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ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 401k Plan overview

Plan NameASBESTOS WORKERS LOCAL 24 MEDICAL FUND
Plan identification number 501

ASBESTOS WORKERS LOCAL 24 MEDICAL FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BD TEES ASBESTOS WRKS L24 MEDICAL FUND has sponsored the creation of one or more 401k plans.

Company Name:BD TEES ASBESTOS WRKS L24 MEDICAL FUND
Employer identification number (EIN):770649935
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASBESTOS WORKERS LOCAL 24 MEDICAL FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01BRIAN S. CAVEY2023-04-17 SCOTT GRANT2023-04-17
5012020-07-01BRIAN S. CAVEY2022-04-18 SCOTT GRANT2022-04-18
5012019-07-01BRIAN S. CAVEY2021-03-22 SCOTT GRANT2021-03-22
5012018-07-01BRIAN S. CAVEY2020-03-25 SCOTT GRANT2020-03-25
5012017-07-01BRIAN S. CAVEY2019-03-25 KEVIN ORCHARD2019-04-01
5012016-07-01
5012016-07-01BRIAN S. CAVEY2019-01-09
5012015-07-01LINO CRESSOTTI
5012014-07-01LINO CRESSOTTI
5012013-07-01LINO CRESSOTTI
5012012-07-01LINO CRESSOTTI
5012011-07-01LINO CRESSOTTI
5012010-07-01LINO CRESSOTTI STEVE SHEGOGUE2012-04-16
5012009-07-01LINO CRESSOTTI R. STEVE SHEGOGUE2011-04-15

Plan Statistics for ASBESTOS WORKERS LOCAL 24 MEDICAL FUND

401k plan membership statisitcs for ASBESTOS WORKERS LOCAL 24 MEDICAL FUND

Measure Date Value
2021: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2021 401k membership
Total participants, beginning-of-year2021-07-01702
Total number of active participants reported on line 7a of the Form 55002021-07-01625
Number of retired or separated participants receiving benefits2021-07-01100
Number of other retired or separated participants entitled to future benefits2021-07-0129
Total of all active and inactive participants2021-07-01754
Number of employers contributing to the scheme2021-07-0126
2020: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2020 401k membership
Total participants, beginning-of-year2020-07-01641
Total number of active participants reported on line 7a of the Form 55002020-07-01580
Number of retired or separated participants receiving benefits2020-07-0194
Number of other retired or separated participants entitled to future benefits2020-07-0128
Total of all active and inactive participants2020-07-01702
Number of employers contributing to the scheme2020-07-0123
2019: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2019 401k membership
Total participants, beginning-of-year2019-07-01618
Total number of active participants reported on line 7a of the Form 55002019-07-01499
Number of retired or separated participants receiving benefits2019-07-01142
Total of all active and inactive participants2019-07-01641
Number of employers contributing to the scheme2019-07-0126
2018: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2018 401k membership
Total participants, beginning-of-year2018-07-01934
Total number of active participants reported on line 7a of the Form 55002018-07-01508
Number of retired or separated participants receiving benefits2018-07-01110
Total of all active and inactive participants2018-07-01618
Number of employers contributing to the scheme2018-07-0125
2017: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2017 401k membership
Total participants, beginning-of-year2017-07-01573
Total number of active participants reported on line 7a of the Form 55002017-07-01798
Number of retired or separated participants receiving benefits2017-07-01136
Total of all active and inactive participants2017-07-01934
Number of employers contributing to the scheme2017-07-0128
2016: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2016 401k membership
Total participants, beginning-of-year2016-07-01502
Total number of active participants reported on line 7a of the Form 55002016-07-01440
Number of retired or separated participants receiving benefits2016-07-01133
Total of all active and inactive participants2016-07-01573
Number of employers contributing to the scheme2016-07-0128
2015: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2015 401k membership
Total participants, beginning-of-year2015-07-01469
Total number of active participants reported on line 7a of the Form 55002015-07-01373
Number of retired or separated participants receiving benefits2015-07-01129
Total of all active and inactive participants2015-07-01502
Number of employers contributing to the scheme2015-07-0126
2014: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2014 401k membership
Total participants, beginning-of-year2014-07-01443
Total number of active participants reported on line 7a of the Form 55002014-07-01342
Number of retired or separated participants receiving benefits2014-07-01127
Total of all active and inactive participants2014-07-01469
Number of employers contributing to the scheme2014-07-0124
2013: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01450
Total number of active participants reported on line 7a of the Form 55002013-07-01320
Number of retired or separated participants receiving benefits2013-07-01123
Total of all active and inactive participants2013-07-01443
Number of employers contributing to the scheme2013-07-0130
2012: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2012 401k membership
Total participants, beginning-of-year2012-07-01446
Total number of active participants reported on line 7a of the Form 55002012-07-01332
Number of retired or separated participants receiving benefits2012-07-01118
Total of all active and inactive participants2012-07-01450
Number of employers contributing to the scheme2012-07-0136
2011: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2011 401k membership
Total participants, beginning-of-year2011-07-01447
Total number of active participants reported on line 7a of the Form 55002011-07-01326
Number of retired or separated participants receiving benefits2011-07-01120
Total of all active and inactive participants2011-07-01446
Number of employers contributing to the scheme2011-07-0133
2010: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2010 401k membership
Total participants, beginning-of-year2010-07-01523
Total number of active participants reported on line 7a of the Form 55002010-07-01327
Number of retired or separated participants receiving benefits2010-07-01120
Total of all active and inactive participants2010-07-01447
Number of employers contributing to the scheme2010-07-0132
2009: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2009 401k membership
Total participants, beginning-of-year2009-07-01479
Total number of active participants reported on line 7a of the Form 55002009-07-01408
Number of retired or separated participants receiving benefits2009-07-01115
Total of all active and inactive participants2009-07-01523
Number of employers contributing to the scheme2009-07-0139

Financial Data on ASBESTOS WORKERS LOCAL 24 MEDICAL FUND

Measure Date Value
2022 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-532,772
Total unrealized appreciation/depreciation of assets2022-06-30$-532,772
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,751,285
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,943,822
Total income from all sources (including contributions)2022-06-30$7,681,109
Total loss/gain on sale of assets2022-06-30$-40,592
Total of all expenses incurred2022-06-30$8,100,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$7,506,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$8,496,835
Value of total assets at end of year2022-06-30$14,745,188
