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WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 401k Plan overview

Plan NameWESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU
Plan identification number 501

WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

WESTERN STATES HEALTH AND WELFARE has sponsored the creation of one or more 401k plans.

Company Name:WESTERN STATES HEALTH AND WELFARE
Employer identification number (EIN):936028906
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-03-01
5012021-03-01
5012020-03-01
5012019-03-01
5012018-03-01
5012017-03-01MAUREEN COLVIN
5012016-03-01MAUREEN COLVIN
5012015-03-01MICHAEL RICHARDS
5012014-03-01MICHAEL RICHARDS
5012013-03-01MICHAEL RICHARDS
5012012-03-01MICHAEL RICHARDS
5012011-03-01MICHAEL RICHARDS
5012009-03-01DAVID WILLIAMS

Plan Statistics for WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU

401k plan membership statisitcs for WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU

Measure Date Value
2022: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2022 401k membership
Total participants, beginning-of-year2022-03-011,005
Total number of active participants reported on line 7a of the Form 55002022-03-01910
Number of retired or separated participants receiving benefits2022-03-0169
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01979
Number of employers contributing to the scheme2022-03-0137
2021: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2021 401k membership
Total participants, beginning-of-year2021-03-011,001
Total number of active participants reported on line 7a of the Form 55002021-03-01934
Number of retired or separated participants receiving benefits2021-03-0165
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01999
Number of employers contributing to the scheme2021-03-0137
2020: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2020 401k membership
Total participants, beginning-of-year2020-03-011,028
Total number of active participants reported on line 7a of the Form 55002020-03-01928
Number of retired or separated participants receiving benefits2020-03-0173
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-011,001
Number of employers contributing to the scheme2020-03-0136
2019: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2019 401k membership
Total participants, beginning-of-year2019-03-011,016
Total number of active participants reported on line 7a of the Form 55002019-03-01958
Number of retired or separated participants receiving benefits2019-03-0170
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-011,028
Number of employers contributing to the scheme2019-03-0137
2018: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2018 401k membership
Total participants, beginning-of-year2018-03-011,003
Total number of active participants reported on line 7a of the Form 55002018-03-01950
Number of retired or separated participants receiving benefits2018-03-0166
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-011,016
Number of employers contributing to the scheme2018-03-0137
2017: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2017 401k membership
Total participants, beginning-of-year2017-03-01997
Total number of active participants reported on line 7a of the Form 55002017-03-01952
Number of retired or separated participants receiving benefits2017-03-0151
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-011,003
Number of employers contributing to the scheme2017-03-0137
2016: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2016 401k membership
Total participants, beginning-of-year2016-03-01983
Total number of active participants reported on line 7a of the Form 55002016-03-01931
Number of retired or separated participants receiving benefits2016-03-0166
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01997
Number of employers contributing to the scheme2016-03-0146
2015: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2015 401k membership
Total participants, beginning-of-year2015-03-011,022
Total number of active participants reported on line 7a of the Form 55002015-03-01983
Number of retired or separated participants receiving benefits2015-03-0156
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-011,039
Number of employers contributing to the scheme2015-03-0147
2014: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2014 401k membership
Total participants, beginning-of-year2014-03-011,043
Total number of active participants reported on line 7a of the Form 55002014-03-01966
Number of retired or separated participants receiving benefits2014-03-0156
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-011,022
Number of employers contributing to the scheme2014-03-0149
2013: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2013 401k membership
Total participants, beginning-of-year2013-03-011,069
Total number of active participants reported on line 7a of the Form 55002013-03-01979
Number of retired or separated participants receiving benefits2013-03-0164
Total of all active and inactive participants2013-03-011,043
Number of employers contributing to the scheme2013-03-0147
2012: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2012 401k membership
Total participants, beginning-of-year2012-03-011,028
Total number of active participants reported on line 7a of the Form 55002012-03-01994
Number of retired or separated participants receiving benefits2012-03-0175
Total of all active and inactive participants2012-03-011,069
Number of employers contributing to the scheme2012-03-0151
2011: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2011 401k membership
Total participants, beginning-of-year2011-03-01869
Total number of active participants reported on line 7a of the Form 55002011-03-01933
Number of retired or separated participants receiving benefits2011-03-0195
Total of all active and inactive participants2011-03-011,028
Number of employers contributing to the scheme2011-03-0152
2009: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2009 401k membership
Total participants, beginning-of-year2009-03-01892
Total number of active participants reported on line 7a of the Form 55002009-03-01805
Number of retired or separated participants receiving benefits2009-03-01112
Total of all active and inactive participants2009-03-01917

Financial Data on WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU

Measure Date Value
2023 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-02-28$3,218,623
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-02-28$3,021,527
Total income from all sources (including contributions)2023-02-28$18,445,092
Total of all expenses incurred2023-02-28$19,703,307
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-02-28$19,298,984
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-02-28$19,495,870
Value of total assets at end of year2023-02-28$16,857,576
Value of total assets at beginning of year2023-02-28$17,918,695
