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ROOFERS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameROOFERS HEALTH AND WELFARE PLAN
Plan identification number 501

ROOFERS HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

BAY AREA ROOFERS HEALTH AND WELFARE TRUST FUND BOARD OF TRUSTEES has sponsored the creation of one or more 401k plans.

Company Name:BAY AREA ROOFERS HEALTH AND WELFARE TRUST FUND BOARD OF TRUSTEES
Employer identification number (EIN):946074642
NAIC Classification:238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROOFERS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-08-01CARLOS OPFERMANN2023-05-08 MANUEL DE SANTIAGO III2023-05-08
5012020-08-01CARLOS OPFERMANN2022-04-21 WILLIAM D. CALLAHAN2022-04-21
5012019-08-01DOUGLAS ZIEGLER2021-05-11 WILLIAM D. CALLAHAN2021-05-11
5012018-08-01DOUGLAS ZIEGLER2020-06-16 KEITH ROBNETT2020-06-16
5012017-08-01DOUGLAS ZIEGLER2019-04-30 KEITH ROBNETT2019-04-30
5012016-08-01
5012015-08-01ROBERT RIOS
5012014-08-01STEVEN TUCKER
5012013-08-01STEVEN TUCKER
5012012-08-01STEVEN TUCKER
5012011-08-01STEVEN TUCKER
5012009-08-01DOUGLAS ZIEGLER

Plan Statistics for ROOFERS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for ROOFERS HEALTH AND WELFARE PLAN

Measure Date Value
2021: ROOFERS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-012,057
Total number of active participants reported on line 7a of the Form 55002021-08-011,801
Number of retired or separated participants receiving benefits2021-08-0189
Total of all active and inactive participants2021-08-011,890
Number of employers contributing to the scheme2021-08-01110
2020: ROOFERS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-012,111
Total number of active participants reported on line 7a of the Form 55002020-08-011,969
Number of retired or separated participants receiving benefits2020-08-0188
Total of all active and inactive participants2020-08-012,057
Number of employers contributing to the scheme2020-08-01118
2019: ROOFERS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-012,013
Total number of active participants reported on line 7a of the Form 55002019-08-012,020
Number of retired or separated participants receiving benefits2019-08-0191
Total of all active and inactive participants2019-08-012,111
Number of employers contributing to the scheme2019-08-01120
2018: ROOFERS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-011,955
Total number of active participants reported on line 7a of the Form 55002018-08-011,919
Number of retired or separated participants receiving benefits2018-08-0194
Total of all active and inactive participants2018-08-012,013
Number of employers contributing to the scheme2018-08-01187
2017: ROOFERS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-011,932
Total number of active participants reported on line 7a of the Form 55002017-08-011,856
Number of retired or separated participants receiving benefits2017-08-0199
Total of all active and inactive participants2017-08-011,955
Number of employers contributing to the scheme2017-08-01182
2016: ROOFERS HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-011,653
Total number of active participants reported on line 7a of the Form 55002016-08-011,831
Number of retired or separated participants receiving benefits2016-08-01101
Total of all active and inactive participants2016-08-011,932
Number of employers contributing to the scheme2016-08-01179
2015: ROOFERS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-011,518
Total number of active participants reported on line 7a of the Form 55002015-08-011,549
Number of retired or separated participants receiving benefits2015-08-01104
Total of all active and inactive participants2015-08-011,653
Number of employers contributing to the scheme2015-08-01176
2014: ROOFERS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-011,455
Total number of active participants reported on line 7a of the Form 55002014-08-011,410
Number of retired or separated participants receiving benefits2014-08-01108
Total of all active and inactive participants2014-08-011,518
Number of employers contributing to the scheme2014-08-01169
2013: ROOFERS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-011,459
Total number of active participants reported on line 7a of the Form 55002013-08-011,340
Number of retired or separated participants receiving benefits2013-08-01115
Total of all active and inactive participants2013-08-011,455
Number of employers contributing to the scheme2013-08-01171
2012: ROOFERS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-011,458
Total number of active participants reported on line 7a of the Form 55002012-08-011,348
Number of retired or separated participants receiving benefits2012-08-01111
Total of all active and inactive participants2012-08-011,459
Number of employers contributing to the scheme2012-08-01171
2011: ROOFERS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-011,403
Total number of active participants reported on line 7a of the Form 55002011-08-011,321
Number of retired or separated participants receiving benefits2011-08-01137
Total of all active and inactive participants2011-08-011,458
Number of employers contributing to the scheme2011-08-01156
2009: ROOFERS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-012,669
Total number of active participants reported on line 7a of the Form 55002009-08-012,115
Number of retired or separated participants receiving benefits2009-08-01164
Total of all active and inactive participants2009-08-012,279
Number of employers contributing to the scheme2009-08-01127

Financial Data on ROOFERS HEALTH AND WELFARE PLAN

Measure Date Value
2022 : ROOFERS HEALTH AND WELFARE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-31$16,505,392
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-31$15,763,992
Total income from all sources (including contributions)2022-07-31$33,996,109
Total loss/gain on sale of assets2022-07-31$0
Total of all expenses incurred2022-07-31$37,180,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-31$35,900,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-31$33,118,330
Value of total assets at end of year2022-07-31$35,589,741
Value of total assets at beginning of year2022-07-31$38,032,637
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-31$1,279,819
Total interest from all sources2022-07-31$55,994
Total dividends received (eg from common stock, registered investment company shares)2022-07-31$378,366
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-31No
Administrative expenses professional fees incurred2022-07-31$186,421
Was this plan covered by a fidelity bond2022-07-31Yes
Value of fidelity bond cover2022-07-31$1,565,000
Were there any nonexempt tranactions with any party-in-interest2022-07-31No
Contributions received from participants2022-07-31$1,074,366
Assets. Other investments not covered elsewhere at end of year2022-07-31$67,210
Assets. Other investments not covered elsewhere at beginning of year2022-07-31$53,927
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-07-31$3,444,946
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-07-31$3,942,234
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-07-31$7,924,876
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-07-31$8,037,449
Other income not declared elsewhere2022-07-31$1,870,024
Administrative expenses (other) incurred2022-07-31$490,651
Liabilities. Value of operating payables at end of year2022-07-31$122,433
Liabilities. Value of operating payables at beginning of year2022-07-31$112,676
Total non interest bearing cash at end of year2022-07-31$2,314,641
Total non interest bearing cash at beginning of year2022-07-31$4,742,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Value of net income/loss2022-07-31$-3,184,296
Value of net assets at end of year (total assets less liabilities)2022-07-31$19,084,349
Value of net assets at beginning of year (total assets less liabilities)2022-07-31$22,268,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-31No
Were any leases to which the plan was party in default or uncollectible2022-07-31No
Investment advisory and management fees2022-07-31$52,426
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-07-31$15,167,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-07-31$13,215,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-07-31$10,501,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-07-31$12,175,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-07-31$12,175,368
