HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST
| Measure | Date | Value |
|---|
| 2020 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2020 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $546,710 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $467,023 |
| Total income from all sources (including contributions) | 2020-12-31 | $10,538,176 |
| Total loss/gain on sale of assets | 2020-12-31 | $0 |
| Total of all expenses incurred | 2020-12-31 | $10,549,467 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $9,286,287 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $10,537,321 |
| Value of total assets at end of year | 2020-12-31 | $1,279,261 |
| Value of total assets at beginning of year | 2020-12-31 | $1,210,865 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $1,263,180 |
| Total interest from all sources | 2020-12-31 | $855 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $787,942 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $149,105 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-12-31 | $75,832 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $5,859 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $6,703 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $129,825 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $138,540 |
| Administrative expenses (other) incurred | 2020-12-31 | $236,906 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $134,946 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $67,796 |
| Total non interest bearing cash at end of year | 2020-12-31 | $1,109,038 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $496,807 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $-11,291 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $732,551 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $743,842 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $27,670 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $567,885 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $567,885 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $855 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $9,210,455 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $10,388,216 |
| Employer contributions (assets) at end of year | 2020-12-31 | $164,364 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $139,470 |
| Contract administrator fees | 2020-12-31 | $210,662 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $281,939 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $260,687 |
| Did the plan have assets held for investment | 2020-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2020-12-31 | 410746749 |
| 2019 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2019 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $0 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $467,023 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $467,023 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $546,392 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $546,392 |
| Total income from all sources (including contributions) | 2019-12-31 | $12,439,123 |
| Total income from all sources (including contributions) | 2019-12-31 | $12,439,123 |
| Total loss/gain on sale of assets | 2019-12-31 | $0 |
| Total loss/gain on sale of assets | 2019-12-31 | $0 |
| Total of all expenses incurred | 2019-12-31 | $12,307,123 |
| Total of all expenses incurred | 2019-12-31 | $12,307,123 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $10,961,604 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $10,961,604 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $12,438,272 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $12,438,272 |
| Value of total assets at end of year | 2019-12-31 | $1,210,865 |
| Value of total assets at end of year | 2019-12-31 | $1,210,865 |
| Value of total assets at beginning of year | 2019-12-31 | $1,158,234 |
| Value of total assets at beginning of year | 2019-12-31 | $1,158,234 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $1,345,519 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $1,345,519 |
| Total interest from all sources | 2019-12-31 | $851 |
| Total interest from all sources | 2019-12-31 | $851 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Administrative expenses professional fees incurred | 2019-12-31 | $915,300 |
| Administrative expenses professional fees incurred | 2019-12-31 | $915,300 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $88,108 |
| Contributions received from participants | 2019-12-31 | $88,108 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $93,405 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $93,405 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $6,703 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $6,703 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $4,986 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $4,986 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $138,540 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $138,540 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $256,195 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $256,195 |
| Administrative expenses (other) incurred | 2019-12-31 | $179,193 |
| Administrative expenses (other) incurred | 2019-12-31 | $179,193 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $67,796 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $67,796 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $56,522 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $56,522 |
| Total non interest bearing cash at end of year | 2019-12-31 | $496,807 |
| Total non interest bearing cash at end of year | 2019-12-31 | $496,807 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $502,034 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $502,034 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $132,000 |
| Value of net income/loss | 2019-12-31 | $132,000 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $743,842 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $743,842 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $611,842 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $611,842 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $0 |
| Investment advisory and management fees | 2019-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $567,885 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $567,885 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $567,034 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $567,034 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $851 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $851 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $10,868,199 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $10,868,199 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $12,350,164 |
| Contributions received in cash from employer | 2019-12-31 | $12,350,164 |
| Employer contributions (assets) at end of year | 2019-12-31 | $139,470 |
| Employer contributions (assets) at end of year | 2019-12-31 | $139,470 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $84,180 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $84,180 |
| Contract administrator fees | 2019-12-31 | $251,026 |
| Contract administrator fees | 2019-12-31 | $251,026 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $260,687 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $260,687 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $233,675 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $233,675 |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm name | 2019-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2019-12-31 | 410746749 |