Value of total assets at beginning of year2022-06-30$15,356,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$593,557
Total interest from all sources2022-06-30$215,783
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$58,123
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$58,123
Administrative expenses professional fees incurred2022-06-30$123,273
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
Contributions received from participants2022-06-30$270,938
Assets. Other investments not covered elsewhere at end of year2022-06-30$806,647
Assets. Other investments not covered elsewhere at beginning of year2022-06-30$952,029
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$169,504
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$1,288,567
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$878,081
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$838,757
Other income not declared elsewhere2022-06-30$1,230
Administrative expenses (other) incurred2022-06-30$171,151
Liabilities. Value of operating payables at end of year2022-06-30$49,434
Liabilities. Value of operating payables at beginning of year2022-06-30$32,106
Total non interest bearing cash at end of year2022-06-30$1,651,495
Total non interest bearing cash at beginning of year2022-06-30$486,819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-419,032
Value of net assets at end of year (total assets less liabilities)2022-06-30$12,993,903
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$13,412,935
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
Assets. partnership/joint venture interests at end of year2022-06-30$1,195,513
Assets. partnership/joint venture interests at beginning of year2022-06-30$1,034,384
Investment advisory and management fees2022-06-30$75,657
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$2,417,256
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$2,934,753
Interest earned on other investments2022-06-30$26,680
Income. Interest from US Government securities2022-06-30$41,123
Income. Interest from corporate debt instruments2022-06-30$146,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$1,273,604
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$1,415,507
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$1,415,507
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$1,169
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$975,260
Asset value of US Government securities at end of year2022-06-30$3,668,616
Asset value of US Government securities at beginning of year2022-06-30$3,459,837
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-517,498
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$8,225,897
Employer contributions (assets) at end of year2022-06-30$1,218,344
Employer contributions (assets) at beginning of year2022-06-30$826,671
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$6,531,324
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$2,344,209
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$2,958,190
Contract administrator fees2022-06-30$223,476
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Liabilities. Value of benefit claims payable at end of year2022-06-30$823,770
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$1,072,959
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 appraiser2022-06-30Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$2,153,807
Aggregate carrying amount (costs) on sale of assets2022-06-30$2,194,399
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-06-30611436956
2021 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$-138,656
Total unrealized appreciation/depreciation of assets2021-06-30$-138,656
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,943,822
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,194,365
Total income from all sources (including contributions)2021-06-30$8,336,958
Total loss/gain on sale of assets2021-06-30$377,733
Total of all expenses incurred2021-06-30$8,790,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$8,144,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$7,174,386
Value of total assets at end of year2021-06-30$15,356,757
Value of total assets at beginning of year2021-06-30$15,060,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$645,782
Total interest from all sources2021-06-30$235,119
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$54,811
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$54,811
Administrative expenses professional fees incurred2021-06-30$85,194
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$1,250,000
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
Contributions received from participants2021-06-30$294,173
Assets. Other investments not covered elsewhere at end of year2021-06-30$952,029
Assets. Other investments not covered elsewhere at beginning of year2021-06-30$1,169,307
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$1,288,567
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$738,245
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$838,757
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$98,883
Administrative expenses (other) incurred2021-06-30$271,481
Liabilities. Value of operating payables at end of year2021-06-30$32,106
Liabilities. Value of operating payables at beginning of year2021-06-30$36,966
Total non interest bearing cash at end of year2021-06-30$486,819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-453,330
Value of net assets at end of year (total assets less liabilities)2021-06-30$13,412,935
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$13,866,265
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
Assets. partnership/joint venture interests at end of year2021-06-30$1,034,384
Investment advisory and management fees2021-06-30$65,631
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$2,934,753
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$3,143,001
Interest earned on other investments2021-06-30$27,986
Income. Interest from US Government securities2021-06-30$94,911
Income. Interest from corporate debt instruments2021-06-30$112,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$1,415,507
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$2,442,640
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$2,442,640
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$175,230
Asset value of US Government securities at end of year2021-06-30$3,459,837
Asset value of US Government securities at beginning of year2021-06-30$2,064,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$633,565
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$6,880,213
Employer contributions (assets) at end of year2021-06-30$826,671
Employer contributions (assets) at beginning of year2021-06-30$714,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$7,969,276
Asset. Corporate debt instrument debt (other) at end of year2021-06-30$2,958,190
Asset. Corporate debt instrument debt (other) at beginning of year2021-06-30$4,788,405
Contract administrator fees2021-06-30$223,476
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$1,072,959
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$1,058,516
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 appraiser2021-06-30Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$8,098,965
Aggregate carrying amount (costs) on sale of assets2021-06-30$7,721,232
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-06-30611436956
2020 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$155,638
