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TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 401k Plan overview

Plan NameTEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN
Plan identification number 501

TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN Benefits

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

401k Sponsoring company profile

TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND
Employer identification number (EIN):866052021
NAIC Classification:488990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01ANDREW MARSHALL2023-09-03 ANDREW MARSHALL2023-09-03
5012020-12-01ANDREW MARSHALL2022-08-29 ANDREW MARSHALL2022-08-29
5012019-12-01ANDREW MARSHALL2021-09-01 ANDREW MARSHALL2021-09-01
5012018-12-01DOUGLAS RUYGROK2020-09-11 DOUGLAS RUYGROK2020-09-11
5012017-12-01ANDREW MARSHALL2019-08-22 ANDREW MARSHALL2019-08-22
5012016-12-01
5012015-12-01
5012014-12-01
5012013-12-01
5012012-12-01ANDREW MARSHALL
5012011-12-01FRANK MENDOZA
5012009-12-01RANDY HENNINGFIELD

Plan Statistics for TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN

401k plan membership statisitcs for TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN

Measure Date Value
2021: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0152,713
Total number of active participants reported on line 7a of the Form 55002021-12-0152,789
Total of all active and inactive participants2021-12-0152,789
Number of employers contributing to the scheme2021-12-0130
2020: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-0148,813
Total number of active participants reported on line 7a of the Form 55002020-12-0152,713
Total of all active and inactive participants2020-12-0152,713
Number of employers contributing to the scheme2020-12-0129
2019: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-0145,566
Total number of active participants reported on line 7a of the Form 55002019-12-0148,813
Total of all active and inactive participants2019-12-0148,813
Number of employers contributing to the scheme2019-12-0129
2018: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-0142,764
Total number of active participants reported on line 7a of the Form 55002018-12-0145,566
Total of all active and inactive participants2018-12-0145,566
Number of employers contributing to the scheme2018-12-0129
2017: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-0139,457
Total number of active participants reported on line 7a of the Form 55002017-12-0142,764
Total of all active and inactive participants2017-12-0142,764
Number of employers contributing to the scheme2017-12-0130
2016: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-0138,137
Total number of active participants reported on line 7a of the Form 55002016-12-0139,457
Total of all active and inactive participants2016-12-0139,457
Number of employers contributing to the scheme2016-12-0132
2015: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-0137,126
Total number of active participants reported on line 7a of the Form 55002015-12-0138,137
Total of all active and inactive participants2015-12-0138,137
Number of employers contributing to the scheme2015-12-0133
2014: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-0134,672
Total number of active participants reported on line 7a of the Form 55002014-12-0137,126
Total of all active and inactive participants2014-12-0137,126
Number of employers contributing to the scheme2014-12-0131
2013: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-012,861
Total number of active participants reported on line 7a of the Form 55002013-12-0134,672
Number of retired or separated participants receiving benefits2013-12-010
Total of all active and inactive participants2013-12-0134,672
Number of employers contributing to the scheme2013-12-0132
2012: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-013,205
Total number of active participants reported on line 7a of the Form 55002012-12-012,716
Number of retired or separated participants receiving benefits2012-12-01145
Total of all active and inactive participants2012-12-012,861
Number of employers contributing to the scheme2012-12-0131
2011: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-013,176
Total number of active participants reported on line 7a of the Form 55002011-12-012,854
Number of retired or separated participants receiving benefits2011-12-01351
Total of all active and inactive participants2011-12-013,205
Number of employers contributing to the scheme2011-12-0134
2009: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-013,495
Total number of active participants reported on line 7a of the Form 55002009-12-013,024
Number of retired or separated participants receiving benefits2009-12-01330
Total of all active and inactive participants2009-12-013,354
Number of employers contributing to the scheme2009-12-0136

Financial Data on TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN

Measure Date Value
2022 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-11-30$-43,458,537
Total unrealized appreciation/depreciation of assets2022-11-30$-43,458,537
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$82,240,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$89,693,075
Total income from all sources (including contributions)2022-11-30$476,443,721
Total loss/gain on sale of assets2022-11-30$-3,345,319
Total of all expenses incurred2022-11-30$721,570,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$688,207,524
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$542,346,814
Value of total assets at end of year2022-11-30$959,244,506
Value of total assets at beginning of year2022-11-30$1,211,824,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$33,363,397
Total interest from all sources2022-11-30$14,610,604
Total dividends received (eg from common stock, registered investment company shares)2022-11-30$8,870,063
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-11-30$7,959,390
Administrative expenses professional fees incurred2022-11-30$790,358
Was this plan covered by a fidelity bond2022-11-30Yes
Value of fidelity bond cover2022-11-30$10,000,000
If this is an individual account plan, was there a blackout period2022-11-30No
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Contributions received from participants2022-11-30$972,283
Assets. Other investments not covered elsewhere at end of year2022-11-30$59,955
Assets. Other investments not covered elsewhere at beginning of year2022-11-30$81,262
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-11-30$-3,246,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-11-30$10,043,663
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-11-30$8,417,388
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-11-30$746,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-11-30$2,955,621
Other income not declared elsewhere2022-11-30$37,868,800
Administrative expenses (other) incurred2022-11-30$24,200,296
Liabilities. Value of operating payables at end of year2022-11-30$1,061,045
Liabilities. Value of operating payables at beginning of year2022-11-30$861,197
Total non interest bearing cash at end of year2022-11-30$41,282,889
Total non interest bearing cash at beginning of year2022-11-30$11,897,709
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Value of net income/loss2022-11-30$-245,127,200
Value of net assets at end of year (total assets less liabilities)2022-11-30$877,003,920
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$1,122,131,120
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Assets. partnership/joint venture interests at end of year2022-11-30$222,178,398
Assets. partnership/joint venture interests at beginning of year2022-11-30$247,200,063
Investment advisory and management fees2022-11-30$3,707,302
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-11-30$155,471,068
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-11-30$193,106,493
Income. Interest from US Government securities2022-11-30$12,795,741
Income. Interest from corporate debt instruments2022-11-30$1,459,826
Value of interest in common/collective trusts at end of year2022-11-30$236,102,110
Value of interest in common/collective trusts at beginning of year2022-11-30$355,262,870
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-11-30$14,284,865
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-11-30$26,658,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-11-30$26,658,129
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-11-30$355,037
Expenses. Payments to insurance carriers foe the provision of benefits2022-11-30$60,698,804
Asset value of US Government securities at end of year2022-11-30$130,144,604
Asset value of US Government securities at beginning of year2022-11-30$200,642,355
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-11-30$-18,994,815
Net investment gain or loss from common/collective trusts2022-11-30$-49,226,606
Net gain/loss from 103.12 investment entities2022-11-30$-12,227,283
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30Yes
Was there a failure to transmit to the plan any participant contributions2022-11-30No
Has the plan failed to provide any benefit when due under the plan2022-11-30No
Contributions received in cash from employer2022-11-30$541,374,531
Employer contributions (assets) at end of year2022-11-30$46,746,130
Employer contributions (assets) at beginning of year2022-11-30$33,454,431
Income. Dividends from common stock2022-11-30$910,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-11-30$630,754,720
Asset. Corporate debt instrument preferred debt at end of year2022-11-30$699,979
Asset. Corporate debt instrument preferred debt at beginning of year2022-11-30$1,944,856
Asset. Corporate debt instrument debt (other) at end of year2022-11-30$35,764,827
Asset. Corporate debt instrument debt (other) at beginning of year2022-11-30$42,161,890