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-02-28$404,323
Total interest from all sources2023-02-28$2,203
Total dividends received (eg from common stock, registered investment company shares)2023-02-28$366,169
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2023-02-28$366,169
Administrative expenses professional fees incurred2023-02-28$57,471
Was this plan covered by a fidelity bond2023-02-28Yes
Value of fidelity bond cover2023-02-28$500,000
If this is an individual account plan, was there a blackout period2023-02-28No
Were there any nonexempt tranactions with any party-in-interest2023-02-28No
Contributions received from participants2023-02-28$1,155,287
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-02-28$57,058
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-02-28$56,249
Other income not declared elsewhere2023-02-28$29,735
Administrative expenses (other) incurred2023-02-28$178,665
Liabilities. Value of operating payables at end of year2023-02-28$20,895
Liabilities. Value of operating payables at beginning of year2023-02-28$21,784
Total non interest bearing cash at end of year2023-02-28$1,839,684
Total non interest bearing cash at beginning of year2023-02-28$1,781,071
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-02-28No
Value of net income/loss2023-02-28$-1,258,215
Value of net assets at end of year (total assets less liabilities)2023-02-28$13,638,953
Value of net assets at beginning of year (total assets less liabilities)2023-02-28$14,897,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2023-02-28No
Were any leases to which the plan was party in default or uncollectible2023-02-28No
Investment advisory and management fees2023-02-28$10,750
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-02-28$13,512,625
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-02-28$14,795,341
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-02-28$2,203
Expenses. Payments to insurance carriers foe the provision of benefits2023-02-28$18,651,707
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-02-28$-1,448,885
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-02-28No
Was there a failure to transmit to the plan any participant contributions2023-02-28No
Has the plan failed to provide any benefit when due under the plan2023-02-28No
Contributions received in cash from employer2023-02-28$18,340,583
Employer contributions (assets) at end of year2023-02-28$1,448,209
Employer contributions (assets) at beginning of year2023-02-28$1,286,034
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-02-28$647,277
Contract administrator fees2023-02-28$157,437
Liabilities. Value of benefit claims payable at end of year2023-02-28$3,197,728
Liabilities. Value of benefit claims payable at beginning of year2023-02-28$2,999,743
Did the plan have assets held for investment2023-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-02-28No
Opinion of an independent qualified public accountant for this plan2023-02-28Unqualified
Accountancy firm name2023-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2023-02-28931015766
2022 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$3,021,527
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$3,037,918
Total income from all sources (including contributions)2022-02-28$19,421,051
Total of all expenses incurred2022-02-28$19,292,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-02-28$18,905,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-02-28$19,118,401
Value of total assets at end of year2022-02-28$17,918,695
Value of total assets at beginning of year2022-02-28$17,806,847
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-02-28$387,133
Total interest from all sources2022-02-28$1,106
Total dividends received (eg from common stock, registered investment company shares)2022-02-28$393,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2022-02-28$393,171
Administrative expenses professional fees incurred2022-02-28$59,851
Was this plan covered by a fidelity bond2022-02-28Yes
Value of fidelity bond cover2022-02-28$500,000
If this is an individual account plan, was there a blackout period2022-02-28No
Were there any nonexempt tranactions with any party-in-interest2022-02-28No
Contributions received from participants2022-02-28$1,195,958
Income. Received or receivable in cash from other sources (including rollovers)2022-02-28$26,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-02-28$56,249
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-02-28$34,138
Other income not declared elsewhere2022-02-28$25,254
Administrative expenses (other) incurred2022-02-28$159,981
Liabilities. Value of operating payables at end of year2022-02-28$21,784
Liabilities. Value of operating payables at beginning of year2022-02-28$12,261
Total non interest bearing cash at end of year2022-02-28$1,781,071
Total non interest bearing cash at beginning of year2022-02-28$1,965,242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Value of net income/loss2022-02-28$128,239
Value of net assets at end of year (total assets less liabilities)2022-02-28$14,897,168
Value of net assets at beginning of year (total assets less liabilities)2022-02-28$14,768,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2022-02-28No
Were any leases to which the plan was party in default or uncollectible2022-02-28No
Investment advisory and management fees2022-02-28$10,750
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-02-28$14,795,341
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-02-28$14,519,051
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-02-28$1,106
Expenses. Payments to insurance carriers foe the provision of benefits2022-02-28$18,287,754
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-02-28$-116,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-02-28No
Was there a failure to transmit to the plan any participant contributions2022-02-28No
Has the plan failed to provide any benefit when due under the plan2022-02-28No
Contributions received in cash from employer2022-02-28$17,896,120
Employer contributions (assets) at end of year2022-02-28$1,286,034
Employer contributions (assets) at beginning of year2022-02-28$1,288,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-02-28$617,925
Contract administrator fees2022-02-28$156,551
Liabilities. Value of benefit claims payable at end of year2022-02-28$2,999,743
Liabilities. Value of benefit claims payable at beginning of year2022-02-28$3,025,657
Did the plan have assets held for investment2022-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-02-28No
Opinion of an independent qualified public accountant for this plan2022-02-28Unqualified
Accountancy firm name2022-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2022-02-28931015766
2021 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$3,037,918
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-28$3,045,687