Total unrealized appreciation/depreciation of assets2020-06-30$155,638
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,194,365
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$753,428
Total income from all sources (including contributions)2020-06-30$6,922,434
Total loss/gain on sale of assets2020-06-30$73,810
Total of all expenses incurred2020-06-30$7,963,122
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$7,281,244
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$6,404,168
Value of total assets at end of year2020-06-30$15,060,630
Value of total assets at beginning of year2020-06-30$15,660,381
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$681,878
Total interest from all sources2020-06-30$300,051
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$372,594
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$372,594
Administrative expenses professional fees incurred2020-06-30$91,972
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
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
Contributions received from participants2020-06-30$269,202
Assets. Other investments not covered elsewhere at end of year2020-06-30$1,169,307
Assets. Other investments not covered elsewhere at beginning of year2020-06-30$933,712
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$738,245
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$874,324
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$98,883
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$56,221
Other income not declared elsewhere2020-06-30$77,428
Administrative expenses (other) incurred2020-06-30$316,782
Liabilities. Value of operating payables at end of year2020-06-30$36,966
Liabilities. Value of operating payables at beginning of year2020-06-30$27,710
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-1,040,688
Value of net assets at end of year (total assets less liabilities)2020-06-30$13,866,265
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$14,906,953
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 leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$49,618
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$3,143,001
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$3,604,256
Interest earned on other investments2020-06-30$41,785
Income. Interest from US Government securities2020-06-30$56,883
Income. Interest from corporate debt instruments2020-06-30$188,800
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$2,442,640
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$943,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$943,149
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$12,583
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$148,147
Asset value of US Government securities at end of year2020-06-30$2,064,927
Asset value of US Government securities at beginning of year2020-06-30$2,268,531
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$-461,255
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
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$6,134,966
Employer contributions (assets) at end of year2020-06-30$714,105
Employer contributions (assets) at beginning of year2020-06-30$691,773
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$7,133,097
Asset. Corporate debt instrument debt (other) at end of year2020-06-30$4,788,405
Asset. Corporate debt instrument debt (other) at beginning of year2020-06-30$6,344,636
Contract administrator fees2020-06-30$223,506
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$1,058,516
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$669,497
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2020-06-30$10,704,341
Aggregate carrying amount (costs) on sale of assets2020-06-30$10,630,531
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
Accountancy firm name2020-06-30WEYRICH, CRONIN & SORRA, LLC
Accountancy firm EIN2020-06-30814643077
2019 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$296,374
Total unrealized appreciation/depreciation of assets2019-06-30$296,374
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$753,428
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,110,504
Total income from all sources (including contributions)2019-06-30$6,930,457
Total loss/gain on sale of assets2019-06-30$26,291
Total of all expenses incurred2019-06-30$7,736,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$7,085,686
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$5,493,095
Value of total assets at end of year2019-06-30$15,660,381
Value of total assets at beginning of year2019-06-30$16,823,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$650,510
Total interest from all sources2019-06-30$361,604
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$81,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$81,259
Administrative expenses professional fees incurred2019-06-30$76,031
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
Contributions received from participants2019-06-30$242,271
Assets. Other investments not covered elsewhere at end of year2019-06-30$933,712
Assets. Other investments not covered elsewhere at beginning of year2019-06-30$933,056
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$874,324
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$478,419
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$56,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$37,701
Other income not declared elsewhere2019-06-30$615,616
Administrative expenses (other) incurred2019-06-30$294,378
Liabilities. Value of operating payables at end of year2019-06-30$27,710
Liabilities. Value of operating payables at beginning of year2019-06-30$60,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-805,739
Value of net assets at end of year (total assets less liabilities)2019-06-30$14,906,953
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$15,712,692
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$59,144
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$3,604,256
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$3,548,038
Interest earned on other investments2019-06-30$44,223
Income. Interest from US Government securities2019-06-30$73,908
Income. Interest from corporate debt instruments2019-06-30$231,443
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$943,149
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$840,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$840,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$12,030
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$150,325
Asset value of US Government securities at end of year2019-06-30$2,268,531
Asset value of US Government securities at beginning of year2019-06-30$3,616,300
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$56,218
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$5,250,824
Employer contributions (assets) at end of year2019-06-30$691,773
Employer contributions (assets) at beginning of year2019-06-30$580,915
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$6,935,361
Asset. Corporate debt instrument debt (other) at end of year2019-06-30$6,344,636
Asset. Corporate debt instrument debt (other) at beginning of year2019-06-30$6,825,675
Contract administrator fees2019-06-30$220,957
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$669,497
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$1,012,686
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2019-06-30$9,381,135
Aggregate carrying amount (costs) on sale of assets2019-06-30$9,354,844
