities. Value of operating payables at end of year2021-06-30$101,843
Liabilities. Value of operating payables at beginning of year2021-06-30$76,609
Total non interest bearing cash at end of year2021-06-30$459,285
Total non interest bearing cash at beginning of year2021-06-30$161,983
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-377,112
Value of net assets at end of year (total assets less liabilities)2021-06-30$7,177,373
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$7,554,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$7,588,125
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$8,202,459
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$8,202,459
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$2,804
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$1,056,302
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$2,483,173
Employer contributions (assets) at end of year2021-06-30$322,151
Employer contributions (assets) at beginning of year2021-06-30$178,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$847,564
Contract administrator fees2021-06-30$741,210
Liabilities. Value of benefit claims payable at end of year2021-06-30$523,747
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$352,981
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30RUBINBROWN LLP
Accountancy firm EIN2021-06-30430765316
2020 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,093,240
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,093,240
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,371,157
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,371,157
Total income from all sources (including contributions)2020-06-30$2,429,283
Total income from all sources (including contributions)2020-06-30$2,429,283
Total loss/gain on sale of assets2020-06-30$0
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$2,169,601
Total of all expenses incurred2020-06-30$2,169,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,241,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,241,437
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$2,314,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$2,314,188
Value of total assets at end of year2020-06-30$8,647,725
Value of total assets at end of year2020-06-30$8,647,725
Value of total assets at beginning of year2020-06-30$8,665,960
Value of total assets at beginning of year2020-06-30$8,665,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$928,164
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$928,164
Total interest from all sources2020-06-30$115,095
Total interest from all sources2020-06-30$115,095
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$214,992
Administrative expenses professional fees incurred2020-06-30$214,992
Was this plan covered by a fidelity bond2020-06-30Yes
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$41,850
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$41,850
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$105,279
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$105,279
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$68,201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$68,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$663,650
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$663,650
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$653,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$653,552
Administrative expenses (other) incurred2020-06-30$34,436
Administrative expenses (other) incurred2020-06-30$34,436
Liabilities. Value of operating payables at end of year2020-06-30$76,609
Liabilities. Value of operating payables at end of year2020-06-30$76,609
Liabilities. Value of operating payables at beginning of year2020-06-30$83,489
Liabilities. Value of operating payables at beginning of year2020-06-30$83,489
Total non interest bearing cash at end of year2020-06-30$161,983
Total non interest bearing cash at end of year2020-06-30$161,983
Total non interest bearing cash at beginning of year2020-06-30$0
Total non interest bearing cash at beginning of year2020-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$259,682
Value of net income/loss2020-06-30$259,682
Value of net assets at end of year (total assets less liabilities)2020-06-30$7,554,485
Value of net assets at end of year (total assets less liabilities)2020-06-30$7,554,485
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$7,294,803
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$7,294,803
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$8,202,459
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$8,202,459
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$8,466,685
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$8,466,685
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$8,466,685
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$8,466,685
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$115,095
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$115,095
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$961,233
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$961,233
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$2,272,338
Contributions received in cash from employer2020-06-30$2,272,338
Employer contributions (assets) at end of year2020-06-30$178,004
Employer contributions (assets) at end of year2020-06-30$178,004
Employer contributions (assets) at beginning of year2020-06-30$131,074
Employer contributions (assets) at beginning of year2020-06-30$131,074
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$280,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$280,204
Contract administrator fees2020-06-30$678,736
Contract administrator fees2020-06-30$678,736
Liabilities. Value of benefit claims payable at end of year2020-06-30$352,981
Liabilities. Value of benefit claims payable at end of year2020-06-30$352,981
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$634,116
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$634,116
Did the plan have assets held for investment2020-06-30No
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30RUBINBROWN LLP
Accountancy firm name2020-06-30RUBINBROWN LLP
Accountancy firm EIN2020-06-30430765316
Accountancy firm EIN2020-06-30430765316
2019 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,371,157
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,377,753
Total income from all sources (including contributions)2019-06-30$2,316,003
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$2,476,947
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,461,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$2,149,337
Value of total assets at end of year2019-06-30$8,665,960
Value of total assets at beginning of year2019-06-30$8,833,500
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$1,015,553