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-07-31$55,994
Expenses. Payments to insurance carriers foe the provision of benefits2022-07-31$18,693,856
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-07-31$-1,426,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-31Yes
Was there a failure to transmit to the plan any participant contributions2022-07-31No
Has the plan failed to provide any benefit when due under the plan2022-07-31No
Contributions received in cash from employer2022-07-31$32,043,964
Employer contributions (assets) at end of year2022-07-31$4,094,077
Employer contributions (assets) at beginning of year2022-07-31$3,903,139
Income. Dividends from common stock2022-07-31$378,366
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-07-31$17,206,730
Contract administrator fees2022-07-31$550,321
Liabilities. Value of benefit claims payable at end of year2022-07-31$8,458,083
Liabilities. Value of benefit claims payable at beginning of year2022-07-31$7,613,867
Did the plan have assets held for investment2022-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-31No
Opinion of an independent qualified public accountant for this plan2022-07-31Unqualified
Accountancy firm name2022-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2022-07-31562552172
2021 : ROOFERS HEALTH AND WELFARE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-07-31$15,763,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-07-31$15,453,844
Total income from all sources (including contributions)2021-07-31$40,530,684
Total loss/gain on sale of assets2021-07-31$0
Total of all expenses incurred2021-07-31$38,564,975
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-07-31$37,277,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-07-31$37,154,040
Value of total assets at end of year2021-07-31$38,032,637
Value of total assets at beginning of year2021-07-31$35,756,780
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-07-31$1,287,751
Total interest from all sources2021-07-31$56,066
Total dividends received (eg from common stock, registered investment company shares)2021-07-31$229,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-07-31No
Administrative expenses professional fees incurred2021-07-31$151,289
Was this plan covered by a fidelity bond2021-07-31Yes
Value of fidelity bond cover2021-07-31$1,565,000
Were there any nonexempt tranactions with any party-in-interest2021-07-31No
Contributions received from participants2021-07-31$1,057,450
Assets. Other investments not covered elsewhere at end of year2021-07-31$53,927
Assets. Other investments not covered elsewhere at beginning of year2021-07-31$48,800
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-07-31$3,942,234
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-07-31$3,727,640
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-07-31$8,037,449
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-07-31$6,212,114
Other income not declared elsewhere2021-07-31$3,038,951
Administrative expenses (other) incurred2021-07-31$562,512
Liabilities. Value of operating payables at end of year2021-07-31$112,676
Liabilities. Value of operating payables at beginning of year2021-07-31$447,837
Total non interest bearing cash at end of year2021-07-31$4,742,236
Total non interest bearing cash at beginning of year2021-07-31$5,427,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Value of net income/loss2021-07-31$1,965,709
Value of net assets at end of year (total assets less liabilities)2021-07-31$22,268,645
Value of net assets at beginning of year (total assets less liabilities)2021-07-31$20,302,936
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-07-31No
Were any leases to which the plan was party in default or uncollectible2021-07-31No
Investment advisory and management fees2021-07-31$39,468
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-07-31$13,215,733
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-07-31$10,934,314
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-07-31$12,175,368
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-07-31$11,230,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-07-31$11,230,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-07-31$56,066
Expenses. Payments to insurance carriers foe the provision of benefits2021-07-31$20,554,960
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-07-31$51,944
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-07-31Yes
Was there a failure to transmit to the plan any participant contributions2021-07-31No
Has the plan failed to provide any benefit when due under the plan2021-07-31No
Contributions received in cash from employer2021-07-31$36,096,590
Employer contributions (assets) at end of year2021-07-31$3,903,139
Employer contributions (assets) at beginning of year2021-07-31$4,387,767
Income. Dividends from common stock2021-07-31$229,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-07-31$16,722,264
Contract administrator fees2021-07-31$534,482
Liabilities. Value of benefit claims payable at end of year2021-07-31$7,613,867
Liabilities. Value of benefit claims payable at beginning of year2021-07-31$8,793,893
Did the plan have assets held for investment2021-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-07-31No
Opinion of an independent qualified public accountant for this plan2021-07-31Unqualified
Accountancy firm name2021-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2021-07-31562552172
2020 : ROOFERS HEALTH AND WELFARE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$15,453,844
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$13,720,322
Total income from all sources (including contributions)2020-07-31$42,734,876
Total loss/gain on sale of assets2020-07-31$0
Total of all expenses incurred2020-07-31$37,597,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$36,196,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$38,099,985
Value of total assets at end of year2020-07-31$35,756,780
Value of total assets at beginning of year2020-07-31$28,885,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$1,400,982
Total interest from all sources2020-07-31$80,789
Total dividends received (eg from common stock, registered investment company shares)2020-07-31$249,049
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31No
Administrative expenses professional fees incurred2020-07-31$253,138
Was this plan covered by a fidelity bond2020-07-31Yes
Value of fidelity bond cover2020-07-31$1,565,000
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Contributions received from participants2020-07-31$976,570
Assets. Other investments not covered elsewhere at end of year2020-07-31$48,800
Assets. Other investments not covered elsewhere at beginning of year2020-07-31$50,751
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-07-31$3,727,640
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-07-31$2,136,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-07-31$6,212,114
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-07-31$6,157,969
Other income not declared elsewhere2020-07-31$4,331,347
Administrative expenses (other) incurred2020-07-31$564,739
Liabilities. Value of operating payables at end of year2020-07-31$447,837
Liabilities. Value of operating payables at beginning of year2020-07-31$108,460
Total non interest bearing cash at end of year2020-07-31$5,427,990
Total non interest bearing cash at beginning of year2020-07-31$5,476,602
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Value of net income/loss2020-07-31$5,137,867
Value of net assets at end of year (total assets less liabilities)2020-07-31$20,302,936
Value of net assets at beginning of year (total assets less liabilities)2020-07-31$15,165,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Investment advisory and management fees2020-07-31$35,198
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-07-31$10,934,314
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-07-31$6,711,585
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-07-31$11,230,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-07-31$10,725,231
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-07-31$10,725,231
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-07-31$80,789
Expenses. Payments to insurance carriers foe the provision of benefits2020-07-31$18,285,050
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-07-31$-26,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31Yes
