PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST
401k plan membership statisitcs for PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST
| Measure | Date | Value |
|---|
| 2023 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2023 401k financial data |
|---|
| Total income from all sources (including contributions) | 2023-01-31 | $1,982,568 |
| Total of all expenses incurred | 2023-01-31 | $2,209,814 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-01-31 | $2,184,622 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-01-31 | $1,981,836 |
| Value of total assets at end of year | 2023-01-31 | $1,661,296 |
| Value of total assets at beginning of year | 2023-01-31 | $1,888,542 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-01-31 | $25,192 |
| Total interest from all sources | 2023-01-31 | $732 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-01-31 | No |
| Administrative expenses professional fees incurred | 2023-01-31 | $6,000 |
| Was this plan covered by a fidelity bond | 2023-01-31 | Yes |
| Value of fidelity bond cover | 2023-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-01-31 | No |
| Participant contributions at end of year | 2023-01-31 | $27,933 |
| Participant contributions at beginning of year | 2023-01-31 | $16,190 |
| Administrative expenses (other) incurred | 2023-01-31 | $19,192 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-31 | No |
| Value of net income/loss | 2023-01-31 | $-227,246 |
| Value of net assets at end of year (total assets less liabilities) | 2023-01-31 | $1,661,296 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-01-31 | $1,888,542 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-01-31 | $1,633,363 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-01-31 | $1,872,352 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-01-31 | $1,872,352 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-01-31 | $732 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-01-31 | No |
| Contributions received in cash from employer | 2023-01-31 | $1,981,836 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-01-31 | $2,184,622 |
| Did the plan have assets held for investment | 2023-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-01-31 | Qualified |
| Accountancy firm name | 2023-01-31 | WERNER & COMPANY INC |
| Accountancy firm EIN | 2023-01-31 | 842087320 |
| 2022 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2022 401k financial data |
|---|
| Total income from all sources (including contributions) | 2022-01-31 | $2,723,418 |
| Total of all expenses incurred | 2022-01-31 | $2,683,243 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-01-31 | $2,658,446 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-01-31 | $2,722,597 |
| Value of total assets at end of year | 2022-01-31 | $1,888,542 |
| Value of total assets at beginning of year | 2022-01-31 | $1,848,367 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-01-31 | $24,797 |
| Total interest from all sources | 2022-01-31 | $821 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-01-31 | No |
| Administrative expenses professional fees incurred | 2022-01-31 | $5,600 |
| Was this plan covered by a fidelity bond | 2022-01-31 | Yes |
| Value of fidelity bond cover | 2022-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-01-31 | No |
| Participant contributions at end of year | 2022-01-31 | $16,190 |
| Participant contributions at beginning of year | 2022-01-31 | $4,748 |
| Administrative expenses (other) incurred | 2022-01-31 | $19,197 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-31 | No |
| Value of net income/loss | 2022-01-31 | $40,175 |
| Value of net assets at end of year (total assets less liabilities) | 2022-01-31 | $1,888,542 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-01-31 | $1,848,367 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-01-31 | $1,872,352 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-01-31 | $1,843,619 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-01-31 | $1,843,619 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-01-31 | $821 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-01-31 | No |
| Contributions received in cash from employer | 2022-01-31 | $2,722,597 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-01-31 | $2,658,446 |
| Did the plan have assets held for investment | 2022-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-01-31 | Qualified |
| Accountancy firm name | 2022-01-31 | WERNER & COMPANY INC |
| Accountancy firm EIN | 2022-01-31 | 842087320 |
| 2021 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2021 401k financial data |
|---|
| Total income from all sources (including contributions) | 2021-01-31 | $3,675,144 |
| Total of all expenses incurred | 2021-01-31 | $4,278,681 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-01-31 | $4,253,088 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-01-31 | $3,672,430 |
| Value of total assets at end of year | 2021-01-31 | $1,848,367 |
| Value of total assets at beginning of year | 2021-01-31 | $2,451,904 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-01-31 | $25,593 |
| Total interest from all sources | 2021-01-31 | $2,714 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-01-31 | No |
| Administrative expenses professional fees incurred | 2021-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2021-01-31 | Yes |
| Value of fidelity bond cover | 2021-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-01-31 | No |
| Participant contributions at end of year | 2021-01-31 | $4,748 |
| Participant contributions at beginning of year | 2021-01-31 | $3,853 |
| Administrative expenses (other) incurred | 2021-01-31 | $20,393 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Value of net income/loss | 2021-01-31 | $-603,537 |
| Value of net assets at end of year (total assets less liabilities) | 2021-01-31 | $1,848,367 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-01-31 | $2,451,904 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-01-31 | $1,843,619 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-01-31 | $2,448,051 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-01-31 | $2,448,051 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-01-31 | $2,714 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-01-31 | No |