Total interest from all sources2019-06-30$166,666
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$249,341
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$42,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$68,201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$124,993
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$653,552
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$634,082
Liabilities. Value of operating payables at end of year2019-06-30$83,489
Liabilities. Value of operating payables at beginning of year2019-06-30$71,848
Total non interest bearing cash at end of year2019-06-30$0
Total non interest bearing cash at beginning of year2019-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-160,944
Value of net assets at end of year (total assets less liabilities)2019-06-30$7,294,803
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$7,455,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$19,432
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$8,466,685
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$8,580,960
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$8,580,960
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$166,666
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$919,434
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$2,107,337
Employer contributions (assets) at end of year2019-06-30$131,074
Employer contributions (assets) at beginning of year2019-06-30$127,547
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$541,960
Contract administrator fees2019-06-30$746,780
Liabilities. Value of benefit claims payable at end of year2019-06-30$634,116
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$671,823
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30RUBINBROWN LLP
Accountancy firm EIN2019-06-30430765316
2018 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,377,753
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$936,283
Total income from all sources (including contributions)2018-06-30$2,501,403
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$2,946,905
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$1,978,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$2,410,989
Value of total assets at end of year2018-06-30$8,833,500
Value of total assets at beginning of year2018-06-30$8,837,532
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$968,739
Total interest from all sources2018-06-30$90,414
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$203,090
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$50,400
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$124,993
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$99,412
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$634,082
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$0
Administrative expenses (other) incurred2018-06-30$18,271
Liabilities. Value of operating payables at end of year2018-06-30$71,848
Liabilities. Value of operating payables at beginning of year2018-06-30$441,171
Total non interest bearing cash at end of year2018-06-30$0
Total non interest bearing cash at beginning of year2018-06-30$143,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-445,502
Value of net assets at end of year (total assets less liabilities)2018-06-30$7,455,747
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$7,901,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$8,580,960
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$8,466,690
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$8,466,690
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$90,414
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$942,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$2,360,589
Employer contributions (assets) at end of year2018-06-30$127,547
Employer contributions (assets) at beginning of year2018-06-30$127,746
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$1,035,268
Contract administrator fees2018-06-30$747,378
Liabilities. Value of benefit claims payable at end of year2018-06-30$671,823
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$495,112
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30RUBINBROWN LLP
Accountancy firm EIN2018-06-30430765316
2017 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$936,283
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$876,599
Total income from all sources (including contributions)2017-06-30$2,583,824
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$2,403,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$1,435,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$2,551,920
Value of total assets at end of year2017-06-30$8,837,532
Value of total assets at beginning of year2017-06-30$8,597,534
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$967,811
Total interest from all sources2017-06-30$31,904
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$198,273
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$58,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$99,412
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$0
Administrative expenses (other) incurred2017-06-30$21,229
Liabilities. Value of operating payables at end of year2017-06-30$441,171
Liabilities. Value of operating payables at beginning of year2017-06-30$269,094
Total non interest bearing cash at end of year2017-06-30$143,684
Total non interest bearing cash at beginning of year2017-06-30$148,570
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$180,314
Value of net assets at end of year (total assets less liabilities)2017-06-30$7,901,249
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$7,720,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$8,466,690
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$8,274,453
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$8,274,453
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$31,904
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$926,911
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$2,493,870
Employer contributions (assets) at end of year2017-06-30$127,746
Employer contributions (assets) at beginning of year2017-06-30$174,511
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$508,788
Contract administrator fees2017-06-30$748,309
Liabilities. Value of benefit claims payable at end of year2017-06-30$495,112
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$607,505
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30RUBINBROWN LLP
Accountancy firm EIN2017-06-30430765316
2016 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$876,599
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$903,698
Total income from all sources (including contributions)2016-06-30$2,685,977
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$2,659,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$1,660,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$2,670,871
