BOARD OF TRUSTEES OF AUTOMOTIVE INDUSTRIES WELFARE PLAN has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AUTOMOTIVE INDUSTRIES WELFARE PLAN
| Measure | Date | Value |
|---|
| 2022 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-12-31 | $-494,397 |
| Total unrealized appreciation/depreciation of assets | 2022-12-31 | $-494,397 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $4,003,973 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $6,213,128 |
| Total income from all sources (including contributions) | 2022-12-31 | $43,315,137 |
| Total loss/gain on sale of assets | 2022-12-31 | $-1,167,762 |
| Total of all expenses incurred | 2022-12-31 | $47,955,672 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $45,256,334 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $45,740,842 |
| Value of total assets at end of year | 2022-12-31 | $49,092,969 |
| Value of total assets at beginning of year | 2022-12-31 | $55,942,659 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $2,699,338 |
| Total interest from all sources | 2022-12-31 | $478,500 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $409,941 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $409,941 |
| Administrative expenses professional fees incurred | 2022-12-31 | $799,739 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $1,014,180 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $972,689 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-12-31 | $462,349 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-12-31 | $1,397,014 |
| Other income not declared elsewhere | 2022-12-31 | $2,308,566 |
| Administrative expenses (other) incurred | 2022-12-31 | $520,115 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $432,650 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $333,664 |
| Total non interest bearing cash at end of year | 2022-12-31 | $6,826,758 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $8,806,028 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-4,640,535 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $45,088,996 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $49,729,531 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $72,276 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $18,883,171 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $17,899,128 |
| Income. Interest from US Government securities | 2022-12-31 | $196,497 |
| Income. Interest from corporate debt instruments | 2022-12-31 | $192,600 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $5,144,604 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $14,734,013 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $14,734,013 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $89,403 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $26,787,251 |
| Asset value of US Government securities at end of year | 2022-12-31 | $9,486,323 |
| Asset value of US Government securities at beginning of year | 2022-12-31 | $6,737,846 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-3,960,553 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $45,740,842 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $18,469,083 |
| Asset. Corporate debt instrument preferred debt at end of year | 2022-12-31 | $2,953,319 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2022-12-31 | $6,792,955 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-12-31 | $4,784,614 |
| Contract administrator fees | 2022-12-31 | $1,307,208 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $3,108,974 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $4,482,450 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Aggregate proceeds on sale of assets | 2022-12-31 | $55,887,838 |
| Aggregate carrying amount (costs) on sale of assets | 2022-12-31 | $57,055,600 |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | WITHUMSMITH+BROWN, PC |
| Accountancy firm EIN | 2022-12-31 | 222027092 |
| 2021 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $-677,622 |
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $-677,622 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $6,213,128 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $2,517,774 |
| Total income from all sources (including contributions) | 2021-12-31 | $55,076,972 |
| Total loss/gain on sale of assets | 2021-12-31 | $251,038 |
| Total of all expenses incurred | 2021-12-31 | $52,291,754 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $49,765,240 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $51,447,778 |
| Value of total assets at end of year | 2021-12-31 | $55,942,659 |
| Value of total assets at beginning of year | 2021-12-31 | $49,462,087 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $2,526,514 |
| Total interest from all sources | 2021-12-31 | $230,568 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $542,553 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $542,553 |
| Administrative expenses professional fees incurred | 2021-12-31 | $694,496 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $214,336 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $972,689 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $93,168 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-12-31 | $1,397,014 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-12-31 | $236,834 |
| Other income not declared elsewhere | 2021-12-31 | $1,689,797 |
| Administrative expenses (other) incurred | 2021-12-31 | $450,316 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $333,664 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $353,211 |
| Total non interest bearing cash at end of year | 2021-12-31 | $8,806,028 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $17,132,153 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $2,785,218 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $49,729,531 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $46,944,313 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $74,036 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $17,899,128 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $17,363,953 |
| Income. Interest from US Government securities | 2021-12-31 | $42,370 |
| Income. Interest from corporate debt instruments | 2021-12-31 | $188,159 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $14,734,013 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $2,037,948 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $2,037,948 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $39 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $30,655,208 |
| Asset value of US Government securities at end of year | 2021-12-31 | $6,737,846 |
| Asset value of US Government securities at beginning of year | 2021-12-31 | $6,211,230 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $1,592,860 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $51,233,442 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $19,110,032 |
| Asset. Corporate debt instrument preferred debt at end of year | 2021-12-31 | $6,792,955 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2021-12-31 | $6,623,635 |
| Contract administrator fees | 2021-12-31 | $1,307,666 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $4,482,450 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $1,927,729 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Aggregate proceeds on sale of assets | 2021-12-31 | $35,939,397 |
| Aggregate carrying amount (costs) on sale of assets | 2021-12-31 | $35,688,359 |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | WITHUMSMITH+BROWN PC |
| Accountancy firm EIN | 2021-12-31 | 222027092 |
| 2020 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $178,057 |
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $178,057 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $2,517,774 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $3,428,206 |
| Total income from all sources (including contributions) | 2020-12-31 | $57,988,220 |
| Total loss/gain on sale of assets | 2020-12-31 | $422,845 |
| Total of all expenses incurred | 2020-12-31 | $48,794,598 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $46,363,128 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $53,744,882 |
| Value of total assets at end of year | 2020-12-31 | $49,462,087 |
| Value of total assets at beginning of year | 2020-12-31 | $41,178,897 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $2,431,470 |
| Total interest from all sources | 2020-12-31 | $240,492 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $406,914 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $406,914 |
| Administrative expenses professional fees incurred | 2020-12-31 | $596,408 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $244,028 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $93,168 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $399,667 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-12-31 | $236,834 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-12-31 | $444,022 |
| Other income not declared elsewhere | 2020-12-31 | $737,262 |
| Administrative expenses (other) incurred | 2020-12-31 | $700,508 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $353,211 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $361,106 |