Total income from all sources (including contributions)2021-02-28$20,240,150
Total of all expenses incurred2021-02-28$19,121,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-02-28$18,748,319
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-02-28$19,100,737
Value of total assets at end of year2021-02-28$17,806,847
Value of total assets at beginning of year2021-02-28$16,695,681
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-02-28$372,896
Total interest from all sources2021-02-28$1,031
Total dividends received (eg from common stock, registered investment company shares)2021-02-28$319,294
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2021-02-28$319,294
Administrative expenses professional fees incurred2021-02-28$55,298
Was this plan covered by a fidelity bond2021-02-28Yes
Value of fidelity bond cover2021-02-28$500,000
If this is an individual account plan, was there a blackout period2021-02-28No
Were there any nonexempt tranactions with any party-in-interest2021-02-28No
Contributions received from participants2021-02-28$1,213,373
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-02-28$34,138
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-02-28$66,071
Administrative expenses (other) incurred2021-02-28$152,292
Liabilities. Value of operating payables at end of year2021-02-28$12,261
Liabilities. Value of operating payables at beginning of year2021-02-28$39,890
Total non interest bearing cash at end of year2021-02-28$1,965,242
Total non interest bearing cash at beginning of year2021-02-28$1,959,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Value of net income/loss2021-02-28$1,118,935
Value of net assets at end of year (total assets less liabilities)2021-02-28$14,768,929
Value of net assets at beginning of year (total assets less liabilities)2021-02-28$13,649,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2021-02-28No
Were any leases to which the plan was party in default or uncollectible2021-02-28No
Investment advisory and management fees2021-02-28$10,750
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-02-28$14,519,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-02-28$13,380,669
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-02-28$1,031
Expenses. Payments to insurance carriers foe the provision of benefits2021-02-28$18,070,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-02-28$819,088
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-02-28No
Was there a failure to transmit to the plan any participant contributions2021-02-28No
Has the plan failed to provide any benefit when due under the plan2021-02-28No
Contributions received in cash from employer2021-02-28$17,887,364
Employer contributions (assets) at end of year2021-02-28$1,288,416
Employer contributions (assets) at beginning of year2021-02-28$1,289,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-02-28$678,310
Contract administrator fees2021-02-28$154,556
Liabilities. Value of benefit claims payable at end of year2021-02-28$3,025,657
Liabilities. Value of benefit claims payable at beginning of year2021-02-28$3,005,797
Did the plan have assets held for investment2021-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-02-28No
Opinion of an independent qualified public accountant for this plan2021-02-28Unqualified
Accountancy firm name2021-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2021-02-28931015766
2020 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$3,045,687
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-02-29$2,997,513
Total income from all sources (including contributions)2020-02-29$20,251,113
Total of all expenses incurred2020-02-29$19,057,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-02-29$18,663,938
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-02-29$18,884,174
Value of total assets at end of year2020-02-29$16,695,681
Value of total assets at beginning of year2020-02-29$15,454,233
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-02-29$393,901
Total interest from all sources2020-02-29$898
Total dividends received (eg from common stock, registered investment company shares)2020-02-29$354,768
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2020-02-29$354,768
Administrative expenses professional fees incurred2020-02-29$72,471
Was this plan covered by a fidelity bond2020-02-29Yes
Value of fidelity bond cover2020-02-29$500,000
If this is an individual account plan, was there a blackout period2020-02-29No
Were there any nonexempt tranactions with any party-in-interest2020-02-29No
Contributions received from participants2020-02-29$1,074,619
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-02-29$66,071
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-02-29$62,719
Other income not declared elsewhere2020-02-29$112,491
Administrative expenses (other) incurred2020-02-29$156,735
Liabilities. Value of operating payables at end of year2020-02-29$46,473
Liabilities. Value of operating payables at beginning of year2020-02-29$19,398
Total non interest bearing cash at end of year2020-02-29$1,959,219
Total non interest bearing cash at beginning of year2020-02-29$351,613
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Value of net income/loss2020-02-29$1,193,274
Value of net assets at end of year (total assets less liabilities)2020-02-29$13,649,994
Value of net assets at beginning of year (total assets less liabilities)2020-02-29$12,456,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-29No
Were any leases to which the plan was party in default or uncollectible2020-02-29No
Investment advisory and management fees2020-02-29$10,750
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-02-29$13,380,669
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-02-29$13,877,118
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-02-29$898
Expenses. Payments to insurance carriers foe the provision of benefits2020-02-29$18,053,272
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-02-29$898,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-29Yes
Was there a failure to transmit to the plan any participant contributions2020-02-29No
Has the plan failed to provide any benefit when due under the plan2020-02-29No
Contributions received in cash from employer2020-02-29$17,809,555
Employer contributions (assets) at end of year2020-02-29$1,289,722
Employer contributions (assets) at beginning of year2020-02-29$1,162,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-02-29$610,666
Contract administrator fees2020-02-29$153,945
Liabilities. Value of benefit claims payable at end of year2020-02-29$2,999,214
Liabilities. Value of benefit claims payable at beginning of year2020-02-29$2,978,115
Did the plan have assets held for investment2020-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-02-29No
Opinion of an independent qualified public accountant for this plan2020-02-29Unqualified