Value of total assets at end of year2016-06-30$8,597,534
Value of total assets at beginning of year2016-06-30$8,597,676
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$998,278
Total interest from all sources2016-06-30$15,106
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$170,075
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$58,050
Administrative expenses (other) incurred2016-06-30$75,561
Liabilities. Value of operating payables at end of year2016-06-30$269,094
Liabilities. Value of operating payables at beginning of year2016-06-30$228,885
Total non interest bearing cash at end of year2016-06-30$148,570
Total non interest bearing cash at beginning of year2016-06-30$130,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$26,957
Value of net assets at end of year (total assets less liabilities)2016-06-30$7,720,935
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$7,693,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$8,274,453
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$8,235,136
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$8,235,136
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$15,106
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$963,475
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$2,612,821
Employer contributions (assets) at end of year2016-06-30$174,511
Employer contributions (assets) at beginning of year2016-06-30$232,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$697,267
Contract administrator fees2016-06-30$752,642
Liabilities. Value of benefit claims payable at end of year2016-06-30$607,505
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$674,813
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30RUBINBROWN LLP
Accountancy firm EIN2016-06-30430765316
2015 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$903,698
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$865,788
Total income from all sources (including contributions)2015-06-30$2,853,666
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$2,791,308
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$1,908,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$2,850,773
Value of total assets at end of year2015-06-30$8,597,676
Value of total assets at beginning of year2015-06-30$8,497,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$882,723
Total interest from all sources2015-06-30$2,893
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$166,942
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$86,850
Administrative expenses (other) incurred2015-06-30$23,741
Liabilities. Value of operating payables at end of year2015-06-30$228,885
Liabilities. Value of operating payables at beginning of year2015-06-30$246,496
Total non interest bearing cash at end of year2015-06-30$130,101
Total non interest bearing cash at beginning of year2015-06-30$200,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$62,358
Value of net assets at end of year (total assets less liabilities)2015-06-30$7,693,978
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$7,631,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$8,235,136
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$8,139,313
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$8,139,313
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$2,893
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$882,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$2,763,923
Employer contributions (assets) at end of year2015-06-30$232,439
Employer contributions (assets) at beginning of year2015-06-30$158,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$1,025,825
Contract administrator fees2015-06-30$692,040
Liabilities. Value of benefit claims payable at end of year2015-06-30$674,813
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$619,292
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30RUBINBROWN LLP
Accountancy firm EIN2015-06-30430765316
2014 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$865,788
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$861,209
Total income from all sources (including contributions)2014-06-30$2,886,749
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$2,557,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,584,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$2,863,381
Value of total assets at end of year2014-06-30$8,497,408
Value of total assets at beginning of year2014-06-30$8,163,589
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$972,653
Total interest from all sources2014-06-30$2,305
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$73,200
Other income not declared elsewhere2014-06-30$21,063
Administrative expenses (other) incurred2014-06-30$972,653
Liabilities. Value of operating payables at end of year2014-06-30$246,496
Liabilities. Value of operating payables at beginning of year2014-06-30$220,854
Total non interest bearing cash at end of year2014-06-30$200,000
Total non interest bearing cash at beginning of year2014-06-30$122,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$329,240
Value of net assets at end of year (total assets less liabilities)2014-06-30$7,631,620
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$7,302,380
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$8,139,313
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$7,827,399
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$7,827,399
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$2,305
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$775,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$2,790,181
Employer contributions (assets) at end of year2014-06-30$158,095
Employer contributions (assets) at beginning of year2014-06-30$214,090
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$809,050
Liabilities. Value of benefit claims payable at end of year2014-06-30$619,292
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$640,355
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30RUBINBROWN LLP
Accountancy firm EIN2014-06-30430765316
2013 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$861,209
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,091,923
Total income from all sources (including contributions)2013-06-30$3,138,721
Total of all expenses incurred2013-06-30$2,732,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$1,696,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$2,869,548
Value of total assets at end of year2013-06-30$8,163,589
Value of total assets at beginning of year2013-06-30$7,987,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$1,035,690
Total interest from all sources2013-06-30$7,017
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$744,329
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Assets. Other investments not covered elsewhere at end of year2013-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2013-06-30$10,347