| Total non interest bearing cash at end of year | 2020-12-31 | $17,132,153 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $11,848,298 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $9,193,622 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $46,944,313 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $37,750,691 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $62,877 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $17,363,953 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $14,999,273 |
| Income. Interest from US Government securities | 2020-12-31 | $53,831 |
| Income. Interest from corporate debt instruments | 2020-12-31 | $182,949 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $2,037,948 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $913,069 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $913,069 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $3,712 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $32,640,525 |
| Asset value of US Government securities at end of year | 2020-12-31 | $6,211,230 |
| Asset value of US Government securities at beginning of year | 2020-12-31 | $7,576,672 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $2,257,768 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $53,500,854 |
| Employer contributions (assets) at end of year | 2020-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $13,722,603 |
| Asset. Corporate debt instrument preferred debt at end of year | 2020-12-31 | $6,623,635 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2020-12-31 | $5,441,918 |
| Contract administrator fees | 2020-12-31 | $1,071,677 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $1,927,729 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $2,623,078 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Aggregate proceeds on sale of assets | 2020-12-31 | $47,630,878 |
| Aggregate carrying amount (costs) on sale of assets | 2020-12-31 | $47,208,033 |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2020-12-31 | 522385296 |
| 2019 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $266,691 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $266,691 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $3,428,206 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $3,546,956 |
| Total income from all sources (including contributions) | 2019-12-31 | $58,798,979 |
| Total loss/gain on sale of assets | 2019-12-31 | $255,902 |
| Total of all expenses incurred | 2019-12-31 | $53,056,844 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $50,557,774 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $54,929,945 |
| Value of total assets at end of year | 2019-12-31 | $41,178,897 |
| Value of total assets at beginning of year | 2019-12-31 | $35,555,512 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $2,499,070 |
| Total interest from all sources | 2019-12-31 | $352,684 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $319,530 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $319,530 |
| Administrative expenses professional fees incurred | 2019-12-31 | $698,401 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $121,728 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $399,667 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $516,164 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-12-31 | $444,022 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $83,256 |
| Other income not declared elsewhere | 2019-12-31 | $564,242 |
| Administrative expenses (other) incurred | 2019-12-31 | $702,437 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $361,106 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $640,974 |
| Total non interest bearing cash at end of year | 2019-12-31 | $11,848,298 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $9,399,133 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $5,742,135 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $37,750,691 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $32,008,556 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $62,728 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $14,999,273 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $11,569,756 |
| Income. Interest from US Government securities | 2019-12-31 | $143,110 |
| Income. Interest from corporate debt instruments | 2019-12-31 | $167,724 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $913,069 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $2,076,915 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $2,076,915 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $41,850 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $33,932,265 |
| Asset value of US Government securities at end of year | 2019-12-31 | $7,576,672 |
| Asset value of US Government securities at beginning of year | 2019-12-31 | $6,851,342 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $2,109,985 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $54,808,217 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $223,747 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $16,625,509 |
| Asset. Corporate debt instrument preferred debt at end of year | 2019-12-31 | $5,441,918 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2019-12-31 | $4,918,455 |
| Contract administrator fees | 2019-12-31 | $1,035,504 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $2,623,078 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $2,822,726 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Aggregate proceeds on sale of assets | 2019-12-31 | $55,073,766 |
| Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $54,817,864 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2019-12-31 | 522385296 |
| 2018 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-141,472 |
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-141,472 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $3,546,956 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $4,235,043 |
| Total income from all sources (including contributions) | 2018-12-31 | $54,871,697 |
| Total loss/gain on sale of assets | 2018-12-31 | $-101,435 |
| Total of all expenses incurred | 2018-12-31 | $54,868,986 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $52,432,045 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $54,920,016 |
| Value of total assets at end of year | 2018-12-31 | $35,555,512 |
| Value of total assets at beginning of year | 2018-12-31 | $36,240,888 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $2,436,941 |
| Total interest from all sources | 2018-12-31 | $349,256 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $287,865 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $287,865 |
| Administrative expenses professional fees incurred | 2018-12-31 | $638,394 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $202,272 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $516,164 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $474,751 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $83,256 |
| Other income not declared elsewhere | 2018-12-31 | $441,924 |
| Administrative expenses (other) incurred | 2018-12-31 | $735,859 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $640,974 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $1,900,043 |
| Total non interest bearing cash at end of year | 2018-12-31 | $9,399,133 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $9,652,235 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $2,711 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $32,008,556 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $32,005,845 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $58,288 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $11,569,756 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $13,088,584 |
| Income. Interest from US Government securities | 2018-12-31 | $159,578 |
| Income. Interest from corporate debt instruments | 2018-12-31 | $167,490 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $2,076,915 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $568,245 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $568,245 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $22,188 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $34,618,157 |
| Asset value of US Government securities at end of year | 2018-12-31 | $6,851,342 |
| Asset value of US Government securities at beginning of year | 2018-12-31 | $7,479,542 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-884,457 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $54,717,744 |
| Employer contributions (assets) at end of year | 2018-12-31 | $223,747 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $265,044 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $17,813,888 |
| Asset. Corporate debt instrument preferred debt at end of year | 2018-12-31 | $4,918,455 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2018-12-31 | $4,712,487 |
| Contract administrator fees | 2018-12-31 | $1,004,400 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $2,822,726 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $2,335,000 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Aggregate proceeds on sale of assets | 2018-12-31 | $36,618,015 |