| Contributions received in cash from employer | 2021-01-31 | $3,672,430 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-01-31 | $4,253,088 |
| Did the plan have assets held for investment | 2021-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-01-31 | Qualified |
| Accountancy firm name | 2021-01-31 | WERNER & COMPANY INC |
| Accountancy firm EIN | 2021-01-31 | 842087320 |
| 2020 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2020 401k financial data |
|---|
| Total income from all sources (including contributions) | 2020-01-31 | $4,410,508 |
| Total income from all sources (including contributions) | 2020-01-31 | $4,410,508 |
| Total of all expenses incurred | 2020-01-31 | $4,669,650 |
| Total of all expenses incurred | 2020-01-31 | $4,669,650 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $4,637,347 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-01-31 | $4,637,347 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $4,404,553 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-01-31 | $4,404,553 |
| Value of total assets at end of year | 2020-01-31 | $2,451,904 |
| Value of total assets at end of year | 2020-01-31 | $2,451,904 |
| Value of total assets at beginning of year | 2020-01-31 | $2,711,046 |
| Value of total assets at beginning of year | 2020-01-31 | $2,711,046 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $32,303 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-01-31 | $32,303 |
| Total interest from all sources | 2020-01-31 | $5,955 |
| Total interest from all sources | 2020-01-31 | $5,955 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-01-31 | No |
| Administrative expenses professional fees incurred | 2020-01-31 | $5,200 |
| Administrative expenses professional fees incurred | 2020-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Was this plan covered by a fidelity bond | 2020-01-31 | Yes |
| Value of fidelity bond cover | 2020-01-31 | $500,000 |
| Value of fidelity bond cover | 2020-01-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-01-31 | No |
| If this is an individual account plan, was there a blackout period | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-01-31 | No |
| Participant contributions at end of year | 2020-01-31 | $3,853 |
| Participant contributions at end of year | 2020-01-31 | $3,853 |
| Participant contributions at beginning of year | 2020-01-31 | $21,172 |
| Participant contributions at beginning of year | 2020-01-31 | $21,172 |
| Administrative expenses (other) incurred | 2020-01-31 | $27,103 |
| Administrative expenses (other) incurred | 2020-01-31 | $27,103 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Value of net income/loss | 2020-01-31 | $-259,142 |
| Value of net income/loss | 2020-01-31 | $-259,142 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $2,451,904 |
| Value of net assets at end of year (total assets less liabilities) | 2020-01-31 | $2,451,904 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $2,711,046 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-01-31 | $2,711,046 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-01-31 | $2,448,051 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-01-31 | $2,448,051 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-01-31 | $2,689,874 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-01-31 | $2,689,874 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-01-31 | $2,689,874 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-01-31 | $2,689,874 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-01-31 | $5,955 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-01-31 | $5,955 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-01-31 | No |
| Contributions received in cash from employer | 2020-01-31 | $4,404,553 |
| Contributions received in cash from employer | 2020-01-31 | $4,404,553 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $4,637,347 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-01-31 | $4,637,347 |
| Did the plan have assets held for investment | 2020-01-31 | No |
| Did the plan have assets held for investment | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Qualified |
| Opinion of an independent qualified public accountant for this plan | 2020-01-31 | Qualified |
| Accountancy firm name | 2020-01-31 | WERNER & COMPANY INC |
| Accountancy firm name | 2020-01-31 | WERNER & COMPANY INC |
| Accountancy firm EIN | 2020-01-31 | 842087320 |
| Accountancy firm EIN | 2020-01-31 | 842087320 |
| 2018 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-01-31 | $2,295 |
| Total income from all sources (including contributions) | 2018-01-31 | $4,922,067 |
| Total loss/gain on sale of assets | 2018-01-31 | $0 |
| Total of all expenses incurred | 2018-01-31 | $4,823,329 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-01-31 | $4,797,658 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-01-31 | $4,920,580 |
| Value of total assets at end of year | 2018-01-31 | $2,679,054 |
| Value of total assets at beginning of year | 2018-01-31 | $2,582,611 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-01-31 | $25,671 |
| Total interest from all sources | 2018-01-31 | $1,487 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-01-31 | No |
| Administrative expenses professional fees incurred | 2018-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2018-01-31 | Yes |
| Value of fidelity bond cover | 2018-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-01-31 | No |
| Contributions received from participants | 2018-01-31 | $4,920,580 |
| Participant contributions at end of year | 2018-01-31 | $21,172 |
| Participant contributions at beginning of year | 2018-01-31 | $18,283 |
| Administrative expenses (other) incurred | 2018-01-31 | $20,471 |
| Liabilities. Value of operating payables at beginning of year | 2018-01-31 | $2,295 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Value of net income/loss | 2018-01-31 | $98,738 |
