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IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 401k Plan overview

Plan NameIUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND
Plan identification number 501

IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND
Employer identification number (EIN):912036994
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01JOSEPH ASHDALE
5012016-05-01JOSEPH ASHDALE
5012015-05-01JOSEPH ASHDALE
5012014-05-01JOSEPH ASHDALE
5012013-05-01JOSEPH ASHDALE
5012012-05-01JOSEPH ASHDALE
5012011-05-01TIMOTHY J CROWTHER
5012010-05-01TIMOTHY J CROWTHER
5012009-05-01TIMOTHY J CROWTHER SAM ANDRA2011-02-15

Plan Statistics for IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND

401k plan membership statisitcs for IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND

Measure Date Value
2022: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-05-012,206
Total number of active participants reported on line 7a of the Form 55002022-05-012,067
Number of retired or separated participants receiving benefits2022-05-01297
Total of all active and inactive participants2022-05-012,364
Number of employers contributing to the scheme2022-05-01261
2021: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-05-012,766
Total number of active participants reported on line 7a of the Form 55002021-05-011,872
Number of retired or separated participants receiving benefits2021-05-01334
Total of all active and inactive participants2021-05-012,206
Number of employers contributing to the scheme2021-05-01274
2020: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-05-013,423
Total number of active participants reported on line 7a of the Form 55002020-05-012,025
Number of retired or separated participants receiving benefits2020-05-01741
Total of all active and inactive participants2020-05-012,766
Number of employers contributing to the scheme2020-05-01270
2019: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-05-012,574
Total number of active participants reported on line 7a of the Form 55002019-05-012,642
Number of retired or separated participants receiving benefits2019-05-01781
Total of all active and inactive participants2019-05-013,423
Number of employers contributing to the scheme2019-05-01284
2018: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-05-012,718
Total number of active participants reported on line 7a of the Form 55002018-05-012,159
Number of retired or separated participants receiving benefits2018-05-01415
Total of all active and inactive participants2018-05-012,574
Number of employers contributing to the scheme2018-05-01289
2017: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-05-012,897
Total number of active participants reported on line 7a of the Form 55002017-05-011,947
Number of retired or separated participants receiving benefits2017-05-01771
Total of all active and inactive participants2017-05-012,718
Number of employers contributing to the scheme2017-05-01300
2016: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-05-012,653
Total number of active participants reported on line 7a of the Form 55002016-05-012,114
Number of retired or separated participants receiving benefits2016-05-01783
Total of all active and inactive participants2016-05-012,897
Number of employers contributing to the scheme2016-05-01299
2015: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-05-012,553
Total number of active participants reported on line 7a of the Form 55002015-05-011,882
Number of retired or separated participants receiving benefits2015-05-01771
Total of all active and inactive participants2015-05-012,653
Number of employers contributing to the scheme2015-05-01322
2014: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-05-012,171
Total number of active participants reported on line 7a of the Form 55002014-05-011,763
Number of retired or separated participants receiving benefits2014-05-01790
Total of all active and inactive participants2014-05-012,553
Number of employers contributing to the scheme2014-05-01347
2013: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-05-012,319
Total number of active participants reported on line 7a of the Form 55002013-05-012,171
Total of all active and inactive participants2013-05-012,171
Number of employers contributing to the scheme2013-05-01329
2012: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-05-012,441
Total number of active participants reported on line 7a of the Form 55002012-05-012,319
Total of all active and inactive participants2012-05-012,319
Number of employers contributing to the scheme2012-05-01337
2011: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-05-012,420
Total number of active participants reported on line 7a of the Form 55002011-05-011,756
Number of retired or separated participants receiving benefits2011-05-01685
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-012,441
Number of employers contributing to the scheme2011-05-01312
2010: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-05-012,518
Total number of active participants reported on line 7a of the Form 55002010-05-011,862
Number of retired or separated participants receiving benefits2010-05-01558
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-012,420
Number of employers contributing to the scheme2010-05-01335
2009: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-05-012,557
Total number of active participants reported on line 7a of the Form 55002009-05-012,055
Number of retired or separated participants receiving benefits2009-05-01463
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-012,518

Financial Data on IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND

Measure Date Value
2023 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-04-30$-259,246
Total unrealized appreciation/depreciation of assets2023-04-30$-259,246
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$18,168,643
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$17,628,278
Total income from all sources (including contributions)2023-04-30$55,201,204
Total loss/gain on sale of assets2023-04-30$-19,929
Total of all expenses incurred2023-04-30$56,764,888
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-30$55,009,634
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-30$54,440,441
Value of total assets at end of year2023-04-30$60,166,828
Value of total assets at beginning of year2023-04-30$61,190,147
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-30$1,755,254
Total interest from all sources2023-04-30$724,629
Total dividends received (eg from common stock, registered investment company shares)2023-04-30$859,449
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-04-30$859,449
Administrative expenses professional fees incurred2023-04-30$239,535
Was this plan covered by a fidelity bond2023-04-30Yes
Value of fidelity bond cover2023-04-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2023-04-30No
Contributions received from participants2023-04-30$6,840,481
Participant contributions at end of year2023-04-30$133,233
Participant contributions at beginning of year2023-04-30$148,046
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-04-30$2,824,187
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-04-30$1,970,970
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-04-30$559,162
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-04-30$499,426
Other income not declared elsewhere2023-04-30$202,922
Administrative expenses (other) incurred2023-04-30$1,442,439
Liabilities. Value of operating payables at end of year2023-04-30$183,265
Liabilities. Value of operating payables at beginning of year2023-04-30$157,735
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Value of net income/loss2023-04-30$-1,563,684
Value of net assets at end of year (total assets less liabilities)2023-04-30$41,998,185
Value of net assets at beginning of year (total assets less liabilities)2023-04-30$43,561,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-30No
Were any leases to which the plan was party in default or uncollectible2023-04-30No
Investment advisory and management fees2023-04-30$73,280
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-04-30$22,372,709
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-04-30$22,451,210
Interest earned on other investments2023-04-30$2,157
Income. Interest from US Government securities2023-04-30$75,376
Income. Interest from corporate debt instruments2023-04-30$602,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-30$9,619,465
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-30$11,812,202
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-30$11,812,202
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-30$44,886
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-30$6,227,968
Asset value of US Government securities at end of year2023-04-30$4,132,401
Asset value of US Government securities at beginning of year2023-04-30$3,401,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-04-30$-747,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-30Yes
Was there a failure to transmit to the plan any participant contributions2023-04-30No
Has the plan failed to provide any benefit when due under the plan2023-04-30No
Contributions received in cash from employer2023-04-30$47,599,960
Employer contributions (assets) at end of year2023-04-30$6,678,012
Employer contributions (assets) at beginning of year2023-04-30$6,231,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-30$48,781,666
Asset. Corporate debt instrument debt (other) at end of year2023-04-30$14,274,013
Asset. Corporate debt instrument debt (other) at beginning of year2023-04-30$15,021,265
Liabilities. Value of benefit claims payable at end of year2023-04-30$17,426,216
Liabilities. Value of benefit claims payable at beginning of year2023-04-30$16,971,117
Assets. Value of buildings and other operty used in plan operation at end of year2023-04-30$132,808
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-04-30$153,521
Did the plan have assets held for investment2023-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-30No
Aggregate proceeds on sale of assets2023-04-30$7,928,855
Aggregate carrying amount (costs) on sale of assets2023-04-30$7,948,784
Opinion of an independent qualified public accountant for this plan2023-04-30Unqualified
Accountancy firm name2023-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2023-04-30611436956
2022 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-04-30$-1,442,957
Total unrealized appreciation/depreciation of assets2022-04-30$-1,442,957
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$17,628,278
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$14,685,194
Total income from all sources (including contributions)2022-04-30$50,923,017
Total loss/gain on sale of assets2022-04-30$-72,558