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30WEYRICH, CRONIN & SORRA, LLC
Accountancy firm EIN2019-06-30814643077
2018 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-256,995
Total unrealized appreciation/depreciation of assets2018-06-30$-256,995
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,110,504
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,700,341
Total income from all sources (including contributions)2018-06-30$12,237,409
Total loss/gain on sale of assets2018-06-30$-111,660
Total of all expenses incurred2018-06-30$6,253,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$5,486,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$11,692,719
Value of total assets at end of year2018-06-30$16,823,196
Value of total assets at beginning of year2018-06-30$12,429,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$767,490
Total interest from all sources2018-06-30$353,793
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$74,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$74,127
Administrative expenses professional fees incurred2018-06-30$99,625
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
Contributions received from participants2018-06-30$231,519
Assets. Other investments not covered elsewhere at end of year2018-06-30$933,056
Assets. Other investments not covered elsewhere at beginning of year2018-06-30$553,724
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$478,419
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$87,624
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$37,701
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$690,560
Other income not declared elsewhere2018-06-30$298,694
Administrative expenses (other) incurred2018-06-30$394,548
Liabilities. Value of operating payables at end of year2018-06-30$60,117
Liabilities. Value of operating payables at beginning of year2018-06-30$340,454
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$5,983,593
Value of net assets at end of year (total assets less liabilities)2018-06-30$15,712,692
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$9,729,099
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
Investment advisory and management fees2018-06-30$56,340
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$3,548,038
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$2,360,404
Interest earned on other investments2018-06-30$36,922
Income. Interest from US Government securities2018-06-30$108,261
Income. Interest from corporate debt instruments2018-06-30$192,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$840,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$2,082,106
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$2,082,106
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$16,104
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$157,962
Asset value of US Government securities at end of year2018-06-30$3,616,300
Asset value of US Government securities at beginning of year2018-06-30$2,192,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$186,731
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$11,461,200
Employer contributions (assets) at end of year2018-06-30$580,915
Employer contributions (assets) at beginning of year2018-06-30$1,502,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$5,328,364
Asset. Corporate debt instrument debt (other) at end of year2018-06-30$6,825,675
Asset. Corporate debt instrument debt (other) at beginning of year2018-06-30$3,650,689
Contract administrator fees2018-06-30$216,977
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Liabilities. Value of benefit claims payable at end of year2018-06-30$1,012,686
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$1,669,327
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2018-06-30$15,743,528
Aggregate carrying amount (costs) on sale of assets2018-06-30$15,855,188
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30WEYRICH, CRONIN & SORRA, LLC
Accountancy firm EIN2018-06-30814643077
2017 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$-117,835
Total unrealized appreciation/depreciation of assets2017-06-30$-117,835
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,700,341
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$1,669,654
Total income from all sources (including contributions)2017-06-30$8,223,733
Total loss/gain on sale of assets2017-06-30$-50,051
Total of all expenses incurred2017-06-30$7,705,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$7,118,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$7,097,808
Value of total assets at end of year2017-06-30$12,429,440
Value of total assets at beginning of year2017-06-30$10,880,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$587,005
Total interest from all sources2017-06-30$204,276
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$90,633
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$90,633
Administrative expenses professional fees incurred2017-06-30$69,860
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
Contributions received from participants2017-06-30$230,518
Participant contributions at beginning of year2017-06-30$17,822
Assets. Other investments not covered elsewhere at end of year2017-06-30$553,724
Assets. Other investments not covered elsewhere at beginning of year2017-06-30$259,031
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$87,624
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$58,648
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$690,560
Other income not declared elsewhere2017-06-30$522,680
Administrative expenses (other) incurred2017-06-30$266,278
Liabilities. Value of operating payables at end of year2017-06-30$340,454
Liabilities. Value of operating payables at beginning of year2017-06-30$48,167
Total non interest bearing cash at beginning of year2017-06-30$37,762
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$518,119
Value of net assets at end of year (total assets less liabilities)2017-06-30$9,729,099
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$9,210,980
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
Investment advisory and management fees2017-06-30$33,890
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$2,360,404
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$3,812,586
Interest earned on other investments2017-06-30$16,919
Income. Interest from US Government securities2017-06-30$44,542
Income. Interest from corporate debt instruments2017-06-30$139,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$2,082,106
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$433,845
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$433,845
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$2,893
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$125,314
Asset value of US Government securities at end of year2017-06-30$2,192,761
Asset value of US Government securities at beginning of year2017-06-30$2,254,504
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$476,222
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$6,867,290
Employer contributions (assets) at end of year2017-06-30$1,502,132
Employer contributions (assets) at beginning of year2017-06-30$397,224
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$6,993,295
Asset. Corporate debt instrument preferred debt at beginning of year2017-06-30$1,442,501
Asset. Corporate debt instrument debt (other) at end of year2017-06-30$3,650,689
Asset. Corporate debt instrument debt (other) at beginning of year2017-06-30$2,166,711
