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ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 401k Plan overview

Plan NameARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND
Plan identification number 501

ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES ARIZONA PIPE TRADES HEALTH AND WELFARE TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES ARIZONA PIPE TRADES HEALTH AND WELFARE TRUST FUND
Employer identification number (EIN):860104344
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01
5012021-06-01
5012020-06-01
5012019-06-01
5012018-06-01
5012017-06-01BRYAN DEWITT MEL INGWALDSON2019-03-08
5012016-06-01BRYAN DEWITT MEL INGWALDSON2018-03-12
5012015-06-01BRYAN DEWITT MEL INGWALDSON2017-03-13
5012014-06-01BRYAN DEWITT MEL INGWALDSON2016-03-08
5012013-06-01MEL INGWALDSON BRYAN DEWITT2015-03-10
5012012-06-01BRIAN DEWITT, MGT TRUSTEE CHRIS VAN KIRK, UNION TRUSTEE2014-03-11
5012011-06-01BRIAN DEWITT MGT TRUSTEE CHRIS VAN KIRK UNION TRUSTEE2013-02-21
5012009-06-01CHRIS VAN KIRK UNION TRUSTEE DREW SCHRODER MGT TRUSTEE2011-03-11

Plan Statistics for ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND

401k plan membership statisitcs for ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND

Measure Date Value
2022: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-06-012,374
Total number of active participants reported on line 7a of the Form 55002022-06-012,519
Number of retired or separated participants receiving benefits2022-06-01188
Number of other retired or separated participants entitled to future benefits2022-06-015
Total of all active and inactive participants2022-06-012,712
Total participants2022-06-012,712
Number of employers contributing to the scheme2022-06-01101
2021: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-06-011,884
Total number of active participants reported on line 7a of the Form 55002021-06-012,222
Number of retired or separated participants receiving benefits2021-06-01143
Number of other retired or separated participants entitled to future benefits2021-06-019
Total of all active and inactive participants2021-06-012,374
Total participants2021-06-012,374
Number of employers contributing to the scheme2021-06-0190
2020: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-06-011,956
Total number of active participants reported on line 7a of the Form 55002020-06-011,737
Number of retired or separated participants receiving benefits2020-06-01143
Number of other retired or separated participants entitled to future benefits2020-06-014
Total of all active and inactive participants2020-06-011,884
Total participants2020-06-011,884
Number of employers contributing to the scheme2020-06-0185
2019: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-06-011,916
Total number of active participants reported on line 7a of the Form 55002019-06-011,729
Number of retired or separated participants receiving benefits2019-06-01217
Number of other retired or separated participants entitled to future benefits2019-06-0110
Total of all active and inactive participants2019-06-011,956
Total participants2019-06-011,956
Number of employers contributing to the scheme2019-06-0176
2018: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-06-011,655
Total number of active participants reported on line 7a of the Form 55002018-06-011,681
Number of retired or separated participants receiving benefits2018-06-01217
Number of other retired or separated participants entitled to future benefits2018-06-0110
Total of all active and inactive participants2018-06-011,908
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-06-018
Total participants2018-06-011,916
Number of employers contributing to the scheme2018-06-0175
2017: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-06-011,465
Total number of active participants reported on line 7a of the Form 55002017-06-011,655
Total of all active and inactive participants2017-06-011,655
Total participants2017-06-011,655
Number of employers contributing to the scheme2017-06-0165
2016: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-06-011,240
Total number of active participants reported on line 7a of the Form 55002016-06-011,465
Total of all active and inactive participants2016-06-011,465
Total participants2016-06-011,465
Number of employers contributing to the scheme2016-06-0172
2015: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-06-012,100
Total number of active participants reported on line 7a of the Form 55002015-06-011,240
Total of all active and inactive participants2015-06-011,240
Total participants2015-06-011,240
Number of employers contributing to the scheme2015-06-0180
2014: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-06-012,113
Total number of active participants reported on line 7a of the Form 55002014-06-012,100
Total of all active and inactive participants2014-06-012,100
Total participants2014-06-012,100
Number of employers contributing to the scheme2014-06-0180
2013: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-06-012,098
Total number of active participants reported on line 7a of the Form 55002013-06-012,113
Total of all active and inactive participants2013-06-012,113
Total participants2013-06-012,113
Number of employers contributing to the scheme2013-06-0180
2012: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-06-011,439
Total number of active participants reported on line 7a of the Form 55002012-06-011,660
Total of all active and inactive participants2012-06-011,660
Total participants2012-06-010
Number of employers contributing to the scheme2012-06-0180
2011: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-06-011,439
Total number of active participants reported on line 7a of the Form 55002011-06-011,439
Total of all active and inactive participants2011-06-011,439
Total participants2011-06-011,439
Number of employers contributing to the scheme2011-06-0180
2009: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-06-011,614
Total number of active participants reported on line 7a of the Form 55002009-06-011,478
Total of all active and inactive participants2009-06-011,478
Total participants2009-06-011,478
Number of employers contributing to the scheme2009-06-0185

Financial Data on ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND

Measure Date Value
2023 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-05-31$-1,408,846
Total unrealized appreciation/depreciation of assets2023-05-31$-1,408,846
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$26,057,488
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$20,943,466
Total income from all sources (including contributions)2023-05-31$50,935,660
Total loss/gain on sale of assets2023-05-31$-37,680
Total of all expenses incurred2023-05-31$42,581,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-05-31$39,718,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-05-31$50,886,494
Value of total assets at end of year2023-05-31$91,740,370
Value of total assets at beginning of year2023-05-31$78,272,120
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-05-31$2,862,672
Total interest from all sources2023-05-31$147,039
Total dividends received (eg from common stock, registered investment company shares)2023-05-31$1,171,398
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-05-31$1,171,398
Administrative expenses professional fees incurred2023-05-31$326,907
Was this plan covered by a fidelity bond2023-05-31Yes
Value of fidelity bond cover2023-05-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2023-05-31No
Contributions received from participants2023-05-31$648,896
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-05-31$2,304,762
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-05-31$1,504,573
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-05-31$1,295,148
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-05-31$384,189
Administrative expenses (other) incurred2023-05-31$1,693,567
Liabilities. Value of operating payables at end of year2023-05-31$3,706,798
Liabilities. Value of operating payables at beginning of year2023-05-31$1,326,228
Total non interest bearing cash at end of year2023-05-31$720,890
Total non interest bearing cash at beginning of year2023-05-31$734,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Value of net income/loss2023-05-31$8,354,228
Value of net assets at end of year (total assets less liabilities)2023-05-31$65,682,882
Value of net assets at beginning of year (total assets less liabilities)2023-05-31$57,328,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-05-31No
Were any leases to which the plan was party in default or uncollectible2023-05-31No
Assets. partnership/joint venture interests at end of year2023-05-31$10,992,550
Investment advisory and management fees2023-05-31$97,770
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-05-31$55,194,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-05-31$48,296,782
