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UEBT RETIREE HEALTH PLAN 401k Plan overview

Plan NameUEBT RETIREE HEALTH PLAN
Plan identification number 501

UEBT RETIREE HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

UFCW & EMPLOYER BENEFIT TRUST has sponsored the creation of one or more 401k plans.

Company Name:UFCW & EMPLOYER BENEFIT TRUST
Employer identification number (EIN):946078804
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UEBT RETIREE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JACQUES S LOVEALL2023-10-05 PENNY SCHUMACHER2023-10-05
5012021-01-01JACQUES S. LOVEALL2022-10-14 FRANK JORGENSEN2022-10-17
5012020-01-01FRANK JORGENSEN2021-09-22 JACQUES S LOVEALL2021-09-22
5012019-01-01JACQUES S LOVEALL2020-10-01 FRANK JORGENSEN2020-10-14
5012019-01-01JACQUES S LOVEALL2020-10-01
5012018-01-01JAUQES LOVEALL2019-10-12 FRANK JORGENSEN2019-10-12
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01FRANK JORGENSEN
5012011-01-01JACQUES S. LOVEALL
5012009-01-01JACQUES LOVEALL

Plan Statistics for UEBT RETIREE HEALTH PLAN

401k plan membership statisitcs for UEBT RETIREE HEALTH PLAN

Measure Date Value
2022: UEBT RETIREE HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0114,131
Number of retired or separated participants receiving benefits2022-01-0113,853
Total of all active and inactive participants2022-01-0113,853
Number of employers contributing to the scheme2022-01-0168
2021: UEBT RETIREE HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0114,299
Number of retired or separated participants receiving benefits2021-01-0114,131
Total of all active and inactive participants2021-01-0114,131
Number of employers contributing to the scheme2021-01-0169
2020: UEBT RETIREE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114,572
Number of retired or separated participants receiving benefits2020-01-0114,299
Total of all active and inactive participants2020-01-0114,299
Number of employers contributing to the scheme2020-01-0170
2019: UEBT RETIREE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0114,680
Number of retired or separated participants receiving benefits2019-01-0114,572
Total of all active and inactive participants2019-01-0114,572
Number of employers contributing to the scheme2019-01-0170
2018: UEBT RETIREE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0114,656
Number of retired or separated participants receiving benefits2018-01-0114,680
Total of all active and inactive participants2018-01-0114,680
Number of employers contributing to the scheme2018-01-0175
2017: UEBT RETIREE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114,685
Number of retired or separated participants receiving benefits2017-01-0114,656
Total of all active and inactive participants2017-01-0114,656
Number of employers contributing to the scheme2017-01-0177
2016: UEBT RETIREE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0115,008
Number of retired or separated participants receiving benefits2016-01-0114,685
Total of all active and inactive participants2016-01-0114,685
Number of employers contributing to the scheme2016-01-0181
2015: UEBT RETIREE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0115,041
Number of retired or separated participants receiving benefits2015-01-0115,008
Total of all active and inactive participants2015-01-0115,008
Number of employers contributing to the scheme2015-01-0183
2014: UEBT RETIREE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0114,779
Number of retired or separated participants receiving benefits2014-01-0115,041
Total of all active and inactive participants2014-01-0115,041
Number of employers contributing to the scheme2014-01-0183
2013: UEBT RETIREE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0157,109
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-0114,779
Total of all active and inactive participants2013-01-0114,779
Number of employers contributing to the scheme2013-01-0192
2012: UEBT RETIREE HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0158,524
Total number of active participants reported on line 7a of the Form 55002012-01-0140,841
Number of retired or separated participants receiving benefits2012-01-0116,268
Total of all active and inactive participants2012-01-0157,109
Number of employers contributing to the scheme2012-01-0196
2011: UEBT RETIREE HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0159,780
Total number of active participants reported on line 7a of the Form 55002011-01-0142,324
Number of retired or separated participants receiving benefits2011-01-0116,200
Total of all active and inactive participants2011-01-0158,524
Number of employers contributing to the scheme2011-01-0198
2009: UEBT RETIREE HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0126,793
Total number of active participants reported on line 7a of the Form 55002009-01-0145,556
Number of retired or separated participants receiving benefits2009-01-0115,453
Total of all active and inactive participants2009-01-0161,009
Number of employers contributing to the scheme2009-01-01134

Financial Data on UEBT RETIREE HEALTH PLAN

Measure Date Value
2022 : UEBT RETIREE HEALTH PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,661,159
Total unrealized appreciation/depreciation of assets2022-12-31$-1,661,159
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$10,752,498
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$9,814,184
Total income from all sources (including contributions)2022-12-31$111,466,420
Total loss/gain on sale of assets2022-12-31$-1,449,378
Total of all expenses incurred2022-12-31$133,707,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$121,779,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$113,615,170
Value of total assets at end of year2022-12-31$67,038,258
Value of total assets at beginning of year2022-12-31$88,341,182
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$11,928,140
Total interest from all sources2022-12-31$912,287
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$3,707,796
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$28,507,023
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$5,947,990