| Accountancy firm EIN | 2019-12-31 | 410746749 |
| 2018 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2018 401k financial data |
|---|
| Total transfer of assets to this plan | 2018-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $546,392 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $411,461 |
| Total income from all sources (including contributions) | 2018-12-31 | $11,398,061 |
| Total of all expenses incurred | 2018-12-31 | $11,283,920 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $10,033,730 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $11,397,168 |
| Value of total assets at end of year | 2018-12-31 | $1,158,234 |
| Value of total assets at beginning of year | 2018-12-31 | $909,162 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $1,250,190 |
| Total interest from all sources | 2018-12-31 | $893 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $842,279 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-12-31 | $42,881 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $4,986 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $12,270 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $256,195 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $100,461 |
| Administrative expenses (other) incurred | 2018-12-31 | $179,773 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $56,522 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $50,221 |
| Total non interest bearing cash at end of year | 2018-12-31 | $502,034 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $182,145 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $114,141 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $611,842 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $497,701 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $567,034 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $653,685 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $653,685 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $893 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $9,990,849 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $11,397,168 |
| Employer contributions (assets) at end of year | 2018-12-31 | $84,180 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $61,062 |
| Contract administrator fees | 2018-12-31 | $228,138 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $233,675 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $260,779 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2018-12-31 | 522385296 |
| 2017 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $411,461 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $238,870 |
| Total income from all sources (including contributions) | 2017-12-31 | $9,444,726 |
| Total of all expenses incurred | 2017-12-31 | $9,426,047 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $8,402,475 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $9,444,041 |
| Value of total assets at end of year | 2017-12-31 | $909,162 |
| Value of total assets at beginning of year | 2017-12-31 | $717,892 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $1,023,572 |
| Total interest from all sources | 2017-12-31 | $685 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $715,920 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-12-31 | $30,310 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $12,270 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $6,472 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $100,461 |
| Administrative expenses (other) incurred | 2017-12-31 | $151,853 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $50,221 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $50,508 |
| Total non interest bearing cash at end of year | 2017-12-31 | $182,145 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $18,679 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $497,701 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $479,022 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $653,685 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $582,951 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $582,951 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $685 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $8,372,165 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $9,444,041 |
| Employer contributions (assets) at end of year | 2017-12-31 | $61,062 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $128,469 |
| Contract administrator fees | 2017-12-31 | $155,799 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $260,779 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $188,362 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2017-12-31 | 522385296 |
| 2016 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $238,870 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $190,711 |
| Total income from all sources (including contributions) | 2016-12-31 | $8,647,480 |
| Total of all expenses incurred | 2016-12-31 | $8,520,345 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $7,587,030 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $8,647,469 |
| Value of total assets at end of year | 2016-12-31 | $717,892 |
| Value of total assets at beginning of year | 2016-12-31 | $542,598 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $933,315 |
| Total interest from all sources | 2016-12-31 | $11 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $663,212 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $6,472 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $4,851 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $10,376 |
| Administrative expenses (other) incurred | 2016-12-31 | $116,922 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $50,508 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $74,592 |
| Total non interest bearing cash at end of year | 2016-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $72,924 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $127,135 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $479,022 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $351,887 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $582,951 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $426,452 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $426,452 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $11 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $7,587,030 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $8,647,469 |
| Employer contributions (assets) at end of year | 2016-12-31 | $128,469 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $38,371 |
| Contract administrator fees | 2016-12-31 | $153,181 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $188,362 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $105,743 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2016-12-31 | 522385296 |
| 2015 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $190,711 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $108,132 |
| Total income from all sources (including contributions) | 2015-12-31 | $5,535,734 |
| Total of all expenses incurred | 2015-12-31 | $5,505,366 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $4,909,132 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $5,535,683 |
| Value of total assets at end of year | 2015-12-31 | $542,598 |