| Value of net assets at end of year (total assets less liabilities) | 2018-01-31 | $2,679,054 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-01-31 | $2,580,316 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-01-31 | $2,657,882 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-01-31 | $2,564,328 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-01-31 | $2,564,328 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-01-31 | $1,487 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-01-31 | $4,797,658 |
| Did the plan have assets held for investment | 2018-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-01-31 | Qualified |
| Accountancy firm name | 2018-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2018-01-31 | 953655325 |
| 2017 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2017 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2017-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $2,295 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-01-31 | $1,849 |
| Total income from all sources (including contributions) | 2017-01-31 | $5,094,822 |
| Total loss/gain on sale of assets | 2017-01-31 | $0 |
| Total of all expenses incurred | 2017-01-31 | $4,994,840 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-01-31 | $4,962,516 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-01-31 | $5,093,279 |
| Value of total assets at end of year | 2017-01-31 | $2,582,611 |
| Value of total assets at beginning of year | 2017-01-31 | $2,482,183 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-01-31 | $32,324 |
| Total interest from all sources | 2017-01-31 | $1,543 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-01-31 | No |
| Administrative expenses professional fees incurred | 2017-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2017-01-31 | Yes |
| Value of fidelity bond cover | 2017-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-01-31 | No |
| Contributions received from participants | 2017-01-31 | $5,093,279 |
| Participant contributions at end of year | 2017-01-31 | $18,283 |
| Participant contributions at beginning of year | 2017-01-31 | $2,088 |
| Administrative expenses (other) incurred | 2017-01-31 | $27,124 |
| Liabilities. Value of operating payables at end of year | 2017-01-31 | $2,295 |
| Liabilities. Value of operating payables at beginning of year | 2017-01-31 | $1,849 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Value of net income/loss | 2017-01-31 | $99,982 |
| Value of net assets at end of year (total assets less liabilities) | 2017-01-31 | $2,580,316 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-01-31 | $2,480,334 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-01-31 | $2,564,328 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-01-31 | $2,480,095 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-01-31 | $2,480,095 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-01-31 | $1,543 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-01-31 | $4,962,516 |
| Did the plan have assets held for investment | 2017-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-01-31 | Qualified |
| Accountancy firm name | 2017-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2017-01-31 | 953655325 |
| 2016 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $1,849 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-01-31 | $1,881 |
| Total income from all sources (including contributions) | 2016-01-31 | $4,364,249 |
| Total loss/gain on sale of assets | 2016-01-31 | $0 |
| Total of all expenses incurred | 2016-01-31 | $5,024,481 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-01-31 | $4,992,746 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-01-31 | $4,361,981 |
| Value of total assets at end of year | 2016-01-31 | $2,482,183 |
| Value of total assets at beginning of year | 2016-01-31 | $3,142,447 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-01-31 | $31,735 |
| Total interest from all sources | 2016-01-31 | $2,268 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-01-31 | No |
| Administrative expenses professional fees incurred | 2016-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2016-01-31 | Yes |
| Value of fidelity bond cover | 2016-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-01-31 | No |
| Contributions received from participants | 2016-01-31 | $4,361,981 |
| Participant contributions at end of year | 2016-01-31 | $2,088 |
| Participant contributions at beginning of year | 2016-01-31 | $35,848 |
| Administrative expenses (other) incurred | 2016-01-31 | $26,535 |
| Liabilities. Value of operating payables at end of year | 2016-01-31 | $1,849 |
| Liabilities. Value of operating payables at beginning of year | 2016-01-31 | $1,881 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Value of net income/loss | 2016-01-31 | $-660,232 |
| Value of net assets at end of year (total assets less liabilities) | 2016-01-31 | $2,480,334 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-01-31 | $3,140,566 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-01-31 | $2,480,095 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-01-31 | $3,106,599 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-01-31 | $3,106,599 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-01-31 | $2,268 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-01-31 | $4,901,155 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-01-31 | $91,591 |
| Did the plan have assets held for investment | 2016-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-01-31 | Qualified |
| Accountancy firm name | 2016-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2016-01-31 | 953655325 |
| 2015 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2015 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2015-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-01-31 | $1,881 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-01-31 | $1,903 |
| Total income from all sources (including contributions) | 2015-01-31 | $4,665,117 |