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$6,521,961
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$7,965,204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$3,221,346
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$3,054,365
Other income not declared elsewhere2022-12-31$49,500
Administrative expenses (other) incurred2022-12-31$893,155
Liabilities. Value of operating payables at end of year2022-12-31$88,031
Liabilities. Value of operating payables at beginning of year2022-12-31$66,756
Total non interest bearing cash at end of year2022-12-31$6,209,815
Total non interest bearing cash at beginning of year2022-12-31$4,409,728
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-22,241,238
Value of net assets at end of year (total assets less liabilities)2022-12-31$56,285,760
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$78,526,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$75,308
Income. Interest from US Government securities2022-12-31$313,434
Income. Interest from corporate debt instruments2022-12-31$589,083
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$102,547
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$585,918
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$585,918
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$9,770
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$30,196,698
Asset value of US Government securities at end of year2022-12-31$16,499,800
Asset value of US Government securities at beginning of year2022-12-31$28,229,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$79,160,157
Employer contributions (assets) at end of year2022-12-31$6,960,943
Employer contributions (assets) at beginning of year2022-12-31$6,424,731
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$91,582,820
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$30,743,192
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$40,725,980
Contract administrator fees2022-12-31$7,251,881
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$7,443,121
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$6,693,063
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$42,054,217
Aggregate carrying amount (costs) on sale of assets2022-12-31$43,503,595
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EIDE BAILLY, LLP
Accountancy firm EIN2022-12-31450250958
2021 : UEBT RETIREE HEALTH PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-822,131
Total unrealized appreciation/depreciation of assets2021-12-31$-822,131
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$9,814,184
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$13,567,947
Total income from all sources (including contributions)2021-12-31$122,531,050
Total loss/gain on sale of assets2021-12-31$-368,702
Total of all expenses incurred2021-12-31$124,830,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$113,108,441
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$122,741,368
Value of total assets at end of year2021-12-31$88,341,182
Value of total assets at beginning of year2021-12-31$94,394,063
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$11,721,727
Total interest from all sources2021-12-31$972,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$3,522,303
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$29,054,432
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$5,860,292
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$7,965,204
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$6,892,147
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$3,054,365
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$11,245,139
Other income not declared elsewhere2021-12-31$7,823
Administrative expenses (other) incurred2021-12-31$870,722
Liabilities. Value of operating payables at end of year2021-12-31$66,756
Liabilities. Value of operating payables at beginning of year2021-12-31$46,119
Total non interest bearing cash at end of year2021-12-31$4,409,728
Total non interest bearing cash at beginning of year2021-12-31$20,000,585
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-2,299,118
Value of net assets at end of year (total assets less liabilities)2021-12-31$78,526,998
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$80,826,116
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$86,568
Income. Interest from US Government securities2021-12-31$357,005
Income. Interest from corporate debt instruments2021-12-31$586,882
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$585,918
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$541,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$541,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$28,805
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$32,591,884
Asset value of US Government securities at end of year2021-12-31$28,229,621
Asset value of US Government securities at beginning of year2021-12-31$24,003,852
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$87,826,644
Employer contributions (assets) at end of year2021-12-31$6,424,731
Employer contributions (assets) at beginning of year2021-12-31$7,739,721
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$80,516,557
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$35,215,926
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$40,725,980
Contract administrator fees2021-12-31$7,242,134
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$6,693,063
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$2,276,689
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$38,858,731
Aggregate carrying amount (costs) on sale of assets2021-12-31$39,227,433
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EIDE BAILLY, LLP
Accountancy firm EIN2021-12-31450250958
2020 : UEBT RETIREE HEALTH PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$94,541
Total unrealized appreciation/depreciation of assets2020-12-31$94,541
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$13,567,947
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,937,839
Total income from all sources (including contributions)2020-12-31$148,778,332