| Value of total assets at beginning of year | 2015-12-31 | $429,651 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $596,234 |
| Total interest from all sources | 2015-12-31 | $51 |
| Administrative expenses professional fees incurred | 2015-12-31 | $511,322 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $4,982 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $4,851 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $4,926 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $10,376 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $38,413 |
| Administrative expenses (other) incurred | 2015-12-31 | $12,942 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $74,592 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $51,217 |
| Total non interest bearing cash at end of year | 2015-12-31 | $72,924 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $11,854 |
| Value of net income/loss | 2015-12-31 | $30,368 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $351,887 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $321,519 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $426,452 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $404,649 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $404,649 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $51 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $4,909,132 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $5,530,701 |
| Employer contributions (assets) at end of year | 2015-12-31 | $38,371 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $8,222 |
| Contract administrator fees | 2015-12-31 | $71,970 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $105,743 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $18,502 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2015-12-31 | 910614823 |
| 2014 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $108,132 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $93,283 |
| Total income from all sources (including contributions) | 2014-12-31 | $3,795,393 |
| Total of all expenses incurred | 2014-12-31 | $3,811,004 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $3,382,660 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $3,795,331 |
| Value of total assets at end of year | 2014-12-31 | $429,651 |
| Value of total assets at beginning of year | 2014-12-31 | $430,413 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $428,344 |
| Total interest from all sources | 2014-12-31 | $62 |
| Administrative expenses professional fees incurred | 2014-12-31 | $363,846 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $999 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $4,926 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $5,365 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $38,413 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $37,171 |
| Administrative expenses (other) incurred | 2014-12-31 | $14,475 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $51,217 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $47,090 |
| Total non interest bearing cash at end of year | 2014-12-31 | $11,854 |
| Value of net income/loss | 2014-12-31 | $-15,611 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $321,519 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $337,130 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $404,649 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $418,221 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $418,221 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $62 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $3,382,660 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $3,794,332 |
| Employer contributions (assets) at end of year | 2014-12-31 | $8,222 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $6,827 |
| Contract administrator fees | 2014-12-31 | $50,023 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $18,502 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $9,022 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | SCHOEDEL & SCHOEDEL, CPAS, PLLC |
| Accountancy firm EIN | 2014-12-31 | 910614823 |
| 2013 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $93,283 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $240,678 |
| Total income from all sources (including contributions) | 2013-12-31 | $5,306,558 |
| Total of all expenses incurred | 2013-12-31 | $5,385,092 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $4,699,061 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $5,306,497 |
| Value of total assets at end of year | 2013-12-31 | $430,413 |
| Value of total assets at beginning of year | 2013-12-31 | $656,342 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $686,031 |
| Total interest from all sources | 2013-12-31 | $61 |
| Administrative expenses professional fees incurred | 2013-12-31 | $599,799 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $18,655 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $5,365 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $14,771 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $37,171 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $100,851 |
| Administrative expenses (other) incurred | 2013-12-31 | $16,101 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $47,090 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $61,040 |
| Total non interest bearing cash at end of year | 2013-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $60,336 |
| Value of net income/loss | 2013-12-31 | $-78,534 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $337,130 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $415,664 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $418,221 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $565,579 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $565,579 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $61 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $4,699,061 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $5,287,842 |
| Employer contributions (assets) at end of year | 2013-12-31 | $6,827 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $15,656 |
| Contract administrator fees | 2013-12-31 | $70,131 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $9,022 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $78,787 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2013-12-31 | 910614823 |
| 2012 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $240,678 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $228,764 |
| Total income from all sources (including contributions) | 2012-12-31 | $6,212,952 |
| Total of all expenses incurred | 2012-12-31 | $6,201,058 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $5,492,042 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $6,212,894 |
| Value of total assets at end of year | 2012-12-31 | $656,342 |
| Value of total assets at beginning of year | 2012-12-31 | $632,534 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $709,016 |
| Total interest from all sources | 2012-12-31 | $58 |
| Administrative expenses professional fees incurred | 2012-12-31 | $608,847 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $26,006 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $14,771 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $29,233 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $100,851 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $143,102 |
| Administrative expenses (other) incurred | 2012-12-31 | $20,205 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $61,040 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $49,467 |