Value of interest in common/collective trusts at end of year2023-05-31$9,547,307
Value of interest in common/collective trusts at beginning of year2023-05-31$8,718,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-05-31$6,102,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-05-31$4,719,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-05-31$4,719,275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-05-31$147,039
Assets. Value of investments in 103.12 investment entities at beginning of year2023-05-31$9,770,877
Expenses. Payments to insurance carriers foe the provision of benefits2023-05-31$6,393,870
Net investment gain or loss from common/collective trusts2023-05-31$177,255
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-05-31Yes
Was there a failure to transmit to the plan any participant contributions2023-05-31No
Has the plan failed to provide any benefit when due under the plan2023-05-31No
Contributions received in cash from employer2023-05-31$50,237,598
Employer contributions (assets) at end of year2023-05-31$6,521,277
Employer contributions (assets) at beginning of year2023-05-31$3,788,921
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-05-31$31,020,128
Contract administrator fees2023-05-31$744,428
Liabilities. Value of benefit claims payable at end of year2023-05-31$21,966,501
Liabilities. Value of benefit claims payable at beginning of year2023-05-31$19,617,238
Assets. Value of buildings and other operty used in plan operation at end of year2023-05-31$1,157,683
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-05-31$948,112
Did the plan have assets held for investment2023-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-05-31No
Aggregate proceeds on sale of assets2023-05-31$1,350,000
Aggregate carrying amount (costs) on sale of assets2023-05-31$1,387,680
Opinion of an independent qualified public accountant for this plan2023-05-31Unqualified
Accountancy firm name2023-05-31BALDWIN MOFFITT BEHM LLP
Accountancy firm EIN2023-05-31464370753
2022 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$20,943,466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$15,516,705
Total income from all sources (including contributions)2022-05-31$33,654,788
Total loss/gain on sale of assets2022-05-31$0
Total of all expenses incurred2022-05-31$40,474,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-31$37,882,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-31$38,778,851
Value of total assets at end of year2022-05-31$78,272,120
Value of total assets at beginning of year2022-05-31$79,664,976
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-31$2,592,184
Total interest from all sources2022-05-31$2,958
Total dividends received (eg from common stock, registered investment company shares)2022-05-31$725,994
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-05-31$725,994
Administrative expenses professional fees incurred2022-05-31$370,796
Was this plan covered by a fidelity bond2022-05-31Yes
Value of fidelity bond cover2022-05-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-05-31No
Contributions received from participants2022-05-31$980,332
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-05-31$987,418
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-05-31$1,295,148
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-05-31$1,184,890
Administrative expenses (other) incurred2022-05-31$1,423,058
Liabilities. Value of operating payables at end of year2022-05-31$1,326,228
Liabilities. Value of operating payables at beginning of year2022-05-31$355,849
Total non interest bearing cash at end of year2022-05-31$734,727
Total non interest bearing cash at beginning of year2022-05-31$157,022
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Value of net income/loss2022-05-31$-6,819,617
Value of net assets at end of year (total assets less liabilities)2022-05-31$57,328,654
Value of net assets at beginning of year (total assets less liabilities)2022-05-31$64,148,271
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-31No
Were any leases to which the plan was party in default or uncollectible2022-05-31No
Investment advisory and management fees2022-05-31$70,028
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-05-31$48,296,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-05-31$50,284,694
Value of interest in common/collective trusts at end of year2022-05-31$8,718,278
Value of interest in common/collective trusts at beginning of year2022-05-31$9,979,347
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-05-31$4,719,275
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-05-31$5,149,013
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-05-31$5,149,013
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-05-31$2,958
Assets. Value of investments in 103.12 investment entities at end of year2022-05-31$9,770,877
Assets. Value of investments in 103.12 investment entities at beginning of year2022-05-31$10,181,654
Expenses. Payments to insurance carriers foe the provision of benefits2022-05-31$5,534,726
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-05-31$-4,998,233
Net investment gain or loss from common/collective trusts2022-05-31$-19,005
Net gain/loss from 103.12 investment entities2022-05-31$-835,777
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-31Yes
Was there a failure to transmit to the plan any participant contributions2022-05-31No
Has the plan failed to provide any benefit when due under the plan2022-05-31No
Contributions received in cash from employer2022-05-31$37,798,519
Employer contributions (assets) at end of year2022-05-31$3,788,921
Employer contributions (assets) at beginning of year2022-05-31$2,717,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-05-31$31,360,077
Contract administrator fees2022-05-31$728,302
Liabilities. Value of benefit claims payable at end of year2022-05-31$19,617,238
Liabilities. Value of benefit claims payable at beginning of year2022-05-31$15,160,856
Assets. Value of buildings and other operty used in plan operation at end of year2022-05-31$948,112
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-05-31$11,350
Did the plan have assets held for investment2022-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-31No
Opinion of an independent qualified public accountant for this plan2022-05-31Unqualified
Accountancy firm name2022-05-31BALDWIN MOFFITT BEHM LLP
Accountancy firm EIN2022-05-31464370753
2021 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$15,516,705
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$17,274,490
Total income from all sources (including contributions)2021-05-31$35,974,716
Total loss/gain on sale of assets2021-05-31$0
Total of all expenses incurred2021-05-31$30,067,751
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$27,712,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$28,957,249
Value of total assets at end of year2021-05-31$79,664,976
Value of total assets at beginning of year2021-05-31$75,515,796
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$2,355,064
Total interest from all sources2021-05-31$582
Total dividends received (eg from common stock, registered investment company shares)2021-05-31$2,639,291
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-05-31$2,639,291
Administrative expenses professional fees incurred2021-05-31$428,544
Was this plan covered by a fidelity bond2021-05-31Yes
Value of fidelity bond cover2021-05-31$3,000,000
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$1,028,559
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-05-31$1,184,890
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-05-31$1,167,248
Administrative expenses (other) incurred2021-05-31$1,173,318
Liabilities. Value of operating payables at end of year2021-05-31$355,849
Liabilities. Value of operating payables at beginning of year2021-05-31$640,423
Total non interest bearing cash at end of year2021-05-31$157,022
Total non interest bearing cash at beginning of year2021-05-31$688,613
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Value of net income/loss2021-05-31$5,906,965
Value of net assets at end of year (total assets less liabilities)2021-05-31$64,148,271
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$58,241,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Investment advisory and management fees2021-05-31$50,965
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-05-31$50,284,694
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-05-31$66,522,926
Value of interest in common/collective trusts at end of year2021-05-31$9,979,347
Value of interest in common/collective trusts at beginning of year2021-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-05-31$5,149,013
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-05-31$4,150,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-05-31$4,150,107
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-05-31$582
Assets. Value of investments in 103.12 investment entities at end of year2021-05-31$10,181,654