Contract administrator fees2022-11-30$4,665,441
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2022-11-30$66,466,018
Assets. Corporate common stocks other than exployer securities at beginning of year2022-11-30$90,996,749
Liabilities. Value of benefit claims payable at end of year2022-11-30$80,433,391
Liabilities. Value of benefit claims payable at beginning of year2022-11-30$85,876,257
Did the plan have assets held for investment2022-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-30No
Aggregate proceeds on sale of assets2022-11-30$189,106,118
Aggregate carrying amount (costs) on sale of assets2022-11-30$192,451,437
Opinion of an independent qualified public accountant for this plan2022-11-30Unqualified
Accountancy firm name2022-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2022-11-30542189926
2021 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-11-30$8,255,012
Total unrealized appreciation/depreciation of assets2021-11-30$8,255,012
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$89,693,075
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$76,644,785
Total income from all sources (including contributions)2021-11-30$822,604,381
Total loss/gain on sale of assets2021-11-30$-4,389,328
Total of all expenses incurred2021-11-30$669,529,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$636,838,055
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$697,743,951
Value of total assets at end of year2021-11-30$1,211,824,195
Value of total assets at beginning of year2021-11-30$1,045,701,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$32,691,682
Total interest from all sources2021-11-30$13,123,310
Total dividends received (eg from common stock, registered investment company shares)2021-11-30$8,566,738
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-11-30$7,655,364
Administrative expenses professional fees incurred2021-11-30$1,008,710
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$10,000,000
If this is an individual account plan, was there a blackout period2021-11-30No
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$856,542
Assets. Other investments not covered elsewhere at end of year2021-11-30$81,262
Assets. Other investments not covered elsewhere at beginning of year2021-11-30$93,573
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-11-30$16,383,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-11-30$8,417,388
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-11-30$7,443,078
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-11-30$2,955,621
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-11-30$5,910,507
Other income not declared elsewhere2021-11-30$29,136,868
Administrative expenses (other) incurred2021-11-30$23,326,409
Liabilities. Value of operating payables at end of year2021-11-30$861,197
Liabilities. Value of operating payables at beginning of year2021-11-30$706,107
Total non interest bearing cash at end of year2021-11-30$11,897,709
Total non interest bearing cash at beginning of year2021-11-30$5,440,723
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$153,074,644
Value of net assets at end of year (total assets less liabilities)2021-11-30$1,122,131,120
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$969,056,476
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Assets. partnership/joint venture interests at end of year2021-11-30$247,200,063
Assets. partnership/joint venture interests at beginning of year2021-11-30$178,529,000
Investment advisory and management fees2021-11-30$3,988,999
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-11-30$193,106,493
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-11-30$187,449,477
Income. Interest from US Government securities2021-11-30$11,887,608
Income. Interest from corporate debt instruments2021-11-30$1,226,267
Value of interest in common/collective trusts at end of year2021-11-30$355,262,870
Value of interest in common/collective trusts at beginning of year2021-11-30$273,183,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-11-30$26,658,129
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-11-30$29,630,423
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-11-30$29,630,423
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-11-30$9,435
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$52,728,489
Asset value of US Government securities at end of year2021-11-30$200,642,355
Asset value of US Government securities at beginning of year2021-11-30$205,053,512
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-11-30$-1,998,349
Net investment gain or loss from common/collective trusts2021-11-30$64,117,399
Net gain/loss from 103.12 investment entities2021-11-30$8,048,780
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30Yes
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$696,887,409
Employer contributions (assets) at end of year2021-11-30$33,454,431
Employer contributions (assets) at beginning of year2021-11-30$54,415,914
Income. Dividends from common stock2021-11-30$911,374
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-11-30$567,726,566
Asset. Corporate debt instrument preferred debt at end of year2021-11-30$1,944,856
Asset. Corporate debt instrument preferred debt at beginning of year2021-11-30$2,054,026
Asset. Corporate debt instrument debt (other) at end of year2021-11-30$42,161,890
Asset. Corporate debt instrument debt (other) at beginning of year2021-11-30$28,341,210
Contract administrator fees2021-11-30$4,367,564
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2021-11-30$90,996,749
Assets. Corporate common stocks other than exployer securities at beginning of year2021-11-30$74,066,329
Liabilities. Value of benefit claims payable at end of year2021-11-30$85,876,257
Liabilities. Value of benefit claims payable at beginning of year2021-11-30$70,028,171
Did the plan have assets held for investment2021-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30No
Aggregate proceeds on sale of assets2021-11-30$161,016,243
Aggregate carrying amount (costs) on sale of assets2021-11-30$165,405,571
Opinion of an independent qualified public accountant for this plan2021-11-30Unqualified
Accountancy firm name2021-11-30HENNINGFIELD & ASSOCIATES, INC.,
Accountancy firm EIN2021-11-30542189926
2020 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-11-30$14,746,034
Total unrealized appreciation/depreciation of assets2020-11-30$14,746,034
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$76,644,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$64,889,393
Total income from all sources (including contributions)2020-11-30$837,630,605
Total loss/gain on sale of assets2020-11-30$-693,466
Total of all expenses incurred2020-11-30$592,726,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$564,198,329
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$736,771,890
Value of total assets at end of year2020-11-30$1,045,701,261
Value of total assets at beginning of year2020-11-30$789,041,507
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$28,527,914
Total interest from all sources2020-11-30$11,541,066
Total dividends received (eg from common stock, registered investment company shares)2020-11-30$10,781,253
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-11-30$10,046,122
Administrative expenses professional fees incurred2020-11-30$733,459
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$10,000,000
If this is an individual account plan, was there a blackout period2020-11-30No
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Contributions received from participants2020-11-30$793,085
Assets. Other investments not covered elsewhere at end of year2020-11-30$93,573
Assets. Other investments not covered elsewhere at beginning of year2020-11-30$64,544
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-11-30$17,121,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-11-30$7,443,078
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-11-30$22,876,149
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-11-30$5,910,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-11-30$6,867,867
Other income not declared elsewhere2020-11-30$25,746,898
Administrative expenses (other) incurred2020-11-30$21,125,598
Liabilities. Value of operating payables at end of year2020-11-30$706,107
Liabilities. Value of operating payables at beginning of year2020-11-30$722,170
Total non interest bearing cash at end of year2020-11-30$5,440,723
Total non interest bearing cash at beginning of year2020-11-30$-3,181,458
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Value of net income/loss2020-11-30$244,904,362
Value of net assets at end of year (total assets less liabilities)2020-11-30$969,056,476
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$724,152,114
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Assets. partnership/joint venture interests at end of year2020-11-30$178,529,000
Assets. partnership/joint venture interests at beginning of year2020-11-30$85,345,551
Investment advisory and management fees2020-11-30$2,791,550
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-11-30$187,449,477
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-11-30$167,357,836
Income. Interest from US Government securities2020-11-30$10,381,060
Income. Interest from corporate debt instruments2020-11-30$900,951
Value of interest in common/collective trusts at end of year2020-11-30$273,183,996
Value of interest in common/collective trusts at beginning of year2020-11-30$186,492,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-11-30$29,630,423
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-11-30$45,835,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-11-30$45,835,186
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-11-30$259,055
Expenses. Payments to insurance carriers foe the provision of benefits2020-11-30$50,651,042