Total of all expenses incurred2022-04-30$57,764,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$55,905,425
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$52,338,675
Value of total assets at end of year2022-04-30$61,190,147
Value of total assets at beginning of year2022-04-30$65,088,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$1,858,903
Total interest from all sources2022-04-30$626,536
Total dividends received (eg from common stock, registered investment company shares)2022-04-30$1,265,533
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-04-30$1,265,533
Administrative expenses professional fees incurred2022-04-30$361,556
Was this plan covered by a fidelity bond2022-04-30Yes
Value of fidelity bond cover2022-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-04-30No
Contributions received from participants2022-04-30$6,575,660
Participant contributions at end of year2022-04-30$148,046
Participant contributions at beginning of year2022-04-30$116,380
Assets. Other investments not covered elsewhere at beginning of year2022-04-30$83,811
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-04-30$1,970,970
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-04-30$2,002,997
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-04-30$499,426
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-04-30$474,918
Other income not declared elsewhere2022-04-30$640,202
Administrative expenses (other) incurred2022-04-30$1,415,963
Liabilities. Value of operating payables at end of year2022-04-30$157,735
Liabilities. Value of operating payables at beginning of year2022-04-30$312,920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Value of net income/loss2022-04-30$-6,841,311
Value of net assets at end of year (total assets less liabilities)2022-04-30$43,561,869
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$50,403,180
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-30No
Were any leases to which the plan was party in default or uncollectible2022-04-30No
Investment advisory and management fees2022-04-30$81,384
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-04-30$22,451,210
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-04-30$23,760,760
Interest earned on other investments2022-04-30$3,137
Income. Interest from US Government securities2022-04-30$52,323
Income. Interest from corporate debt instruments2022-04-30$570,603
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$11,812,202
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$14,666,509
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$14,666,509
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-30$473
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$6,111,311
Asset value of US Government securities at end of year2022-04-30$3,401,035
Asset value of US Government securities at beginning of year2022-04-30$3,333,912
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-04-30$-2,432,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-30Yes
Was there a failure to transmit to the plan any participant contributions2022-04-30No
Has the plan failed to provide any benefit when due under the plan2022-04-30No
Contributions received in cash from employer2022-04-30$45,763,015
Employer contributions (assets) at end of year2022-04-30$6,231,898
Employer contributions (assets) at beginning of year2022-04-30$5,384,122
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$49,794,114
Asset. Corporate debt instrument debt (other) at end of year2022-04-30$15,021,265
Asset. Corporate debt instrument debt (other) at beginning of year2022-04-30$15,656,317
Liabilities. Value of benefit claims payable at end of year2022-04-30$16,971,117
Liabilities. Value of benefit claims payable at beginning of year2022-04-30$13,897,356
Assets. Value of buildings and other operty used in plan operation at end of year2022-04-30$153,521
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-04-30$83,566
Did the plan have assets held for investment2022-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-30No
Aggregate proceeds on sale of assets2022-04-30$10,411,894
Aggregate carrying amount (costs) on sale of assets2022-04-30$10,484,452
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30NOVAK FRANCELLA,LLC
Accountancy firm EIN2022-04-30611436956
2021 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-04-30$396,023
Total unrealized appreciation/depreciation of assets2021-04-30$396,023
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$14,685,194
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$13,718,060
Total income from all sources (including contributions)2021-04-30$58,105,757
Total loss/gain on sale of assets2021-04-30$213,272
Total of all expenses incurred2021-04-30$49,751,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$48,004,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$50,973,245
Value of total assets at end of year2021-04-30$65,088,374
Value of total assets at beginning of year2021-04-30$55,766,810
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$1,747,283
Total interest from all sources2021-04-30$638,730
Total dividends received (eg from common stock, registered investment company shares)2021-04-30$961,799
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-04-30$961,799
Administrative expenses professional fees incurred2021-04-30$349,952
Was this plan covered by a fidelity bond2021-04-30Yes
Value of fidelity bond cover2021-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-04-30No
Contributions received from participants2021-04-30$6,456,211
Participant contributions at end of year2021-04-30$116,380
Participant contributions at beginning of year2021-04-30$80,523
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-04-30$2,086,808
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-04-30$1,706,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-04-30$474,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-04-30$462,834
Other income not declared elsewhere2021-04-30$224,332
Administrative expenses (other) incurred2021-04-30$1,316,185
Liabilities. Value of operating payables at end of year2021-04-30$312,920
Liabilities. Value of operating payables at beginning of year2021-04-30$392,552
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Value of net income/loss2021-04-30$8,354,430
Value of net assets at end of year (total assets less liabilities)2021-04-30$50,403,180
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$42,048,750
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-04-30No
Were any leases to which the plan was party in default or uncollectible2021-04-30No
Investment advisory and management fees2021-04-30$81,146
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-04-30$23,760,760
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-04-30$18,239,362
Income. Interest from US Government securities2021-04-30$54,397
Income. Interest from corporate debt instruments2021-04-30$583,761
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$14,666,509
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$12,888,116
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$12,888,116
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-04-30$572
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$6,173,108
Asset value of US Government securities at end of year2021-04-30$3,333,912
Asset value of US Government securities at beginning of year2021-04-30$4,504,402
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-04-30$4,698,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-04-30Yes
Was there a failure to transmit to the plan any participant contributions2021-04-30No
Has the plan failed to provide any benefit when due under the plan2021-04-30No
Contributions received in cash from employer2021-04-30$44,517,034
Employer contributions (assets) at end of year2021-04-30$5,384,122
Employer contributions (assets) at beginning of year2021-04-30$4,996,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$41,830,936
Asset. Corporate debt instrument debt (other) at end of year2021-04-30$15,656,317
Asset. Corporate debt instrument debt (other) at beginning of year2021-04-30$13,350,419
Liabilities. Value of benefit claims payable at end of year2021-04-30$13,897,356
Liabilities. Value of benefit claims payable at beginning of year2021-04-30$12,862,674
Assets. Value of buildings and other operty used in plan operation at end of year2021-04-30$83,566
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-04-30$722
Did the plan have assets held for investment2021-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-04-30No
Aggregate proceeds on sale of assets2021-04-30$11,898,141
Aggregate carrying amount (costs) on sale of assets2021-04-30$11,684,869
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-04-30611436956
2020 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-04-30$-866,183
Total unrealized appreciation/depreciation of assets2020-04-30$-866,183
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$13,718,060
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$12,413,912
Total income from all sources (including contributions)2020-04-30$54,064,614
Total loss/gain on sale of assets2020-04-30$-110,724
Total of all expenses incurred2020-04-30$54,591,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$52,831,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$53,921,532
Value of total assets at end of year2020-04-30$55,766,810
Value of total assets at beginning of year2020-04-30$54,989,681
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$1,760,339
Total interest from all sources2020-04-30$669,879
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$785,976
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-04-30$698,454
Administrative expenses professional fees incurred2020-04-30$352,408
Was this plan covered by a fidelity bond2020-04-30Yes
Value of fidelity bond cover2020-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-04-30No
Contributions received from participants2020-04-30$5,851,649
Participant contributions at end of year2020-04-30$80,523
Participant contributions at beginning of year2020-04-30$124,040
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-04-30$1,706,423
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-04-30$2,145,387
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-04-30$462,834
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-04-30$471,587
Other income not declared elsewhere2020-04-30$81,640
Administrative expenses (other) incurred2020-04-30$1,315,309
Liabilities. Value of operating payables at end of year2020-04-30$392,552
Liabilities. Value of operating payables at beginning of year2020-04-30$141,101
Total non interest bearing cash at beginning of year2020-04-30$9,952,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Value of net income/loss2020-04-30$-527,019