Accountancy firm name2020-02-29BJORKLUND & MONTPLAISIR
Accountancy firm EIN2020-02-29931015766
2018 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$3,057,325
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$2,491,342
Total income from all sources (including contributions)2018-02-28$17,634,274
Total of all expenses incurred2018-02-28$17,590,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$17,228,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$16,963,184
Value of total assets at end of year2018-02-28$15,625,565
Value of total assets at beginning of year2018-02-28$15,015,499
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-28$361,448
Total interest from all sources2018-02-28$663
Total dividends received (eg from common stock, registered investment company shares)2018-02-28$308,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2018-02-28$308,143
Administrative expenses professional fees incurred2018-02-28$41,432
Was this plan covered by a fidelity bond2018-02-28Yes
Value of fidelity bond cover2018-02-28$500,000
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Contributions received from participants2018-02-28$1,014,270
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-02-28$5,221
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-02-28$32,849
Other income not declared elsewhere2018-02-28$100,133
Administrative expenses (other) incurred2018-02-28$159,661
Liabilities. Value of operating payables at end of year2018-02-28$21,418
Total non interest bearing cash at end of year2018-02-28$975,225
Total non interest bearing cash at beginning of year2018-02-28$761,675
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$44,083
Value of net assets at end of year (total assets less liabilities)2018-02-28$12,568,240
Value of net assets at beginning of year (total assets less liabilities)2018-02-28$12,524,157
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Investment advisory and management fees2018-02-28$8,250
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-02-28$13,490,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-02-28$12,920,691
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-02-28$663
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$694,981
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-02-28$262,151
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28No
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$15,948,914
Employer contributions (assets) at end of year2018-02-28$1,154,133
Employer contributions (assets) at beginning of year2018-02-28$1,300,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-02-28$16,533,762
Contract administrator fees2018-02-28$152,105
Liabilities. Value of benefit claims payable at end of year2018-02-28$3,035,907
Liabilities. Value of benefit claims payable at beginning of year2018-02-28$2,491,342
Did the plan have assets held for investment2018-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-28No
Opinion of an independent qualified public accountant for this plan2018-02-28Unqualified
Accountancy firm name2018-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2018-02-28931015766
2017 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$2,491,342
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$2,392,104
Total income from all sources (including contributions)2017-02-28$17,170,077
Total of all expenses incurred2017-02-28$16,318,001
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$15,951,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$16,352,838
Value of total assets at end of year2017-02-28$15,015,499
Value of total assets at beginning of year2017-02-28$14,064,185
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$366,293
Total interest from all sources2017-02-28$554
Total dividends received (eg from common stock, registered investment company shares)2017-02-28$316,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2017-02-28$316,728
Administrative expenses professional fees incurred2017-02-28$58,027
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$500,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$916,713
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-02-28$32,849
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-02-28$51,086
Other income not declared elsewhere2017-02-28$33,059
Administrative expenses (other) incurred2017-02-28$155,903
Liabilities. Value of operating payables at beginning of year2017-02-28$32
Total non interest bearing cash at end of year2017-02-28$761,675
Total non interest bearing cash at beginning of year2017-02-28$608,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$852,076
Value of net assets at end of year (total assets less liabilities)2017-02-28$12,524,157
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$11,672,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Investment advisory and management fees2017-02-28$8,250
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-02-28$12,920,691
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-02-28$12,137,066
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-02-28$554
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$728,602
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-02-28$466,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28Yes
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$15,436,125
Employer contributions (assets) at end of year2017-02-28$1,300,284
Employer contributions (assets) at beginning of year2017-02-28$1,267,930
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-02-28$15,223,106
Contract administrator fees2017-02-28$144,113
Liabilities. Value of benefit claims payable at end of year2017-02-28$2,491,342
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$2,392,072
Did the plan have assets held for investment2017-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2017-02-28931015766
2016 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$2,392,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$2,525,133
Total income from all sources (including contributions)2016-02-29$15,722,749
Total of all expenses incurred2016-02-29$16,082,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$15,708,140
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$15,802,467
Value of total assets at end of year2016-02-29$14,064,185
Value of total assets at beginning of year2016-02-29$14,556,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$374,233
Total interest from all sources2016-02-29$622
Total dividends received (eg from common stock, registered investment company shares)2016-02-29$275,325
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2016-02-29$275,325
Administrative expenses professional fees incurred2016-02-29$59,322
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$500,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$809,494
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-02-29$51,086