| Total non interest bearing cash at end of year | 2012-12-31 | $60,336 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $38,276 |
| Value of net income/loss | 2012-12-31 | $11,894 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $415,664 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $403,770 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $565,579 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $541,606 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $541,606 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $58 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $5,492,042 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $6,186,888 |
| Employer contributions (assets) at end of year | 2012-12-31 | $15,656 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $23,419 |
| Contract administrator fees | 2012-12-31 | $79,964 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $78,787 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $36,195 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2012-12-31 | 910614823 |
| 2011 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $228,764 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $345,306 |
| Total income from all sources (including contributions) | 2011-12-31 | $6,028,489 |
| Total of all expenses incurred | 2011-12-31 | $5,933,031 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $5,288,079 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $6,000,433 |
| Value of total assets at end of year | 2011-12-31 | $632,534 |
| Value of total assets at beginning of year | 2011-12-31 | $653,618 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $644,952 |
| Total interest from all sources | 2011-12-31 | $56 |
| Administrative expenses professional fees incurred | 2011-12-31 | $553,121 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $61,318 |
| Participant contributions at end of year | 2011-12-31 | $0 |
| Participant contributions at beginning of year | 2011-12-31 | $829 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $29,233 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $4,305 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $143,102 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $184,707 |
| Other income not declared elsewhere | 2011-12-31 | $28,000 |
| Administrative expenses (other) incurred | 2011-12-31 | $15,229 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $49,467 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $79,444 |
| Total non interest bearing cash at end of year | 2011-12-31 | $38,276 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $42,459 |
| Value of net income/loss | 2011-12-31 | $95,458 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $403,770 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $308,312 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $541,606 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $584,497 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $584,497 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $56 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $5,288,079 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $5,939,115 |
| Employer contributions (assets) at end of year | 2011-12-31 | $23,419 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $21,528 |
| Contract administrator fees | 2011-12-31 | $76,602 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $36,195 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $81,155 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2011-12-31 | 910614823 |
| 2010 : HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $345,306 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $376,209 |
| Total income from all sources (including contributions) | 2010-12-31 | $6,137,401 |
| Total of all expenses incurred | 2010-12-31 | $6,079,196 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $5,366,845 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $6,137,353 |
| Value of total assets at end of year | 2010-12-31 | $653,618 |
| Value of total assets at beginning of year | 2010-12-31 | $626,316 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $712,351 |
| Total interest from all sources | 2010-12-31 | $48 |
| Administrative expenses professional fees incurred | 2010-12-31 | $577,126 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $119,367 |
| Participant contributions at end of year | 2010-12-31 | $829 |
| Participant contributions at beginning of year | 2010-12-31 | $4,376 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $4,305 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $22,397 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $184,707 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $166,078 |
| Administrative expenses (other) incurred | 2010-12-31 | $53,401 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $79,444 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $140,110 |
| Total non interest bearing cash at end of year | 2010-12-31 | $42,459 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $102,115 |
| Value of net income/loss | 2010-12-31 | $58,205 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $308,312 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $250,107 |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $584,497 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $464,590 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $464,590 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $48 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $5,366,845 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $6,017,986 |
| Employer contributions (assets) at end of year | 2010-12-31 | $21,528 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $32,838 |
| Contract administrator fees | 2010-12-31 | $81,824 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $81,155 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $70,021 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | SCHOEDEL & SCHOEDEL CPAS PLLC |
| Accountancy firm EIN | 2010-12-31 | 910614823 |
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8514600 |
| Policy instance | 13 |
| Insurance contract or identification number | 8514600 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $81,856 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-350797 |
| Policy instance | 2 |
| Insurance contract or identification number | 010-350797 | | Number of Individuals Covered | 1199 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $84,562 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 6466800 |
| Policy instance | 3 |
| Insurance contract or identification number | 6466800 | | Number of Individuals Covered | 1654 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $7,054,884 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | ER00030214 |
| Policy instance | 4 |
| Insurance contract or identification number | ER00030214 | | Number of Individuals Covered | 1246 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,874 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $18,738 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,874 | | Insurance broker organization code? | 3 |
|
| WILLAMETTE DENTAL OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 47050 ) |
| Policy contract number | WA742 |
| Policy instance | 5 |
| Insurance contract or identification number | WA742 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $3,711 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47341 ) |