| Aggregate carrying amount (costs) on sale of assets | 2018-12-31 | $36,719,450 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2018-12-31 | 522385296 |
| 2017 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $-156,345 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $-156,345 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $4,235,043 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $5,350,877 |
| Total income from all sources (including contributions) | 2017-12-31 | $57,089,076 |
| Total loss/gain on sale of assets | 2017-12-31 | $164,062 |
| Total of all expenses incurred | 2017-12-31 | $54,156,442 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $51,732,086 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $53,033,261 |
| Value of total assets at end of year | 2017-12-31 | $36,240,888 |
| Value of total assets at beginning of year | 2017-12-31 | $34,424,088 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $2,424,356 |
| Total interest from all sources | 2017-12-31 | $271,501 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $521,931 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $521,931 |
| Administrative expenses professional fees incurred | 2017-12-31 | $566,957 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $265,943 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $474,751 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $969,426 |
| Other income not declared elsewhere | 2017-12-31 | $1,972,924 |
| Administrative expenses (other) incurred | 2017-12-31 | $784,955 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $1,900,043 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $643,877 |
| Total non interest bearing cash at end of year | 2017-12-31 | $9,652,235 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $5,625,158 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $2,932,634 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $32,005,845 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $29,073,211 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $57,485 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $13,088,584 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $12,995,973 |
| Income. Interest from US Government securities | 2017-12-31 | $110,439 |
| Income. Interest from corporate debt instruments | 2017-12-31 | $151,867 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $568,245 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $4,319,117 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $4,319,117 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $9,195 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $32,503,083 |
| Asset value of US Government securities at end of year | 2017-12-31 | $7,479,542 |
| Asset value of US Government securities at beginning of year | 2017-12-31 | $5,083,427 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $1,281,742 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $52,767,318 |
| Employer contributions (assets) at end of year | 2017-12-31 | $265,044 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $1,056,352 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $19,229,003 |
| Asset. Corporate debt instrument preferred debt at end of year | 2017-12-31 | $4,712,487 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2017-12-31 | $4,374,635 |
| Contract administrator fees | 2017-12-31 | $1,014,959 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $2,335,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $4,707,000 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Aggregate proceeds on sale of assets | 2017-12-31 | $22,261,288 |
| Aggregate carrying amount (costs) on sale of assets | 2017-12-31 | $22,097,226 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2017-12-31 | 522385296 |
| 2016 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $-159,306 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $-159,306 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $5,350,877 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $3,302,894 |
| Total income from all sources (including contributions) | 2016-12-31 | $59,743,747 |
| Total loss/gain on sale of assets | 2016-12-31 | $190,362 |
| Total of all expenses incurred | 2016-12-31 | $56,397,554 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $53,482,017 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $57,537,271 |
| Value of total assets at end of year | 2016-12-31 | $34,424,088 |
| Value of total assets at beginning of year | 2016-12-31 | $29,029,912 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $2,915,537 |
| Total interest from all sources | 2016-12-31 | $286,304 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $386,846 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $386,846 |
| Administrative expenses professional fees incurred | 2016-12-31 | $805,618 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $326,348 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $969,426 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $203,544 |
| Other income not declared elsewhere | 2016-12-31 | $1,252,074 |
| Administrative expenses (other) incurred | 2016-12-31 | $809,413 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $643,877 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $393,094 |
| Total non interest bearing cash at end of year | 2016-12-31 | $5,625,158 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $9,222,066 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $3,346,193 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $29,073,211 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $25,727,018 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $55,965 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $12,995,973 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $6,351,213 |
| Income. Interest from US Government securities | 2016-12-31 | $114,182 |
| Income. Interest from corporate debt instruments | 2016-12-31 | $166,497 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $4,319,117 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $2,595,963 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $2,595,963 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $5,625 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $33,108,991 |
| Asset value of US Government securities at end of year | 2016-12-31 | $5,083,427 |
| Asset value of US Government securities at beginning of year | 2016-12-31 | $6,039,567 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $250,196 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $57,210,923 |
| Employer contributions (assets) at end of year | 2016-12-31 | $1,056,352 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $44,271 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $20,373,026 |
| Asset. Corporate debt instrument preferred debt at end of year | 2016-12-31 | $4,374,635 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2016-12-31 | $4,573,288 |
| Contract administrator fees | 2016-12-31 | $1,244,541 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $4,707,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $2,909,800 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Aggregate proceeds on sale of assets | 2016-12-31 | $30,322,339 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $30,131,977 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2016-12-31 | 522385296 |
| 2015 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-87,191 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-87,191 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $3,302,894 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $2,918,821 |
| Total income from all sources (including contributions) | 2015-12-31 | $61,725,811 |
| Total loss/gain on sale of assets | 2015-12-31 | $-20,482 |
| Total of all expenses incurred | 2015-12-31 | $56,077,861 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $53,090,824 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $60,920,651 |
| Value of total assets at end of year | 2015-12-31 | $29,029,912 |
| Value of total assets at beginning of year | 2015-12-31 | $22,997,889 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $2,987,037 |
| Total interest from all sources | 2015-12-31 | $266,863 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $188,845 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $188,845 |
| Administrative expenses professional fees incurred | 2015-12-31 | $591,408 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $365,315 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $203,544 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $377,784 |
| Other income not declared elsewhere | 2015-12-31 | $576,632 |
| Administrative expenses (other) incurred | 2015-12-31 | $1,061,187 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $393,094 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $290,821 |
| Total non interest bearing cash at end of year | 2015-12-31 | $9,222,066 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $9,247,378 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $5,647,950 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $25,727,018 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $20,079,068 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $33,025 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $6,351,213 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $2,281,514 |