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Contributions received in cash from employer2020-07-31$37,123,415
Employer contributions (assets) at end of year2020-07-31$4,387,767
Employer contributions (assets) at beginning of year2020-07-31$3,784,642
Income. Dividends from common stock2020-07-31$249,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-31$17,910,977
Contract administrator fees2020-07-31$547,907
Liabilities. Value of benefit claims payable at end of year2020-07-31$8,793,893
Liabilities. Value of benefit claims payable at beginning of year2020-07-31$7,453,893
Did the plan have assets held for investment2020-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31No
Opinion of an independent qualified public accountant for this plan2020-07-31Unqualified
Accountancy firm name2020-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2020-07-31562552172
2019 : ROOFERS HEALTH AND WELFARE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$13,720,322
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$10,293,795
Total income from all sources (including contributions)2019-07-31$39,356,407
Total loss/gain on sale of assets2019-07-31$0
Total of all expenses incurred2019-07-31$32,588,913
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-07-31$31,422,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-07-31$34,927,356
Value of total assets at end of year2019-07-31$28,885,391
Value of total assets at beginning of year2019-07-31$18,691,370
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-07-31$1,166,260
Total interest from all sources2019-07-31$166,500
Total dividends received (eg from common stock, registered investment company shares)2019-07-31$38,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-07-31$38,598
Administrative expenses professional fees incurred2019-07-31$138,339
Was this plan covered by a fidelity bond2019-07-31Yes
Value of fidelity bond cover2019-07-31$1,565,000
Were there any nonexempt tranactions with any party-in-interest2019-07-31No
Contributions received from participants2019-07-31$970,943
Assets. Other investments not covered elsewhere at end of year2019-07-31$50,751
Assets. Other investments not covered elsewhere at beginning of year2019-07-31$48,608
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-07-31$2,136,580
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-07-31$1,975,273
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-07-31$6,157,969
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-07-31$5,387,210
Other income not declared elsewhere2019-07-31$4,177,102
Administrative expenses (other) incurred2019-07-31$506,457
Liabilities. Value of operating payables at end of year2019-07-31$108,460
Liabilities. Value of operating payables at beginning of year2019-07-31$129,654
Total non interest bearing cash at end of year2019-07-31$5,476,602
Total non interest bearing cash at beginning of year2019-07-31$3,239,048
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Value of net income/loss2019-07-31$6,767,494
Value of net assets at end of year (total assets less liabilities)2019-07-31$15,165,069
Value of net assets at beginning of year (total assets less liabilities)2019-07-31$8,397,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-07-31No
Were any leases to which the plan was party in default or uncollectible2019-07-31No
Investment advisory and management fees2019-07-31$18,878
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-07-31$6,711,585
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-07-31$5,005,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-07-31$10,725,231
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-07-31$5,052,178
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-07-31$5,052,178
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-07-31$166,500
Expenses. Payments to insurance carriers foe the provision of benefits2019-07-31$15,732,116
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-07-31$46,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-07-31Yes
Was there a failure to transmit to the plan any participant contributions2019-07-31No
Has the plan failed to provide any benefit when due under the plan2019-07-31No
Contributions received in cash from employer2019-07-31$33,956,413
Employer contributions (assets) at end of year2019-07-31$3,784,642
Employer contributions (assets) at beginning of year2019-07-31$3,370,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-07-31$15,690,537
Contract administrator fees2019-07-31$502,586
Liabilities. Value of benefit claims payable at end of year2019-07-31$7,453,893
Liabilities. Value of benefit claims payable at beginning of year2019-07-31$4,776,931
Did the plan have assets held for investment2019-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-07-31No
Opinion of an independent qualified public accountant for this plan2019-07-31Unqualified
Accountancy firm name2019-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2019-07-31562552172
2018 : ROOFERS HEALTH AND WELFARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$10,293,795
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$9,898,309
Total income from all sources (including contributions)2018-07-31$33,439,366
Total loss/gain on sale of assets2018-07-31$0
Total of all expenses incurred2018-07-31$27,977,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-31$26,806,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-31$32,477,396
Value of total assets at end of year2018-07-31$18,691,370
Value of total assets at beginning of year2018-07-31$12,833,663
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-31$1,170,536
Total interest from all sources2018-07-31$6,299
Total dividends received (eg from common stock, registered investment company shares)2018-07-31$4,264
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-07-31$4,264
Administrative expenses professional fees incurred2018-07-31$205,734
Was this plan covered by a fidelity bond2018-07-31Yes
Value of fidelity bond cover2018-07-31$1,565,000
Were there any nonexempt tranactions with any party-in-interest2018-07-31No
Contributions received from participants2018-07-31$998,350
Assets. Other investments not covered elsewhere at end of year2018-07-31$48,608
Assets. Other investments not covered elsewhere at beginning of year2018-07-31$49,268
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-07-31$1,975,273
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-07-31$501,242
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-07-31$5,387,210
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-07-31$4,902,917
Other income not declared elsewhere2018-07-31$949,993
Administrative expenses (other) incurred2018-07-31$487,315
Liabilities. Value of operating payables at end of year2018-07-31$129,654
Liabilities. Value of operating payables at beginning of year2018-07-31$101,346
Total non interest bearing cash at end of year2018-07-31$3,239,048
Total non interest bearing cash at beginning of year2018-07-31$3,655,257
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Value of net income/loss2018-07-31$5,462,221
Value of net assets at end of year (total assets less liabilities)2018-07-31$8,397,575
Value of net assets at beginning of year (total assets less liabilities)2018-07-31$2,935,354
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-31No
Were any leases to which the plan was party in default or uncollectible2018-07-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-07-31$5,005,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-07-31$5,052,178
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-07-31$5,815,932
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-07-31$5,815,932
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-07-31$6,299
Expenses. Payments to insurance carriers foe the provision of benefits2018-07-31$14,527,807
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-07-31$1,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-31Yes
Was there a failure to transmit to the plan any participant contributions2018-07-31No
Has the plan failed to provide any benefit when due under the plan2018-07-31No
Contributions received in cash from employer2018-07-31$31,479,046
Employer contributions (assets) at end of year2018-07-31$3,370,585
Employer contributions (assets) at beginning of year2018-07-31$2,811,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-07-31$12,278,802
Contract administrator fees2018-07-31$477,487