Asset value of US Government securities at end of year2020-11-30$205,053,512
Asset value of US Government securities at beginning of year2020-11-30$156,197,289
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-11-30$1,514,868
Net investment gain or loss from common/collective trusts2020-11-30$28,110,812
Net gain/loss from 103.12 investment entities2020-11-30$9,111,250
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30Yes
Was there a failure to transmit to the plan any participant contributions2020-11-30No
Has the plan failed to provide any benefit when due under the plan2020-11-30No
Contributions received in cash from employer2020-11-30$735,978,805
Employer contributions (assets) at end of year2020-11-30$54,415,914
Employer contributions (assets) at beginning of year2020-11-30$63,389,146
Income. Dividends from common stock2020-11-30$735,131
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-11-30$496,426,287
Asset. Corporate debt instrument preferred debt at end of year2020-11-30$2,054,026
Asset. Corporate debt instrument preferred debt at beginning of year2020-11-30$2,623,036
Asset. Corporate debt instrument debt (other) at end of year2020-11-30$28,341,210
Asset. Corporate debt instrument debt (other) at beginning of year2020-11-30$16,517,689
Contract administrator fees2020-11-30$3,877,307
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2020-11-30$74,066,329
Assets. Corporate common stocks other than exployer securities at beginning of year2020-11-30$45,524,432
Liabilities. Value of benefit claims payable at end of year2020-11-30$70,028,171
Liabilities. Value of benefit claims payable at beginning of year2020-11-30$57,299,356
Did the plan have assets held for investment2020-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-11-30No
Aggregate proceeds on sale of assets2020-11-30$145,367,480
Aggregate carrying amount (costs) on sale of assets2020-11-30$146,060,946
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-11-30No
Opinion of an independent qualified public accountant for this plan2020-11-30Unqualified
Accountancy firm name2020-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2020-11-30542189926
2019 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-11-30$9,419,758
Total unrealized appreciation/depreciation of assets2019-11-30$9,419,758
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$64,889,393
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$54,218,109
Total income from all sources (including contributions)2019-11-30$777,241,705
Total loss/gain on sale of assets2019-11-30$-278,967
Total of all expenses incurred2019-11-30$578,619,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$550,384,055
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$699,869,701
Value of total assets at end of year2019-11-30$789,041,507
Value of total assets at beginning of year2019-11-30$579,748,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$28,235,460
Total interest from all sources2019-11-30$6,630,179
Total dividends received (eg from common stock, registered investment company shares)2019-11-30$9,317,849
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-11-30$8,551,523
Administrative expenses professional fees incurred2019-11-30$895,071
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$10,000,000
If this is an individual account plan, was there a blackout period2019-11-30No
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Contributions received from participants2019-11-30$635,152
Assets. Other investments not covered elsewhere at end of year2019-11-30$64,544
Assets. Other investments not covered elsewhere at beginning of year2019-11-30$57,668
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-11-30$4,398,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-11-30$22,876,149
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-11-30$16,821,052
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-11-30$6,867,867
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-11-30$5,576,026
Other income not declared elsewhere2019-11-30$22,029,600
Administrative expenses (other) incurred2019-11-30$22,115,395
Liabilities. Value of operating payables at end of year2019-11-30$722,170
Liabilities. Value of operating payables at beginning of year2019-11-30$1,270,695
Total non interest bearing cash at end of year2019-11-30$-3,181,458
Total non interest bearing cash at beginning of year2019-11-30$3,864,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net income/loss2019-11-30$198,622,190
Value of net assets at end of year (total assets less liabilities)2019-11-30$724,152,114
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$525,529,924
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Assets. partnership/joint venture interests at end of year2019-11-30$85,345,551
Assets. partnership/joint venture interests at beginning of year2019-11-30$78,903,575
Investment advisory and management fees2019-11-30$1,633,924
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-11-30$167,357,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-11-30$162,261,865
Income. Interest from US Government securities2019-11-30$5,441,119
Income. Interest from corporate debt instruments2019-11-30$423,307
Value of interest in common/collective trusts at end of year2019-11-30$186,492,107
Value of interest in common/collective trusts at beginning of year2019-11-30$80,177,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-11-30$45,835,186
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-11-30$41,089,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-11-30$41,089,772
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-11-30$765,753
Expenses. Payments to insurance carriers foe the provision of benefits2019-11-30$43,878,987
Asset value of US Government securities at end of year2019-11-30$156,197,289
Asset value of US Government securities at beginning of year2019-11-30$109,808,869
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-11-30$1,856,962
Net investment gain or loss from common/collective trusts2019-11-30$18,595,190
Net gain/loss from 103.12 investment entities2019-11-30$9,801,433
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30Yes
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$699,234,549
Employer contributions (assets) at end of year2019-11-30$63,389,146
Employer contributions (assets) at beginning of year2019-11-30$47,588,676
Income. Dividends from common stock2019-11-30$766,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-11-30$502,107,068
Asset. Corporate debt instrument preferred debt at end of year2019-11-30$2,623,036
Asset. Corporate debt instrument preferred debt at beginning of year2019-11-30$922,910
Asset. Corporate debt instrument debt (other) at end of year2019-11-30$16,517,689
Asset. Corporate debt instrument debt (other) at beginning of year2019-11-30$6,015,474
Contract administrator fees2019-11-30$3,591,070
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2019-11-30$45,524,432
Assets. Corporate common stocks other than exployer securities at beginning of year2019-11-30$32,235,684
Liabilities. Value of benefit claims payable at end of year2019-11-30$57,299,356
Liabilities. Value of benefit claims payable at beginning of year2019-11-30$47,371,388
Did the plan have assets held for investment2019-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30No
Aggregate proceeds on sale of assets2019-11-30$123,543,907
Aggregate carrying amount (costs) on sale of assets2019-11-30$123,822,874
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30No
Opinion of an independent qualified public accountant for this plan2019-11-30Unqualified
Accountancy firm name2019-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2019-11-30542189926
2018 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-11-30$-2,750,852
Total unrealized appreciation/depreciation of assets2018-11-30$-2,750,852
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$54,218,109
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$54,719,461
Total income from all sources (including contributions)2018-11-30$649,925,726
Total loss/gain on sale of assets2018-11-30$-852,168
Total of all expenses incurred2018-11-30$538,490,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$510,848,610
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$626,830,894
Value of total assets at end of year2018-11-30$579,748,033
Value of total assets at beginning of year2018-11-30$468,813,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$27,641,492
Total interest from all sources2018-11-30$3,578,061
Total dividends received (eg from common stock, registered investment company shares)2018-11-30$6,043,121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-11-30$5,499,743
Administrative expenses professional fees incurred2018-11-30$641,830
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$10,000,000
If this is an individual account plan, was there a blackout period2018-11-30No
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Contributions received from participants2018-11-30$610,859
Assets. Other investments not covered elsewhere at end of year2018-11-30$57,668
Assets. Other investments not covered elsewhere at beginning of year2018-11-30$41,277
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-11-30$-1,783,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-11-30$16,821,052
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-11-30$16,412,326
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-11-30$5,576,026
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-11-30$1,889,542
Other income not declared elsewhere2018-11-30$22,029,036
Administrative expenses (other) incurred2018-11-30$22,144,994
Liabilities. Value of operating payables at end of year2018-11-30$1,270,695
Liabilities. Value of operating payables at beginning of year2018-11-30$894,032