| Policy contract number | 09570 TO 09593 |
| Policy instance | 6 |
| Insurance contract or identification number | 09570 TO 09593 | | Number of Individuals Covered | 1123 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) |
| Policy contract number | 1595000 |
| Policy instance | 7 |
| Insurance contract or identification number | 1595000 | | Number of Individuals Covered | 350 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,062,657 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTAL HEALTH SERVICES OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47490 ) |
| Policy contract number | W4107-W4136 |
| Policy instance | 1 |
| Insurance contract or identification number | W4107-W4136 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $50,957 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8744900 |
| Policy instance | 9 |
| Insurance contract or identification number | 8744900 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2020-06-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $4,315 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8709100 |
| Policy instance | 12 |
| Insurance contract or identification number | 8709100 | | Number of Individuals Covered | 5 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $65,060 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 6465100 |
| Policy instance | 11 |
| Insurance contract or identification number | 6465100 | | Number of Individuals Covered | 21 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $74,703 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8513500 |
| Policy instance | 10 |
| Insurance contract or identification number | 8513500 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $22,326 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 8745900 |
| Policy instance | 8 |
| Insurance contract or identification number | 8745900 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $4,746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-350797 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-350797 | | Number of Individuals Covered | 4144 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $99,818 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 5943800 |
| Policy instance | 1 |
| Insurance contract or identification number | 5943800 | | Number of Individuals Covered | 332 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,189,662 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | ER00030214 |
| Policy instance | 5 |
| Insurance contract or identification number | ER00030214 | | Number of Individuals Covered | 1776 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $2,911 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $29,114 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,911 | | Insurance broker organization code? | 3 |
|
| DENTAL HEALTH SERVICES OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47490 ) |
| Policy contract number | W4105-W4134 |
| Policy instance | 2 |
| Insurance contract or identification number | W4105-W4134 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $179,025 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 6466800 |
| Policy instance | 4 |
| Insurance contract or identification number | 6466800 | | Number of Individuals Covered | 1870 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $8,404,280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 ) |
| Policy contract number | ER00030214 |
| Policy instance | 7 |
| Insurance contract or identification number | ER00030214 | | Number of Individuals Covered | 1246 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,887 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,867 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,887 | | Insurance broker organization code? | 3 |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 5943800 |
| Policy instance | 1 |
| Insurance contract or identification number | 5943800 | | Number of Individuals Covered | 2098 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,494,998 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTAL HEALTH SERVICES OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47490 ) |
| Policy contract number | W4105-W4121 |
| Policy instance | 2 |
| Insurance contract or identification number | W4105-W4121 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $85,908 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-350797 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-350797 | | Number of Individuals Covered | 3264 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $88,675 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) |
| Policy contract number | 1385300 |
| Policy instance | 4 |
| Insurance contract or identification number | 1385300 | | Number of Individuals Covered | 326 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $851,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | HIHIT |
| Policy instance | 5 |
| Insurance contract or identification number | HIHIT | | Number of Individuals Covered | 1776 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $34,995 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | HI0000001 |
| Policy instance | 6 |
| Insurance contract or identification number | HI0000001 | | Number of Individuals Covered | 691 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $45 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $422,940 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45 | | Insurance broker organization code? | 3 |
|
| LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 ) |
| Policy contract number | HI0000001 |
| Policy instance | 6 |
| Insurance contract or identification number | HI0000001 | | Number of Individuals Covered | 537 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $685 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $365,094 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $685 | | Insurance broker organization code? | 3 | | Insurance broker name | CLG EMPLOYER RESOURCES LLC |
|
| COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | HIHIT |
| Policy instance | 5 |
| Insurance contract or identification number | HIHIT | | Number of Individuals Covered | 2098 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $28,238 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) |
| Policy contract number | 1385300 |
| Policy instance | 4 |
| Insurance contract or identification number | 1385300 | | Number of Individuals Covered | 142 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $377,787 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-350797 |
| Policy instance | 3 |
| Insurance contract or identification number | 010-350797 | | Number of Individuals Covered | 3214 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $86,790 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DENTAL HEALTH SERVICES OF WASHINGTON (National Association of Insurance Commissioners NAIC id number: 47490 ) |
| Policy contract number | W4105-W4121 |
| Policy instance | 2 |
| Insurance contract or identification number | W4105-W4121 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GROUP HEALTH OPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 47055 ) |
| Policy contract number | 5943800 |
| Policy instance | 1 |
| Insurance contract or identification number | 5943800 | | Number of Individuals Covered | 2061 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,385,423 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