Liabilities. Value of benefit claims payable at end of year2018-07-31$4,776,931
Liabilities. Value of benefit claims payable at beginning of year2018-07-31$4,894,046
Did the plan have assets held for investment2018-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-31No
Opinion of an independent qualified public accountant for this plan2018-07-31Unqualified
Accountancy firm name2018-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2018-07-31562552172
2017 : ROOFERS HEALTH AND WELFARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$9,898,309
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-07-31$9,376,325
Total income from all sources (including contributions)2017-07-31$28,949,420
Total loss/gain on sale of assets2017-07-31$0
Total of all expenses incurred2017-07-31$26,429,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-07-31$25,324,267
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-07-31$28,207,281
Value of total assets at end of year2017-07-31$12,833,663
Value of total assets at beginning of year2017-07-31$9,791,385
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-07-31$1,104,859
Total interest from all sources2017-07-31$2,886
Total dividends received (eg from common stock, registered investment company shares)2017-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-07-31No
Administrative expenses professional fees incurred2017-07-31$130,363
Was this plan covered by a fidelity bond2017-07-31Yes
Value of fidelity bond cover2017-07-31$1,565,000
If this is an individual account plan, was there a blackout period2017-07-31No
Were there any nonexempt tranactions with any party-in-interest2017-07-31No
Contributions received from participants2017-07-31$1,014,615
Assets. Other investments not covered elsewhere at end of year2017-07-31$49,268
Assets. Other investments not covered elsewhere at beginning of year2017-07-31$49,730
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-07-31$501,242
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-07-31$2,200,148
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-07-31$4,902,917
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-07-31$4,343,526
Other income not declared elsewhere2017-07-31$739,253
Administrative expenses (other) incurred2017-07-31$528,839
Liabilities. Value of operating payables at end of year2017-07-31$101,346
Liabilities. Value of operating payables at beginning of year2017-07-31$83,505
Total non interest bearing cash at end of year2017-07-31$3,655,257
Total non interest bearing cash at beginning of year2017-07-31$2,122,686
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Value of net income/loss2017-07-31$2,520,294
Value of net assets at end of year (total assets less liabilities)2017-07-31$2,935,354
Value of net assets at beginning of year (total assets less liabilities)2017-07-31$415,060
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-07-31No
Were any leases to which the plan was party in default or uncollectible2017-07-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-07-31$5,815,932
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-07-31$2,891,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-07-31$2,891,902
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-07-31$2,886
Expenses. Payments to insurance carriers foe the provision of benefits2017-07-31$13,618,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-07-31No
Was there a failure to transmit to the plan any participant contributions2017-07-31No
Has the plan failed to provide any benefit when due under the plan2017-07-31No
Contributions received in cash from employer2017-07-31$27,192,666
Employer contributions (assets) at end of year2017-07-31$2,811,964
Employer contributions (assets) at beginning of year2017-07-31$2,526,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-07-31$11,705,491
Contract administrator fees2017-07-31$445,657
Liabilities. Value of benefit claims payable at end of year2017-07-31$4,894,046
Liabilities. Value of benefit claims payable at beginning of year2017-07-31$4,949,294
Did the plan have assets held for investment2017-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-07-31No
Opinion of an independent qualified public accountant for this plan2017-07-31Unqualified
Accountancy firm name2017-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2017-07-31562552172
2016 : ROOFERS HEALTH AND WELFARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-31$9,376,325
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-07-31$7,782,227
Total income from all sources (including contributions)2016-07-31$26,570,711
Total loss/gain on sale of assets2016-07-31$0
Total of all expenses incurred2016-07-31$25,427,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-07-31$24,408,702
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-07-31$24,207,400
Value of total assets at end of year2016-07-31$9,791,385
Value of total assets at beginning of year2016-07-31$7,053,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-07-31$1,018,684
Total interest from all sources2016-07-31$2,148
Total dividends received (eg from common stock, registered investment company shares)2016-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-07-31No
Administrative expenses professional fees incurred2016-07-31$160,291
Was this plan covered by a fidelity bond2016-07-31Yes
Value of fidelity bond cover2016-07-31$1,565,000
If this is an individual account plan, was there a blackout period2016-07-31No
Were there any nonexempt tranactions with any party-in-interest2016-07-31No
Contributions received from participants2016-07-31$1,095,455
Assets. Other investments not covered elsewhere at end of year2016-07-31$49,730
Assets. Other investments not covered elsewhere at beginning of year2016-07-31$46,702
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-07-31$2,200,148
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-07-31$587,237
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-07-31$4,343,526
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-07-31$3,915,157
Other income not declared elsewhere2016-07-31$2,361,163
Administrative expenses (other) incurred2016-07-31$514,068
Liabilities. Value of operating payables at end of year2016-07-31$83,505
Liabilities. Value of operating payables at beginning of year2016-07-31$65,403
Total non interest bearing cash at end of year2016-07-31$2,122,686
Total non interest bearing cash at beginning of year2016-07-31$1,881,212
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Value of net income/loss2016-07-31$1,143,325
Value of net assets at end of year (total assets less liabilities)2016-07-31$415,060
Value of net assets at beginning of year (total assets less liabilities)2016-07-31$-728,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-07-31No
Were any leases to which the plan was party in default or uncollectible2016-07-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-07-31$2,891,902
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-07-31$2,263,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-07-31$2,263,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-07-31$2,148
Expenses. Payments to insurance carriers foe the provision of benefits2016-07-31$14,022,435
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-07-31No
Was there a failure to transmit to the plan any participant contributions2016-07-31No
Has the plan failed to provide any benefit when due under the plan2016-07-31No
Contributions received in cash from employer2016-07-31$23,111,945
Employer contributions (assets) at end of year2016-07-31$2,526,919
Employer contributions (assets) at beginning of year2016-07-31$2,275,751
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-07-31$10,386,267
Contract administrator fees2016-07-31$344,325
Liabilities. Value of benefit claims payable at end of year2016-07-31$4,949,294
Liabilities. Value of benefit claims payable at beginning of year2016-07-31$3,801,667
Did the plan have assets held for investment2016-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-07-31No
Opinion of an independent qualified public accountant for this plan2016-07-31Unqualified
Accountancy firm name2016-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2016-07-31562552172
2015 : ROOFERS HEALTH AND WELFARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-31$7,782,227
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-07-31$6,482,429
Total income from all sources (including contributions)2015-07-31$22,536,510