Total loss/gain on sale of assets2020-12-31$248,892
Total of all expenses incurred2020-12-31$118,330,113
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$107,429,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$144,719,121
Value of total assets at end of year2020-12-31$94,394,063
Value of total assets at beginning of year2020-12-31$56,315,736
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,900,169
Total interest from all sources2020-12-31$964,915
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$3,272,656
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$29,886,257
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$6,892,147
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$8,289,637
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$11,245,139
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$3,954,529
Other income not declared elsewhere2020-12-31$2,750,863
Administrative expenses (other) incurred2020-12-31$806,506
Liabilities. Value of operating payables at end of year2020-12-31$46,119
Liabilities. Value of operating payables at beginning of year2020-12-31$65,888
Total non interest bearing cash at end of year2020-12-31$20,000,585
Total non interest bearing cash at beginning of year2020-12-31$3,628,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$30,448,219
Value of net assets at end of year (total assets less liabilities)2020-12-31$80,826,116
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$50,377,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$82,766
Income. Interest from US Government securities2020-12-31$340,619
Income. Interest from corporate debt instruments2020-12-31$584,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$541,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$8,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$8,147
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$39,986
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$33,021,733
Asset value of US Government securities at end of year2020-12-31$24,003,852
Asset value of US Government securities at beginning of year2020-12-31$14,615,301
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$114,832,864
Employer contributions (assets) at end of year2020-12-31$7,739,721
Employer contributions (assets) at beginning of year2020-12-31$5,846,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$74,408,211
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$35,215,926
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$23,928,095
Contract administrator fees2020-12-31$6,738,241
Liabilities. Value of benefit claims payable at end of year2020-12-31$2,276,689
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,917,422
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$28,591,541
Aggregate carrying amount (costs) on sale of assets2020-12-31$28,342,649
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31EIDE BAILLY LLP
Accountancy firm EIN2020-12-31450250958
2019 : UEBT RETIREE HEALTH PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$479,664
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$479,664
Total unrealized appreciation/depreciation of assets2019-12-31$479,664
Total unrealized appreciation/depreciation of assets2019-12-31$479,664
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,937,839
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,937,839
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,335,869
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,335,869
Total income from all sources (including contributions)2019-12-31$130,761,250
Total income from all sources (including contributions)2019-12-31$130,761,250
Total loss/gain on sale of assets2019-12-31$224,113
Total loss/gain on sale of assets2019-12-31$224,113
Total of all expenses incurred2019-12-31$115,557,586
Total of all expenses incurred2019-12-31$115,557,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$106,064,668
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$106,064,668
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$128,949,252
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$128,949,252
Value of total assets at end of year2019-12-31$78,901,750
Value of total assets at end of year2019-12-31$78,901,750
Value of total assets at beginning of year2019-12-31$69,096,116
Value of total assets at beginning of year2019-12-31$69,096,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$9,492,918
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$9,492,918
Total interest from all sources2019-12-31$1,081,606
Total interest from all sources2019-12-31$1,081,606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$3,211,391
Administrative expenses professional fees incurred2019-12-31$3,211,391
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$30,583,289
Contributions received from participants2019-12-31$30,583,289
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$26,792,629
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$26,792,629
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$6,183,753
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$6,183,753
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$3,954,529
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$3,954,529
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$9,398,254
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$9,398,254
Other income not declared elsewhere2019-12-31$26,615
Other income not declared elsewhere2019-12-31$26,615
Administrative expenses (other) incurred2019-12-31$814,117
Administrative expenses (other) incurred2019-12-31$814,117
Liabilities. Value of operating payables at end of year2019-12-31$65,888
Liabilities. Value of operating payables at end of year2019-12-31$65,888
Liabilities. Value of operating payables at beginning of year2019-12-31$51,395
Liabilities. Value of operating payables at beginning of year2019-12-31$51,395
Total non interest bearing cash at end of year2019-12-31$6,432,375
Total non interest bearing cash at end of year2019-12-31$6,432,375
Total non interest bearing cash at beginning of year2019-12-31$6,232,707