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-02-29$1,250
Administrative expenses (other) incurred2016-02-29$158,208
Liabilities. Value of operating payables at end of year2016-02-29$32
Liabilities. Value of operating payables at beginning of year2016-02-29$63
Total non interest bearing cash at end of year2016-02-29$608,103
Total non interest bearing cash at beginning of year2016-02-29$1,091,037
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-359,624
Value of net assets at end of year (total assets less liabilities)2016-02-29$11,672,081
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$12,031,705
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Investment advisory and management fees2016-02-29$8,250
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-02-29$12,137,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-02-29$12,217,406
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$622
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$1,476,827
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-02-29$-355,665
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29No
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$14,992,973
Employer contributions (assets) at end of year2016-02-29$1,267,930
Employer contributions (assets) at beginning of year2016-02-29$1,247,145
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-02-29$14,231,313
Contract administrator fees2016-02-29$148,453
Liabilities. Value of benefit claims payable at end of year2016-02-29$2,392,072
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$2,525,070
Did the plan have assets held for investment2016-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29BJORKLUND & MONTPLAISIR
Accountancy firm EIN2016-02-29931015766
2015 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$2,525,133
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$2,438,348
Total income from all sources (including contributions)2015-02-28$16,344,905
Total of all expenses incurred2015-02-28$16,193,708
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$15,823,406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$15,666,740
Value of total assets at end of year2015-02-28$14,556,838
Value of total assets at beginning of year2015-02-28$14,318,856
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$370,302
Total interest from all sources2015-02-28$679
Total dividends received (eg from common stock, registered investment company shares)2015-02-28$257,593
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2015-02-28$257,593
Administrative expenses professional fees incurred2015-02-28$64,132
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$500,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$855,199
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-02-28$1,250
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-02-28$11,910
Other income not declared elsewhere2015-02-28$4,105
Administrative expenses (other) incurred2015-02-28$155,416
Liabilities. Value of operating payables at end of year2015-02-28$63
Total non interest bearing cash at end of year2015-02-28$1,091,037
Total non interest bearing cash at beginning of year2015-02-28$1,279,997
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$151,197
Value of net assets at end of year (total assets less liabilities)2015-02-28$12,031,705
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$11,880,508
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Investment advisory and management fees2015-02-28$8,250
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-02-28$12,217,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-02-28$11,794,025
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$679
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$14,135,429
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-02-28$415,788
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28No
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$14,811,541
Employer contributions (assets) at end of year2015-02-28$1,247,145
Employer contributions (assets) at beginning of year2015-02-28$1,232,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-02-28$1,687,977
Contract administrator fees2015-02-28$142,504
Liabilities. Value of benefit claims payable at end of year2015-02-28$2,525,070
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$2,438,348
Did the plan have assets held for investment2015-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2015-02-28931015766
2014 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$2,438,348
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$2,688,619
Total income from all sources (including contributions)2014-02-28$15,788,781
Total of all expenses incurred2014-02-28$15,542,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$15,175,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$15,141,033
Value of total assets at end of year2014-02-28$14,318,856
Value of total assets at beginning of year2014-02-28$14,322,842
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$367,318
Total interest from all sources2014-02-28$946
Total dividends received (eg from common stock, registered investment company shares)2014-02-28$261,088
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2014-02-28$261,088
Administrative expenses professional fees incurred2014-02-28$59,938
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$500,000
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$810,392
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-02-28$11,910
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-02-28$6,251
Other income not declared elsewhere2014-02-28$235,830
Administrative expenses (other) incurred2014-02-28$156,797
Total non interest bearing cash at end of year2014-02-28$1,279,997
Total non interest bearing cash at beginning of year2014-02-28$1,979,945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$246,285
Value of net assets at end of year (total assets less liabilities)2014-02-28$11,880,508
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$11,634,223
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Investment advisory and management fees2014-02-28$7,625
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-02-28$11,794,025
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-02-28$11,147,223
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-02-28$946
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$13,648,978
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-02-28$149,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28No
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$14,330,641
Employer contributions (assets) at end of year2014-02-28$1,232,924
Employer contributions (assets) at beginning of year2014-02-28$1,189,423
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-02-28$1,526,200
Contract administrator fees2014-02-28$142,958
Liabilities. Value of benefit claims payable at end of year2014-02-28$2,438,348