Total loss/gain on sale of assets2015-07-31$199
Total of all expenses incurred2015-07-31$21,959,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-07-31$21,133,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-07-31$21,420,304
Value of total assets at end of year2015-07-31$7,053,962
Value of total assets at beginning of year2015-07-31$5,176,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-07-31$825,958
Total interest from all sources2015-07-31$121,020
Total dividends received (eg from common stock, registered investment company shares)2015-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-07-31No
Administrative expenses professional fees incurred2015-07-31$75,620
Was this plan covered by a fidelity bond2015-07-31Yes
Value of fidelity bond cover2015-07-31$1,565,000
If this is an individual account plan, was there a blackout period2015-07-31No
Were there any nonexempt tranactions with any party-in-interest2015-07-31No
Contributions received from participants2015-07-31$1,123,580
Assets. Other investments not covered elsewhere at end of year2015-07-31$46,702
Assets. Other investments not covered elsewhere at beginning of year2015-07-31$46,922
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-07-31$587,237
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-07-31$451,686
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-07-31$3,915,157
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-07-31$2,922,171
Other income not declared elsewhere2015-07-31$994,987
Administrative expenses (other) incurred2015-07-31$438,902
Liabilities. Value of operating payables at end of year2015-07-31$65,403
Liabilities. Value of operating payables at beginning of year2015-07-31$62,619
Total non interest bearing cash at end of year2015-07-31$1,881,212
Total non interest bearing cash at beginning of year2015-07-31$1,431,462
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Value of net income/loss2015-07-31$577,477
Value of net assets at end of year (total assets less liabilities)2015-07-31$-728,265
Value of net assets at beginning of year (total assets less liabilities)2015-07-31$-1,305,742
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-07-31No
Were any leases to which the plan was party in default or uncollectible2015-07-31No
Investment advisory and management fees2015-07-31$728
Interest earned on other investments2015-07-31$119,073
Income. Interest from US Government securities2015-07-31$124
Income. Interest from corporate debt instruments2015-07-31$1,806
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-07-31$2,263,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-07-31$947,311
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-07-31$947,311
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-07-31$17
Expenses. Payments to insurance carriers foe the provision of benefits2015-07-31$12,855,705
Asset value of US Government securities at beginning of year2015-07-31$69,288
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-07-31Yes
Was there a failure to transmit to the plan any participant contributions2015-07-31No
Has the plan failed to provide any benefit when due under the plan2015-07-31No
Contributions received in cash from employer2015-07-31$20,296,724
Employer contributions (assets) at end of year2015-07-31$2,275,751
Employer contributions (assets) at beginning of year2015-07-31$1,927,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-07-31$8,277,370
Asset. Corporate debt instrument debt (other) at beginning of year2015-07-31$302,466
Contract administrator fees2015-07-31$310,708
Liabilities. Value of benefit claims payable at end of year2015-07-31$3,801,667
Liabilities. Value of benefit claims payable at beginning of year2015-07-31$3,497,639
Did the plan have assets held for investment2015-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-07-31No
Aggregate proceeds on sale of assets2015-07-31$371,954
Aggregate carrying amount (costs) on sale of assets2015-07-31$371,755
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-07-31No
Opinion of an independent qualified public accountant for this plan2015-07-31Unqualified
Accountancy firm name2015-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2015-07-31562552172
2014 : ROOFERS HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-07-31$-6,139
Total unrealized appreciation/depreciation of assets2014-07-31$-6,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-07-31$6,482,429
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-07-31$5,122,046
Total income from all sources (including contributions)2014-07-31$18,981,774
Total loss/gain on sale of assets2014-07-31$-8,286
Total of all expenses incurred2014-07-31$19,301,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-07-31$18,432,542
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-07-31$18,950,215
Value of total assets at end of year2014-07-31$5,176,687
Value of total assets at beginning of year2014-07-31$4,136,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-07-31$868,937
Total interest from all sources2014-07-31$21,589
Total dividends received (eg from common stock, registered investment company shares)2014-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-07-31No
Administrative expenses professional fees incurred2014-07-31$266,409
Was this plan covered by a fidelity bond2014-07-31Yes
Value of fidelity bond cover2014-07-31$1,565,000
If this is an individual account plan, was there a blackout period2014-07-31No
Were there any nonexempt tranactions with any party-in-interest2014-07-31No
Contributions received from participants2014-07-31$1,158,753
Assets. Other investments not covered elsewhere at end of year2014-07-31$46,922
Assets. Other investments not covered elsewhere at beginning of year2014-07-31$46,462
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-07-31$451,686
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-07-31$442,881
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-07-31$2,922,171
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-07-31$2,342,124
Other income not declared elsewhere2014-07-31$24,395
Administrative expenses (other) incurred2014-07-31$303,834
Liabilities. Value of operating payables at end of year2014-07-31$62,619
Liabilities. Value of operating payables at beginning of year2014-07-31$51,582
Total non interest bearing cash at end of year2014-07-31$1,431,462
Total non interest bearing cash at beginning of year2014-07-31$344,139
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-31No
Value of net income/loss2014-07-31$-319,705
Value of net assets at end of year (total assets less liabilities)2014-07-31$-1,305,742
Value of net assets at beginning of year (total assets less liabilities)2014-07-31$-986,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-07-31No
Were any leases to which the plan was party in default or uncollectible2014-07-31No
Investment advisory and management fees2014-07-31$4,180
Income. Interest from US Government securities2014-07-31$578
Income. Interest from corporate debt instruments2014-07-31$20,469
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-07-31$947,311
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-07-31$390,893
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-07-31$390,893
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-07-31$542
Expenses. Payments to insurance carriers foe the provision of benefits2014-07-31$11,318,356
Asset value of US Government securities at end of year2014-07-31$69,288
Asset value of US Government securities at beginning of year2014-07-31$578,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-07-31Yes
Was there a failure to transmit to the plan any participant contributions2014-07-31No
Has the plan failed to provide any benefit when due under the plan2014-07-31No
Contributions received in cash from employer2014-07-31$17,791,462
Employer contributions (assets) at end of year2014-07-31$1,927,552
Employer contributions (assets) at beginning of year2014-07-31$1,615,963
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-07-31$7,114,186
Asset. Corporate debt instrument debt (other) at end of year2014-07-31$302,466
Asset. Corporate debt instrument debt (other) at beginning of year2014-07-31$716,914
Contract administrator fees2014-07-31$294,514
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-07-31No
Liabilities. Value of benefit claims payable at end of year2014-07-31$3,497,639
Liabilities. Value of benefit claims payable at beginning of year2014-07-31$2,728,340