Contract administrator fees2017-06-30$216,977
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Liabilities. Value of benefit claims payable at end of year2017-06-30$1,669,327
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$1,621,487
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2017-06-30$5,440,404
Aggregate carrying amount (costs) on sale of assets2017-06-30$5,490,455
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 name2017-06-30WEYRICH, CRONIN & SORRA, LLC
Accountancy firm EIN2017-06-30814643077
2016 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$51,048
Total unrealized appreciation/depreciation of assets2016-06-30$51,048
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,669,654
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,335,709
Total income from all sources (including contributions)2016-06-30$4,124,765
Total loss/gain on sale of assets2016-06-30$-16,701
Total of all expenses incurred2016-06-30$7,489,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$6,903,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$3,674,914
Value of total assets at end of year2016-06-30$10,880,634
Value of total assets at beginning of year2016-06-30$13,911,128
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$585,324
Total interest from all sources2016-06-30$237,983
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$118,190
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$118,190
Administrative expenses professional fees incurred2016-06-30$85,208
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
Contributions received from participants2016-06-30$280,781
Participant contributions at end of year2016-06-30$17,822
Participant contributions at beginning of year2016-06-30$33,146
Assets. Other investments not covered elsewhere at end of year2016-06-30$259,031
Assets. Other investments not covered elsewhere at beginning of year2016-06-30$596,135
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$58,648
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$92,784
Other income not declared elsewhere2016-06-30$301,899
Administrative expenses (other) incurred2016-06-30$249,929
Liabilities. Value of operating payables at end of year2016-06-30$48,167
Liabilities. Value of operating payables at beginning of year2016-06-30$53,589
Total non interest bearing cash at end of year2016-06-30$37,762
Total non interest bearing cash at beginning of year2016-06-30$143,027
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-3,364,439
Value of net assets at end of year (total assets less liabilities)2016-06-30$9,210,980
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$12,575,419
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
Investment advisory and management fees2016-06-30$33,133
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$3,812,586
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$5,038,585
Interest earned on other investments2016-06-30$11,399
Income. Interest from US Government securities2016-06-30$41,655
Income. Interest from corporate debt instruments2016-06-30$184,633
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$433,845
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$498,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$498,677
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$296
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$110,089
Asset value of US Government securities at end of year2016-06-30$2,254,504
Asset value of US Government securities at beginning of year2016-06-30$2,273,595
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-242,568
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
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$3,394,133
Employer contributions (assets) at end of year2016-06-30$397,224
Employer contributions (assets) at beginning of year2016-06-30$390,755
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$6,793,791
Asset. Corporate debt instrument preferred debt at end of year2016-06-30$1,442,501
Asset. Corporate debt instrument preferred debt at beginning of year2016-06-30$2,161,086
Asset. Corporate debt instrument debt (other) at end of year2016-06-30$2,166,711
Asset. Corporate debt instrument debt (other) at beginning of year2016-06-30$2,683,338
Contract administrator fees2016-06-30$217,054
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$1,621,487
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$1,282,120
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2016-06-30$6,287,166
Aggregate carrying amount (costs) on sale of assets2016-06-30$6,303,867
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30DANIEL A. WINTERS & COMPANY, CPAS
Accountancy firm EIN2016-06-30232586736
2015 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-65,804
Total unrealized appreciation/depreciation of assets2015-06-30$-65,804
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,335,709
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,162,187
Total income from all sources (including contributions)2015-06-30$3,521,994
Total loss/gain on sale of assets2015-06-30$-8,971
Total of all expenses incurred2015-06-30$5,801,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$5,365,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$3,062,761
Value of total assets at end of year2015-06-30$13,911,128
Value of total assets at beginning of year2015-06-30$16,017,452
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$436,124
Total interest from all sources2015-06-30$194,668
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$628,755
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$628,755
Administrative expenses professional fees incurred2015-06-30$69,273
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
Contributions received from participants2015-06-30$282,877
Participant contributions at end of year2015-06-30$33,146
Participant contributions at beginning of year2015-06-30$16,064
Assets. Other investments not covered elsewhere at end of year2015-06-30$596,135
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$92,784
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$10,647
Other income not declared elsewhere2015-06-30$302,301
Administrative expenses (other) incurred2015-06-30$117,718
Liabilities. Value of operating payables at end of year2015-06-30$53,589
Liabilities. Value of operating payables at beginning of year2015-06-30$58,336
Total non interest bearing cash at end of year2015-06-30$143,027
Total non interest bearing cash at beginning of year2015-06-30$184,653
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-2,279,846
Value of net assets at end of year (total assets less liabilities)2015-06-30$12,575,419
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$14,855,265
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
Investment advisory and management fees2015-06-30$33,459
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$5,038,585
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$14,035,803
Interest earned on other investments2015-06-30$10,743
Income. Interest from US Government securities2015-06-30$60,093
Income. Interest from corporate debt instruments2015-06-30$123,631
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$498,677
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$860,763
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$860,763
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$201
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$94,287
Asset value of US Government securities at end of year2015-06-30$2,273,595