Assets. Value of investments in 103.12 investment entities at beginning of year2021-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-05-31$4,850,351
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-05-31$2,000,823
Net investment gain or loss from common/collective trusts2021-05-31$2,395,117
Net gain/loss from 103.12 investment entities2021-05-31$-18,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31Yes
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Contributions received in cash from employer2021-05-31$27,928,690
Employer contributions (assets) at end of year2021-05-31$2,717,006
Employer contributions (assets) at beginning of year2021-05-31$2,971,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-05-31$22,862,336
Contract administrator fees2021-05-31$702,237
Liabilities. Value of benefit claims payable at end of year2021-05-31$15,160,856
Liabilities. Value of benefit claims payable at beginning of year2021-05-31$16,634,067
Assets. Value of buildings and other operty used in plan operation at end of year2021-05-31$11,350
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-05-31$15,814
Did the plan have assets held for investment2021-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
Accountancy firm name2021-05-31BALDWIN MOFFITT BEHM LLP
Accountancy firm EIN2021-05-31464370753
2020 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$17,274,490
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$17,635,222
Total income from all sources (including contributions)2020-05-31$41,941,351
Total loss/gain on sale of assets2020-05-31$-22,455
Total of all expenses incurred2020-05-31$30,511,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$27,984,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$39,277,095
Value of total assets at end of year2020-05-31$75,515,796
Value of total assets at beginning of year2020-05-31$64,446,744
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$2,527,418
Total interest from all sources2020-05-31$77,511
Total dividends received (eg from common stock, registered investment company shares)2020-05-31$1,529,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-05-31$1,529,679
Administrative expenses professional fees incurred2020-05-31$407,845
Was this plan covered by a fidelity bond2020-05-31Yes
Value of fidelity bond cover2020-05-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$677,995
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-05-31$1,167,248
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-05-31$1,150,259
Administrative expenses (other) incurred2020-05-31$1,362,032
Liabilities. Value of operating payables at end of year2020-05-31$640,423
Liabilities. Value of operating payables at beginning of year2020-05-31$1,277,248
Total non interest bearing cash at end of year2020-05-31$688,613
Total non interest bearing cash at beginning of year2020-05-31$652,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Value of net income/loss2020-05-31$11,429,784
Value of net assets at end of year (total assets less liabilities)2020-05-31$58,241,306
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$46,811,522
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Investment advisory and management fees2020-05-31$60,251
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-05-31$66,522,926
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-05-31$50,249,513
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-05-31$4,150,107
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-05-31$7,154,986
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-05-31$7,154,986
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-05-31$77,511
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$3,984,758
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-05-31$1,079,521
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31Yes
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Contributions received in cash from employer2020-05-31$38,599,100
Employer contributions (assets) at end of year2020-05-31$2,971,088
Employer contributions (assets) at beginning of year2020-05-31$5,195,729
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$23,999,391
Contract administrator fees2020-05-31$697,290
Liabilities. Value of benefit claims payable at end of year2020-05-31$16,634,067
Liabilities. Value of benefit claims payable at beginning of year2020-05-31$16,357,974
Assets. Value of buildings and other operty used in plan operation at end of year2020-05-31$15,814
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-05-31$43,711
Did the plan have assets held for investment2020-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Aggregate proceeds on sale of assets2020-05-31$72,245,212
Aggregate carrying amount (costs) on sale of assets2020-05-31$72,267,667
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
Accountancy firm name2020-05-31BALDWIN MOFFITT PLLC
Accountancy firm EIN2020-05-31464370753
2019 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$17,635,222
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$14,647,193
Total income from all sources (including contributions)2019-05-31$35,397,819
Total loss/gain on sale of assets2019-05-31$0
Total of all expenses incurred2019-05-31$28,863,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$26,736,764
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$34,139,728
Value of total assets at end of year2019-05-31$64,446,744
Value of total assets at beginning of year2019-05-31$54,924,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$2,126,575
Total interest from all sources2019-05-31$52,313
Total dividends received (eg from common stock, registered investment company shares)2019-05-31$1,118,772
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-05-31$1,113,615
Administrative expenses professional fees incurred2019-05-31$308,226
Was this plan covered by a fidelity bond2019-05-31Yes
Value of fidelity bond cover2019-05-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-05-31No
Contributions received from participants2019-05-31$776,371
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-05-31$1,150,259
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-05-31$1,088,714
Administrative expenses (other) incurred2019-05-31$1,113,904
Liabilities. Value of operating payables at end of year2019-05-31$1,277,248
Liabilities. Value of operating payables at beginning of year2019-05-31$660,668
Total non interest bearing cash at end of year2019-05-31$652,546
Total non interest bearing cash at beginning of year2019-05-31$1,774,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Value of net income/loss2019-05-31$6,534,480
Value of net assets at end of year (total assets less liabilities)2019-05-31$46,811,522
Value of net assets at beginning of year (total assets less liabilities)2019-05-31$40,277,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-05-31No
Were any leases to which the plan was party in default or uncollectible2019-05-31No
Investment advisory and management fees2019-05-31$37,856
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-05-31$50,249,513
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-05-31$45,588,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-05-31$7,154,986
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-05-31$3,288,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-05-31$3,288,456
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-05-31$52,313
Expenses. Payments to insurance carriers foe the provision of benefits2019-05-31$4,055,936
Asset value of US Government securities at beginning of year2019-05-31$107
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-05-31$87,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-05-31Yes
Was there a failure to transmit to the plan any participant contributions2019-05-31No
Has the plan failed to provide any benefit when due under the plan2019-05-31No
Contributions received in cash from employer2019-05-31$33,363,357
Employer contributions (assets) at end of year2019-05-31$5,195,729
Employer contributions (assets) at beginning of year2019-05-31$3,154,865
Income. Dividends from common stock2019-05-31$5,157
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-05-31$22,680,828
Contract administrator fees2019-05-31$666,589
Liabilities. Value of benefit claims payable at end of year2019-05-31$16,357,974
Liabilities. Value of benefit claims payable at beginning of year2019-05-31$13,986,525
Assets. Value of buildings and other operty used in plan operation at end of year2019-05-31$43,711
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-05-31$29,141
Did the plan have assets held for investment2019-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-05-31No
Aggregate proceeds on sale of assets2019-05-31$34,409,135
Aggregate carrying amount (costs) on sale of assets2019-05-31$34,409,135
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-05-31No