| Income. Interest from US Government securities | 2015-12-31 | $84,853 |
| Income. Interest from corporate debt instruments | 2015-12-31 | $181,910 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $2,595,963 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $361,901 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $361,901 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $100 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $34,556,539 |
| Asset value of US Government securities at end of year | 2015-12-31 | $6,039,567 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $4,939,971 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-119,507 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $60,555,336 |
| Employer contributions (assets) at end of year | 2015-12-31 | $44,271 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $22,307 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $18,534,285 |
| Asset. Corporate debt instrument preferred debt at end of year | 2015-12-31 | $4,573,288 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2015-12-31 | $5,767,034 |
| Contract administrator fees | 2015-12-31 | $1,301,417 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $2,909,800 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $2,628,000 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $13,775,713 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $13,796,195 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2015-12-31 | 522385296 |
| 2014 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $74,772 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $74,772 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $2,918,821 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $4,508,744 |
| Total income from all sources (including contributions) | 2014-12-31 | $62,750,254 |
| Total loss/gain on sale of assets | 2014-12-31 | $-4,296 |
| Total of all expenses incurred | 2014-12-31 | $57,732,638 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $55,034,620 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $59,579,874 |
| Value of total assets at end of year | 2014-12-31 | $22,997,889 |
| Value of total assets at beginning of year | 2014-12-31 | $19,570,196 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $2,698,018 |
| Total interest from all sources | 2014-12-31 | $271,399 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $0 |
| Administrative expenses professional fees incurred | 2014-12-31 | $564,496 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $514,269 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $377,784 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $822,549 |
| Other income not declared elsewhere | 2014-12-31 | $2,550,908 |
| Administrative expenses (other) incurred | 2014-12-31 | $683,884 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $290,821 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $608,744 |
| Total non interest bearing cash at end of year | 2014-12-31 | $9,247,378 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $4,519,915 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $5,017,616 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $20,079,068 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $15,061,452 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $29,301 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $2,281,514 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $2,833,918 |
| Income. Interest from US Government securities | 2014-12-31 | $64,312 |
| Income. Interest from corporate debt instruments | 2014-12-31 | $207,086 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $361,901 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $537,345 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $537,345 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $1 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $35,508,261 |
| Asset value of US Government securities at end of year | 2014-12-31 | $4,939,971 |
| Asset value of US Government securities at beginning of year | 2014-12-31 | $4,405,102 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-12-31 | $277,597 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $59,065,605 |
| Employer contributions (assets) at end of year | 2014-12-31 | $22,307 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $8,193 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $19,526,359 |
| Asset. Corporate debt instrument preferred debt at end of year | 2014-12-31 | $5,767,034 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2014-12-31 | $6,443,174 |
| Contract administrator fees | 2014-12-31 | $1,420,337 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $2,628,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $3,900,000 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Aggregate proceeds on sale of assets | 2014-12-31 | $7,302,561 |
| Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $7,306,857 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2014-12-31 | 522385296 |
| 2013 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-321,439 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-321,439 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $4,508,744 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $2,826,681 |
| Total income from all sources (including contributions) | 2013-12-31 | $59,468,204 |
| Total loss/gain on sale of assets | 2013-12-31 | $-120,464 |
| Total of all expenses incurred | 2013-12-31 | $62,413,171 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $59,519,260 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $57,391,871 |
| Value of total assets at end of year | 2013-12-31 | $19,570,196 |
| Value of total assets at beginning of year | 2013-12-31 | $20,833,100 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $2,893,911 |
| Total interest from all sources | 2013-12-31 | $304,056 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $44,515 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $44,515 |
| Administrative expenses professional fees incurred | 2013-12-31 | $558,753 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $852,801 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $822,549 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $135,731 |
| Other income not declared elsewhere | 2013-12-31 | $1,421,724 |
| Administrative expenses (other) incurred | 2013-12-31 | $815,543 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $608,744 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $644,681 |
| Total non interest bearing cash at end of year | 2013-12-31 | $4,519,915 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $4,103,528 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-2,944,967 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $15,061,452 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $18,006,419 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $33,771 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $2,833,918 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $2,791,462 |
| Income. Interest from US Government securities | 2013-12-31 | $86,632 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $217,314 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $537,345 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $259,022 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $259,022 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $110 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $37,868,148 |
| Asset value of US Government securities at end of year | 2013-12-31 | $4,405,102 |
| Asset value of US Government securities at beginning of year | 2013-12-31 | $7,038,885 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $747,941 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $56,539,070 |
| Employer contributions (assets) at end of year | 2013-12-31 | $8,193 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $17,924 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $21,651,112 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-12-31 | $6,443,174 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-12-31 | $6,486,548 |
| Contract administrator fees | 2013-12-31 | $1,485,844 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $3,900,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $2,182,000 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $16,107,697 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $16,228,161 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2013-12-31 | 522385296 |
| 2012 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $401,249 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $401,249 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $2,826,681 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $2,336,677 |
| Total income from all sources (including contributions) | 2012-12-31 | $55,811,635 |
| Total loss/gain on sale of assets | 2012-12-31 | $-390,713 |
| Total of all expenses incurred | 2012-12-31 | $58,150,111 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $55,480,682 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $54,788,809 |