Did the plan have assets held for investment2014-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-07-31No
Aggregate proceeds on sale of assets2014-07-31$1,016,677
Aggregate carrying amount (costs) on sale of assets2014-07-31$1,024,963
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-07-31No
Opinion of an independent qualified public accountant for this plan2014-07-31Unqualified
Accountancy firm name2014-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2014-07-31562552172
2013 : ROOFERS HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-07-31$-27,246
Total unrealized appreciation/depreciation of assets2013-07-31$-27,246
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-31$5,122,046
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-07-31$6,127,530
Total income from all sources (including contributions)2013-07-31$17,802,057
Total loss/gain on sale of assets2013-07-31$-1,426
Total of all expenses incurred2013-07-31$17,280,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-07-31$16,427,231
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-07-31$17,390,847
Value of total assets at end of year2013-07-31$4,136,009
Value of total assets at beginning of year2013-07-31$4,620,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-07-31$853,375
Total interest from all sources2013-07-31$39,533
Total dividends received (eg from common stock, registered investment company shares)2013-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-07-31No
Administrative expenses professional fees incurred2013-07-31$244,750
Was this plan covered by a fidelity bond2013-07-31Yes
Value of fidelity bond cover2013-07-31$1,565,000
If this is an individual account plan, was there a blackout period2013-07-31No
Were there any nonexempt tranactions with any party-in-interest2013-07-31No
Contributions received from participants2013-07-31$1,279,576
Assets. Other investments not covered elsewhere at end of year2013-07-31$46,462
Assets. Other investments not covered elsewhere at beginning of year2013-07-31$46,452
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-07-31$442,881
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-07-31$555,367
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-07-31$2,342,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-07-31$2,311,745
Other income not declared elsewhere2013-07-31$400,349
Administrative expenses (other) incurred2013-07-31$297,166
Liabilities. Value of operating payables at end of year2013-07-31$51,582
Liabilities. Value of operating payables at beginning of year2013-07-31$50,720
Total non interest bearing cash at end of year2013-07-31$344,139
Total non interest bearing cash at beginning of year2013-07-31$323,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Value of net income/loss2013-07-31$521,451
Value of net assets at end of year (total assets less liabilities)2013-07-31$-986,037
Value of net assets at beginning of year (total assets less liabilities)2013-07-31$-1,507,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-07-31No
Were any leases to which the plan was party in default or uncollectible2013-07-31No
Investment advisory and management fees2013-07-31$5,248
Income. Interest from US Government securities2013-07-31$3,665
Income. Interest from corporate debt instruments2013-07-31$35,309
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-07-31$390,893
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-07-31$928,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-07-31$928,103
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-07-31$559
Expenses. Payments to insurance carriers foe the provision of benefits2013-07-31$10,368,040
Asset value of US Government securities at end of year2013-07-31$578,757
Asset value of US Government securities at beginning of year2013-07-31$223,652
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-07-31Yes
Was there a failure to transmit to the plan any participant contributions2013-07-31No
Has the plan failed to provide any benefit when due under the plan2013-07-31No
Contributions received in cash from employer2013-07-31$16,111,271
Employer contributions (assets) at end of year2013-07-31$1,615,963
Employer contributions (assets) at beginning of year2013-07-31$1,633,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-07-31$6,059,191
Asset. Corporate debt instrument debt (other) at end of year2013-07-31$716,914
Asset. Corporate debt instrument debt (other) at beginning of year2013-07-31$909,497
Contract administrator fees2013-07-31$306,211
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-07-31No
Liabilities. Value of benefit claims payable at end of year2013-07-31$2,728,340
Liabilities. Value of benefit claims payable at beginning of year2013-07-31$3,765,065
Did the plan have assets held for investment2013-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-07-31No
Aggregate proceeds on sale of assets2013-07-31$233,456
Aggregate carrying amount (costs) on sale of assets2013-07-31$234,882
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-07-31No
Opinion of an independent qualified public accountant for this plan2013-07-31Unqualified
Accountancy firm name2013-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2013-07-31562552172
2012 : ROOFERS HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-07-31$-17,869
Total unrealized appreciation/depreciation of assets2012-07-31$-17,869
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-31$6,127,530
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-07-31$7,094,967
Total income from all sources (including contributions)2012-07-31$17,724,805
Total loss/gain on sale of assets2012-07-31$-46,959
Total of all expenses incurred2012-07-31$18,692,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-07-31$17,826,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-07-31$16,048,058
Value of total assets at end of year2012-07-31$4,620,042
Value of total assets at beginning of year2012-07-31$6,554,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-07-31$865,408
Total interest from all sources2012-07-31$69,339
Total dividends received (eg from common stock, registered investment company shares)2012-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-07-31No
Administrative expenses professional fees incurred2012-07-31$225,518
Was this plan covered by a fidelity bond2012-07-31Yes
Value of fidelity bond cover2012-07-31$1,565,000
If this is an individual account plan, was there a blackout period2012-07-31No
Were there any nonexempt tranactions with any party-in-interest2012-07-31No
Contributions received from participants2012-07-31$1,620,344
Assets. Other investments not covered elsewhere at end of year2012-07-31$46,452
Assets. Other investments not covered elsewhere at beginning of year2012-07-31$29,279
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-07-31$555,367
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-07-31$292,700
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-07-31$2,311,745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-07-31$2,727,256
Other income not declared elsewhere2012-07-31$1,672,236
Administrative expenses (other) incurred2012-07-31$298,683
Liabilities. Value of operating payables at end of year2012-07-31$50,720
Liabilities. Value of operating payables at beginning of year2012-07-31$90,574
Total non interest bearing cash at end of year2012-07-31$323,170
Total non interest bearing cash at beginning of year2012-07-31$734,513
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Value of net income/loss2012-07-31$-967,500
Value of net assets at end of year (total assets less liabilities)2012-07-31$-1,507,488
Value of net assets at beginning of year (total assets less liabilities)2012-07-31$-539,988
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-07-31No
Were any leases to which the plan was party in default or uncollectible2012-07-31No
Investment advisory and management fees2012-07-31$6,306
Income. Interest from US Government securities2012-07-31$2,211
Income. Interest from corporate debt instruments2012-07-31$65,761
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-07-31$928,103
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-07-31$805,240
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-07-31$805,240
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-07-31$1,367
Expenses. Payments to insurance carriers foe the provision of benefits2012-07-31$8,397,972
Asset value of US Government securities at end of year2012-07-31$223,652