Opinion of an independent qualified public accountant for this plan2019-05-31Unqualified
Accountancy firm name2019-05-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2019-05-31464370753
2018 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$14,647,193
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$12,132,543
Total income from all sources (including contributions)2018-05-31$30,191,357
Total loss/gain on sale of assets2018-05-31$-447,536
Total of all expenses incurred2018-05-31$27,075,376
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$24,815,172
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$29,247,190
Value of total assets at end of year2018-05-31$54,924,235
Value of total assets at beginning of year2018-05-31$49,293,604
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$2,260,204
Total interest from all sources2018-05-31$810,489
Total dividends received (eg from common stock, registered investment company shares)2018-05-31$686,054
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-05-31$269,295
Administrative expenses professional fees incurred2018-05-31$330,345
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-05-31$4,116,504
Was this plan covered by a fidelity bond2018-05-31Yes
Value of fidelity bond cover2018-05-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$937,265
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-05-31$1,088,714
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-05-31$1,313,856
Administrative expenses (other) incurred2018-05-31$317,588
Liabilities. Value of operating payables at end of year2018-05-31$660,668
Liabilities. Value of operating payables at beginning of year2018-05-31$564,497
Total non interest bearing cash at end of year2018-05-31$1,774,272
Total non interest bearing cash at beginning of year2018-05-31$1,785,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Value of net income/loss2018-05-31$3,115,981
Value of net assets at end of year (total assets less liabilities)2018-05-31$40,277,042
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$37,161,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Investment advisory and management fees2018-05-31$276,770
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-05-31$45,588,680
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-05-31$5,764,378
Income. Interest from US Government securities2018-05-31$195,576
Income. Interest from corporate debt instruments2018-05-31$597,927
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-05-31$3,288,456
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-05-31$2,107,831
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-05-31$2,107,831
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-05-31$16,986
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$4,350,783
Asset value of US Government securities at end of year2018-05-31$107
Asset value of US Government securities at beginning of year2018-05-31$10,190,882
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-05-31$-104,840
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31Yes
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Contributions received in cash from employer2018-05-31$28,309,925
Employer contributions (assets) at end of year2018-05-31$3,154,865
Employer contributions (assets) at beginning of year2018-05-31$2,501,964
Income. Dividends from preferred stock2018-05-31$415,564
Income. Dividends from common stock2018-05-31$1,195
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-31$20,464,389
Asset. Corporate debt instrument debt (other) at beginning of year2018-05-31$8,819,607
Contract administrator fees2018-05-31$1,335,501
Assets. Corporate common stocks other than exployer securities at beginning of year2018-05-31$12,684,813
Liabilities. Value of benefit claims payable at end of year2018-05-31$13,986,525
Liabilities. Value of benefit claims payable at beginning of year2018-05-31$11,568,046
Assets. Value of buildings and other operty used in plan operation at end of year2018-05-31$29,141
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-05-31$7,989
Did the plan have assets held for investment2018-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Aggregate proceeds on sale of assets2018-05-31$103,250,946
Aggregate carrying amount (costs) on sale of assets2018-05-31$103,698,482
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
Accountancy firm name2018-05-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2018-05-31464370753
2017 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-05-31$863,995
Total unrealized appreciation/depreciation of assets2017-05-31$863,995
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$12,132,543
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$12,240,568
Total income from all sources (including contributions)2017-05-31$24,686,033
Total loss/gain on sale of assets2017-05-31$144,486
Total of all expenses incurred2017-05-31$19,323,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$17,335,861
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$22,221,459
Value of total assets at end of year2017-05-31$49,293,604
Value of total assets at beginning of year2017-05-31$44,039,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$1,987,773
Total interest from all sources2017-05-31$521,065
Total dividends received (eg from common stock, registered investment company shares)2017-05-31$853,857
Total dividends received from registered investment company shares (eg mutual funds)2017-05-31$223,990
Administrative expenses professional fees incurred2017-05-31$424,345
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-05-31$4,116,504
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-05-31$2,861,801
Was this plan covered by a fidelity bond2017-05-31Yes
Value of fidelity bond cover2017-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$1,516,830
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-05-31$1,313,856
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-05-31$537,398
Administrative expenses (other) incurred2017-05-31$606,244
Liabilities. Value of operating payables at end of year2017-05-31$564,497
Liabilities. Value of operating payables at beginning of year2017-05-31$611,603
Total non interest bearing cash at end of year2017-05-31$1,785,780
Total non interest bearing cash at beginning of year2017-05-31$1,116,329
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$5,362,399
Value of net assets at end of year (total assets less liabilities)2017-05-31$37,161,061
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$31,798,662
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Investment advisory and management fees2017-05-31$224,506
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-05-31$5,764,378
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-05-31$3,392,258
Income. Interest from US Government securities2017-05-31$172,674
Income. Interest from corporate debt instruments2017-05-31$344,317
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-05-31$2,107,831
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-05-31$2,647,454
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-05-31$2,647,454
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-05-31$4,074
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$2,802,706
Asset value of US Government securities at end of year2017-05-31$10,190,882
Asset value of US Government securities at beginning of year2017-05-31$8,005,001
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-05-31$81,171
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31Yes
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Contributions received in cash from employer2017-05-31$20,704,629
Employer contributions (assets) at end of year2017-05-31$2,501,964
Employer contributions (assets) at beginning of year2017-05-31$2,177,389
Income. Dividends from preferred stock2017-05-31$250,709
Income. Dividends from common stock2017-05-31$379,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$14,533,155
Asset. Corporate debt instrument debt (other) at end of year2017-05-31$8,819,607
Asset. Corporate debt instrument debt (other) at beginning of year2017-05-31$15,167,026
Contract administrator fees2017-05-31$732,678
Assets. Corporate common stocks other than exployer securities at end of year2017-05-31$12,684,813
Assets. Corporate common stocks other than exployer securities at beginning of year2017-05-31$8,123,677
Liabilities. Value of benefit claims payable at end of year2017-05-31$11,568,046
Liabilities. Value of benefit claims payable at beginning of year2017-05-31$11,628,965
Assets. Value of buildings and other operty used in plan operation at end of year2017-05-31$7,989
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-05-31$10,897
Did the plan have assets held for investment2017-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Aggregate proceeds on sale of assets2017-05-31$43,557,822
Aggregate carrying amount (costs) on sale of assets2017-05-31$43,413,336