| Value of total assets at end of year | 2012-12-31 | $20,833,100 |
| Value of total assets at beginning of year | 2012-12-31 | $22,681,572 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $2,669,429 |
| Total interest from all sources | 2012-12-31 | $288,133 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $47,833 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $47,833 |
| Administrative expenses professional fees incurred | 2012-12-31 | $575,758 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $768,112 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $135,731 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $810,655 |
| Other income not declared elsewhere | 2012-12-31 | $223,304 |
| Administrative expenses (other) incurred | 2012-12-31 | $694,599 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $644,681 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $346,677 |
| Total non interest bearing cash at end of year | 2012-12-31 | $4,103,528 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $4,220,245 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $-2,338,476 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $18,006,419 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $20,344,895 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $35,700 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $2,791,462 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $3,405,588 |
| Income. Interest from US Government securities | 2012-12-31 | $85,295 |
| Income. Interest from corporate debt instruments | 2012-12-31 | $202,576 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $259,022 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $1,398,160 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $1,398,160 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $262 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $41,507,604 |
| Asset value of US Government securities at end of year | 2012-12-31 | $7,038,885 |
| Asset value of US Government securities at beginning of year | 2012-12-31 | $6,112,712 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $453,020 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $54,020,697 |
| Employer contributions (assets) at end of year | 2012-12-31 | $17,924 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $130,996 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $13,973,078 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-12-31 | $6,486,548 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2012-12-31 | $6,603,216 |
| Contract administrator fees | 2012-12-31 | $1,363,372 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $2,182,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $1,990,000 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Aggregate proceeds on sale of assets | 2012-12-31 | $16,171,406 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $16,562,119 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2012-12-31 | 522385296 |
| 2011 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $-322,609 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $-322,609 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $2,336,677 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $2,693,667 |
| Total income from all sources (including contributions) | 2011-12-31 | $57,452,444 |
| Total loss/gain on sale of assets | 2011-12-31 | $240,752 |
| Total of all expenses incurred | 2011-12-31 | $58,334,203 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $55,636,175 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $55,829,738 |
| Value of total assets at end of year | 2011-12-31 | $22,681,572 |
| Value of total assets at beginning of year | 2011-12-31 | $23,920,321 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $2,698,028 |
| Total interest from all sources | 2011-12-31 | $377,363 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $64,406 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $64,406 |
| Administrative expenses professional fees incurred | 2011-12-31 | $605,882 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $837,824 |
| Assets. Other investments not covered elsewhere at beginning of year | 2011-12-31 | $142,108 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $810,655 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $289,442 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $1,057 |
| Other income not declared elsewhere | 2011-12-31 | $1,291,042 |
| Administrative expenses (other) incurred | 2011-12-31 | $586,565 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $346,677 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $911,610 |
| Total non interest bearing cash at end of year | 2011-12-31 | $4,220,245 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $5,655,160 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-881,759 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $20,344,895 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $21,226,654 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $37,962 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $3,405,588 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $3,514,508 |
| Interest earned on other investments | 2011-12-31 | $5,563 |
| Income. Interest from US Government securities | 2011-12-31 | $103,004 |
| Income. Interest from corporate debt instruments | 2011-12-31 | $268,796 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $1,398,160 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $974,908 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $974,908 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $42,249,344 |
| Asset value of US Government securities at end of year | 2011-12-31 | $6,112,712 |
| Asset value of US Government securities at beginning of year | 2011-12-31 | $5,542,492 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-28,248 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $54,991,914 |
| Employer contributions (assets) at end of year | 2011-12-31 | $130,996 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $53,913 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $13,386,831 |
| Asset. Corporate debt instrument preferred debt at end of year | 2011-12-31 | $6,603,216 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2011-12-31 | $7,747,790 |
| Contract administrator fees | 2011-12-31 | $1,467,619 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $1,990,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $1,781,000 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Aggregate proceeds on sale of assets | 2011-12-31 | $14,178,430 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $13,937,678 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2011-12-31 | 522385296 |
| 2010 : AUTOMOTIVE INDUSTRIES WELFARE PLAN 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $190,220 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $190,220 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,693,667 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,322,376 |
| Total income from all sources (including contributions) | 2010-12-31 | $57,618,208 |
| Total loss/gain on sale of assets | 2010-12-31 | $63,242 |
| Total of all expenses incurred | 2010-12-31 | $57,184,357 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $54,459,189 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $55,645,456 |
| Value of total assets at end of year | 2010-12-31 | $23,920,321 |
| Value of total assets at beginning of year | 2010-12-31 | $23,115,179 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $2,725,168 |
| Total interest from all sources | 2010-12-31 | $376,189 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $41,153 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $41,153 |
| Administrative expenses professional fees incurred | 2010-12-31 | $732,195 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | Yes |
| Amount of non-exempt transactions with any party-in-interest | 2010-12-31 | $1,920,178 |
| Contributions received from participants | 2010-12-31 | $1,171,443 |
| Assets. Other investments not covered elsewhere at end of year | 2010-12-31 | $142,108 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $289,442 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $328,364 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $1,057 |
| Other income not declared elsewhere | 2010-12-31 | $975,875 |
| Administrative expenses (other) incurred | 2010-12-31 | $591,249 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $911,610 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $435,376 |
| Total non interest bearing cash at end of year | 2010-12-31 | $5,655,160 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $5,758,908 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $433,851 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $21,226,654 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $20,792,803 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $37,350 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $3,514,508 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $3,322,496 |
| Interest earned on other investments | 2010-12-31 | $1,108 |
| Income. Interest from US Government securities | 2010-12-31 | $105,229 |