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$84,121
Other income not declared elsewhere2013-06-30$262,156
Administrative expenses (other) incurred2013-06-30$94,536
Liabilities. Value of operating payables at end of year2013-06-30$220,854
Liabilities. Value of operating payables at beginning of year2013-06-30$189,412
Total non interest bearing cash at end of year2013-06-30$122,100
Total non interest bearing cash at beginning of year2013-06-30$124,952
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$406,457
Value of net assets at end of year (total assets less liabilities)2013-06-30$7,302,380
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$6,895,923
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$7,827,399
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$7,562,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$7,562,980
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$7,017
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$759,934
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$2,785,427
Employer contributions (assets) at end of year2013-06-30$214,090
Employer contributions (assets) at beginning of year2013-06-30$289,567
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$936,640
Contract administrator fees2013-06-30$196,825
Liabilities. Value of benefit claims payable at end of year2013-06-30$640,355
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$902,511
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30RUBINBROWN LLP
Accountancy firm EIN2013-06-30430765316
2012 : TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,091,923
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,380,905
Total income from all sources (including contributions)2012-06-30$3,124,789
Total of all expenses incurred2012-06-30$2,934,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,956,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$2,935,861
Value of total assets at end of year2012-06-30$7,987,846
Value of total assets at beginning of year2012-06-30$8,086,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$977,988
Total interest from all sources2012-06-30$7,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$145,106
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Assets. Other investments not covered elsewhere at end of year2012-06-30$10,347
Assets. Other investments not covered elsewhere at beginning of year2012-06-30$70,126
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$84,068
Other income not declared elsewhere2012-06-30$180,949
Administrative expenses (other) incurred2012-06-30$59,336
Liabilities. Value of operating payables at end of year2012-06-30$189,412
Liabilities. Value of operating payables at beginning of year2012-06-30$297,445
Total non interest bearing cash at end of year2012-06-30$124,952
Total non interest bearing cash at beginning of year2012-06-30$590,098
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$190,634
Value of net assets at end of year (total assets less liabilities)2012-06-30$6,895,923
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$6,705,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$7,562,980
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$7,281,738
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$7,281,738
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$7,979
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$823,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$2,851,793
Employer contributions (assets) at end of year2012-06-30$289,567
Employer contributions (assets) at beginning of year2012-06-30$144,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$1,132,894
Contract administrator fees2012-06-30$773,546
Liabilities. Value of benefit claims payable at end of year2012-06-30$902,511
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$1,083,460
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30RUBINBROWN LLP
Accountancy firm EIN2012-06-30430765316

Form 5500 Responses for TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN

2022: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2022 form 5500 responses
2022-07-01Type of plan entityMulitple employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2021 form 5500 responses
2021-07-01Type of plan entityMulitple employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2020 form 5500 responses
2020-07-01Type of plan entityMulitple employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2019 form 5500 responses
2019-07-01Type of plan entityMulitple employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2018 form 5500 responses
2018-07-01Type of plan entityMulitple employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2017 form 5500 responses
2017-07-01Type of plan entityMulitple employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2016 form 5500 responses
2016-07-01Type of plan entityMulitple employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2015 form 5500 responses
2015-07-01Type of plan entityMulitple employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2014 form 5500 responses
2014-07-01Type of plan entityMulitple employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01Submission has been amendedYes
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: TEXAS SONIC EMPLOYERS TRADE ASSOCIATION, INC. OCCUPATIONAL INJURY BENEFITS PLAN 2011 form 5500 responses
2011-07-01Type of plan entityMulitple employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 27855 )
Policy contract numberTNS1138274
Policy instance 2
Insurance contract or identification numberTNS1138274
Number of Individuals Covered20580
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $938,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVANSTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35378 )
Policy contract numberXCB3072
Policy instance 1
Insurance contract or identification numberXCB3072
Number of Individuals Covered20580
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $155,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-08
Policy instance 2
Insurance contract or identification numberEPG0000108-08
Number of Individuals Covered20220
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $850,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVANSTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35378 )
Policy contract numberXCB3103
Policy instance 1
Insurance contract or identification numberXCB3103
Number of Individuals Covered20220
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $131,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-07
Policy instance 2
Insurance contract or identification numberEPG0000108-07
Number of Individuals Covered23490