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2017-05-31464370753
2016 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-05-31$395,069
Total unrealized appreciation/depreciation of assets2016-05-31$395,069
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$12,240,568
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$15,032,313
Total income from all sources (including contributions)2016-05-31$25,172,971
Total loss/gain on sale of assets2016-05-31$-584,926
Total of all expenses incurred2016-05-31$21,843,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$19,836,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$23,993,452
Value of total assets at end of year2016-05-31$44,039,230
Value of total assets at beginning of year2016-05-31$43,501,059
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$2,006,697
Total interest from all sources2016-05-31$593,133
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$808,856
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-05-31$83,120
Administrative expenses professional fees incurred2016-05-31$316,145
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-05-31$2,861,801
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-05-31$4,550,274
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$2,250,013
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$537,398
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$331,670
Administrative expenses (other) incurred2016-05-31$738,393
Liabilities. Value of operating payables at end of year2016-05-31$611,603
Liabilities. Value of operating payables at beginning of year2016-05-31$681,728
Total non interest bearing cash at end of year2016-05-31$1,116,329
Total non interest bearing cash at beginning of year2016-05-31$680,899
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$3,329,916
Value of net assets at end of year (total assets less liabilities)2016-05-31$31,798,662
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$28,468,746
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Investment advisory and management fees2016-05-31$210,174
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-05-31$3,392,258
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-05-31$2,354,367
Income. Interest from US Government securities2016-05-31$137,706
Income. Interest from corporate debt instruments2016-05-31$452,429
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-05-31$2,647,454
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$2,008,918
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$2,008,918
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$2,998
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$6,993,575
Asset value of US Government securities at end of year2016-05-31$8,005,001
Asset value of US Government securities at beginning of year2016-05-31$5,081,708
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-05-31$-32,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31Yes
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$21,743,439
Employer contributions (assets) at end of year2016-05-31$2,177,389
Employer contributions (assets) at beginning of year2016-05-31$4,161,033
Income. Dividends from preferred stock2016-05-31$276,127
Income. Dividends from common stock2016-05-31$449,609
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$12,842,783
Asset. Corporate debt instrument debt (other) at end of year2016-05-31$15,167,026
Asset. Corporate debt instrument debt (other) at beginning of year2016-05-31$16,567,769
Contract administrator fees2016-05-31$741,985
Assets. Corporate common stocks other than exployer securities at end of year2016-05-31$8,123,677
Assets. Corporate common stocks other than exployer securities at beginning of year2016-05-31$7,751,403
Liabilities. Value of benefit claims payable at end of year2016-05-31$11,628,965
Liabilities. Value of benefit claims payable at beginning of year2016-05-31$14,350,585
Assets. Value of buildings and other operty used in plan operation at end of year2016-05-31$10,897
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-05-31$13,018
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Aggregate proceeds on sale of assets2016-05-31$39,853,573
Aggregate carrying amount (costs) on sale of assets2016-05-31$40,438,499
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2016-05-31464370753
2015 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-05-31$203,111
Total unrealized appreciation/depreciation of assets2015-05-31$203,111
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$15,032,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$20,340,560
Total income from all sources (including contributions)2015-05-31$28,892,102
Total loss/gain on sale of assets2015-05-31$-93,024
Total of all expenses incurred2015-05-31$24,818,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$22,788,146
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$27,372,248
Value of total assets at end of year2015-05-31$43,501,059
Value of total assets at beginning of year2015-05-31$44,735,402
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$2,030,052
Total interest from all sources2015-05-31$487,170
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$933,219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-05-31$1,181
Administrative expenses professional fees incurred2015-05-31$323,463
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-05-31$4,550,274
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-05-31$5,949,338
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$2,059,582
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$331,670
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$585,588
Administrative expenses (other) incurred2015-05-31$801,097
Liabilities. Value of operating payables at end of year2015-05-31$681,728
Liabilities. Value of operating payables at beginning of year2015-05-31$885,165
Total non interest bearing cash at end of year2015-05-31$680,899
Total non interest bearing cash at beginning of year2015-05-31$1,551,492
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$4,073,904
Value of net assets at end of year (total assets less liabilities)2015-05-31$28,468,746
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$24,394,842
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Investment advisory and management fees2015-05-31$201,761
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-05-31$2,354,367
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-05-31$17,534
Income. Interest from US Government securities2015-05-31$110,894
Income. Interest from corporate debt instruments2015-05-31$375,390
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$2,008,918
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$1,587,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$1,587,964
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$886
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$8,497,558
Asset value of US Government securities at end of year2015-05-31$5,081,708
Asset value of US Government securities at beginning of year2015-05-31$9,335,656
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-05-31$-10,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31Yes
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$25,312,666
Employer contributions (assets) at end of year2015-05-31$4,161,033
Employer contributions (assets) at beginning of year2015-05-31$2,652,056
Income. Dividends from common stock2015-05-31$932,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$14,290,588
Asset. Corporate debt instrument debt (other) at end of year2015-05-31$16,567,769
Asset. Corporate debt instrument debt (other) at beginning of year2015-05-31$12,177,025
Contract administrator fees2015-05-31$703,731
Assets. Corporate common stocks other than exployer securities at end of year2015-05-31$7,751,403
Assets. Corporate common stocks other than exployer securities at beginning of year2015-05-31$10,862,674
Liabilities. Value of benefit claims payable at end of year2015-05-31$14,350,585
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$19,455,395
Assets. Value of buildings and other operty used in plan operation at end of year2015-05-31$13,018
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-05-31$16,075
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Aggregate proceeds on sale of assets2015-05-31$40,954,885
Aggregate carrying amount (costs) on sale of assets2015-05-31$41,047,909
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31BALDWIN & BALDWIN PLLC
Accountancy firm EIN2015-05-31464370753
2014 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-05-31$1,443,138
Total unrealized appreciation/depreciation of assets2014-05-31$1,443,138
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$20,340,560
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$18,275,062
Total income from all sources (including contributions)2014-05-31$36,827,377
Total loss/gain on sale of assets2014-05-31$-61,151