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$2,688,619
Did the plan have assets held for investment2014-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2014-02-28931015766
2013 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$2,688,619
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$3,055,220
Total income from all sources (including contributions)2013-02-28$15,382,621
Total of all expenses incurred2013-02-28$15,030,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$14,625,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$14,517,260
Value of total assets at end of year2013-02-28$14,322,842
Value of total assets at beginning of year2013-02-28$14,337,599
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$405,449
Total interest from all sources2013-02-28$1,583
Total dividends received (eg from common stock, registered investment company shares)2013-02-28$272,382
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2013-02-28$272,382
Administrative expenses professional fees incurred2013-02-28$73,836
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$892,934
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-02-28$6,251
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-02-28$30,133
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-02-28$113,045
Other income not declared elsewhere2013-02-28$293,176
Administrative expenses (other) incurred2013-02-28$175,094
Total non interest bearing cash at end of year2013-02-28$1,979,945
Total non interest bearing cash at beginning of year2013-02-28$3,368,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$351,844
Value of net assets at end of year (total assets less liabilities)2013-02-28$11,634,223
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$11,282,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Investment advisory and management fees2013-02-28$7,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-02-28$11,147,223
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-02-28$9,826,620
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-02-28$1,583
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$13,107,493
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-02-28$298,220
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28Yes
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$13,624,326
Employer contributions (assets) at end of year2013-02-28$1,189,423
Employer contributions (assets) at beginning of year2013-02-28$1,112,716
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$1,517,835
Contract administrator fees2013-02-28$149,519
Liabilities. Value of benefit claims payable at end of year2013-02-28$2,688,619
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$2,942,175
Did the plan have assets held for investment2013-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2013-02-28931015766
2012 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$3,055,220
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$1,779,978
Total income from all sources (including contributions)2012-02-29$13,818,817
Total of all expenses incurred2012-02-29$12,968,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$12,575,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$12,894,190
Value of total assets at end of year2012-02-29$14,337,599
Value of total assets at beginning of year2012-02-29$12,211,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$392,438
Total interest from all sources2012-02-29$4,793
Total dividends received (eg from common stock, registered investment company shares)2012-02-29$264,681
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Total dividends received from registered investment company shares (eg mutual funds)2012-02-29$264,681
Administrative expenses professional fees incurred2012-02-29$103,740
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$500,000
If this is an individual account plan, was there a blackout period2012-02-29No
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$1,017,581
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-02-29$30,133
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-02-29$35,410
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-02-29$113,045
Other income not declared elsewhere2012-02-29$200,348
Administrative expenses (other) incurred2012-02-29$150,361
Total non interest bearing cash at end of year2012-02-29$3,368,130
Total non interest bearing cash at beginning of year2012-02-29$2,131,223
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$850,403
Value of net assets at end of year (total assets less liabilities)2012-02-29$11,282,379
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$10,431,976
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Investment advisory and management fees2012-02-29$7,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-02-29$9,826,620
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-02-29$9,107,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-02-29$4,793
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$11,014,458
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-02-29$454,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29Yes
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$11,876,609
Employer contributions (assets) at end of year2012-02-29$1,112,716
Employer contributions (assets) at beginning of year2012-02-29$938,187
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$1,561,518
Contract administrator fees2012-02-29$131,337
Liabilities. Value of benefit claims payable at end of year2012-02-29$2,942,175
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$1,779,978
Did the plan have assets held for investment2012-02-29Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29BJORKLUND & MONTPLAISIR
Accountancy firm EIN2012-02-29931015766
2011 : WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$1,779,978
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-02-28$1,650,694
Total income from all sources (including contributions)2011-02-28$11,042,580
Total of all expenses incurred2011-02-28$10,328,464
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-02-28$9,963,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-02-28$10,280,000
Value of total assets at end of year2011-02-28$12,211,954
Value of total assets at beginning of year2011-02-28$11,368,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-02-28$365,118
Total interest from all sources2011-02-28$8,076
Total dividends received (eg from common stock, registered investment company shares)2011-02-28$242,943
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-02-28No
Total dividends received from registered investment company shares (eg mutual funds)2011-02-28$242,943
Administrative expenses professional fees incurred2011-02-28$108,464
Was this plan covered by a fidelity bond2011-02-28Yes
Value of fidelity bond cover2011-02-28$500,000