| Income. Interest from corporate debt instruments | 2010-12-31 | $269,826 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $974,908 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $1,893,380 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $1,893,380 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $26 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $42,885,275 |
| Asset value of US Government securities at end of year | 2010-12-31 | $5,542,492 |
| Asset value of US Government securities at beginning of year | 2010-12-31 | $7,524,639 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $326,073 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $54,474,013 |
| Employer contributions (assets) at end of year | 2010-12-31 | $53,913 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $83,184 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $11,573,914 |
| Asset. Corporate debt instrument preferred debt at end of year | 2010-12-31 | $7,747,790 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2010-12-31 | $4,204,208 |
| Contract administrator fees | 2010-12-31 | $1,364,374 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $1,781,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $1,887,000 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Aggregate proceeds on sale of assets | 2010-12-31 | $10,194,325 |
| Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $10,131,083 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | LINDQUIST LLP |
| Accountancy firm EIN | 2010-12-31 | 522385296 |
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000, ET |
| Policy instance | 2 |
| Insurance contract or identification number | 740306-000, ET | | Number of Individuals Covered | 274 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $53,689 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 ) |
| Policy contract number | 47-MSL-00039402 |
| Policy instance | 1 |
| Insurance contract or identification number | 47-MSL-00039402 | | Number of Individuals Covered | 723 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $889,400 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 3 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 422 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $333,793 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH MANAGEMENT CONCEPTS, INC. (National Association of Insurance Commissioners NAIC id number: ** ) |
| Policy contract number | 15264641 |
| Policy instance | 4 |
| Insurance contract or identification number | 15264641 | | Number of Individuals Covered | 2062 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $15,939 | | 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 number | 57 |
| Policy instance | 5 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 3378 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $25,297,307 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 6 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 4449 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $305,675 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 142616 |
| Policy instance | 7 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 274 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $87,958 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 8 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 317 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,869 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 143889 |
| Policy instance | 9 |
| Insurance contract or identification number | 143889 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $384,782 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 102667 |
| Policy instance | 10 |
| Insurance contract or identification number | 102667 | | Number of Individuals Covered | 2340 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $453,955 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2671 |
| Policy instance | 6 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 2372 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $28,673 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 8 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 4945 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $331,440 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000, ET |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000, ET | | Number of Individuals Covered | 322 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,518 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 ) |
| Policy contract number | 47-MSL-00039402 |
| Policy instance | 9 |
| Insurance contract or identification number | 47-MSL-00039402 | | Number of Individuals Covered | 859 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $462,383 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 0142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 0142616 | | Number of Individuals Covered | 319 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $103,492 | | 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 number | 57 |
| Policy instance | 3 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 3888 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,171,019 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 4 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 437 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $366,750 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 5 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 625 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $177,289 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 7 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 2554 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $525,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 9 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 5075 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $361,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 6 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 2592 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $176,420 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2671 |
| Policy instance | 7 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 2466 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $215 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $51,253 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $215 | | Insurance broker organization code? | 3 |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000, ET |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000, ET | | Number of Individuals Covered | 413 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,618 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 0142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 0142616 | | Number of Individuals Covered | 353 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $116,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 69613-7 |
| Policy instance | 5 |
| Insurance contract or identification number | 69613-7 | | Number of Individuals Covered | 1132 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $816,594 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 8 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 2679 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $554,408 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 4 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 460 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $376,396 | | 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 number | 57 |
| Policy instance | 3 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 4081 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,982,343 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22276 ) |
| Policy contract number | 47-MSL-00039401 |
| Policy instance | 10 |
| Insurance contract or identification number | 47-MSL-00039401 | | Number of Individuals Covered | 832 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $307,277 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 0142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 0142616 | | Number of Individuals Covered | 403 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $131,138 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 9 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 2834 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $610,477 | | 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 number | 57 |
| Policy instance | 3 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 4209 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,106,871 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001, ET AL |
| Policy instance | 5 |
| Insurance contract or identification number | NP3001, ET AL | | Number of Individuals Covered | 228 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $98,739 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | AD&D, LIFE, EXR |
| Policy instance | 6 |
| Insurance contract or identification number | AD&D, LIFE, EXR | | Number of Individuals Covered | 5329 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,581,697 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2671 |