Total of all expenses incurred2014-05-31$34,541,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$32,276,527
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$33,971,993
Value of total assets at end of year2014-05-31$44,735,402
Value of total assets at beginning of year2014-05-31$40,384,090
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$2,265,036
Total interest from all sources2014-05-31$756,792
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$713,622
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-05-31$373
Administrative expenses professional fees incurred2014-05-31$326,711
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-05-31$5,949,338
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$2,179,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$585,588
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$322,601
Administrative expenses (other) incurred2014-05-31$1,033,775
Liabilities. Value of operating payables at end of year2014-05-31$885,165
Liabilities. Value of operating payables at beginning of year2014-05-31$799,006
Total non interest bearing cash at end of year2014-05-31$1,551,492
Total non interest bearing cash at beginning of year2014-05-31$514,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$2,285,814
Value of net assets at end of year (total assets less liabilities)2014-05-31$24,394,842
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$22,109,028
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Investment advisory and management fees2014-05-31$188,481
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-05-31$17,534
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-05-31$0
Interest earned on other investments2014-05-31$58,133
Income. Interest from US Government securities2014-05-31$126,227
Income. Interest from corporate debt instruments2014-05-31$572,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$1,587,964
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$2,746,771
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$2,746,771
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$394
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$8,022,044
Asset value of US Government securities at end of year2014-05-31$9,335,656
Asset value of US Government securities at beginning of year2014-05-31$6,825,499
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-05-31$2,983
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31Yes
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$31,792,376
Employer contributions (assets) at end of year2014-05-31$2,652,056
Employer contributions (assets) at beginning of year2014-05-31$2,990,705
Income. Dividends from common stock2014-05-31$713,249
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$24,254,483
Asset. Corporate debt instrument debt (other) at end of year2014-05-31$12,177,025
Asset. Corporate debt instrument debt (other) at beginning of year2014-05-31$11,894,580
Contract administrator fees2014-05-31$716,069
Assets. Corporate common stocks other than exployer securities at end of year2014-05-31$10,862,674
Assets. Corporate common stocks other than exployer securities at beginning of year2014-05-31$15,080,750
Liabilities. Value of benefit claims payable at end of year2014-05-31$19,455,395
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$17,476,056
Assets. Value of buildings and other operty used in plan operation at end of year2014-05-31$16,075
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-05-31$8,638
Did the plan have assets held for investment2014-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Aggregate proceeds on sale of assets2014-05-31$61,275,292
Aggregate carrying amount (costs) on sale of assets2014-05-31$61,336,443
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31BALDWIN & BALDWIN, PLLC
Accountancy firm EIN2014-05-31464370753
2013 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-05-31$177,705
Total unrealized appreciation/depreciation of assets2013-05-31$177,705
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$18,275,062
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$16,391,851
Total income from all sources (including contributions)2013-05-31$32,645,702
Total loss/gain on sale of assets2013-05-31$-1,198
Total of all expenses incurred2013-05-31$34,256,464
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$31,831,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$31,495,767
Value of total assets at end of year2013-05-31$40,384,090
Value of total assets at beginning of year2013-05-31$40,111,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$2,424,909
Total interest from all sources2013-05-31$958,512
Total dividends received (eg from common stock, registered investment company shares)2013-05-31$27,657
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-05-31$150
Administrative expenses professional fees incurred2013-05-31$356,369
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$1,415,039
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-05-31$322,601
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-05-31$397,583
Administrative expenses (other) incurred2013-05-31$1,256,387
Liabilities. Value of operating payables at end of year2013-05-31$799,006
Liabilities. Value of operating payables at beginning of year2013-05-31$1,918,940
Total non interest bearing cash at end of year2013-05-31$514,546
Total non interest bearing cash at beginning of year2013-05-31$560,220
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$-1,610,762
Value of net assets at end of year (total assets less liabilities)2013-05-31$22,109,028
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$23,719,790
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Investment advisory and management fees2013-05-31$119,764
Interest earned on other investments2013-05-31$2,477
Income. Interest from US Government securities2013-05-31$228,977
Income. Interest from corporate debt instruments2013-05-31$724,862
Value of interest in common/collective trusts at end of year2013-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-05-31$2,746,771
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-05-31$6,005,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-05-31$6,005,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-05-31$2,196
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$6,427,005
Asset value of US Government securities at end of year2013-05-31$6,825,499
Asset value of US Government securities at beginning of year2013-05-31$14,845,218
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-05-31$-12,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31Yes
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$30,080,728
Employer contributions (assets) at end of year2013-05-31$2,990,705
Employer contributions (assets) at beginning of year2013-05-31$3,699,639
Income. Dividends from common stock2013-05-31$27,507
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$25,404,550
Asset. Corporate debt instrument debt (other) at end of year2013-05-31$11,894,580
Asset. Corporate debt instrument debt (other) at beginning of year2013-05-31$14,596,783
Contract administrator fees2013-05-31$692,389
Assets. Corporate common stocks other than exployer securities at end of year2013-05-31$15,080,750
Liabilities. Value of benefit claims payable at end of year2013-05-31$17,476,056
Liabilities. Value of benefit claims payable at beginning of year2013-05-31$14,472,911
Assets. Value of buildings and other operty used in plan operation at end of year2013-05-31$8,638
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-05-31$6,696
Did the plan have assets held for investment2013-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Aggregate proceeds on sale of assets2013-05-31$135,036,748
Aggregate carrying amount (costs) on sale of assets2013-05-31$135,037,946
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31CLEVELAND ESTES AVELLONE PLLC
Accountancy firm EIN2013-05-31205717151
2012 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-05-31$303,176
Total unrealized appreciation/depreciation of assets2012-05-31$303,176
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$16,391,851
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$14,421,830
Total income from all sources (including contributions)2012-05-31$28,543,131
Total loss/gain on sale of assets2012-05-31$173,238
Total of all expenses incurred2012-05-31$24,673,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$23,120,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$27,400,369
Value of total assets at end of year2012-05-31$40,111,641
Value of total assets at beginning of year2012-05-31$34,272,462
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$1,553,008
Total interest from all sources2012-05-31$897,204
Total dividends received (eg from common stock, registered investment company shares)2012-05-31$39,335
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-05-31$39,335