If this is an individual account plan, was there a blackout period2011-02-28No
Were there any nonexempt tranactions with any party-in-interest2011-02-28No
Contributions received from participants2011-02-28$269,488
Income. Received or receivable in cash from other sources (including rollovers)2011-02-28$30,445
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-02-28$35,410
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-02-28$20,357
Other income not declared elsewhere2011-02-28$21,184
Administrative expenses (other) incurred2011-02-28$138,891
Total non interest bearing cash at end of year2011-02-28$2,131,223
Total non interest bearing cash at beginning of year2011-02-28$2,129,640
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Value of net income/loss2011-02-28$714,116
Value of net assets at end of year (total assets less liabilities)2011-02-28$10,431,976
Value of net assets at beginning of year (total assets less liabilities)2011-02-28$9,717,860
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2011-02-28No
Were any leases to which the plan was party in default or uncollectible2011-02-28No
Investment advisory and management fees2011-02-28$6,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-02-28$9,107,134
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-02-28$8,373,814
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-02-28$8,076
Expenses. Payments to insurance carriers foe the provision of benefits2011-02-28$8,571,443
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-02-28$490,377
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-02-28No
Was there a failure to transmit to the plan any participant contributions2011-02-28No
Has the plan failed to provide any benefit when due under the plan2011-02-28No
Contributions received in cash from employer2011-02-28$9,980,067
Employer contributions (assets) at end of year2011-02-28$938,187
Employer contributions (assets) at beginning of year2011-02-28$844,743
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-02-28$1,391,903
Contract administrator fees2011-02-28$111,763
Liabilities. Value of benefit claims payable at end of year2011-02-28$1,779,978
Liabilities. Value of benefit claims payable at beginning of year2011-02-28$1,650,694
Did the plan have assets held for investment2011-02-28Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-02-28No
Opinion of an independent qualified public accountant for this plan2011-02-28Unqualified
Accountancy firm name2011-02-28BJORKLUND & MONTPLAISIR
Accountancy firm EIN2011-02-28931015766

Form 5500 Responses for WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU

2022: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2022 form 5500 responses
2022-03-01Type of plan entityMulti-employer plan
2022-03-01Plan is a collectively bargained planYes
2022-03-01Plan funding arrangement – TrustYes
2022-03-01Plan benefit arrangement – InsuranceYes
2022-03-01Plan benefit arrangement - TrustYes
2021: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2021 form 5500 responses
2021-03-01Type of plan entityMulti-employer plan
2021-03-01Plan is a collectively bargained planYes
2021-03-01Plan funding arrangement – TrustYes
2021-03-01Plan benefit arrangement – InsuranceYes
2021-03-01Plan benefit arrangement - TrustYes
2020: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2020 form 5500 responses
2020-03-01Type of plan entityMulti-employer plan
2020-03-01Plan is a collectively bargained planYes
2020-03-01Plan funding arrangement – TrustYes
2020-03-01Plan benefit arrangement – InsuranceYes
2020-03-01Plan benefit arrangement - TrustYes
2019: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2019 form 5500 responses
2019-03-01Type of plan entityMulti-employer plan
2019-03-01Plan is a collectively bargained planYes
2019-03-01Plan funding arrangement – TrustYes
2019-03-01Plan benefit arrangement – InsuranceYes
2019-03-01Plan benefit arrangement - TrustYes
2018: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2018 form 5500 responses
2018-03-01Type of plan entityMulti-employer plan
2018-03-01Plan is a collectively bargained planYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes
2017: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2017 form 5500 responses
2017-03-01Type of plan entityMulti-employer plan
2017-03-01Plan is a collectively bargained planYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2016 form 5500 responses
2016-03-01Type of plan entityMulti-employer plan
2016-03-01Plan is a collectively bargained planYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2015 form 5500 responses
2015-03-01Type of plan entityMulti-employer plan
2015-03-01Plan is a collectively bargained planYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2014 form 5500 responses
2014-03-01Type of plan entityMulti-employer plan
2014-03-01Plan is a collectively bargained planYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2013 form 5500 responses
2013-03-01Type of plan entityMulti-employer plan
2013-03-01Plan is a collectively bargained planYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2012 form 5500 responses
2012-03-01Type of plan entityMulti-employer plan
2012-03-01Plan is a collectively bargained planYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes
2011: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2011 form 5500 responses
2011-03-01Type of plan entityMulti-employer plan
2011-03-01Plan is a collectively bargained planYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes
2009: WESTERN STATES HEALTH AND WELFARE TRUST FUND OF THE OPEIU 2009 form 5500 responses
2009-03-01Type of plan entityMulti-employer plan
2009-03-01Plan is a collectively bargained planYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10010748
Policy instance 6
Insurance contract or identification number10010748
Number of Individuals Covered1632
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,201,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12217447
Policy instance 5
Insurance contract or identification number12217447
Number of Individuals Covered603
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR67
Policy instance 4
Insurance contract or identification numberOR67
Number of Individuals Covered542
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $244,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 3
Insurance contract or identification number309780
Number of Individuals Covered110
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1616
Policy instance 2
Insurance contract or identification number1616
Number of Individuals Covered831
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,945,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerRETENTION BONUS
Insurance broker organization code?4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 1
Insurance contract or identification number309780
Number of Individuals Covered928