Total non interest bearing cash at end of year2018-11-30$3,864,666
Total non interest bearing cash at beginning of year2018-11-30$13,122,146
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Value of net income/loss2018-11-30$111,435,624
Value of net assets at end of year (total assets less liabilities)2018-11-30$525,529,924
Value of net assets at beginning of year (total assets less liabilities)2018-11-30$414,094,300
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Assets. partnership/joint venture interests at end of year2018-11-30$78,903,575
Assets. partnership/joint venture interests at beginning of year2018-11-30$63,151,931
Investment advisory and management fees2018-11-30$1,458,919
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-11-30$162,261,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-11-30$141,269,872
Income. Interest from US Government securities2018-11-30$2,791,833
Income. Interest from corporate debt instruments2018-11-30$298,732
Value of interest in common/collective trusts at end of year2018-11-30$80,177,822
Value of interest in common/collective trusts at beginning of year2018-11-30$69,252,016
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-11-30$41,089,772
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-11-30$20,765,052
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-11-30$20,765,052
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-11-30$487,496
Expenses. Payments to insurance carriers foe the provision of benefits2018-11-30$37,191,428
Asset value of US Government securities at end of year2018-11-30$109,808,869
Asset value of US Government securities at beginning of year2018-11-30$82,410,971
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-11-30$-3,912,847
Net investment gain or loss from common/collective trusts2018-11-30$-1,474,381
Net gain/loss from 103.12 investment entities2018-11-30$434,862
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30Yes
Was there a failure to transmit to the plan any participant contributions2018-11-30No
Has the plan failed to provide any benefit when due under the plan2018-11-30No
Contributions received in cash from employer2018-11-30$626,220,035
Employer contributions (assets) at end of year2018-11-30$47,588,676
Employer contributions (assets) at beginning of year2018-11-30$44,020,235
Income. Dividends from common stock2018-11-30$543,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-11-30$475,440,182
Asset. Corporate debt instrument preferred debt at end of year2018-11-30$922,910
Asset. Corporate debt instrument preferred debt at beginning of year2018-11-30$985,251
Asset. Corporate debt instrument debt (other) at end of year2018-11-30$6,015,474
Asset. Corporate debt instrument debt (other) at beginning of year2018-11-30$5,775,473
Contract administrator fees2018-11-30$3,395,749
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2018-11-30$32,235,684
Assets. Corporate common stocks other than exployer securities at beginning of year2018-11-30$11,607,211
Liabilities. Value of benefit claims payable at end of year2018-11-30$47,371,388
Liabilities. Value of benefit claims payable at beginning of year2018-11-30$51,935,887
Did the plan have assets held for investment2018-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-11-30No
Aggregate proceeds on sale of assets2018-11-30$62,596,677
Aggregate carrying amount (costs) on sale of assets2018-11-30$63,448,845
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30No
Opinion of an independent qualified public accountant for this plan2018-11-30Unqualified
Accountancy firm name2018-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2018-11-30542189926
2017 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-11-30$1,092,874
Total unrealized appreciation/depreciation of assets2017-11-30$1,092,874
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$54,719,461
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$40,351,141
Total income from all sources (including contributions)2017-11-30$631,100,886
Total loss/gain on sale of assets2017-11-30$-662,951
Total of all expenses incurred2017-11-30$509,132,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$482,238,824
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$584,222,781
Value of total assets at end of year2017-11-30$468,813,761
Value of total assets at beginning of year2017-11-30$332,477,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$26,893,897
Total interest from all sources2017-11-30$2,214,161
Total dividends received (eg from common stock, registered investment company shares)2017-11-30$4,469,821
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-11-30$4,330,351
Administrative expenses professional fees incurred2017-11-30$698,808
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$5,000,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Contributions received from participants2017-11-30$631,446
Assets. Other investments not covered elsewhere at end of year2017-11-30$41,277
Assets. Other investments not covered elsewhere at beginning of year2017-11-30$16,842
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-11-30$12,202,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-11-30$16,412,326
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-11-30$11,965,966
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-11-30$1,889,542
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-11-30$1,637,528
Other income not declared elsewhere2017-11-30$20,589,512
Administrative expenses (other) incurred2017-11-30$22,006,968
Liabilities. Value of operating payables at end of year2017-11-30$894,032
Liabilities. Value of operating payables at beginning of year2017-11-30$467,166
Total non interest bearing cash at end of year2017-11-30$13,122,146
Total non interest bearing cash at beginning of year2017-11-30$29,324,131
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$121,968,165
Value of net assets at end of year (total assets less liabilities)2017-11-30$414,094,300
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$292,126,135
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Assets. partnership/joint venture interests at end of year2017-11-30$63,151,931
Assets. partnership/joint venture interests at beginning of year2017-11-30$37,704,174
Investment advisory and management fees2017-11-30$1,138,541
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-11-30$141,269,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-11-30$116,543,972
Income. Interest from US Government securities2017-11-30$1,921,118
Income. Interest from corporate debt instruments2017-11-30$261,513
Value of interest in common/collective trusts at end of year2017-11-30$69,252,016
Value of interest in common/collective trusts at beginning of year2017-11-30$23,199,822
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-11-30$20,765,052
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-11-30$16,983,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-11-30$16,983,413
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-11-30$31,530
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$35,383,434
Asset value of US Government securities at end of year2017-11-30$82,410,971
Asset value of US Government securities at beginning of year2017-11-30$49,755,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-11-30$5,306,550
Net investment gain or loss from common/collective trusts2017-11-30$11,293,075
Net gain/loss from 103.12 investment entities2017-11-30$2,575,063
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30Yes
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$583,591,335
Employer contributions (assets) at end of year2017-11-30$44,020,235
Employer contributions (assets) at beginning of year2017-11-30$41,636,032
Income. Dividends from common stock2017-11-30$139,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-30$434,653,390
Asset. Corporate debt instrument preferred debt at end of year2017-11-30$985,251
Asset. Corporate debt instrument preferred debt at beginning of year2017-11-30$993,150
Asset. Corporate debt instrument debt (other) at end of year2017-11-30$5,775,473
Asset. Corporate debt instrument debt (other) at beginning of year2017-11-30$4,354,733
Contract administrator fees2017-11-30$3,049,580
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2017-11-30$11,607,211
Liabilities. Value of benefit claims payable at end of year2017-11-30$51,935,887
Liabilities. Value of benefit claims payable at beginning of year2017-11-30$38,246,447
Did the plan have assets held for investment2017-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Aggregate proceeds on sale of assets2017-11-30$64,829,690
Aggregate carrying amount (costs) on sale of assets2017-11-30$65,492,641
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2017-11-30542189926
2016 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-11-30$-425,084
Total unrealized appreciation/depreciation of assets2016-11-30$-425,084
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$40,351,141
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$42,458,983
Total income from all sources (including contributions)2016-11-30$571,609,738
Total loss/gain on sale of assets2016-11-30$-572,919
Total of all expenses incurred2016-11-30$461,561,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$437,358,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$548,619,929
Value of total assets at end of year2016-11-30$332,477,276
Value of total assets at beginning of year2016-11-30$224,537,370
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$24,203,712
Total interest from all sources2016-11-30$1,579,221
Total dividends received (eg from common stock, registered investment company shares)2016-11-30$3,876,389
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-11-30$3,876,389
Administrative expenses professional fees incurred2016-11-30$498,221