Administrative expenses professional fees incurred2012-05-31$380,579
Was this plan covered by a fidelity bond2012-05-31Yes
Value of fidelity bond cover2012-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$1,564,750
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-05-31$397,583
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-05-31$1,991,336
Administrative expenses (other) incurred2012-05-31$447,275
Liabilities. Value of operating payables at end of year2012-05-31$1,918,940
Liabilities. Value of operating payables at beginning of year2012-05-31$979,080
Total non interest bearing cash at end of year2012-05-31$560,220
Total non interest bearing cash at beginning of year2012-05-31$398,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Value of net income/loss2012-05-31$3,869,158
Value of net assets at end of year (total assets less liabilities)2012-05-31$23,719,790
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$19,850,632
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Investment advisory and management fees2012-05-31$69,504
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-05-31$3,667,175
Interest earned on other investments2012-05-31$2,392
Income. Interest from US Government securities2012-05-31$224,595
Income. Interest from corporate debt instruments2012-05-31$668,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$6,005,502
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$2,449,219
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$2,449,219
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$1,249
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$5,445,499
Asset value of US Government securities at end of year2012-05-31$14,845,218
Asset value of US Government securities at beginning of year2012-05-31$10,451,906
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-05-31$-270,191
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31Yes
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$25,835,619
Employer contributions (assets) at end of year2012-05-31$3,699,639
Employer contributions (assets) at beginning of year2012-05-31$2,090,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$17,675,466
Asset. Corporate debt instrument debt (other) at end of year2012-05-31$14,596,783
Asset. Corporate debt instrument debt (other) at beginning of year2012-05-31$13,215,952
Contract administrator fees2012-05-31$655,650
Liabilities. Value of benefit claims payable at end of year2012-05-31$14,472,911
Liabilities. Value of benefit claims payable at beginning of year2012-05-31$13,442,750
Assets. Value of buildings and other operty used in plan operation at end of year2012-05-31$6,696
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-05-31$8,093
Did the plan have assets held for investment2012-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Aggregate proceeds on sale of assets2012-05-31$51,412,430
Aggregate carrying amount (costs) on sale of assets2012-05-31$51,239,192
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31CLEVELAND ESTES AVELLONE PLLC
Accountancy firm EIN2012-05-31205717151
2011 : ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-05-31$506,141
Total unrealized appreciation/depreciation of assets2011-05-31$506,141
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$14,421,830
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$11,756,969
Total income from all sources (including contributions)2011-05-31$24,688,260
Total loss/gain on sale of assets2011-05-31$159,489
Total of all expenses incurred2011-05-31$23,790,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$22,241,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$22,338,060
Value of total assets at end of year2011-05-31$34,272,462
Value of total assets at beginning of year2011-05-31$30,709,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$1,549,223
Total interest from all sources2011-05-31$1,003,237
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$51,807
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-05-31$51,807
Administrative expenses professional fees incurred2011-05-31$310,272
Was this plan covered by a fidelity bond2011-05-31Yes
Value of fidelity bond cover2011-05-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Contributions received from participants2011-05-31$1,918,090
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-05-31$1,991,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$670,562
Administrative expenses (other) incurred2011-05-31$525,393
Liabilities. Value of operating payables at end of year2011-05-31$979,080
Liabilities. Value of operating payables at beginning of year2011-05-31$601,453
Total non interest bearing cash at end of year2011-05-31$398,181
Total non interest bearing cash at beginning of year2011-05-31$655,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Value of net income/loss2011-05-31$897,949
Value of net assets at end of year (total assets less liabilities)2011-05-31$19,850,632
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$18,952,683
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Investment advisory and management fees2011-05-31$66,733
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-05-31$3,667,175
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-05-31$2,385,832
Interest earned on other investments2011-05-31$7,765
Income. Interest from US Government securities2011-05-31$307,991
Income. Interest from corporate debt instruments2011-05-31$685,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$2,449,219
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$1,127,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$1,127,372
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$2,099
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$5,394,321
Asset value of US Government securities at end of year2011-05-31$10,451,906
Asset value of US Government securities at beginning of year2011-05-31$10,314,772
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-05-31$629,526
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31Yes
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$20,419,970
Employer contributions (assets) at end of year2011-05-31$2,090,600
Employer contributions (assets) at beginning of year2011-05-31$1,455,273
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$16,846,767
Asset. Corporate debt instrument debt (other) at end of year2011-05-31$13,215,952
Asset. Corporate debt instrument debt (other) at beginning of year2011-05-31$14,095,290
Contract administrator fees2011-05-31$646,825
Liabilities. Value of benefit claims payable at end of year2011-05-31$13,442,750
Liabilities. Value of benefit claims payable at beginning of year2011-05-31$11,155,516
Assets. Value of buildings and other operty used in plan operation at end of year2011-05-31$8,093
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-05-31$5,354
Did the plan have assets held for investment2011-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Aggregate proceeds on sale of assets2011-05-31$45,020,596
Aggregate carrying amount (costs) on sale of assets2011-05-31$44,861,107
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31CLEVELAND ESTES AVELLONE PLLC
Accountancy firm EIN2011-05-31205717151

Form 5500 Responses for ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND

2022: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2022 form 5500 responses
2022-06-01Type of plan entityMulti-employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planYes
2022-06-01Plan funding arrangement – TrustYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement - TrustYes
2021: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2021 form 5500 responses
2021-06-01Type of plan entityMulti-employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2020 form 5500 responses
2020-06-01Type of plan entityMulti-employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes
2019: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2019 form 5500 responses
2019-06-01Type of plan entityMulti-employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2018: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2018 form 5500 responses
2018-06-01Type of plan entityMulti-employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes
2017: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2017 form 5500 responses
2017-06-01Type of plan entityMulti-employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement - TrustYes
2016: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2016 form 5500 responses
2016-06-01Type of plan entityMulti-employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2015 form 5500 responses
2015-06-01Type of plan entityMulti-employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2014 form 5500 responses
2014-06-01Type of plan entityMulti-employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2013 form 5500 responses