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$-591,716
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
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$2,779,884
Employer contributions (assets) at end of year2015-06-30$390,755
Employer contributions (assets) at beginning of year2015-06-30$909,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$5,271,429
Asset. Corporate debt instrument preferred debt at end of year2015-06-30$2,161,086
Asset. Corporate debt instrument debt (other) at end of year2015-06-30$2,683,338
Contract administrator fees2015-06-30$215,674
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Liabilities. Value of benefit claims payable at end of year2015-06-30$1,282,120
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$1,103,851
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2015-06-30$11,315,387
Aggregate carrying amount (costs) on sale of assets2015-06-30$11,324,358
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 name2015-06-30DANIEL A. WINTERS & COMPANY, CPAS
Accountancy firm EIN2015-06-30232586736
2014 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,162,187
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,159,186
Total income from all sources (including contributions)2014-06-30$5,092,744
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$4,692,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$4,323,560
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$3,305,648
Value of total assets at end of year2014-06-30$16,017,452
Value of total assets at beginning of year2014-06-30$15,614,302
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$369,035
Total interest from all sources2014-06-30$83
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$486,572
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$486,572
Administrative expenses professional fees incurred2014-06-30$74,905
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
Contributions received from participants2014-06-30$257,280
Participant contributions at end of year2014-06-30$16,064
Participant contributions at beginning of year2014-06-30$21,581
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$10,647
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$58,425
Other income not declared elsewhere2014-06-30$430,555
Administrative expenses (other) incurred2014-06-30$64,292
Liabilities. Value of operating payables at end of year2014-06-30$58,336
Liabilities. Value of operating payables at beginning of year2014-06-30$81,562
Total non interest bearing cash at end of year2014-06-30$184,653
Total non interest bearing cash at beginning of year2014-06-30$116,888
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$400,149
Value of net assets at end of year (total assets less liabilities)2014-06-30$14,855,265
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$14,455,116
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
Investment advisory and management fees2014-06-30$19,941
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$14,035,803
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$14,390,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$860,763
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$366,682
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$366,682
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$83
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$81,924
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$869,886
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
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$3,048,368
Employer contributions (assets) at end of year2014-06-30$909,522
Employer contributions (assets) at beginning of year2014-06-30$659,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$4,241,636
Contract administrator fees2014-06-30$209,897
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$1,103,851
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$1,077,624
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2014-06-30$1,075,959
Aggregate carrying amount (costs) on sale of assets2014-06-30$1,075,959
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 name2014-06-30DANIEL A WINTERS & COMPANY CPAS
Accountancy firm EIN2014-06-30232586736
2013 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,159,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,004,505
Total income from all sources (including contributions)2013-06-30$4,573,057
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$4,651,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$4,267,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$3,479,699
Value of total assets at end of year2013-06-30$15,614,302
Value of total assets at beginning of year2013-06-30$15,538,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$384,041
Total interest from all sources2013-06-30$44
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$510,070
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$510,070
Administrative expenses professional fees incurred2013-06-30$92,400
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
Contributions received from participants2013-06-30$278,620
Participant contributions at end of year2013-06-30$21,581
Participant contributions at beginning of year2013-06-30$13,460
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$58,425
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$19,793
Other income not declared elsewhere2013-06-30$233,357
Administrative expenses (other) incurred2013-06-30$77,224
Liabilities. Value of operating payables at end of year2013-06-30$81,562
Liabilities. Value of operating payables at beginning of year2013-06-30$50,122
Total non interest bearing cash at end of year2013-06-30$116,888
Total non interest bearing cash at beginning of year2013-06-30$216,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-78,493
Value of net assets at end of year (total assets less liabilities)2013-06-30$14,455,116
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$14,533,609
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
Investment advisory and management fees2013-06-30$11,137
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$14,390,938
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$13,951,648
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$366,682
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$583,638
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$583,638
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$44
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$77,393
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$349,887
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
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$3,201,079
Employer contributions (assets) at end of year2013-06-30$659,788
Employer contributions (assets) at beginning of year2013-06-30$753,063
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$4,190,116
Contract administrator fees2013-06-30$203,280
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Liabilities. Value of benefit claims payable at end of year2013-06-30$1,077,624
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$954,383
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
Aggregate proceeds on sale of assets2013-06-30$997,973
Aggregate carrying amount (costs) on sale of assets2013-06-30$997,973
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 name2013-06-30DANIEL A. WINTERS & COMPANY CPAS
Accountancy firm EIN2013-06-30232586736