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$5,000,000
If this is an individual account plan, was there a blackout period2016-11-30No
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Contributions received from participants2016-11-30$477,089
Assets. Other investments not covered elsewhere at end of year2016-11-30$16,842
Assets. Other investments not covered elsewhere at beginning of year2016-11-30$9,282
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-11-30$-1,153,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-11-30$11,965,966
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-11-30$11,558,391
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-11-30$1,637,528
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-11-30$157,260
Other income not declared elsewhere2016-11-30$13,841,885
Administrative expenses (other) incurred2016-11-30$20,335,623
Liabilities. Value of operating payables at end of year2016-11-30$467,166
Liabilities. Value of operating payables at beginning of year2016-11-30$1,122,530
Total non interest bearing cash at end of year2016-11-30$29,324,131
Total non interest bearing cash at beginning of year2016-11-30$50,992,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$110,047,748
Value of net assets at end of year (total assets less liabilities)2016-11-30$292,126,135
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$182,078,387
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Assets. partnership/joint venture interests at end of year2016-11-30$37,704,174
Assets. partnership/joint venture interests at beginning of year2016-11-30$18,374,699
Investment advisory and management fees2016-11-30$544,109
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-11-30$116,543,972
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-11-30$63,691,064
Income. Interest from US Government securities2016-11-30$1,354,739
Income. Interest from corporate debt instruments2016-11-30$219,196
Value of interest in common/collective trusts at end of year2016-11-30$23,199,822
Value of interest in common/collective trusts at beginning of year2016-11-30$11,258,790
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-11-30$16,983,413
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-11-30$991,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-11-30$991,043
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-11-30$5,286
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$29,957,215
Asset value of US Government securities at end of year2016-11-30$49,755,041
Asset value of US Government securities at beginning of year2016-11-30$23,745,935
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-11-30$2,496,519
Net investment gain or loss from common/collective trusts2016-11-30$811,032
Net gain/loss from 103.12 investment entities2016-11-30$1,382,766
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30Yes
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$548,142,840
Employer contributions (assets) at end of year2016-11-30$41,636,032
Employer contributions (assets) at beginning of year2016-11-30$39,736,494
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-30$408,554,063
Asset. Corporate debt instrument preferred debt at end of year2016-11-30$993,150
Asset. Corporate debt instrument preferred debt at beginning of year2016-11-30$815,644
Asset. Corporate debt instrument debt (other) at end of year2016-11-30$4,354,733
Asset. Corporate debt instrument debt (other) at beginning of year2016-11-30$3,363,488
Contract administrator fees2016-11-30$2,825,759
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-11-30No
Liabilities. Value of benefit claims payable at end of year2016-11-30$38,246,447
Liabilities. Value of benefit claims payable at beginning of year2016-11-30$41,179,193
Did the plan have assets held for investment2016-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Aggregate proceeds on sale of assets2016-11-30$12,205,376
Aggregate carrying amount (costs) on sale of assets2016-11-30$12,778,295
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2016-11-30542189926
2015 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-11-30$-375,622
Total unrealized appreciation/depreciation of assets2015-11-30$-375,622
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$42,458,983
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$48,195,464
Total income from all sources (including contributions)2015-11-30$510,073,995
Total loss/gain on sale of assets2015-11-30$-269,238
Total of all expenses incurred2015-11-30$449,504,331
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$429,391,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$498,202,278
Value of total assets at end of year2015-11-30$224,537,370
Value of total assets at beginning of year2015-11-30$169,704,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-11-30$20,113,287
Total interest from all sources2015-11-30$870,559
Total dividends received (eg from common stock, registered investment company shares)2015-11-30$2,418,911
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-11-30$2,418,911
Administrative expenses professional fees incurred2015-11-30$358,545
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$5,000,000
If this is an individual account plan, was there a blackout period2015-11-30No
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Contributions received from participants2015-11-30$221,964
Assets. Other investments not covered elsewhere at end of year2015-11-30$9,282
Assets. Other investments not covered elsewhere at beginning of year2015-11-30$10,724
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-11-30$-3,175,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-11-30$11,558,391
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-11-30$8,243,994
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-11-30$157,260
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-11-30$45,631
Other income not declared elsewhere2015-11-30$10,905,799
Administrative expenses (other) incurred2015-11-30$17,007,969
Liabilities. Value of operating payables at end of year2015-11-30$1,122,530
Liabilities. Value of operating payables at beginning of year2015-11-30$1,084,506
Total non interest bearing cash at end of year2015-11-30$50,992,540
Total non interest bearing cash at beginning of year2015-11-30$21,492,570
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net income/loss2015-11-30$60,569,664
Value of net assets at end of year (total assets less liabilities)2015-11-30$182,078,387
Value of net assets at beginning of year (total assets less liabilities)2015-11-30$121,508,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Investment advisory and management fees2015-11-30$317,375
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-11-30$63,691,064
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-11-30$42,921,354
Income. Interest from US Government securities2015-11-30$692,553
Income. Interest from corporate debt instruments2015-11-30$173,697
Value of interest in common/collective trusts at end of year2015-11-30$11,258,790
Value of interest in common/collective trusts at beginning of year2015-11-30$12,624,390
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-11-30$991,043
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-11-30$2,321,311
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-11-30$2,321,311
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-11-30$4,309
Assets. Value of investments in 103.12 investment entities at end of year2015-11-30$18,374,699
Assets. Value of investments in 103.12 investment entities at beginning of year2015-11-30$16,183,538
Expenses. Payments to insurance carriers foe the provision of benefits2015-11-30$29,474,285
Asset value of US Government securities at end of year2015-11-30$23,745,935
Asset value of US Government securities at beginning of year2015-11-30$20,249,175
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-11-30$-1,879,200
Net investment gain or loss from common/collective trusts2015-11-30$-332,420
Net gain/loss from 103.12 investment entities2015-11-30$532,928
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30Yes
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$497,980,314
Employer contributions (assets) at end of year2015-11-30$39,736,494
Employer contributions (assets) at beginning of year2015-11-30$42,701,656
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-30$403,091,759
Asset. Corporate debt instrument preferred debt at end of year2015-11-30$815,644
Asset. Corporate debt instrument preferred debt at beginning of year2015-11-30$778,811
Asset. Corporate debt instrument debt (other) at end of year2015-11-30$3,363,488
Asset. Corporate debt instrument debt (other) at beginning of year2015-11-30$2,176,664
Contract administrator fees2015-11-30$2,429,398
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-11-30No
Liabilities. Value of benefit claims payable at end of year2015-11-30$41,179,193
Liabilities. Value of benefit claims payable at beginning of year2015-11-30$47,065,327
Did the plan have assets held for investment2015-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Aggregate proceeds on sale of assets2015-11-30$13,551,224
Aggregate carrying amount (costs) on sale of assets2015-11-30$13,820,462
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30No
Opinion of an independent qualified public accountant for this plan2015-11-30Unqualified
Accountancy firm name2015-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2015-11-30542189926
2014 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-11-30$111,005
Total unrealized appreciation/depreciation of assets2014-11-30$111,005
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$48,195,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$4,366,573
Total income from all sources (including contributions)2014-11-30$338,103,789