Asset value of US Government securities at beginning of year2012-07-31$320,549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-07-31Yes
Was there a failure to transmit to the plan any participant contributions2012-07-31No
Has the plan failed to provide any benefit when due under the plan2012-07-31No
Contributions received in cash from employer2012-07-31$14,427,714
Employer contributions (assets) at end of year2012-07-31$1,633,801
Employer contributions (assets) at beginning of year2012-07-31$1,532,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-07-31$9,428,925
Asset. Corporate debt instrument debt (other) at end of year2012-07-31$909,497
Asset. Corporate debt instrument debt (other) at beginning of year2012-07-31$2,840,014
Contract administrator fees2012-07-31$334,901
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-07-31No
Liabilities. Value of benefit claims payable at end of year2012-07-31$3,765,065
Liabilities. Value of benefit claims payable at beginning of year2012-07-31$4,277,137
Did the plan have assets held for investment2012-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-07-31No
Aggregate proceeds on sale of assets2012-07-31$2,489,041
Aggregate carrying amount (costs) on sale of assets2012-07-31$2,536,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-07-31No
Opinion of an independent qualified public accountant for this plan2012-07-31Unqualified
Accountancy firm name2012-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2012-07-31562552172
2011 : ROOFERS HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-07-31$50,901
Total unrealized appreciation/depreciation of assets2011-07-31$50,901
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-31$7,094,967
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-07-31$7,327,021
Total income from all sources (including contributions)2011-07-31$17,074,401
Total loss/gain on sale of assets2011-07-31$17,620
Total of all expenses incurred2011-07-31$20,913,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-07-31$19,931,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-07-31$14,992,073
Value of total assets at end of year2011-07-31$6,554,979
Value of total assets at beginning of year2011-07-31$10,625,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-07-31$981,361
Total interest from all sources2011-07-31$240,015
Total dividends received (eg from common stock, registered investment company shares)2011-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-07-31No
Administrative expenses professional fees incurred2011-07-31$283,337
Was this plan covered by a fidelity bond2011-07-31Yes
Value of fidelity bond cover2011-07-31$1,565,000
If this is an individual account plan, was there a blackout period2011-07-31No
Were there any nonexempt tranactions with any party-in-interest2011-07-31No
Contributions received from participants2011-07-31$1,538,289
Assets. Other investments not covered elsewhere at end of year2011-07-31$29,279
Assets. Other investments not covered elsewhere at beginning of year2011-07-31$29,838
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-07-31$292,700
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-07-31$509,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-07-31$2,727,256
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-07-31$3,431,935
Other income not declared elsewhere2011-07-31$1,773,792
Administrative expenses (other) incurred2011-07-31$323,554
Liabilities. Value of operating payables at end of year2011-07-31$90,574
Liabilities. Value of operating payables at beginning of year2011-07-31$77,679
Total non interest bearing cash at end of year2011-07-31$734,513
Total non interest bearing cash at beginning of year2011-07-31$802,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Value of net income/loss2011-07-31$-3,838,656
Value of net assets at end of year (total assets less liabilities)2011-07-31$-539,988
Value of net assets at beginning of year (total assets less liabilities)2011-07-31$3,298,668
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-07-31No
Were any leases to which the plan was party in default or uncollectible2011-07-31No
Investment advisory and management fees2011-07-31$14,843
Income. Interest from US Government securities2011-07-31$2,708
Income. Interest from corporate debt instruments2011-07-31$234,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-07-31$805,240
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-07-31$1,142,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-07-31$1,142,410
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-07-31$2,851
Expenses. Payments to insurance carriers foe the provision of benefits2011-07-31$8,239,807
Asset value of US Government securities at end of year2011-07-31$320,549
Asset value of US Government securities at beginning of year2011-07-31$704,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-07-31Yes
Was there a failure to transmit to the plan any participant contributions2011-07-31No
Has the plan failed to provide any benefit when due under the plan2011-07-31No
Contributions received in cash from employer2011-07-31$13,453,784
Employer contributions (assets) at end of year2011-07-31$1,532,684
Employer contributions (assets) at beginning of year2011-07-31$1,531,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-07-31$11,691,889
Asset. Corporate debt instrument debt (other) at end of year2011-07-31$2,840,014
Asset. Corporate debt instrument debt (other) at beginning of year2011-07-31$5,904,846
Contract administrator fees2011-07-31$359,627
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-07-31No
Liabilities. Value of benefit claims payable at end of year2011-07-31$4,277,137
Liabilities. Value of benefit claims payable at beginning of year2011-07-31$3,817,407
Did the plan have assets held for investment2011-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-07-31No
Aggregate proceeds on sale of assets2011-07-31$5,651,647
Aggregate carrying amount (costs) on sale of assets2011-07-31$5,634,027
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-07-31No
Opinion of an independent qualified public accountant for this plan2011-07-31Unqualified
Accountancy firm name2011-07-31INEICH & COMPANY, LLP
Accountancy firm EIN2011-07-31562552172

Form 5500 Responses for ROOFERS HEALTH AND WELFARE PLAN

2021: ROOFERS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-08-01Type of plan entityMulti-employer plan
2021-08-01Submission has been amendedNo
2021-08-01This submission is the final filingNo
2021-08-01This return/report is a short plan year return/report (less than 12 months)No
2021-08-01Plan is a collectively bargained planYes
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – TrustYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement - TrustYes
2020: ROOFERS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-08-01Type of plan entityMulti-employer plan
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)No
2020-08-01Plan is a collectively bargained planYes
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement - TrustYes
2019: ROOFERS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-08-01Type of plan entityMulti-employer plan
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingNo
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planYes
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement - TrustYes
2018: ROOFERS HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-08-01Type of plan entityMulti-employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planYes
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – TrustYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement - TrustYes
2017: ROOFERS HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-08-01Type of plan entityMulti-employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planYes
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – TrustYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement - TrustYes
2016: ROOFERS HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-08-01Type of plan entityMulti-employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planYes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement - TrustYes
2015: ROOFERS HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-08-01Type of plan entityMulti-employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planYes
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – TrustYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement - TrustYes