Value of net assets at end of year (total assets less liabilities)2020-04-30$42,048,750
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$42,575,769
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No
Were any leases to which the plan was party in default or uncollectible2020-04-30No
Investment advisory and management fees2020-04-30$92,622
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-04-30$18,239,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-04-30$12,151,946
Interest earned on other investments2020-04-30$2,490
Income. Interest from US Government securities2020-04-30$101,674
Income. Interest from corporate debt instruments2020-04-30$551,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$12,888,116
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$588,143
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$588,143
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-30$14,566
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$6,355,741
Asset value of US Government securities at end of year2020-04-30$4,504,402
Asset value of US Government securities at beginning of year2020-04-30$5,569,438
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-04-30$-417,506
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-30Yes
Was there a failure to transmit to the plan any participant contributions2020-04-30No
Has the plan failed to provide any benefit when due under the plan2020-04-30No
Contributions received in cash from employer2020-04-30$48,069,883
Employer contributions (assets) at end of year2020-04-30$4,996,843
Employer contributions (assets) at beginning of year2020-04-30$5,682,502
Income. Dividends from common stock2020-04-30$87,522
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$46,475,553
Asset. Corporate debt instrument debt (other) at end of year2020-04-30$13,350,419
Asset. Corporate debt instrument debt (other) at beginning of year2020-04-30$11,978,498
Assets. Corporate common stocks other than exployer securities at end of year2020-04-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-04-30$6,796,436
Liabilities. Value of benefit claims payable at end of year2020-04-30$12,862,674
Liabilities. Value of benefit claims payable at beginning of year2020-04-30$11,801,224
Assets. Value of buildings and other operty used in plan operation at end of year2020-04-30$722
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-04-30$1,213
Did the plan have assets held for investment2020-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-30No
Aggregate proceeds on sale of assets2020-04-30$28,226,538
Aggregate carrying amount (costs) on sale of assets2020-04-30$28,337,262
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-04-30No
Opinion of an independent qualified public accountant for this plan2020-04-30Unqualified
Accountancy firm name2020-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-04-30611436956
2019 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-04-30$607,187
Total unrealized appreciation/depreciation of assets2019-04-30$607,187
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$12,413,912
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$11,854,978
Total income from all sources (including contributions)2019-04-30$57,225,145
Total loss/gain on sale of assets2019-04-30$-333,917
Total of all expenses incurred2019-04-30$53,107,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$51,449,689
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$55,907,851
Value of total assets at end of year2019-04-30$54,989,681
Value of total assets at beginning of year2019-04-30$50,312,605
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$1,657,314
Total interest from all sources2019-04-30$645,668
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$699,592
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-04-30$523,828
Administrative expenses professional fees incurred2019-04-30$360,539
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Contributions received from participants2019-04-30$5,551,840
Participant contributions at end of year2019-04-30$124,040
Participant contributions at beginning of year2019-04-30$81,212
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-04-30$2,145,387
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-04-30$1,910,356
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-04-30$471,587
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-04-30$488,024
Other income not declared elsewhere2019-04-30$106,761
Administrative expenses (other) incurred2019-04-30$1,185,000
Liabilities. Value of operating payables at end of year2019-04-30$141,101
Liabilities. Value of operating payables at beginning of year2019-04-30$204,242
Total non interest bearing cash at end of year2019-04-30$9,952,078
Total non interest bearing cash at beginning of year2019-04-30$6,783,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$4,118,142
Value of net assets at end of year (total assets less liabilities)2019-04-30$42,575,769
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$38,457,627
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Investment advisory and management fees2019-04-30$111,775
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-04-30$12,151,946
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-04-30$12,048,674
Interest earned on other investments2019-04-30$695
Income. Interest from US Government securities2019-04-30$100,592
Income. Interest from corporate debt instruments2019-04-30$531,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$588,143
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$690,216
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$690,216
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$13,019
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$6,199,308
Asset value of US Government securities at end of year2019-04-30$5,569,438
Asset value of US Government securities at beginning of year2019-04-30$4,789,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-04-30$-407,997
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30Yes
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$50,356,011
Employer contributions (assets) at end of year2019-04-30$5,682,502
Employer contributions (assets) at beginning of year2019-04-30$5,629,352
Income. Dividends from common stock2019-04-30$175,764
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$45,250,381
Asset. Corporate debt instrument debt (other) at end of year2019-04-30$11,978,498
Asset. Corporate debt instrument debt (other) at beginning of year2019-04-30$11,812,997
Assets. Corporate common stocks other than exployer securities at end of year2019-04-30$6,796,436
Assets. Corporate common stocks other than exployer securities at beginning of year2019-04-30$6,559,291
Liabilities. Value of benefit claims payable at end of year2019-04-30$11,801,224
Liabilities. Value of benefit claims payable at beginning of year2019-04-30$11,162,712
Assets. Value of buildings and other operty used in plan operation at end of year2019-04-30$1,213
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-04-30$7,170
Did the plan have assets held for investment2019-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30No
Aggregate proceeds on sale of assets2019-04-30$26,451,499
Aggregate carrying amount (costs) on sale of assets2019-04-30$26,785,416
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2019-04-30611436956
2018 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-04-30$20,444
Total unrealized appreciation/depreciation of assets2018-04-30$20,444
Total transfer of assets to this plan2018-04-30$199,249
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$11,854,978
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$11,570,229
Total income from all sources (including contributions)2018-04-30$53,685,580
Total loss/gain on sale of assets2018-04-30$134,596
Total of all expenses incurred2018-04-30$50,037,952
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$48,422,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$51,947,972
Value of total assets at end of year2018-04-30$50,312,605
Value of total assets at beginning of year2018-04-30$46,180,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$1,615,265
Total interest from all sources2018-04-30$595,372
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$664,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-04-30$521,872
Administrative expenses professional fees incurred2018-04-30$362,748
Was this plan covered by a fidelity bond2018-04-30Yes
Value of fidelity bond cover2018-04-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-04-30No
Contributions received from participants2018-04-30$4,888,758
Participant contributions at end of year2018-04-30$81,212
Participant contributions at beginning of year2018-04-30$86,748
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-04-30$1,910,356
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-04-30$1,700,390
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-04-30$488,024
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-04-30$402,088
Other income not declared elsewhere2018-04-30$107,939
Administrative expenses (other) incurred2018-04-30$1,134,654
Liabilities. Value of operating payables at end of year2018-04-30$204,242
Liabilities. Value of operating payables at beginning of year2018-04-30$275,862
Total non interest bearing cash at end of year2018-04-30$6,783,991
Total non interest bearing cash at beginning of year2018-04-30$4,654,566
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$3,647,628
Value of net assets at end of year (total assets less liabilities)2018-04-30$38,457,627
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$34,610,750
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-04-30No
Were any leases to which the plan was party in default or uncollectible2018-04-30No
Investment advisory and management fees2018-04-30$117,863
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-04-30$12,048,674
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-04-30$10,354,580
Interest earned on other investments2018-04-30$2,128
Income. Interest from US Government securities2018-04-30$71,495
Income. Interest from corporate debt instruments2018-04-30$515,596
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$690,216
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$1,470,447
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$1,470,447
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$6,153
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$6,119,253
Asset value of US Government securities at end of year2018-04-30$4,789,346
Asset value of US Government securities at beginning of year2018-04-30$5,183,644
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-04-30$215,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-04-30Yes