2013-06-01Type of plan entityMulti-employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2012 form 5500 responses
2012-06-01Type of plan entityMulti-employer plan
2012-06-01Plan is a collectively bargained planYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2011 form 5500 responses
2011-06-01Type of plan entityMulti-employer plan
2011-06-01Plan is a collectively bargained planYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2009: ARIZONA PIPE TRADES HEALTH & WELFARE TRUST FUND 2009 form 5500 responses
2009-06-01Type of plan entityMulti-employer plan
2009-06-01Plan is a collectively bargained planYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number10585251113589
Policy instance 3
Insurance contract or identification number10585251113589
Number of Individuals Covered100
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009X89
Policy instance 2
Insurance contract or identification numberG0009X89
Number of Individuals Covered2519
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $353,765
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 number16012597000
Policy instance 1
Insurance contract or identification number16012597000
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $159,386
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 number16012597000
Policy instance 1
Insurance contract or identification number16012597000
Number of Individuals Covered2222
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $245,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009X89
Policy instance 2
Insurance contract or identification numberG0009X89
Number of Individuals Covered2222
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $293,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number10585251113589
Policy instance 3
Insurance contract or identification number10585251113589
Number of Individuals Covered120
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number4386
Policy instance 4
Insurance contract or identification number4386
Number of Individuals Covered63
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $337
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 number16012597000
Policy instance 1
Insurance contract or identification number16012597000
Number of Individuals Covered1737
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $204,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009X89
Policy instance 2
Insurance contract or identification numberG0009X89
Number of Individuals Covered1737
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $519,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number10585251113589
Policy instance 3
Insurance contract or identification number10585251113589
Number of Individuals Covered120
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,128
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 number16012597000
Policy instance 1
Insurance contract or identification number16012597000
Number of Individuals Covered1956
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $209,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUE 9X89
Policy instance 3
Insurance contract or identification numberGLUE 9X89
Number of Individuals Covered1956
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $128,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number10585251113589
Policy instance 2
Insurance contract or identification number10585251113589
Number of Individuals Covered200
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $13,932
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 number16012597000
Policy instance 1
Insurance contract or identification number16012597000
Number of Individuals Covered2046
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $149,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058525113589
Policy instance 2
Insurance contract or identification number1058525113589
Number of Individuals Covered200
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $17,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered2580
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $100,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058525113589
Policy instance 2
Insurance contract or identification number1058525113589
Number of Individuals Covered200
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $20,410
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 number16-012597-000
Policy instance 1
Insurance contract or identification number16-012597-000
Number of Individuals Covered2046
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $121,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered2580
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $115,030
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 4
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1981
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $673
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $673
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO INC OF AZ
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1891
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $2,469
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,469
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO INC OF AZ
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-012597-000
Policy instance 2
Insurance contract or identification number16-012597-000
Number of Individuals Covered1445
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of fees paid to insurance companyUSD $3,852
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $104,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2115
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
Insurance broker nameCSA GENERAL INS AGENCY INC.
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058 5251 13589
Policy instance 1
Insurance contract or identification number1058 5251 13589
Number of Individuals Covered188
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $74,407
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 number16-012597-000
Policy instance 4
Insurance contract or identification number16-012597-000
Number of Individuals Covered1644
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $4,696
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $112,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2330
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
Insurance broker nameCSA GENERAL INSURANCE AGENCY, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG9X89
Policy instance 2
Insurance contract or identification numberGLUG9X89
Number of Individuals Covered1891
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1891
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058
Policy instance 1
Insurance contract or identification number1058
Number of Individuals Covered722
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $103,164
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker name
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058
Policy instance 1
Insurance contract or identification number1058
Number of Individuals Covered722
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $113,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 2
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered2296
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered2296
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-012597-000
Policy instance 4
Insurance contract or identification number16-012597-000
Number of Individuals Covered2721
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058
Policy instance 1
Insurance contract or identification number1058
Number of Individuals Covered750
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $114,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered2280
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 2
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered2280
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameTHE SEGAL COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 2
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1906
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058
Policy instance 1
Insurance contract or identification number1058
Number of Individuals Covered748
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $113,942
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1906
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 3
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1730
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG 9X89
Policy instance 2
Insurance contract or identification numberGLUG 9X89
Number of Individuals Covered1730
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPLOYERS DENTAL SERVICES (National Association of Insurance Commissioners NAIC id number: 53090 )
Policy contract number1058
Policy instance 1
Insurance contract or identification number1058
Number of Individuals Covered360
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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