Total non interest bearing cash at beginning of year2019-12-31$6,232,707
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$15,203,664
Value of net income/loss2019-12-31$15,203,664
Value of net assets at end of year (total assets less liabilities)2019-12-31$72,963,911
Value of net assets at end of year (total assets less liabilities)2019-12-31$72,963,911
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$57,760,247
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$57,760,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$53,149
Investment advisory and management fees2019-12-31$53,149
Income. Interest from US Government securities2019-12-31$428,622
Income. Interest from US Government securities2019-12-31$428,622
Income. Interest from corporate debt instruments2019-12-31$570,535
Income. Interest from corporate debt instruments2019-12-31$570,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,147
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$8,147
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$654,334
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$654,334
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$654,334
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$654,334
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$82,449
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$82,449
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$32,764,066
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$32,764,066
Asset value of US Government securities at end of year2019-12-31$14,615,301
Asset value of US Government securities at end of year2019-12-31$14,615,301
Asset value of US Government securities at beginning of year2019-12-31$31,384,870
Asset value of US Government securities at beginning of year2019-12-31$31,384,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$98,365,963
Contributions received in cash from employer2019-12-31$98,365,963
Employer contributions (assets) at end of year2019-12-31$7,125,203
Employer contributions (assets) at end of year2019-12-31$7,125,203
Employer contributions (assets) at beginning of year2019-12-31$7,212,066
Employer contributions (assets) at beginning of year2019-12-31$7,212,066
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$73,300,602
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$73,300,602
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$23,928,095
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$23,928,095
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$17,428,386
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$17,428,386
Contract administrator fees2019-12-31$5,414,261
Contract administrator fees2019-12-31$5,414,261
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,917,422
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,917,422
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,886,220
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,886,220
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$46,912,973
Aggregate proceeds on sale of assets2019-12-31$46,912,973
Aggregate carrying amount (costs) on sale of assets2019-12-31$46,688,860
Aggregate carrying amount (costs) on sale of assets2019-12-31$46,688,860
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm EIN2019-12-31450250958
Accountancy firm EIN2019-12-31450250958
2018 : UEBT RETIREE HEALTH PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$193,051
Total unrealized appreciation/depreciation of assets2018-12-31$193,051
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$11,335,869
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$12,611,892
Total income from all sources (including contributions)2018-12-31$128,581,382
Total loss/gain on sale of assets2018-12-31$-205,532
Total of all expenses incurred2018-12-31$122,905,101
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$111,773,300
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$120,859,217
Value of total assets at end of year2018-12-31$69,096,116
Value of total assets at beginning of year2018-12-31$64,695,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$11,131,801
Total interest from all sources2018-12-31$884,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$4,770,022
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$31,501,759
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$6,183,753
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$6,070,720
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$9,398,254
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$10,899,392
Other income not declared elsewhere2018-12-31$6,849,701
Administrative expenses (other) incurred2018-12-31$606,020
Liabilities. Value of operating payables at end of year2018-12-31$51,395
Liabilities. Value of operating payables at beginning of year2018-12-31$55,148
Total non interest bearing cash at end of year2018-12-31$6,232,707
Total non interest bearing cash at beginning of year2018-12-31$15,553,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$5,676,281
Value of net assets at end of year (total assets less liabilities)2018-12-31$57,760,247
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$52,083,966
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$60,502
Income. Interest from US Government securities2018-12-31$412,147
Income. Interest from corporate debt instruments2018-12-31$397,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$654,334
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,025,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,025,595
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$75,664
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$30,936,487
Asset value of US Government securities at end of year2018-12-31$31,384,870
Asset value of US Government securities at beginning of year2018-12-31$17,258,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$89,357,458
Employer contributions (assets) at end of year2018-12-31$7,212,066
Employer contributions (assets) at beginning of year2018-12-31$8,888,076
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$80,836,813