Was there a failure to transmit to the plan any participant contributions2018-04-30No
Has the plan failed to provide any benefit when due under the plan2018-04-30No
Contributions received in cash from employer2018-04-30$47,059,214
Employer contributions (assets) at end of year2018-04-30$5,629,352
Employer contributions (assets) at beginning of year2018-04-30$5,464,573
Income. Dividends from common stock2018-04-30$142,359
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$42,303,434
Asset. Corporate debt instrument debt (other) at end of year2018-04-30$11,812,997
Asset. Corporate debt instrument debt (other) at beginning of year2018-04-30$11,439,030
Assets. Corporate common stocks other than exployer securities at end of year2018-04-30$6,559,291
Assets. Corporate common stocks other than exployer securities at beginning of year2018-04-30$5,813,061
Liabilities. Value of benefit claims payable at end of year2018-04-30$11,162,712
Liabilities. Value of benefit claims payable at beginning of year2018-04-30$10,892,279
Assets. Value of buildings and other operty used in plan operation at end of year2018-04-30$7,170
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-04-30$13,940
Did the plan have assets held for investment2018-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-04-30No
Aggregate proceeds on sale of assets2018-04-30$22,341,235
Aggregate carrying amount (costs) on sale of assets2018-04-30$22,206,639
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2018-04-30611436956
2017 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-04-30$396,945
Total unrealized appreciation/depreciation of assets2017-04-30$396,945
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$11,570,229
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$12,003,072
Total income from all sources (including contributions)2017-04-30$49,153,630
Total loss/gain on sale of assets2017-04-30$38,736
Total of all expenses incurred2017-04-30$47,904,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$46,121,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$46,834,988
Value of total assets at end of year2017-04-30$46,180,979
Value of total assets at beginning of year2017-04-30$45,365,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$1,782,958
Total interest from all sources2017-04-30$656,865
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$376,276
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-04-30$241,438
Administrative expenses professional fees incurred2017-04-30$331,839
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$4,496,226
Participant contributions at end of year2017-04-30$86,748
Participant contributions at beginning of year2017-04-30$79,778
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-04-30$1,700,390
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$2,246,258
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-04-30$402,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-04-30$384,504
Other income not declared elsewhere2017-04-30$140,844
Administrative expenses (other) incurred2017-04-30$1,326,812
Liabilities. Value of operating payables at end of year2017-04-30$275,862
Liabilities. Value of operating payables at beginning of year2017-04-30$215,798
Total non interest bearing cash at end of year2017-04-30$4,654,566
Total non interest bearing cash at beginning of year2017-04-30$3,945,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$1,248,713
Value of net assets at end of year (total assets less liabilities)2017-04-30$34,610,750
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$33,362,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Investment advisory and management fees2017-04-30$124,307
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-04-30$10,354,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-04-30$10,604,166
Interest earned on other investments2017-04-30$20,880
Income. Interest from US Government securities2017-04-30$63,316
Income. Interest from corporate debt instruments2017-04-30$570,100
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$1,470,447
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$738,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$738,026
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$2,569
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$5,391,036
Asset value of US Government securities at end of year2017-04-30$5,183,644
Asset value of US Government securities at beginning of year2017-04-30$5,653,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-04-30$708,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30Yes
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$42,338,762
Employer contributions (assets) at end of year2017-04-30$5,464,573
Employer contributions (assets) at beginning of year2017-04-30$5,563,597
Income. Dividends from common stock2017-04-30$134,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$40,730,923
Asset. Corporate debt instrument debt (other) at end of year2017-04-30$11,439,030
Asset. Corporate debt instrument debt (other) at beginning of year2017-04-30$11,296,970
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-04-30No
Assets. Corporate common stocks other than exployer securities at end of year2017-04-30$5,813,061
Assets. Corporate common stocks other than exployer securities at beginning of year2017-04-30$5,215,594
Liabilities. Value of benefit claims payable at end of year2017-04-30$10,892,279
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$11,402,770
Assets. Value of buildings and other operty used in plan operation at end of year2017-04-30$13,940
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-04-30$21,566
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Aggregate proceeds on sale of assets2017-04-30$29,282,801
Aggregate carrying amount (costs) on sale of assets2017-04-30$29,244,065
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2017-04-30611436956
2016 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$79,129
Total unrealized appreciation/depreciation of assets2016-04-30$79,129
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$12,003,072
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$7,185,159
Total income from all sources (including contributions)2016-04-30$42,123,646
Total loss/gain on sale of assets2016-04-30$-330,792
Total of all expenses incurred2016-04-30$49,940,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$48,100,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$42,498,656
Value of total assets at end of year2016-04-30$45,365,109
Value of total assets at beginning of year2016-04-30$48,364,496
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$1,840,478
Total interest from all sources2016-04-30$903,381
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$807,787
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-04-30$743,476
Administrative expenses professional fees incurred2016-04-30$495,648
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$3,969,337
Participant contributions at end of year2016-04-30$79,778
Participant contributions at beginning of year2016-04-30$96,952
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$2,246,258
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$2,594,478
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-04-30$384,504
Other income not declared elsewhere2016-04-30$181,948
Administrative expenses (other) incurred2016-04-30$1,274,767
Liabilities. Value of operating payables at end of year2016-04-30$215,798
Liabilities. Value of operating payables at beginning of year2016-04-30$473,072
Total non interest bearing cash at end of year2016-04-30$3,945,480
Total non interest bearing cash at beginning of year2016-04-30$3,727,841
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-7,817,300
Value of net assets at end of year (total assets less liabilities)2016-04-30$33,362,037
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$41,179,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Investment advisory and management fees2016-04-30$70,063
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-04-30$10,604,166
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-04-30$19,611,490
Interest earned on other investments2016-04-30$206,074
Income. Interest from US Government securities2016-04-30$53,356
Income. Interest from corporate debt instruments2016-04-30$642,634
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$738,026
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$1,001,112
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$1,001,112
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$1,317
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$4,280,358
Asset value of US Government securities at end of year2016-04-30$5,653,674
Asset value of US Government securities at beginning of year2016-04-30$4,525,336
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-04-30$-2,016,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$38,529,319
Employer contributions (assets) at end of year2016-04-30$5,563,597
Employer contributions (assets) at beginning of year2016-04-30$4,922,157
Income. Dividends from common stock2016-04-30$64,311
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$43,820,110
Asset. Corporate debt instrument debt (other) at end of year2016-04-30$11,296,970
Asset. Corporate debt instrument debt (other) at beginning of year2016-04-30$11,852,337
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-04-30No
Assets. Corporate common stocks other than exployer securities at end of year2016-04-30$5,215,594
Liabilities. Value of benefit claims payable at end of year2016-04-30$11,402,770
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$6,712,087
Assets. Value of buildings and other operty used in plan operation at end of year2016-04-30$21,566
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-04-30$32,793
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Aggregate proceeds on sale of assets2016-04-30$27,835,597
Aggregate carrying amount (costs) on sale of assets2016-04-30$28,166,389
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2016-04-30611436956
2015 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$-218,850
Total unrealized appreciation/depreciation of assets2015-04-30$-218,850
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$7,185,159
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$5,416,894
Total income from all sources (including contributions)2015-04-30$39,641,316
Total loss/gain on sale of assets2015-04-30$-89,475
Total of all expenses incurred2015-04-30$42,157,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$40,487,822
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$38,489,920
Value of total assets at end of year2015-04-30$48,364,496
Value of total assets at beginning of year2015-04-30$49,111,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$1,669,252