| Policy instance | 8 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 2477 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $3,127 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $62,547 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,127 | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 7 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 824 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $149,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000, ET |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000, ET | | Number of Individuals Covered | 440 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $77,986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 4 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 535 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $378,257 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 9 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 2900 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $669,009 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | AD&D, LIFE, EXR |
| Policy instance | 6 |
| Insurance contract or identification number | AD&D, LIFE, EXR | | Number of Individuals Covered | 5545 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,414,659 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001, ET AL |
| Policy instance | 5 |
| Insurance contract or identification number | NP3001, ET AL | | Number of Individuals Covered | 246 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $166,333 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 4 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 462 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $358,571 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000, ET |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000, ET | | Number of Individuals Covered | 433 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,280 | | 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 number | 57 |
| Policy instance | 3 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 4562 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,535,100 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 7 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 763 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $163,970 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2671 |
| Policy instance | 8 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 2714 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $2,174 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $43,487 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,174 | | Insurance broker organization code? | 3 |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 0142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 0142616 | | Number of Individuals Covered | 415 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $140,284 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 4 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 389 | | Insurance policy start date | 2016-09-01 | | Insurance policy end date | 2017-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $334,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 547 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $90,054 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 0142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 0142616 | | Number of Individuals Covered | 451 | | Insurance policy start date | 2016-09-01 | | Insurance policy end date | 2017-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $144,590 | | 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 number | 57 |
| Policy instance | 3 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 5204 | | Insurance policy start date | 2016-09-01 | | Insurance policy end date | 2017-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,414,057 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001, ET AL |
| Policy instance | 5 |
| Insurance contract or identification number | NP3001, ET AL | | Number of Individuals Covered | 269 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $183,387 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1,69613-7 |
| Policy instance | 6 |
| Insurance contract or identification number | 63436-1,69613-7 | | Number of Individuals Covered | 5726 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $1,207,719 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 7 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 699 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $130,345 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2671 |
| Policy instance | 8 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 2551 | | Insurance policy start date | 2016-09-01 | | Insurance policy end date | 2017-08-31 | | Total amount of commissions paid to insurance broker | USD $3,078 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $56,722 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,078 | | Insurance broker organization code? | 3 | | Insurance broker name | MENTAL HEALTH ADVISORY GROUP LLC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 9 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 3322 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $772,085 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker name | |
|
| HEALTH NET LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8826 |
| Policy instance | 8 |
| Insurance contract or identification number | 8826 | | Number of Individuals Covered | 3431 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $29,257 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $585,140 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,257 | | Insurance broker organization code? | 3 | | Insurance broker name | MENTAL HEALTH ADVISORY GROUP LLC |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 143889 |
| Policy instance | 11 |
| Insurance contract or identification number | 143889 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $650,079 | | 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 number | 57 |
| Policy instance | 4 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 5766 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $30,661,431 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 5 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 375 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $363,888 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 7 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 3454 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $364,181 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 3 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 3406 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $738,347 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 458 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $152,588 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 756 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $122,393 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 9 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 623 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $125,601 | | 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 number | SL-10065 |
| Policy instance | 10 |
| Insurance contract or identification number | SL-10065 | | Number of Individuals Covered | 1038 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $914,639 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001, ET AL |
| Policy instance | 6 |
| Insurance contract or identification number | NP3001, ET AL | | Number of Individuals Covered | 329 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $266,449 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 9 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $133,482 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 762 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $122,894 | | 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 number | SL-10065 |
| Policy instance | 10 |
| Insurance contract or identification number | SL-10065 | | Number of Individuals Covered | 1232 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $836,267 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 7 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 10161 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $456,626 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 407 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $149,518 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 3 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 3502 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $741,036 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 008826 |
| Policy instance | 8 |
| Insurance contract or identification number | 008826 | | Number of Individuals Covered | 3099 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $48,316 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $707,286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $48,316 | | Insurance broker organization code? | 3 | | Insurance broker name | MENTAL HEALTH ADVISORY GROUP LLC |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 5 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 454 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $389,525 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001, ET AL |
| Policy instance | 6 |