| Total loss/gain on sale of assets | 2015-01-31 | $0 |
| Total of all expenses incurred | 2015-01-31 | $5,240,545 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-01-31 | $5,205,733 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-01-31 | $4,662,569 |
| Value of total assets at end of year | 2015-01-31 | $3,142,447 |
| Value of total assets at beginning of year | 2015-01-31 | $3,717,897 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-01-31 | $34,812 |
| Total interest from all sources | 2015-01-31 | $2,548 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-01-31 | No |
| Administrative expenses professional fees incurred | 2015-01-31 | $5,475 |
| Was this plan covered by a fidelity bond | 2015-01-31 | Yes |
| Value of fidelity bond cover | 2015-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-01-31 | No |
| Contributions received from participants | 2015-01-31 | $4,662,569 |
| Participant contributions at end of year | 2015-01-31 | $35,848 |
| Participant contributions at beginning of year | 2015-01-31 | $67,341 |
| Administrative expenses (other) incurred | 2015-01-31 | $29,337 |
| Liabilities. Value of operating payables at end of year | 2015-01-31 | $1,881 |
| Liabilities. Value of operating payables at beginning of year | 2015-01-31 | $1,903 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Value of net income/loss | 2015-01-31 | $-575,428 |
| Value of net assets at end of year (total assets less liabilities) | 2015-01-31 | $3,140,566 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-01-31 | $3,715,994 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-01-31 | $3,106,599 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-01-31 | $3,650,556 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-01-31 | $3,650,556 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-01-31 | $2,548 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-01-31 | $5,087,661 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-01-31 | $118,072 |
| Did the plan have assets held for investment | 2015-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-01-31 | Qualified |
| Accountancy firm name | 2015-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2015-01-31 | 953655325 |
| 2014 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-01-31 | $1,903 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-01-31 | $1,886 |
| Total income from all sources (including contributions) | 2014-01-31 | $2,716,802 |
| Total loss/gain on sale of assets | 2014-01-31 | $0 |
| Total of all expenses incurred | 2014-01-31 | $4,996,916 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-01-31 | $4,904,589 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-01-31 | $2,671,495 |
| Value of total assets at end of year | 2014-01-31 | $3,717,897 |
| Value of total assets at beginning of year | 2014-01-31 | $5,997,994 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-01-31 | $92,327 |
| Total interest from all sources | 2014-01-31 | $3,741 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-01-31 | No |
| Administrative expenses professional fees incurred | 2014-01-31 | $65,403 |
| Was this plan covered by a fidelity bond | 2014-01-31 | Yes |
| Value of fidelity bond cover | 2014-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-01-31 | No |
| Contributions received from participants | 2014-01-31 | $2,671,495 |
| Participant contributions at end of year | 2014-01-31 | $67,341 |
| Participant contributions at beginning of year | 2014-01-31 | $81,723 |
| Other income not declared elsewhere | 2014-01-31 | $41,566 |
| Administrative expenses (other) incurred | 2014-01-31 | $26,924 |
| Liabilities. Value of operating payables at end of year | 2014-01-31 | $1,903 |
| Liabilities. Value of operating payables at beginning of year | 2014-01-31 | $1,886 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Value of net income/loss | 2014-01-31 | $-2,280,114 |
| Value of net assets at end of year (total assets less liabilities) | 2014-01-31 | $3,715,994 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-01-31 | $5,996,108 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-01-31 | $3,650,556 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-01-31 | $5,916,271 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-01-31 | $5,916,271 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-01-31 | $3,741 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-01-31 | $4,765,179 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-01-31 | $139,410 |
| Did the plan have assets held for investment | 2014-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-01-31 | Adverse |
| Accountancy firm name | 2014-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2014-01-31 | 953655325 |
| 2013 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2013 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2013-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-01-31 | $1,886 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-01-31 | $6,637 |
| Total income from all sources (including contributions) | 2013-01-31 | $4,101,522 |
| Total loss/gain on sale of assets | 2013-01-31 | $0 |
| Total of all expenses incurred | 2013-01-31 | $4,499,421 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-01-31 | $4,462,601 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-01-31 | $4,092,783 |
| Value of total assets at end of year | 2013-01-31 | $5,997,994 |
| Value of total assets at beginning of year | 2013-01-31 | $6,400,644 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-01-31 | $36,820 |
| Total interest from all sources | 2013-01-31 | $8,739 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-01-31 | No |
| Administrative expenses professional fees incurred | 2013-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2013-01-31 | Yes |
| Value of fidelity bond cover | 2013-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-01-31 | No |
| Contributions received from participants | 2013-01-31 | $4,092,783 |
| Participant contributions at end of year | 2013-01-31 | $81,723 |
| Administrative expenses (other) incurred | 2013-01-31 | $31,620 |