Total interest from all sources2015-04-30$948,676
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$2,009,962
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-04-30$2,009,962
Administrative expenses professional fees incurred2015-04-30$253,566
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$3,933,779
Participant contributions at end of year2015-04-30$96,952
Participant contributions at beginning of year2015-04-30$113,632
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$2,594,478
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$971,785
Other income not declared elsewhere2015-04-30$4,696
Administrative expenses (other) incurred2015-04-30$1,322,868
Liabilities. Value of operating payables at end of year2015-04-30$473,072
Liabilities. Value of operating payables at beginning of year2015-04-30$397,741
Total non interest bearing cash at end of year2015-04-30$3,727,841
Total non interest bearing cash at beginning of year2015-04-30$4,195,424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-2,515,758
Value of net assets at end of year (total assets less liabilities)2015-04-30$41,179,337
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$43,695,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Investment advisory and management fees2015-04-30$92,818
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-04-30$19,611,490
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-04-30$20,105,142
Interest earned on other investments2015-04-30$196,404
Income. Interest from US Government securities2015-04-30$50,822
Income. Interest from corporate debt instruments2015-04-30$692,774
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$1,001,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$1,400,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$1,400,835
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$8,676
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$3,977,729
Asset value of US Government securities at end of year2015-04-30$4,525,336
Asset value of US Government securities at beginning of year2015-04-30$4,710,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-04-30$-1,503,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30Yes
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$34,556,141
Employer contributions (assets) at end of year2015-04-30$4,922,157
Employer contributions (assets) at beginning of year2015-04-30$4,842,266
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$36,510,093
Asset. Corporate debt instrument debt (other) at end of year2015-04-30$11,852,337
Asset. Corporate debt instrument debt (other) at beginning of year2015-04-30$12,753,375
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-04-30No
Liabilities. Value of benefit claims payable at end of year2015-04-30$6,712,087
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$5,019,153
Assets. Value of buildings and other operty used in plan operation at end of year2015-04-30$32,793
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-04-30$18,675
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Aggregate proceeds on sale of assets2015-04-30$22,381,665
Aggregate carrying amount (costs) on sale of assets2015-04-30$22,471,140
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2015-04-30611436956
2014 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-04-30$-255,166
Total unrealized appreciation/depreciation of assets2014-04-30$-255,166
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$5,416,894
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$1,554,231
Total income from all sources (including contributions)2014-04-30$35,954,151
Total loss/gain on sale of assets2014-04-30$-381,483
Total of all expenses incurred2014-04-30$39,694,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$37,718,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$34,522,040
Value of total assets at end of year2014-04-30$49,111,989
Value of total assets at beginning of year2014-04-30$48,989,609
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$1,975,914
Total interest from all sources2014-04-30$899,213
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$415,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-04-30$415,812
Administrative expenses professional fees incurred2014-04-30$388,112
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$3,652,301
Participant contributions at end of year2014-04-30$113,632
Assets. Other investments not covered elsewhere at beginning of year2014-04-30$1,275,768
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$971,785
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$847,647
Other income not declared elsewhere2014-04-30$432,726
Administrative expenses (other) incurred2014-04-30$1,471,083
Liabilities. Value of operating payables at end of year2014-04-30$397,741
Liabilities. Value of operating payables at beginning of year2014-04-30$444,244
Total non interest bearing cash at end of year2014-04-30$4,195,424
Total non interest bearing cash at beginning of year2014-04-30$3,751,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$-3,740,283
Value of net assets at end of year (total assets less liabilities)2014-04-30$43,695,095
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$47,435,378
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Investment advisory and management fees2014-04-30$116,719
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-04-30$20,105,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-04-30$11,096,421
Interest earned on other investments2014-04-30$291,599
Income. Interest from US Government securities2014-04-30$58,394
Income. Interest from corporate debt instruments2014-04-30$529,696
Value of interest in common/collective trusts at beginning of year2014-04-30$8,272,001
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$1,400,835
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$1,092,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$1,092,209
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$19,524
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$2,619,621
Asset value of US Government securities at end of year2014-04-30$4,710,855
Asset value of US Government securities at beginning of year2014-04-30$7,497,928
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-04-30$592,909
Net investment gain or loss from common/collective trusts2014-04-30$-271,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30Yes
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$30,869,739
Employer contributions (assets) at end of year2014-04-30$4,842,266
Employer contributions (assets) at beginning of year2014-04-30$5,337,641
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$35,098,899
Asset. Corporate debt instrument debt (other) at end of year2014-04-30$12,753,375
Asset. Corporate debt instrument debt (other) at beginning of year2014-04-30$9,781,682
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-04-30No
Liabilities. Value of benefit claims payable at end of year2014-04-30$5,019,153
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$1,109,987
Assets. Value of buildings and other operty used in plan operation at end of year2014-04-30$18,675
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-04-30$36,403
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Aggregate proceeds on sale of assets2014-04-30$43,774,540
Aggregate carrying amount (costs) on sale of assets2014-04-30$44,156,023
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30NOVAK FRANCELLA LLC
Accountancy firm EIN2014-04-30611436956
2013 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-04-30$222,089
Total unrealized appreciation/depreciation of assets2013-04-30$222,089
Total transfer of assets to this plan2013-04-30$1,665,152
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$1,554,231
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$1,619,287
Total income from all sources (including contributions)2013-04-30$34,559,742
Total loss/gain on sale of assets2013-04-30$59,028
Total of all expenses incurred2013-04-30$34,123,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$32,164,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$31,961,693
Value of total assets at end of year2013-04-30$48,989,609
Value of total assets at beginning of year2013-04-30$46,953,454
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$1,958,902
Total interest from all sources2013-04-30$847,351
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$355,575
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-04-30$355,575
Administrative expenses professional fees incurred2013-04-30$378,266
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
If this is an individual account plan, was there a blackout period2013-04-30No
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$2,907,393
Assets. Other investments not covered elsewhere at end of year2013-04-30$1,275,768
Assets. Other investments not covered elsewhere at beginning of year2013-04-30$591,288
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$847,647
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$1,754,575
Other income not declared elsewhere2013-04-30$413,387
Administrative expenses (other) incurred2013-04-30$1,458,005
Liabilities. Value of operating payables at end of year2013-04-30$444,244
Liabilities. Value of operating payables at beginning of year2013-04-30$402,200
Total non interest bearing cash at end of year2013-04-30$3,751,909
Total non interest bearing cash at beginning of year2013-04-30$2,490,812
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$436,059
Value of net assets at end of year (total assets less liabilities)2013-04-30$47,435,378
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$45,334,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Investment advisory and management fees2013-04-30$122,631
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-04-30$11,096,421
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-04-30$10,076,479
Interest earned on other investments2013-04-30$372,972
Income. Interest from US Government securities2013-04-30$72,163
Income. Interest from corporate debt instruments2013-04-30$399,013
Value of interest in common/collective trusts at end of year2013-04-30$8,272,001
Value of interest in common/collective trusts at beginning of year2013-04-30$8,232,556
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$1,092,209
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$365,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$365,506
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$3,203
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$24,388,496
Asset value of US Government securities at end of year2013-04-30$7,497,928
Asset value of US Government securities at beginning of year2013-04-30$7,398,776
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-04-30$664,381