2012 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,004,505
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,107,824
Total income from all sources (including contributions)2012-06-30$5,682,539
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$4,106,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$3,731,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$5,169,452
Value of total assets at end of year2012-06-30$15,538,114
Value of total assets at beginning of year2012-06-30$14,065,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$375,127
Total interest from all sources2012-06-30$111
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$421,752
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$421,752
Administrative expenses professional fees incurred2012-06-30$106,504
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$259,533
Participant contributions at end of year2012-06-30$13,460
Participant contributions at beginning of year2012-06-30$12,230
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$19,793
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$162,882
Other income not declared elsewhere2012-06-30$78,537
Administrative expenses (other) incurred2012-06-30$68,766
Liabilities. Value of operating payables at end of year2012-06-30$50,122
Liabilities. Value of operating payables at beginning of year2012-06-30$37,050
Total non interest bearing cash at end of year2012-06-30$216,512
Total non interest bearing cash at beginning of year2012-06-30$366,126
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$1,575,612
Value of net assets at end of year (total assets less liabilities)2012-06-30$14,533,609
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$12,957,997
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
Investment advisory and management fees2012-06-30$10,952
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$13,951,648
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$12,849,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$583,638
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$527
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$527
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$111
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$113,602
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$12,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
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$4,909,919
Employer contributions (assets) at end of year2012-06-30$753,063
Employer contributions (assets) at beginning of year2012-06-30$674,546
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$3,618,198
Contract administrator fees2012-06-30$188,905
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$954,383
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$1,070,774
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
Aggregate proceeds on sale of assets2012-06-30$1,549,971
Aggregate carrying amount (costs) on sale of assets2012-06-30$1,549,971
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 name2012-06-30DANIEL A. WINTERS & COMPANY CPAS
Accountancy firm EIN2012-06-30232586736
2011 : ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,107,824
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,094,501
Total income from all sources (including contributions)2011-06-30$6,323,907
Total of all expenses incurred2011-06-30$4,689,444
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$4,345,475
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$5,194,325
Value of total assets at end of year2011-06-30$14,065,821
Value of total assets at beginning of year2011-06-30$12,418,035
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$343,969
Total interest from all sources2011-06-30$377
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$70,668
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$268,796
Participant contributions at end of year2011-06-30$12,230
Participant contributions at beginning of year2011-06-30$23,902
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$162,882
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$146,189
Other income not declared elsewhere2011-06-30$99,595
Administrative expenses (other) incurred2011-06-30$71,816
Liabilities. Value of operating payables at end of year2011-06-30$37,050
Liabilities. Value of operating payables at beginning of year2011-06-30$45,814
Total non interest bearing cash at end of year2011-06-30$366,126
Total non interest bearing cash at beginning of year2011-06-30$92,385
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$1,634,463
Value of net assets at end of year (total assets less liabilities)2011-06-30$12,957,997
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$11,323,534
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$12,308
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$12,849,510
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$10,475,629
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$527
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,028,661
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,028,661
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$377
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$26,123
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$1,029,610
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$4,925,529
Employer contributions (assets) at end of year2011-06-30$674,546
Employer contributions (assets) at beginning of year2011-06-30$651,269
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$4,319,352
Contract administrator fees2011-06-30$189,177
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$1,070,774
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$1,048,687
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30DANIEL A. WINTERS & COMPANY
Accountancy firm EIN2011-06-30232586736

Form 5500 Responses for ASBESTOS WORKERS LOCAL 24 MEDICAL FUND

2021: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Submission has been amendedYes
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Submission has been amendedYes
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2010 form 5500 responses
2010-07-01Type of plan entityMulti-employer plan
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: ASBESTOS WORKERS LOCAL 24 MEDICAL FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract numberL004
Policy instance 4
Insurance contract or identification numberL004
Number of Individuals Covered177
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
Other welfare benefits providedMEDICARE SUPPLEMENT
Welfare Benefit Premiums Paid to CarrierUSD $351,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number321686
Policy instance 3
Insurance contract or identification number321686
Number of Individuals Covered181
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $8,700
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedMEDICARE GROUP PDP
Welfare Benefit Premiums Paid to CarrierUSD $384,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,700
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10538
Policy instance 2
Insurance contract or identification numberSL10538
Number of Individuals Covered565
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $7,251
Total amount of fees paid to insurance companyUSD $4,366
Welfare Benefit Premiums Paid to CarrierUSD $111,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,251
Amount paid for insurance broker fees4366
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISIONS.