| Liabilities. Value of operating payables at end of year | 2013-01-31 | $1,886 |
| Liabilities. Value of operating payables at beginning of year | 2013-01-31 | $6,637 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-01-31 | No |
| Value of net income/loss | 2013-01-31 | $-397,899 |
| Value of net assets at end of year (total assets less liabilities) | 2013-01-31 | $5,996,108 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-01-31 | $6,394,007 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-01-31 | $5,916,271 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-01-31 | $6,400,644 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-01-31 | $6,400,644 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-01-31 | $8,739 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-01-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-01-31 | $4,334,298 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-01-31 | $128,303 |
| Did the plan have assets held for investment | 2013-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-01-31 | Adverse |
| Accountancy firm name | 2013-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2013-01-31 | 953655325 |
| 2012 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2012 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2012-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-01-31 | $6,637 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-01-31 | $0 |
| Total income from all sources (including contributions) | 2012-01-31 | $5,733,906 |
| Total loss/gain on sale of assets | 2012-01-31 | $0 |
| Total of all expenses incurred | 2012-01-31 | $4,482,086 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-01-31 | $4,446,610 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-01-31 | $5,717,588 |
| Value of total assets at end of year | 2012-01-31 | $6,400,644 |
| Value of total assets at beginning of year | 2012-01-31 | $5,142,187 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-01-31 | $35,476 |
| Total interest from all sources | 2012-01-31 | $16,318 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-01-31 | No |
| Administrative expenses professional fees incurred | 2012-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2012-01-31 | Yes |
| Value of fidelity bond cover | 2012-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-01-31 | No |
| Contributions received from participants | 2012-01-31 | $5,717,588 |
| Administrative expenses (other) incurred | 2012-01-31 | $30,276 |
| Liabilities. Value of operating payables at end of year | 2012-01-31 | $6,637 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-01-31 | No |
| Value of net income/loss | 2012-01-31 | $1,251,820 |
| Value of net assets at end of year (total assets less liabilities) | 2012-01-31 | $6,394,007 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-01-31 | $5,142,187 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-01-31 | $6,400,644 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-01-31 | $5,142,187 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-01-31 | $5,142,187 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-01-31 | $16,318 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-01-31 | $4,325,644 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-01-31 | $120,966 |
| Did the plan have assets held for investment | 2012-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-01-31 | Unqualified |
| Accountancy firm name | 2012-01-31 | BOWEN, MCBETH, INC. |
| Accountancy firm EIN | 2012-01-31 | 953655325 |
| 2011 : PARI-MUTUEL EMPLOYEES GUILD OF CA LOCAL 280 HEALTH & WELFARE TRUST 2011 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2011-01-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-01-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-01-31 | $1,065,642 |
| Total income from all sources (including contributions) | 2011-01-31 | $4,735,112 |
| Total loss/gain on sale of assets | 2011-01-31 | $0 |
| Total of all expenses incurred | 2011-01-31 | $4,097,144 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-01-31 | $4,087,784 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-01-31 | $4,712,444 |
| Value of total assets at end of year | 2011-01-31 | $5,142,187 |
| Value of total assets at beginning of year | 2011-01-31 | $5,569,861 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-01-31 | $9,360 |
| Total interest from all sources | 2011-01-31 | $22,668 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-01-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-01-31 | No |
| Administrative expenses professional fees incurred | 2011-01-31 | $5,200 |
| Was this plan covered by a fidelity bond | 2011-01-31 | Yes |
| Value of fidelity bond cover | 2011-01-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-01-31 | No |
| Contributions received from participants | 2011-01-31 | $4,712,444 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-01-31 | $1,067,533 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-01-31 | $1,065,642 |
| Administrative expenses (other) incurred | 2011-01-31 | $4,160 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-01-31 | No |
| Value of net income/loss | 2011-01-31 | $637,968 |
| Value of net assets at end of year (total assets less liabilities) | 2011-01-31 | $5,142,187 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-01-31 | $4,504,219 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-01-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-01-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-01-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-01-31 | $5,142,187 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-01-31 | $4,502,328 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-01-31 | $4,502,328 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-01-31 | $22,668 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-01-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-01-31 | $3,990,785 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-01-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-01-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-01-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-01-31 | $96,999 |