Net investment gain or loss from common/collective trusts2013-04-30$36,238
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$29,054,300
Employer contributions (assets) at end of year2013-04-30$5,337,641
Employer contributions (assets) at beginning of year2013-04-30$4,695,268
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$7,776,285
Asset. Corporate debt instrument debt (other) at end of year2013-04-30$9,781,682
Asset. Corporate debt instrument debt (other) at beginning of year2013-04-30$11,293,825
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-04-30No
Liabilities. Value of benefit claims payable at end of year2013-04-30$1,109,987
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$1,217,087
Assets. Value of buildings and other operty used in plan operation at end of year2013-04-30$36,403
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-04-30$54,369
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Aggregate proceeds on sale of assets2013-04-30$32,284,268
Aggregate carrying amount (costs) on sale of assets2013-04-30$32,225,240
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30NOVAK FRANCELLA,LLC
Accountancy firm EIN2013-04-30611436956
2012 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-04-30$189,367
Total unrealized appreciation/depreciation of assets2012-04-30$189,367
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$1,619,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$1,068,380
Total income from all sources (including contributions)2012-04-30$31,115,759
Total loss/gain on sale of assets2012-04-30$-321,931
Total of all expenses incurred2012-04-30$32,277,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$30,337,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$29,961,372
Value of total assets at end of year2012-04-30$46,953,454
Value of total assets at beginning of year2012-04-30$47,564,731
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$1,940,451
Total interest from all sources2012-04-30$839,904
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$365,991
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-04-30$340,558
Administrative expenses professional fees incurred2012-04-30$346,914
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
If this is an individual account plan, was there a blackout period2012-04-30No
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$2,657,684
Assets. Other investments not covered elsewhere at end of year2012-04-30$591,288
Assets. Other investments not covered elsewhere at beginning of year2012-04-30$804,285
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-04-30$6,377,757
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$1,754,575
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$1,797,379
Other income not declared elsewhere2012-04-30$367,287
Administrative expenses (other) incurred2012-04-30$1,435,141
Liabilities. Value of operating payables at end of year2012-04-30$402,200
Liabilities. Value of operating payables at beginning of year2012-04-30$313,827
Total non interest bearing cash at end of year2012-04-30$2,490,812
Total non interest bearing cash at beginning of year2012-04-30$879,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$-1,162,184
Value of net assets at end of year (total assets less liabilities)2012-04-30$45,334,167
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$46,496,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Investment advisory and management fees2012-04-30$158,396
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-04-30$10,076,479
Interest earned on other investments2012-04-30$50,534
Income. Interest from US Government securities2012-04-30$124,573
Income. Interest from corporate debt instruments2012-04-30$655,110
Value of interest in common/collective trusts at end of year2012-04-30$8,232,556
Value of interest in common/collective trusts at beginning of year2012-04-30$8,253,752
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$365,506
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$1,989,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$1,989,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$9,687
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-04-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$23,317,975
Asset value of US Government securities at end of year2012-04-30$7,398,776
Asset value of US Government securities at beginning of year2012-04-30$8,082,650
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-04-30$-264,079
Net investment gain or loss from common/collective trusts2012-04-30$-22,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30Yes
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$27,303,688
Employer contributions (assets) at end of year2012-04-30$4,695,268
Employer contributions (assets) at beginning of year2012-04-30$4,090,803
Income. Dividends from common stock2012-04-30$25,433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$641,760
Asset. Corporate debt instrument debt (other) at end of year2012-04-30$11,293,825
Asset. Corporate debt instrument debt (other) at beginning of year2012-04-30$13,881,643
Assets. Corporate common stocks other than exployer securities at beginning of year2012-04-30$7,717,814
Liabilities. Value of benefit claims payable at end of year2012-04-30$1,217,087
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$754,553
Assets. Value of buildings and other operty used in plan operation at end of year2012-04-30$54,369
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-04-30$67,377
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Aggregate proceeds on sale of assets2012-04-30$33,755,864
Aggregate carrying amount (costs) on sale of assets2012-04-30$34,077,795
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2012-04-30210738076
2011 : IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-04-30$826,616
Total unrealized appreciation/depreciation of assets2011-04-30$826,616
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$1,068,380
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$1,252,068
Total income from all sources (including contributions)2011-04-30$31,765,112
Total loss/gain on sale of assets2011-04-30$246,090
Total of all expenses incurred2011-04-30$32,045,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$30,293,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$28,637,364
Value of total assets at end of year2011-04-30$47,564,731
Value of total assets at beginning of year2011-04-30$48,028,517
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$1,751,417
Total interest from all sources2011-04-30$1,108,843
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$144,656
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Administrative expenses professional fees incurred2011-04-30$260,201
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$2,326,790
Assets. Other investments not covered elsewhere at end of year2011-04-30$804,285
Assets. Other investments not covered elsewhere at beginning of year2011-04-30$480,784
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-04-30$6,197,176
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$1,797,379
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$739,825
Other income not declared elsewhere2011-04-30$301,219
Administrative expenses (other) incurred2011-04-30$1,309,813
Liabilities. Value of operating payables at end of year2011-04-30$313,827
Liabilities. Value of operating payables at beginning of year2011-04-30$315,750
Total non interest bearing cash at end of year2011-04-30$879,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$-280,098
Value of net assets at end of year (total assets less liabilities)2011-04-30$46,496,351
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$46,776,449
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Investment advisory and management fees2011-04-30$181,403
Interest earned on other investments2011-04-30$2,842
Income. Interest from US Government securities2011-04-30$228,041
Income. Interest from corporate debt instruments2011-04-30$874,057
Value of interest in common/collective trusts at end of year2011-04-30$8,253,752
Value of interest in common/collective trusts at beginning of year2011-04-30$7,753,072
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$1,989,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$4,321,287
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$4,321,287
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$3,903
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-04-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-04-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$23,586,870
Asset value of US Government securities at end of year2011-04-30$8,082,650
Asset value of US Government securities at beginning of year2011-04-30$7,758,248
Net investment gain or loss from common/collective trusts2011-04-30$500,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30No
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$26,310,574
Employer contributions (assets) at end of year2011-04-30$4,090,803
Employer contributions (assets) at beginning of year2011-04-30$2,954,803
Income. Dividends from common stock2011-04-30$144,656
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$509,747
Asset. Corporate debt instrument debt (other) at end of year2011-04-30$13,881,643
Asset. Corporate debt instrument debt (other) at beginning of year2011-04-30$16,322,178
Assets. Corporate common stocks other than exployer securities at end of year2011-04-30$7,717,814
Assets. Corporate common stocks other than exployer securities at beginning of year2011-04-30$7,620,545
Liabilities. Value of benefit claims payable at end of year2011-04-30$754,553
Liabilities. Value of benefit claims payable at beginning of year2011-04-30$936,318
Assets. Value of buildings and other operty used in plan operation at end of year2011-04-30$67,377
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-04-30$77,775
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Aggregate proceeds on sale of assets2011-04-30$39,378,091
Aggregate carrying amount (costs) on sale of assets2011-04-30$39,132,001
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2011-04-30210738076

Form 5500 Responses for IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND

2022: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2022 form 5500 responses
2022-05-01Type of plan entityMulti-employer plan
2022-05-01Plan is a collectively bargained planYes
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2021 form 5500 responses
2021-05-01Type of plan entityMulti-employer plan
2021-05-01Plan is a collectively bargained planYes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2020 form 5500 responses
2020-05-01Type of plan entityMulti-employer plan