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 1
Insurance contract or identification number309780
Number of Individuals Covered913
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1616
Policy instance 2
Insurance contract or identification number1616
Number of Individuals Covered894
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,435,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerRETENTION BONUS
Insurance broker organization code?4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 3
Insurance contract or identification number309780
Number of Individuals Covered105
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR67
Policy instance 4
Insurance contract or identification numberOR67
Number of Individuals Covered502
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $245,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12217447
Policy instance 5
Insurance contract or identification number12217447
Number of Individuals Covered615
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10010748
Policy instance 6
Insurance contract or identification number10010748
Number of Individuals Covered1645
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,677,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10010748
Policy instance 6
Insurance contract or identification number10010748
Number of Individuals Covered16773
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,672,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12217447
Policy instance 5
Insurance contract or identification number12217447
Number of Individuals Covered618
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR67
Policy instance 4
Insurance contract or identification numberOR67
Number of Individuals Covered494
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $233,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 3
Insurance contract or identification number309780
Number of Individuals Covered108
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1616
Policy instance 2
Insurance contract or identification number1616
Number of Individuals Covered926
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,097,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerRETENTION BONUS
Insurance broker organization code?4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 1
Insurance contract or identification number309780
Number of Individuals Covered881
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 3
Insurance contract or identification number309780
Number of Individuals Covered108
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 1
Insurance contract or identification number309780
Number of Individuals Covered881
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1616
Policy instance 2
Insurance contract or identification number1616
Number of Individuals Covered926
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of fees paid to insurance companyUSD $7,205
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,002,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7205
Additional information about fees paid to insurance brokerRETENTION BONUS
Insurance broker organization code?4
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberOR67
Policy instance 4
Insurance contract or identification numberOR67
Number of Individuals Covered494
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $211,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12217447
Policy instance 5
Insurance contract or identification number12217447
Number of Individuals Covered618
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10010748
Policy instance 6
Insurance contract or identification number10010748
Number of Individuals Covered16773
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,777,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10010748
Policy instance 6
Insurance contract or identification number10010748
Number of Individuals Covered1666
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,703,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 1
Insurance contract or identification number309780
Number of Individuals Covered890
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1616
Policy instance 2
Insurance contract or identification number1616
Number of Individuals Covered1000
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of fees paid to insurance companyUSD $3,703
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,009,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3703
Additional information about fees paid to insurance brokerRETENTION BONUS
Insurance broker organization code?4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 3
Insurance contract or identification number309780
Number of Individuals Covered106
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberZ142/OR67
Policy instance 4
Insurance contract or identification numberZ142/OR67
Number of Individuals Covered465
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $199,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12217447
Policy instance 5
Insurance contract or identification number12217447
Number of Individuals Covered611
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1616
Policy instance 2
Insurance contract or identification number1616
Number of Individuals Covered961
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of fees paid to insurance companyUSD $3,596
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,788,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3596
Additional information about fees paid to insurance brokerRETENTION BONUS
Insurance broker organization code?4
Insurance broker nameBP&A LLC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 3
Insurance contract or identification number309780
Number of Individuals Covered94
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WILLAMETTE DENTAL INSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 57069 )
Policy contract numberZ142/OR67
Policy instance 4
Insurance contract or identification numberZ142/OR67
Number of Individuals Covered403
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $172,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12217447
Policy instance 5
Insurance contract or identification number12217447
Number of Individuals Covered598
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
REGENCE BLUECROSS BLUESHIELD OF OREGON (National Association of Insurance Commissioners NAIC id number: 54933 )
Policy contract number10010748
Policy instance 6
Insurance contract or identification number10010748
Number of Individuals Covered1640
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,517,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number309780
Policy instance 1
Insurance contract or identification number309780
Number of Individuals Covered890
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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