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$17,428,386
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$15,898,752
Contract administrator fees2018-12-31$5,695,257
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,886,220
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,657,352
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$19,459,952
Aggregate carrying amount (costs) on sale of assets2018-12-31$19,665,484
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31EIDE BAILLY LLP
Accountancy firm EIN2018-12-31450250958
2017 : UEBT RETIREE HEALTH PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-96,914
Total unrealized appreciation/depreciation of assets2017-12-31$-96,914
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,954,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$30,436,568
Total income from all sources (including contributions)2017-12-31$139,937,559
Total loss/gain on sale of assets2017-12-31$-43,963
Total of all expenses incurred2017-12-31$130,761,721
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$119,804,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$130,769,419
Value of total assets at end of year2017-12-31$64,695,858
Value of total assets at beginning of year2017-12-31$75,002,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$10,957,090
Total interest from all sources2017-12-31$488,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$4,665,847
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$31,563,743
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$6,070,720
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$7,765,416
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$10,899,392
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$30,310,046
Other income not declared elsewhere2017-12-31$8,820,169
Administrative expenses (other) incurred2017-12-31$686,851
Liabilities. Value of operating payables at end of year2017-12-31$55,148
Liabilities. Value of operating payables at beginning of year2017-12-31$126,522
Total non interest bearing cash at end of year2017-12-31$15,553,880
Total non interest bearing cash at beginning of year2017-12-31$44,398,884
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$9,175,838
Value of net assets at end of year (total assets less liabilities)2017-12-31$53,741,318
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$44,565,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$39,903
Income. Interest from US Government securities2017-12-31$223,939
Income. Interest from corporate debt instruments2017-12-31$225,121
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,025,595
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$163,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$163,856
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$39,788
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$29,704,882
Asset value of US Government securities at end of year2017-12-31$17,258,835
Asset value of US Government securities at beginning of year2017-12-31$8,400,470
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$99,205,676
Employer contributions (assets) at end of year2017-12-31$8,888,076
Employer contributions (assets) at beginning of year2017-12-31$8,880,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$90,099,749
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$15,898,752
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$5,392,516
Contract administrator fees2017-12-31$5,564,489
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$21,708,857
Aggregate carrying amount (costs) on sale of assets2017-12-31$21,752,820
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2017-12-31952648289
2016 : UEBT RETIREE HEALTH PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-122,847
Total unrealized appreciation/depreciation of assets2016-12-31$-122,847
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$30,436,568
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$12,614,420
Total income from all sources (including contributions)2016-12-31$143,306,560
Total loss/gain on sale of assets2016-12-31$3,899
Total of all expenses incurred2016-12-31$123,171,317
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$110,434,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$132,558,442
Value of total assets at end of year2016-12-31$75,002,048
Value of total assets at beginning of year2016-12-31$37,044,657
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$12,736,853
Total interest from all sources2016-12-31$114,903
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$5,148,379
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$32,296,204
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$7,765,416
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$6,623,358
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$30,310,046
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$12,552,862
Other income not declared elsewhere2016-12-31$10,752,163
Administrative expenses (other) incurred2016-12-31$645,155
Liabilities. Value of operating payables at end of year2016-12-31$126,522
Liabilities. Value of operating payables at beginning of year2016-12-31$61,558
Total non interest bearing cash at end of year2016-12-31$44,398,884
Total non interest bearing cash at beginning of year2016-12-31$14,634,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$20,135,243
Value of net assets at end of year (total assets less liabilities)2016-12-31$44,565,480
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$24,430,237
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$7,682
Income. Interest from US Government securities2016-12-31$60,957
Income. Interest from corporate debt instruments2016-12-31$52,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$163,856
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$9,000,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$9,000,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,356
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$28,756,253
Asset value of US Government securities at end of year2016-12-31$8,400,470