2020-05-01Plan is a collectively bargained planYes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2019 form 5500 responses
2019-05-01Type of plan entityMulti-employer plan
2019-05-01Plan is a collectively bargained planYes
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2018 form 5500 responses
2018-05-01Type of plan entityMulti-employer plan
2018-05-01Plan is a collectively bargained planYes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2017 form 5500 responses
2017-05-01Type of plan entityMulti-employer plan
2017-05-01Plan is a collectively bargained planYes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2016 form 5500 responses
2016-05-01Type of plan entityMulti-employer plan
2016-05-01Plan is a collectively bargained planYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2015 form 5500 responses
2015-05-01Type of plan entityMulti-employer plan
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2014 form 5500 responses
2014-05-01Type of plan entityMulti-employer plan
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2013 form 5500 responses
2013-05-01Type of plan entityMulti-employer plan
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2012 form 5500 responses
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2011 form 5500 responses
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2010 form 5500 responses
2010-05-01Type of plan entityMulti-employer plan
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes
2009: IUPAT DISTRICT COUNCIL NO. 21 WELFARE FUND 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL37145
Policy instance 4
Insurance contract or identification numberHCL37145
Number of Individuals Covered2126
Insurance policy start date2023-04-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $70,980
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,216,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,980
Insurance broker organization code?3
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 3
Insurance contract or identification number3830-D3830
Number of Individuals Covered832
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $102,028
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $4,043,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $102,028
Insurance broker organization code?3
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 2
Insurance contract or identification number26AP21
Number of Individuals Covered2187
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $25,471
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $318,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,736
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 1
Insurance contract or identification number0708642
Number of Individuals Covered37
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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 $799,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 1
Insurance contract or identification number0708642
Number of Individuals Covered42
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
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 $833,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 3
Insurance contract or identification number3830-D3830
Number of Individuals Covered765
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $96,019
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $3,448,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $96,019
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405960 0010SSLS
Policy instance 4
Insurance contract or identification number405960 0010SSLS
Number of Individuals Covered2207
Insurance policy start date2021-05-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $48,016
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,371,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,016
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL37145
Policy instance 5
Insurance contract or identification numberHCL37145
Number of Individuals Covered2207
Insurance policy start date2022-04-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $99,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 2
Insurance contract or identification number26AP21
Number of Individuals Covered2092
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $24,748
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $309,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,374
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 1
Insurance contract or identification number0708642
Number of Individuals Covered59
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
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 $996,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 2
Insurance contract or identification number26AP21
Number of Individuals Covered2256
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $27,498
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $343,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,749
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405960 0010SSLS
Policy instance 4
Insurance contract or identification number405960 0010SSLS
Number of Individuals Covered2376
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $49,388
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,411,099
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,388
Insurance broker organization code?3
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 3
Insurance contract or identification number3830-D3830
Number of Individuals Covered724
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $93,342
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $3,430,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $93,342
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 1
Insurance contract or identification number0708642
Number of Individuals Covered49
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
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 $789,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 2
Insurance contract or identification number26AP21
Number of Individuals Covered2342
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $27,128
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $350,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,955
Insurance broker organization code?3
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 3
Insurance contract or identification number3830-D3830
Number of Individuals Covered687
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $88,548
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $3,053,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88,548
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849743
Policy instance 5
Insurance contract or identification numberSL-849743
Number of Individuals Covered179
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $46,596
Welfare Benefit Premiums Paid to CarrierUSD $433,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees42360
Insurance broker organization code?5
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405960 0010SSLS
Policy instance 4
Insurance contract or identification number405960 0010SSLS
Number of Individuals Covered2311
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $50,213
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,434,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,213
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 1
Insurance contract or identification number0708642
Number of Individuals Covered49
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
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 $758,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 2
Insurance contract or identification number26AP21
Number of Individuals Covered2226
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $24,360
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $332,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,180
Additional information about fees paid to insurance brokerMEDICAL ADMIN FEES
Insurance broker organization code?3
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 3
Insurance contract or identification number3830-D3830
Number of Individuals Covered678
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $83,452
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $3,312,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83,452
Additional information about fees paid to insurance brokerMEDICAL ADMIN FEES
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405960 0010SSLS
Policy instance 4
Insurance contract or identification number405960 0010SSLS
Number of Individuals Covered2222
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $54,487
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,556,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,487
Additional information about fees paid to insurance brokerMEDICAL ADMIN FEES
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849743
Policy instance 5
Insurance contract or identification numberSL-849743
Number of Individuals Covered174
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $72,401
Welfare Benefit Premiums Paid to CarrierUSD $421,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees40019
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849743
Policy instance 5
Insurance contract or identification numberSL-849743
Number of Individuals Covered174
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $66,096
Welfare Benefit Premiums Paid to CarrierUSD $389,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405960 0010SSLS
Policy instance 4
Insurance contract or identification number405960 0010SSLS
Number of Individuals Covered2158
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $51,534
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,472,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 3
Insurance contract or identification number3830-D3830
Number of Individuals Covered626
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $158,354
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $3,161,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 1
Insurance contract or identification number0708642
Number of Individuals Covered57
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
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 $848,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 2
Insurance contract or identification number26AP21
Number of Individuals Covered2080
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $20,056
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $250,702
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849631
Policy instance 5
Insurance contract or identification numberSL-849631
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $39,744
Welfare Benefit Premiums Paid to CarrierUSD $759,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees39744