Total loss/gain on sale of assets2014-11-30$-69,750
Total of all expenses incurred2014-11-30$227,380,858
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$215,792,477
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$331,513,162
Value of total assets at end of year2014-11-30$169,704,187
Value of total assets at beginning of year2014-11-30$15,152,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-11-30$11,588,381
Total interest from all sources2014-11-30$413,408
Total dividends received (eg from common stock, registered investment company shares)2014-11-30$728,244
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-11-30$728,244
Administrative expenses professional fees incurred2014-11-30$1,107,192
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$5,000,000
If this is an individual account plan, was there a blackout period2014-11-30No
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Contributions received from participants2014-11-30$111,540
Assets. Other investments not covered elsewhere at end of year2014-11-30$10,724
Assets. Other investments not covered elsewhere at beginning of year2014-11-30$9,533
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-11-30$43,867,100
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-11-30$8,243,994
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-11-30$1,064,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-11-30$45,631
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-11-30$1,093,556
Other income not declared elsewhere2014-11-30$5,083,539
Administrative expenses (other) incurred2014-11-30$8,704,291
Liabilities. Value of operating payables at end of year2014-11-30$1,084,506
Liabilities. Value of operating payables at beginning of year2014-11-30$101,317
Total non interest bearing cash at end of year2014-11-30$21,492,570
Total non interest bearing cash at beginning of year2014-11-30$675,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$110,722,931
Value of net assets at end of year (total assets less liabilities)2014-11-30$121,508,723
Value of net assets at beginning of year (total assets less liabilities)2014-11-30$10,785,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Assets. partnership/joint venture interests at end of year2014-11-30$16,183,538
Assets. partnership/joint venture interests at beginning of year2014-11-30$0
Investment advisory and management fees2014-11-30$58,426
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-11-30$42,921,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-11-30$5,422,273
Income. Interest from US Government securities2014-11-30$290,549
Income. Interest from corporate debt instruments2014-11-30$119,573
Value of interest in common/collective trusts at end of year2014-11-30$12,624,390
Value of interest in common/collective trusts at beginning of year2014-11-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-11-30$2,321,311
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-11-30$2,649,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-11-30$2,649,980
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-11-30$3,286
Expenses. Payments to insurance carriers foe the provision of benefits2014-11-30$13,063,182
Asset value of US Government securities at end of year2014-11-30$20,249,175
Asset value of US Government securities at beginning of year2014-11-30$2,791,263
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-11-30$763,044
Net investment gain or loss from common/collective trusts2014-11-30$-660,610
Net gain/loss from 103.12 investment entities2014-11-30$221,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30Yes
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$331,401,622
Employer contributions (assets) at end of year2014-11-30$42,701,656
Employer contributions (assets) at beginning of year2014-11-30$10,403
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$158,862,195
Asset. Corporate debt instrument preferred debt at end of year2014-11-30$778,811
Asset. Corporate debt instrument preferred debt at beginning of year2014-11-30$582,710
Asset. Corporate debt instrument debt (other) at end of year2014-11-30$2,176,664
Asset. Corporate debt instrument debt (other) at beginning of year2014-11-30$1,946,262
Contract administrator fees2014-11-30$1,718,472
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-11-30No
Liabilities. Value of benefit claims payable at end of year2014-11-30$47,065,327
Liabilities. Value of benefit claims payable at beginning of year2014-11-30$3,171,700
Did the plan have assets held for investment2014-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Aggregate proceeds on sale of assets2014-11-30$7,155,630
Aggregate carrying amount (costs) on sale of assets2014-11-30$7,225,380
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30No
Opinion of an independent qualified public accountant for this plan2014-11-30Unqualified
Accountancy firm name2014-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2014-11-30542189926
2013 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-11-30$-219,068
Total unrealized appreciation/depreciation of assets2013-11-30$-219,068
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$4,366,573
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$3,076,097
Total income from all sources (including contributions)2013-11-30$26,855,709
Total loss/gain on sale of assets2013-11-30$22,353
Total of all expenses incurred2013-11-30$25,523,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-30$23,066,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-30$26,544,454
Value of total assets at end of year2013-11-30$15,152,365
Value of total assets at beginning of year2013-11-30$12,529,284
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-11-30$2,456,166
Total interest from all sources2013-11-30$169,005
Total dividends received (eg from common stock, registered investment company shares)2013-11-30$160,775
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-11-30$160,775
Administrative expenses professional fees incurred2013-11-30$200,603
Was this plan covered by a fidelity bond2013-11-30Yes
Value of fidelity bond cover2013-11-30$1,000,000
If this is an individual account plan, was there a blackout period2013-11-30No
Were there any nonexempt tranactions with any party-in-interest2013-11-30No
Contributions received from participants2013-11-30$710,116
Assets. Other investments not covered elsewhere at end of year2013-11-30$9,533
Assets. Other investments not covered elsewhere at beginning of year2013-11-30$11,602
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-11-30$1,064,791
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-11-30$151,823
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-11-30$1,093,556
Other income not declared elsewhere2013-11-30$40
Administrative expenses (other) incurred2013-11-30$1,445,144
Liabilities. Value of operating payables at end of year2013-11-30$101,317
Liabilities. Value of operating payables at beginning of year2013-11-30$144,097
Total non interest bearing cash at end of year2013-11-30$675,150
Total non interest bearing cash at beginning of year2013-11-30$484,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Value of net income/loss2013-11-30$1,332,605
Value of net assets at end of year (total assets less liabilities)2013-11-30$10,785,792
Value of net assets at beginning of year (total assets less liabilities)2013-11-30$9,453,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-30No
Were any leases to which the plan was party in default or uncollectible2013-11-30No
Investment advisory and management fees2013-11-30$31,959
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-11-30$5,422,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-11-30$5,146,341
Income. Interest from US Government securities2013-11-30$36,083
Income. Interest from corporate debt instruments2013-11-30$131,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-11-30$2,649,980
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-11-30$667,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-11-30$667,309
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-11-30$1,587
Expenses. Payments to insurance carriers foe the provision of benefits2013-11-30$326,367
Asset value of US Government securities at end of year2013-11-30$2,791,263
Asset value of US Government securities at beginning of year2013-11-30$3,006,968
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-11-30$178,150
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-30Yes
Was there a failure to transmit to the plan any participant contributions2013-11-30No
Has the plan failed to provide any benefit when due under the plan2013-11-30No
Contributions received in cash from employer2013-11-30$25,834,338
Employer contributions (assets) at end of year2013-11-30$10,403
Employer contributions (assets) at beginning of year2013-11-30$3,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-30$22,740,571
Asset. Corporate debt instrument preferred debt at end of year2013-11-30$582,710
Asset. Corporate debt instrument preferred debt at beginning of year2013-11-30$766,951
Asset. Corporate debt instrument debt (other) at end of year2013-11-30$1,946,262
Asset. Corporate debt instrument debt (other) at beginning of year2013-11-30$2,290,491
Contract administrator fees2013-11-30$778,460
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-11-30No
Liabilities. Value of benefit claims payable at end of year2013-11-30$3,171,700
Liabilities. Value of benefit claims payable at beginning of year2013-11-30$2,932,000
Did the plan have assets held for investment2013-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-11-30No
Aggregate proceeds on sale of assets2013-11-30$5,117,872
Aggregate carrying amount (costs) on sale of assets2013-11-30$5,095,519
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-30No