| Insurance contract or identification number | NP3001, ET AL | | Number of Individuals Covered | 381 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $327,681 | | 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 number | 57 |
| Policy instance | 4 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 6111 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,716,780 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 848 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $142,098 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 437 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $151,911 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 3 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 3657 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $775,792 | | 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 number | 57 |
| Policy instance | 4 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 6621 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,965,735 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001 |
| Policy instance | 6 |
| Insurance contract or identification number | NP3001 | | Number of Individuals Covered | 427 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $368,362 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 7 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 12504 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $518,991 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 5 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 502 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $410,334 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 72111 ) |
| Policy contract number | 008826 |
| Policy instance | 8 |
| Insurance contract or identification number | 008826 | | Number of Individuals Covered | 3368 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $757,711 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 9 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 636 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $130,269 | | 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 number | SL-10065 |
| Policy instance | 10 |
| Insurance contract or identification number | SL-10065 | | Number of Individuals Covered | 1853 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $813,727 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 490 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $162,639 | | 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 number | SL-10065 |
| Policy instance | 11 |
| Insurance contract or identification number | SL-10065 | | Number of Individuals Covered | 1510 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $606,897 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 3 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 3814 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $798,705 | | 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 number | 57 |
| Policy instance | 4 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 6191 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,793,415 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 5 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 486 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $405,803 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 7 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 12992 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $529,587 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001 |
| Policy instance | 6 |
| Insurance contract or identification number | NP3001 | | Number of Individuals Covered | 432 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $374,968 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | 68533A, 68533C |
| Policy instance | 8 |
| Insurance contract or identification number | 68533A, 68533C | | Number of Individuals Covered | 521 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,528,679 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 72111 ) |
| Policy contract number | 008826 |
| Policy instance | 9 |
| Insurance contract or identification number | 008826 | | Number of Individuals Covered | 3652 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $587,688 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 10 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $119,497 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 925 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $163,129 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 72111 ) |
| Policy contract number | 008826 |
| Policy instance | 9 |
| Insurance contract or identification number | 008826 | | Number of Individuals Covered | 3578 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $462,435 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | 68533A, 68533C |
| Policy instance | 8 |
| Insurance contract or identification number | 68533A, 68533C | | Number of Individuals Covered | 627 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,560,650 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
| Policy contract number | GL-22317 |
| Policy instance | 12 |
| Insurance contract or identification number | GL-22317 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $476,801 | | 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 number | BL10085 |
| Policy instance | 11 |
| Insurance contract or identification number | BL10085 | | Number of Individuals Covered | 1580 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $591,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 10 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $112,217 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 7 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 5634 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $698,104 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001 |
| Policy instance | 6 |
| Insurance contract or identification number | NP3001 | | Number of Individuals Covered | 437 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $377,745 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 5 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $567,113 | | 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 number | 57 |
| Policy instance | 4 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 6384 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,849,723 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 309 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $136,206 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 914 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $176,039 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 3 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 3783 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $825,800 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 ) |
| Policy contract number | 142616 |
| Policy instance | 2 |
| Insurance contract or identification number | 142616 | | Number of Individuals Covered | 780 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $141,777 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00102667 |
| Policy instance | 3 |
| Insurance contract or identification number | 00102667 | | Number of Individuals Covered | 4084 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $887,615 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 2671 |
| Policy instance | 5 |
| Insurance contract or identification number | 2671 | | Number of Individuals Covered | 231 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $582,672 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63436-1 |
| Policy instance | 7 |
| Insurance contract or identification number | 63436-1 | | Number of Individuals Covered | 8589 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $945,250 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 ) |
| Policy contract number | 740306-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 740306-000 | | Number of Individuals Covered | 963 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $181,120 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NEWPORT DENTAL PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | NP3001 |
| Policy instance | 6 |
| Insurance contract or identification number | NP3001 | | Number of Individuals Covered | 471 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $394,798 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | 68533A, 68534A |
| Policy instance | 8 |
| Insurance contract or identification number | 68533A, 68534A | | Number of Individuals Covered | 900 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,875,823 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 72111 ) |
| Policy contract number | 008826 |
| Policy instance | 9 |
| Insurance contract or identification number | 008826 | | Number of Individuals Covered | 4004 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $487,388 | | 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 number | 57 |
| Policy instance | 4 |
| Insurance contract or identification number | 57 | | Number of Individuals Covered | 6192 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,897,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0711992 |
| Policy instance | 10 |
| Insurance contract or identification number | 0711992 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $122,002 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