| Did the plan have assets held for investment | 2011-01-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-01-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-01-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-01-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-01-31 | Unqualified |
| Accountancy firm name | 2011-01-31 | BOWEM, MCBETH, INC. |
| Accountancy firm EIN | 2011-01-31 | 953655325 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 3 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 318 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $1,739 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $57,969 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $1,739 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 2 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 340 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $1,453 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,038 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,453 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 1 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 304 | | Insurance policy start date | 2022-02-01 | | Insurance policy end date | 2023-01-31 | | Total amount of commissions paid to insurance broker | USD $2,372 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,828 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,372 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 3 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 314 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $1,721 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $54,315 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $1,721 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 2 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 343 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $1,438 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,774 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,438 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 1 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 315 | | Insurance policy start date | 2021-02-01 | | Insurance policy end date | 2022-01-31 | | Total amount of commissions paid to insurance broker | USD $2,248 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,530 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,248 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 1 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 307 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $2,513 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,776 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,513 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 2 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 327 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $1,581 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,168 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,581 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 3 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 308 | | Insurance policy start date | 2020-02-01 | | Insurance policy end date | 2021-01-31 | | Total amount of commissions paid to insurance broker | USD $1,963 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $65,428 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $1,963 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 1 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 405 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $2,866 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,866 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 2 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 435 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $1,737 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,446 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,737 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 3 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 396 | | Insurance policy start date | 2019-02-01 | | Insurance policy end date | 2020-01-31 | | Total amount of commissions paid to insurance broker | USD $2,168 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,272 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $2,168 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 301434 |
| Policy instance | 1 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 402 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $2,866 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,806 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,866 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 2 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 419 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $1,766 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,314 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,766 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 3 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 401 | | Insurance policy start date | 2018-02-01 | | Insurance policy end date | 2019-01-31 | | Total amount of commissions paid to insurance broker | USD $1,961 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $65,365 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $1,961 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 3 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 404 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $1,731 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $45,981 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,731 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 2 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 390 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $2,979 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $29,214 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,979 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 1 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 399 | | Insurance policy start date | 2017-02-01 | | Insurance policy end date | 2018-01-31 | | Total amount of commissions paid to insurance broker | USD $2,011 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $67,023 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $2,011 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 1 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 499 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $2,259 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $75,314 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $2,259 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 2 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 492 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $3,795 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,962 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,795 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 412802 |