Opinion of an independent qualified public accountant for this plan2013-11-30Unqualified
Accountancy firm name2013-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2013-11-30542189926
2012 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-11-30$115,025
Total unrealized appreciation/depreciation of assets2012-11-30$115,025
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$3,076,097
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$3,059,757
Total income from all sources (including contributions)2012-11-30$27,770,085
Total loss/gain on sale of assets2012-11-30$58,015
Total of all expenses incurred2012-11-30$27,800,070
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-30$25,421,669
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-30$26,950,907
Value of total assets at end of year2012-11-30$12,529,284
Value of total assets at beginning of year2012-11-30$12,542,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-11-30$2,378,401
Total interest from all sources2012-11-30$199,604
Total dividends received (eg from common stock, registered investment company shares)2012-11-30$129,534
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-11-30$129,534
Administrative expenses professional fees incurred2012-11-30$144,324
Was this plan covered by a fidelity bond2012-11-30Yes
Value of fidelity bond cover2012-11-30$1,000,000
If this is an individual account plan, was there a blackout period2012-11-30No
Were there any nonexempt tranactions with any party-in-interest2012-11-30No
Contributions received from participants2012-11-30$1,131,250
Assets. Other investments not covered elsewhere at end of year2012-11-30$11,602
Assets. Other investments not covered elsewhere at beginning of year2012-11-30$8,372
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-11-30$151,823
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-11-30$731,958
Other income not declared elsewhere2012-11-30$1,031
Administrative expenses (other) incurred2012-11-30$1,396,174
Liabilities. Value of operating payables at end of year2012-11-30$144,097
Liabilities. Value of operating payables at beginning of year2012-11-30$88,757
Total non interest bearing cash at end of year2012-11-30$484,412
Total non interest bearing cash at beginning of year2012-11-30$255,969
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Value of net income/loss2012-11-30$-29,985
Value of net assets at end of year (total assets less liabilities)2012-11-30$9,453,187
Value of net assets at beginning of year (total assets less liabilities)2012-11-30$9,483,172
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-30No
Were any leases to which the plan was party in default or uncollectible2012-11-30No
Investment advisory and management fees2012-11-30$31,784
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-11-30$5,146,341
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-11-30$2,329,182
Income. Interest from US Government securities2012-11-30$60,572
Income. Interest from corporate debt instruments2012-11-30$136,789
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-11-30$667,309
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-11-30$3,390,697
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-11-30$3,390,697
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-11-30$2,243
Asset value of US Government securities at end of year2012-11-30$3,006,968
Asset value of US Government securities at beginning of year2012-11-30$2,346,752
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-11-30$315,969
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-30Yes
Was there a failure to transmit to the plan any participant contributions2012-11-30No
Has the plan failed to provide any benefit when due under the plan2012-11-30No
Contributions received in cash from employer2012-11-30$25,819,657
Employer contributions (assets) at end of year2012-11-30$3,387
Employer contributions (assets) at beginning of year2012-11-30$82,185
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-30$25,421,669
Asset. Corporate debt instrument preferred debt at end of year2012-11-30$766,951
Asset. Corporate debt instrument preferred debt at beginning of year2012-11-30$98,550
Asset. Corporate debt instrument debt (other) at end of year2012-11-30$2,290,491
Asset. Corporate debt instrument debt (other) at beginning of year2012-11-30$3,299,264
Contract administrator fees2012-11-30$806,119
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-11-30No
Liabilities. Value of benefit claims payable at end of year2012-11-30$2,932,000
Liabilities. Value of benefit claims payable at beginning of year2012-11-30$2,971,000
Did the plan have assets held for investment2012-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-11-30No
Aggregate proceeds on sale of assets2012-11-30$3,348,769
Aggregate carrying amount (costs) on sale of assets2012-11-30$3,290,754
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-30No
Opinion of an independent qualified public accountant for this plan2012-11-30Unqualified
Accountancy firm name2012-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2012-11-30542189926
2011 : TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-11-30$-340,470
Total unrealized appreciation/depreciation of assets2011-11-30$-340,470
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$3,059,757
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$2,523,439
Total income from all sources (including contributions)2011-11-30$26,669,792
Total loss/gain on sale of assets2011-11-30$226,215
Total of all expenses incurred2011-11-30$26,528,994
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-11-30$24,156,931
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-11-30$26,363,738
Value of total assets at end of year2011-11-30$12,542,929
Value of total assets at beginning of year2011-11-30$11,865,813
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-11-30$2,372,063
Total interest from all sources2011-11-30$377,651
Total dividends received (eg from common stock, registered investment company shares)2011-11-30$4,750
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-11-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-11-30$4,750
Administrative expenses professional fees incurred2011-11-30$125,076
Was this plan covered by a fidelity bond2011-11-30Yes
Value of fidelity bond cover2011-11-30$1,000,000
If this is an individual account plan, was there a blackout period2011-11-30No
Were there any nonexempt tranactions with any party-in-interest2011-11-30No
Contributions received from participants2011-11-30$1,081,011
Assets. Other investments not covered elsewhere at end of year2011-11-30$8,372
Assets. Other investments not covered elsewhere at beginning of year2011-11-30$12,618
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-11-30$731,958
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-11-30$211,720
Other income not declared elsewhere2011-11-30$25,992
Administrative expenses (other) incurred2011-11-30$1,388,944
Liabilities. Value of operating payables at end of year2011-11-30$88,757
Liabilities. Value of operating payables at beginning of year2011-11-30$73,439
Total non interest bearing cash at end of year2011-11-30$255,969
Total non interest bearing cash at beginning of year2011-11-30$80,702
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Value of net income/loss2011-11-30$140,798
Value of net assets at end of year (total assets less liabilities)2011-11-30$9,483,172
Value of net assets at beginning of year (total assets less liabilities)2011-11-30$9,342,374
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-11-30No
Were any leases to which the plan was party in default or uncollectible2011-11-30No
Investment advisory and management fees2011-11-30$44,713
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-11-30$2,329,182
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-11-30$0
Income. Interest from US Government securities2011-11-30$117,738
Income. Interest from corporate debt instruments2011-11-30$257,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-11-30$3,390,697
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-11-30$1,275,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-11-30$1,275,222
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-11-30$2,315
Asset value of US Government securities at end of year2011-11-30$2,346,752
Asset value of US Government securities at beginning of year2011-11-30$4,709,477
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-11-30$11,916
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-11-30No
Was there a failure to transmit to the plan any participant contributions2011-11-30No
Has the plan failed to provide any benefit when due under the plan2011-11-30No
Contributions received in cash from employer2011-11-30$25,282,727
Employer contributions (assets) at end of year2011-11-30$82,185
Employer contributions (assets) at beginning of year2011-11-30$42,743
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-11-30$24,156,931
Asset. Corporate debt instrument debt (other) at end of year2011-11-30$3,397,814
Asset. Corporate debt instrument debt (other) at beginning of year2011-11-30$5,533,331
Contract administrator fees2011-11-30$813,330
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-11-30No
Liabilities. Value of benefit claims payable at end of year2011-11-30$2,971,000
Liabilities. Value of benefit claims payable at beginning of year2011-11-30$2,450,000
Did the plan have assets held for investment2011-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-11-30No
Aggregate proceeds on sale of assets2011-11-30$9,660,469
Aggregate carrying amount (costs) on sale of assets2011-11-30$9,434,254
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-11-30No
Opinion of an independent qualified public accountant for this plan2011-11-30Unqualified
Accountancy firm name2011-11-30HENNINGFIELD & ASSOCIATES, INC.