Additional information about fees paid to insurance brokerADMIN TPA FEES
Insurance broker organization code?5
Insurance broker nameINDECS CORPORATION
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 2
Insurance contract or identification number0708642
Number of Individuals Covered47
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $86,578
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $631,050
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86,578
Insurance broker organization code?3
Insurance broker nameSFG EMPLOYEE BENEFITS & INS AGENCY
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 3
Insurance contract or identification number26AP21
Number of Individuals Covered1957
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $14,504
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $181,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,252
Insurance broker organization code?3
Insurance broker nameALFRED HEALY
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 4
Insurance contract or identification number3830-D3830
Number of Individuals Covered528
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $2,338,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number6232
Policy instance 1
Insurance contract or identification number6232
Number of Individuals Covered12
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
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
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849743
Policy instance 6
Insurance contract or identification numberSL-849743
Number of Individuals Covered172
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $61,961
Welfare Benefit Premiums Paid to CarrierUSD $331,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees32240
Additional information about fees paid to insurance brokerADMIN TPA FEES
Insurance broker organization code?5
Insurance broker nameHEALTHCARE STRATEGIES
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number6232
Policy instance 1
Insurance contract or identification number6232
Number of Individuals Covered17
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberSL-849631
Policy instance 7
Insurance contract or identification numberSL-849631
Number of Individuals Covered1744
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $40,524
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 $1,057,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,524
Insurance broker nameROBERT BERGMAN
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 5
Insurance contract or identification number26AP21
Number of Individuals Covered1927
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $16,022
Total amount of fees paid to insurance companyUSD $1,257
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $196,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,894
Insurance broker organization code?3
Amount paid for insurance broker fees1257
Insurance broker nameNATION'S ENROLLMENT CENTER
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number6232
Policy instance 4
Insurance contract or identification number6232
Number of Individuals Covered4980
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number6232
Policy instance 2
Insurance contract or identification number6232
Number of Individuals Covered48
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830-D3830
Policy instance 6
Insurance contract or identification number3830-D3830
Number of Individuals Covered498
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $1,651,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 3
Insurance contract or identification number0708642
Number of Individuals Covered50
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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 $618,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3830
Policy instance 7
Insurance contract or identification number3830
Number of Individuals Covered486
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $16,730
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
Other welfare benefits providedMEDICARE
Welfare Benefit Premiums Paid to CarrierUSD $336,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,730
Insurance broker organization code?3
Insurance broker nameKPT ADVISORS
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL30511
Policy instance 6
Insurance contract or identification numberHCL30511
Number of Individuals Covered1738
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $37,592
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 $751,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,592
Insurance broker organization code?3
Insurance broker nameROBERT BERGMAN
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number6232
Policy instance 2
Insurance contract or identification number6232
Number of Individuals Covered36
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 5
Insurance contract or identification number26AP21
Number of Individuals Covered1842
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $14,889
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $173,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,467
Insurance broker organization code?3
Insurance broker nameNATION'S ENROLLMENT SYSTEMS
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number6232
Policy instance 4
Insurance contract or identification number6232
Number of Individuals Covered475
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 3
Insurance contract or identification number0708642
Number of Individuals Covered211
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
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 $648,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number6232
Policy instance 1
Insurance contract or identification number6232
Number of Individuals Covered17
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number6232
Policy instance 6
Insurance contract or identification number6232
Number of Individuals Covered38
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26AP21
Policy instance 9
Insurance contract or identification number26AP21
Number of Individuals Covered1842
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $14,889
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $177,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,467
Insurance broker organization code?3
Insurance broker nameNATION'S ENROLLMENT SYSTEMS
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number6232
Policy instance 8
Insurance contract or identification number6232
Number of Individuals Covered181
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 7
Insurance contract or identification number0708642
Number of Individuals Covered133
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
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 $567,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00505842
Policy instance 1
Insurance contract or identification number00505842
Number of Individuals Covered233
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number6232
Policy instance 5
Insurance contract or identification number6232
Number of Individuals Covered450
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number55111
Policy instance 3
Insurance contract or identification number55111
Number of Individuals Covered328
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number6232
Policy instance 4
Insurance contract or identification number6232
Number of Individuals Covered4770
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number6232
Policy instance 2
Insurance contract or identification number6232
Number of Individuals Covered19
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number55111
Policy instance 3
Insurance contract or identification number55111
Number of Individuals Covered345
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 7
Insurance contract or identification number0708642
Number of Individuals Covered211
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $898,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00505842
Policy instance 2
Insurance contract or identification number00505842
Number of Individuals Covered178
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number6232
Policy instance 6
Insurance contract or identification number6232
Number of Individuals Covered203
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $242,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number6232
Policy instance 5
Insurance contract or identification number6232
Number of Individuals Covered4688
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number6232
Policy instance 4
Insurance contract or identification number6232
Number of Individuals Covered414
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $428,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number6232
Policy instance 1
Insurance contract or identification number6232
Number of Individuals Covered23
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERIHEALTH HMO, INC. (National Association of Insurance Commissioners NAIC id number: 95044 )
Policy contract number6232
Policy instance 1
Insurance contract or identification number6232
Number of Individuals Covered23
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $135,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number6232
Policy instance 6
Insurance contract or identification number6232
Number of Individuals Covered223
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,031,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number6232
Policy instance 4
Insurance contract or identification number6232
Number of Individuals Covered395
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $395,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0708642
Policy instance 8
Insurance contract or identification number0708642
Number of Individuals Covered211
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,022,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number301562
Policy instance 7
Insurance contract or identification number301562
Number of Individuals Covered1970
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $12,726
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTIAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $138,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number00505842
Policy instance 2
Insurance contract or identification number00505842
Number of Individuals Covered196
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number6232
Policy instance 5
Insurance contract or identification number6232
Number of Individuals Covered4796
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number55111
Policy instance 3
Insurance contract or identification number55111
Number of Individuals Covered377
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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