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number2400005600
Policy instance 1
Insurance contract or identification number2400005600
Number of Individuals Covered754
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $3,006
Total amount of fees paid to insurance companyUSD $982
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $45,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,006
Amount paid for insurance broker fees982
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 1
Insurance contract or identification numberSL1044
Number of Individuals Covered640
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $11,395
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $113,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,395
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number2400005600
Policy instance 2
Insurance contract or identification number2400005600
Number of Individuals Covered539
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $5,336
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $53,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,336
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number24-000056-00
Policy instance 2
Insurance contract or identification number24-000056-00
Number of Individuals Covered659
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $5,902
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $59,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,902
Insurance broker organization code?3
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 1
Insurance contract or identification numberSL1044
Number of Individuals Covered551
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 $9,340
Welfare Benefit Premiums Paid to CarrierUSD $93,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees9340
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number24-000056-00
Policy instance 2
Insurance contract or identification number24-000056-00
Number of Individuals Covered633
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,941
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $49,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4941
Insurance broker organization code?3
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 1
Insurance contract or identification numberSL1044
Number of Individuals Covered541
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $9,665
Welfare Benefit Premiums Paid to CarrierUSD $96,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees9665
Insurance broker organization code?3
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255788
Policy instance 2
Insurance contract or identification numberG255788
Number of Individuals Covered630
Insurance policy start date2017-07-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $1,268
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,682
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number24-000056-00
Policy instance 3
Insurance contract or identification number24-000056-00
Number of Individuals Covered1030
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,667
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $46,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 1
Insurance contract or identification numberSL1044
Number of Individuals Covered909
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $9,861
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $98,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255788
Policy instance 2
Insurance contract or identification numberG255788
Number of Individuals Covered555
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $4,372
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $43,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,372
Additional information about fees paid to insurance brokerTHE FEES PAID ARE FOR ADMINISTRATIVE SERVICES PROVIDED.
Insurance broker organization code?3
Insurance broker nameLAKESHORE BENEFIT GROUP INSURANCE
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 1
Insurance contract or identification numberSL1044
Number of Individuals Covered445
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $6,631
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $66,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,631
Insurance broker organization code?3
Insurance broker nameLAKESHORE BENEFIT GROUP INSURANCE
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255788
Policy instance 3
Insurance contract or identification numberG255788
Number of Individuals Covered489
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $3,300
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $32,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,300
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEDWARD J. CHICOSKI
CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 )
Policy contract number66877
Policy instance 1
Insurance contract or identification number66877
Number of Individuals Covered106
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 2
Insurance contract or identification numberSL1044
Number of Individuals Covered460
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $448
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $61,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $448
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLAKESHORE BENEFIT GROUP INSURANCE
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 2
Insurance contract or identification numberSL1044
Number of Individuals Covered440
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $5,066
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $50,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,066
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLAKESHORE BENEFIT GROUP INSURANCE
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255788
Policy instance 3
Insurance contract or identification numberG255788
Number of Individuals Covered462
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,126
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $31,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,126
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEDWARD J. CHICOSKI
CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 )
Policy contract number66877,1901516
Policy instance 1
Insurance contract or identification number66877,1901516
Number of Individuals Covered106
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 )
Policy contract number66877,1901516
Policy instance 1
Insurance contract or identification number66877,1901516
Number of Individuals Covered120
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 70106 )
Policy contract numberG255788
Policy instance 3
Insurance contract or identification numberG255788
Number of Individuals Covered396
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $3,120
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $31,195
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,120
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameEDWARD J CHICOSKI
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract numberSL1044
Policy instance 2
Insurance contract or identification numberSL1044
Number of Individuals Covered443
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $4,894
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $48,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,894
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLAKESHORE BENEFIT GROUP INSURANCE
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18545
Policy instance 2
Insurance contract or identification numberHCL18545
Number of Individuals Covered474
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $4,960
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number141712
Policy instance 1
Insurance contract or identification number141712
Number of Individuals Covered811
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $5,841
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $62,375
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREFIRST BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 47058 )
Policy contract number66877,1901516
Policy instance 3
Insurance contract or identification number66877,1901516
Number of Individuals Covered199
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number141712
Policy instance 1
Insurance contract or identification number141712
Number of Individuals Covered540
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $2,921
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedVADD
Welfare Benefit Premiums Paid to CarrierUSD $26,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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