Accountancy firm EIN2011-11-30542189926

Form 5500 Responses for TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN

2021: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2021 form 5500 responses
2021-12-01Type of plan entityMulti-employer plan
2021-12-01Plan is a collectively bargained planYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2020 form 5500 responses
2020-12-01Type of plan entityMulti-employer plan
2020-12-01Plan is a collectively bargained planYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2019 form 5500 responses
2019-12-01Type of plan entityMulti-employer plan
2019-12-01Plan is a collectively bargained planYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2018 form 5500 responses
2018-12-01Type of plan entityMulti-employer plan
2018-12-01Plan is a collectively bargained planYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2017 form 5500 responses
2017-12-01Type of plan entityMulti-employer plan
2017-12-01Plan is a collectively bargained planYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes
2016: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2016 form 5500 responses
2016-12-01Type of plan entityMulti-employer plan
2016-12-01Plan is a collectively bargained planYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2015 form 5500 responses
2015-12-01Type of plan entityMulti-employer plan
2015-12-01Plan is a collectively bargained planYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2014: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2014 form 5500 responses
2014-12-01Type of plan entityMulti-employer plan
2014-12-01Plan is a collectively bargained planYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement - TrustYes
2013: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2013 form 5500 responses
2013-12-01Type of plan entityMulti-employer plan
2013-12-01Plan is a collectively bargained planYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement - TrustYes
2012: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2012 form 5500 responses
2012-12-01Type of plan entityMulti-employer plan
2012-12-01Plan is a collectively bargained planYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2011 form 5500 responses
2011-12-01Type of plan entityMulti-employer plan
2011-12-01Plan is a collectively bargained planYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND ACTIVE PLAN 2009 form 5500 responses
2009-12-01Type of plan entityMulti-employer plan
2009-12-01This submission is the final filingNo
2009-12-01Plan is a collectively bargained planYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number604215
Policy instance 4
Insurance contract or identification number604215
Number of Individuals Covered978
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,434,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 3
Insurance contract or identification number7186
Number of Individuals Covered242
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,253,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 2
Insurance contract or identification number231755
Number of Individuals Covered10902
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $78,487,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL 10521
Policy instance 1
Insurance contract or identification numberSL 10521
Number of Individuals Covered3345
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $9,981
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $665,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,981
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL 10521
Policy instance 1
Insurance contract or identification numberSL 10521
Number of Individuals Covered3211
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $593,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 2
Insurance contract or identification number231755
Number of Individuals Covered10532
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,577,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 3
Insurance contract or identification number7186
Number of Individuals Covered256
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,405,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number604215
Policy instance 4
Insurance contract or identification number604215
Number of Individuals Covered1118
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,150,666
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 number16-012390-000
Policy instance 1
Insurance contract or identification number16-012390-000
Number of Individuals Covered3315
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $30,492
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $774,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 2
Insurance contract or identification number231755
Number of Individuals Covered9478
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,713,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 3
Insurance contract or identification number7186
Number of Individuals Covered255
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,264,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number604215
Policy instance 4
Insurance contract or identification number604215
Number of Individuals Covered1077
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,047,208
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 number16-012390-000
Policy instance 2
Insurance contract or identification number16-012390-000
Number of Individuals Covered3395
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,008
Welfare Benefit Premiums Paid to CarrierUSD $656,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3002
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82407481FB
Policy instance 1
Insurance contract or identification numberCH82407481FB
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,644
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,644
Insurance broker organization code?0
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 3
Insurance contract or identification number231755
Number of Individuals Covered8802
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,380,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 4
Insurance contract or identification number7186
Number of Individuals Covered261
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,280,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberMFL0014534
Policy instance 5
Insurance contract or identification numberMFL0014534
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $8,196
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,196
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number604215
Policy instance 6
Insurance contract or identification number604215
Number of Individuals Covered961
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $4,345,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberMFL0014534
Policy instance 5
Insurance contract or identification numberMFL0014534
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $7,305
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 4
Insurance contract or identification number7186
Number of Individuals Covered240
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,212,967
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 3
Insurance contract or identification number231755
Number of Individuals Covered8051
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,649,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82407481FB
Policy instance 1
Insurance contract or identification numberCH82407481FB
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,553
Total amount of fees paid to insurance companyUSD $0
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 number16-012390-000
Policy instance 2
Insurance contract or identification number16-012390-000
Number of Individuals Covered3385
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $589,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82407481FB
Policy instance 1
Insurance contract or identification numberCH82407481FB
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $377
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $377
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberXMAXA6EL0002104
Policy instance 2
Insurance contract or identification numberXMAXA6EL0002104
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $510
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $510
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-012390-000
Policy instance 3
Insurance contract or identification number16-012390-000
Number of Individuals Covered2721
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $439,024
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberAFL0011338
Policy instance 4
Insurance contract or identification numberAFL0011338
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $3,109
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,109
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number604215
Policy instance 5
Insurance contract or identification number604215
Number of Individuals Covered713
Insurance policy start date2015-06-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,088,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 6
Insurance contract or identification number231755
Number of Individuals Covered6254
Insurance policy start date2015-06-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,527,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10264
Policy instance 8
Insurance contract or identification numberSL10264
Number of Individuals Covered29727
Insurance policy start date2015-07-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $452,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 7
Insurance contract or identification number7186
Number of Individuals Covered176
Insurance policy start date2015-06-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $585,938
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 number16-012390-000
Policy instance 3
Insurance contract or identification number16-012390-000
Number of Individuals Covered2687
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $464,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82116102FB
Policy instance 1
Insurance contract or identification numberCH82116102FB
Insurance policy start date2014-04-05
Insurance policy end date2014-06-01
Total amount of commissions paid to insurance brokerUSD $450
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $450
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberAFL0011338
Policy instance 2
Insurance contract or identification numberAFL0011338
Insurance policy start date2014-06-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $2,536
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,536
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82407481FB
Policy instance 4
Insurance contract or identification numberCH82407481FB
Insurance policy start date2014-06-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $289
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $289
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
RLI INSURANCE (National Association of Insurance Commissioners NAIC id number: 13056 )
Policy contract numberXEPG0013531
Policy instance 5
Insurance contract or identification numberXEPG0013531
Insurance policy start date2014-06-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $557
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $557
Insurance broker organization code?0
Insurance broker nameSEGAL SELECT INSURANCE SERVICES
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number604215
Policy instance 6
Insurance contract or identification number604215
Number of Individuals Covered671
Insurance policy start date2014-06-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,519,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number231755
Policy instance 7
Insurance contract or identification number231755
Number of Individuals Covered5811
Insurance policy start date2014-06-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,527,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7186
Policy instance 8
Insurance contract or identification number7186
Number of Individuals Covered40
Insurance policy start date2014-06-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $222,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82116102FB
Policy instance 1
Insurance contract or identification numberCH82116102FB
Insurance policy start date2012-04-05
Insurance policy end date2013-04-15
Total amount of commissions paid to insurance brokerUSD $450
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $450
Insurance broker organization code?0
Insurance broker nameTHE SEGAL COMPANY
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-012390-000
Policy instance 3
Insurance contract or identification number16-012390-000
Number of Individuals Covered2680
Insurance policy start date2013-01-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,933
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $326,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5933
Insurance broker nameCSA GENERAL INSURANCE AGENCY, INC.
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberTFL0006292
Policy instance 2
Insurance contract or identification numberTFL0006292
Insurance policy start date2012-07-26
Insurance policy end date2013-07-26
Total amount of commissions paid to insurance brokerUSD $1,673
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,673
Insurance broker organization code?0
Insurance broker nameTHE SEGAL COMPANY
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82116102FB
Policy instance 1
Insurance contract or identification numberCH82116102FB
Insurance policy start date2012-04-05
Insurance policy end date2013-04-15
Total amount of commissions paid to insurance brokerUSD $450
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberTFL0006292
Policy instance 2
Insurance contract or identification numberTFL0006292
Insurance policy start date2012-07-26
Insurance policy end date2013-07-26
Total amount of commissions paid to insurance brokerUSD $1,673
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract numberCH82116102FB
Policy instance 1
Insurance contract or identification numberCH82116102FB
Insurance policy start date2011-04-05
Insurance policy end date2012-04-15
Total amount of commissions paid to insurance brokerUSD $450
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SEGAL SELECT INSURANCE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUFL0061159
Policy instance 2
Insurance contract or identification numberUFL0061159
Insurance policy start date2011-07-26
Insurance policy end date2012-07-26
Total amount of commissions paid to insurance brokerUSD $1,677
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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