2014: ROOFERS HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-08-01Type of plan entityMulti-employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planYes
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement - TrustYes
2013: ROOFERS HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-08-01Type of plan entityMulti-employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planYes
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – TrustYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement - TrustYes
2012: ROOFERS HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-08-01Type of plan entityMulti-employer plan
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planYes
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – TrustYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement - TrustYes
2011: ROOFERS HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-08-01Type of plan entityMulti-employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planYes
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – TrustYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement - TrustYes
2009: ROOFERS HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-08-01Type of plan entityMulti-employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planYes
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number245775
Policy instance 5
Insurance contract or identification number245775
Number of Individuals Covered2145
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $4,675
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $136,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,675
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number16014
Policy instance 4
Insurance contract or identification number16014
Number of Individuals Covered1961
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $58,103
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,162,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,103
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10284
Policy instance 3
Insurance contract or identification numberSL10284
Number of Individuals Covered1027
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $261,966
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,322,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $261,966
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12004422
Policy instance 2
Insurance contract or identification number12004422
Number of Individuals Covered1834
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number8527
Policy instance 1
Insurance contract or identification number8527
Number of Individuals Covered2631
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,325,630
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10284
Policy instance 3
Insurance contract or identification numberSL10284
Number of Individuals Covered1235
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $211,764
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,117,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $105,882
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number16014
Policy instance 4
Insurance contract or identification number16014
Number of Individuals Covered2181
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $63,063
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,210,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,063
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number245775
Policy instance 5
Insurance contract or identification number245775
Number of Individuals Covered2081
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $4,054
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $146,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,054
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number8527
Policy instance 1
Insurance contract or identification number8527
Number of Individuals Covered2772
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,882,103
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 number12004422
Policy instance 2
Insurance contract or identification number12004422
Number of Individuals Covered2017
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number245775
Policy instance 5
Insurance contract or identification number245775
Number of Individuals Covered2272
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $4,460
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $151,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,460
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number16014
Policy instance 4
Insurance contract or identification number16014
Number of Individuals Covered2203
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $63,150
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,262,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,150
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10284
Policy instance 3
Insurance contract or identification numberSL10284
Number of Individuals Covered1342
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $197,636
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,976,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,818
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12004422
Policy instance 2
Insurance contract or identification number12004422
Number of Individuals Covered2227
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number8527
Policy instance 1
Insurance contract or identification number8527
Number of Individuals Covered2924
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,549,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number8527
Policy instance 1
Insurance contract or identification number8527
Number of Individuals Covered2686
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,810,388
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 number12004422
Policy instance 2
Insurance contract or identification number12004422
Number of Individuals Covered2049
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10284
Policy instance 3
Insurance contract or identification numberSL10284
Number of Individuals Covered1178
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $260,104
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,734,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $173,403
Insurance broker organization code?3
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number16014
Policy instance 4
Insurance contract or identification number16014
Number of Individuals Covered2257
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $56,264
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,125,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,264
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number245775
Policy instance 5
Insurance contract or identification number245775
Number of Individuals Covered2027
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $4,664
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $137,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,664
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number245775
Policy instance 5
Insurance contract or identification number245775
Number of Individuals Covered2028
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $4,029
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedDEPEND LIFE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $107,740
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 number16014
Policy instance 4
Insurance contract or identification number16014
Number of Individuals Covered2055
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $51,374
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,027,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10284
Policy instance 3
Insurance contract or identification numberSL10284
Number of Individuals Covered1151
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $147,376
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,473,767
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 number12004422
Policy instance 2
Insurance contract or identification number12004422
Number of Individuals Covered2002
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number8527
Policy instance 1
Insurance contract or identification number8527
Number of Individuals Covered2652
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,514,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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