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $840,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVANSTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35378 )
Policy contract numberXCB3072
Policy instance 1
Insurance contract or identification numberXCB3072
Number of Individuals Covered23490
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $125,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVANSTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35378 )
Policy contract numberXCB3038
Policy instance 1
Insurance contract or identification numberXCB3038
Number of Individuals Covered23490
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $60,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-06
Policy instance 2
Insurance contract or identification numberEPG0000108-06
Number of Individuals Covered23490
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $813,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI4060664
Policy instance 3
Insurance contract or identification numberEEI4060664
Number of Individuals Covered23490
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $101,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-04
Policy instance 1
Insurance contract or identification numberEPG0000108-04
Number of Individuals Covered25860
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $807,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI4058708
Policy instance 2
Insurance contract or identification numberEEI4058708
Number of Individuals Covered25860
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $101,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVANSTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35378 )
Policy contract numberXCB3010
Policy instance 3
Insurance contract or identification numberXCB3010
Number of Individuals Covered25860
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $60,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVANSTON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 35378 )
Policy contract numberXCB2886
Policy instance 3
Insurance contract or identification numberXCB2886
Number of Individuals Covered25590
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $64,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI4057093
Policy instance 2
Insurance contract or identification numberEEI4057093
Number of Individuals Covered25590
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $100,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-04
Policy instance 1
Insurance contract or identification numberEPG0000108-04
Number of Individuals Covered25590
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $768,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-02
Policy instance 1
Insurance contract or identification numberEPG0000108-02
Number of Individuals Covered27930
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $750,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ESSEX INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 39020 )
Policy contract numberXCB2819
Policy instance 3
Insurance contract or identification numberXCB2819
Number of Individuals Covered27930
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $66,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI4053519
Policy instance 2
Insurance contract or identification numberEEI4053519
Number of Individuals Covered27930
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $102,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000108-01
Policy instance 1
Insurance contract or identification numberEPG0000108-01
Number of Individuals Covered35640
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $650,699
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ESSEX INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 39020 )
Policy contract numberXCB2819
Policy instance 3
Insurance contract or identification numberXCB2819
Number of Individuals Covered35640
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $56,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI4051116
Policy instance 2
Insurance contract or identification numberEEI4051116
Number of Individuals Covered35640
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $90,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000015-00
Policy instance 1
Insurance contract or identification numberEPG0000015-00
Number of Individuals Covered35360
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $617,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOUTHERN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19216 )
Policy contract numberSIC 100004
Policy instance 3
Insurance contract or identification numberSIC 100004
Number of Individuals Covered35360
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $54,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI-3C99-TX
Policy instance 2
Insurance contract or identification numberEEI-3C99-TX
Number of Individuals Covered35360
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOUTHERN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19216 )
Policy contract numberSIC 100004
Policy instance 3
Insurance contract or identification numberSIC 100004
Number of Individuals Covered35560
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $57,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI-3C99-TX
Policy instance 2
Insurance contract or identification numberEEI-3C99-TX
Number of Individuals Covered35560
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $582,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000015-00
Policy instance 1
Insurance contract or identification numberEPG0000015-00
Number of Individuals Covered35560
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $87,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTH AMERICAN SPECIALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 29874 )
Policy contract numberEPG0000015-00
Policy instance 1
Insurance contract or identification numberEPG0000015-00
Number of Individuals Covered35680
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $88,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFETY NATIONAL CASUALTY CORPORATION (National Association of Insurance Commissioners NAIC id number: 15105 )
Policy contract numberEEI-3C99-TX
Policy instance 2
Insurance contract or identification numberEEI-3C99-TX
Number of Individuals Covered35680
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $58,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SOUTHERN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 19216 )
Policy contract numberSIC 100004
Policy instance 3
Insurance contract or identification numberSIC 100004
Number of Individuals Covered35680
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedOCCUPATIONAL INJURY BENEFITS PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $604,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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