| Policy instance | 3 |
| Insurance contract or identification number | 412802 | | Number of Individuals Covered | 516 | | Insurance policy start date | 2015-02-01 | | Insurance policy end date | 2016-01-31 | | Total amount of commissions paid to insurance broker | USD $1,976 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,976 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES, LLC |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 301434 |
| Policy instance | 3 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 498 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $3,250 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $35,532 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,250 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00412802 |
| Policy instance | 1 |
| Insurance contract or identification number | 00412802 | | Number of Individuals Covered | 513 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $1,987 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,987 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 2 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 486 | | Insurance policy start date | 2014-02-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $2,283 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $76,112 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,283 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 301434 |
| Policy instance | 2 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 497 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $3,607 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $35,226 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,607 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 1 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 495 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $2,228 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $74,269 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,228 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00412802 |
| Policy instance | 3 |
| Insurance contract or identification number | 00412802 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2013-02-01 | | Insurance policy end date | 2014-01-31 | | Total amount of commissions paid to insurance broker | USD $1,944 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,944 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00412802 |
| Policy instance | 3 |
| Insurance contract or identification number | 00412802 | | Number of Individuals Covered | 491 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $1,894 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,894 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 2 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 487 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $1,828 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $60,917 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,828 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
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| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 301434 |
| Policy instance | 1 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 490 | | Insurance policy start date | 2012-02-01 | | Insurance policy end date | 2013-01-31 | | Total amount of commissions paid to insurance broker | USD $3,172 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $35,331 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,172 | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON INSURANCE BROKERS, LLC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00412802 |
| Policy instance | 1 |
| Insurance contract or identification number | 00412802 | | Number of Individuals Covered | 446 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $2,038 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 301434 |
| Policy instance | 2 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 441 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $4,970 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $49,697 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 3 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 454 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2012-01-31 | | Total amount of commissions paid to insurance broker | USD $2,194 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $73,122 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4602 |
| Policy instance | 1 |
| Insurance contract or identification number | 4602 | | Number of Individuals Covered | 570 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $2,310 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | 301434 |
| Policy instance | 2 |
| Insurance contract or identification number | 301434 | | Number of Individuals Covered | 552 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $4,783 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $47,843 | | 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: 00000 ) |
| Policy contract number | 00412802 |
| Policy instance | 3 |
| Insurance contract or identification number | 00412802 | | Number of Individuals Covered | 609 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-01-31 | | Total amount of commissions paid to insurance broker | USD $2,118 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