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$100,262,238
Employer contributions (assets) at end of year2016-12-31$8,880,906
Employer contributions (assets) at beginning of year2016-12-31$6,786,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$81,678,211
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$5,392,516
Contract administrator fees2016-12-31$6,935,637
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$1,755,363
Aggregate carrying amount (costs) on sale of assets2016-12-31$1,751,464
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-12-31300702322
2015 : UEBT RETIREE HEALTH PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$12,614,420
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$8,337,370
Total income from all sources (including contributions)2015-12-31$120,255,052
Total of all expenses incurred2015-12-31$124,124,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$111,598,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$113,184,962
Value of total assets at end of year2015-12-31$37,044,657
Value of total assets at beginning of year2015-12-31$36,636,722
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$12,525,525
Total interest from all sources2015-12-31$69
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$4,971,348
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$32,934,744
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$6,623,358
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$11,317,901
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$12,552,862
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$8,012,402
Other income not declared elsewhere2015-12-31$7,070,021
Administrative expenses (other) incurred2015-12-31$504,717
Liabilities. Value of operating payables at end of year2015-12-31$61,558
Liabilities. Value of operating payables at beginning of year2015-12-31$324,968
Total non interest bearing cash at end of year2015-12-31$14,634,439
Total non interest bearing cash at beginning of year2015-12-31$2,150,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-3,869,115
Value of net assets at end of year (total assets less liabilities)2015-12-31$24,430,237
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$28,299,352
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$33
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$4,131,758
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$9,000,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,058,663
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,058,663
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$69
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$3,297,433
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$29,070,122
Asset value of US Government securities at beginning of year2015-12-31$4,676,873
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$80,250,218
Employer contributions (assets) at end of year2015-12-31$6,786,860
Employer contributions (assets) at beginning of year2015-12-31$6,564,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$82,528,520
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$3,439,576
Contract administrator fees2015-12-31$7,049,427
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31HEMMING MORSE CPAS & CONSULTANTS
Accountancy firm EIN2015-12-31300702322
2014 : UEBT RETIREE HEALTH PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-4,755
Total unrealized appreciation/depreciation of assets2014-12-31$-4,755
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$8,337,370
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$18,772,294
Total income from all sources (including contributions)2014-12-31$118,742,202
Total loss/gain on sale of assets2014-12-31$-18,976
Total of all expenses incurred2014-12-31$124,486,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$111,391,508
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$111,675,112
Value of total assets at end of year2014-12-31$36,636,722
Value of total assets at beginning of year2014-12-31$52,816,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$13,095,139
Total interest from all sources2014-12-31$116,945
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$192,211
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$192,211
Administrative expenses professional fees incurred2014-12-31$5,638,493
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$33,899,304
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$11,317,901
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$8,508,258
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$8,012,402
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$18,668,886
Other income not declared elsewhere2014-12-31$6,811,914
Administrative expenses (other) incurred2014-12-31$655,469
Liabilities. Value of operating payables at end of year2014-12-31$324,968
Liabilities. Value of operating payables at beginning of year2014-12-31$103,408
Total non interest bearing cash at end of year2014-12-31$2,150,305
Total non interest bearing cash at beginning of year2014-12-31$24,628,432
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-5,744,445
Value of net assets at end of year (total assets less liabilities)2014-12-31$28,299,352
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$34,043,797
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$129,933
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$4,131,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,350,468
Income. Interest from US Government securities2014-12-31$71,832
Income. Interest from corporate debt instruments2014-12-31$45,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,058,663
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$841,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$841,028
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$111
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$3,297,433
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$3,174,723
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$27,984,742
Asset value of US Government securities at end of year2014-12-31$4,676,873
Asset value of US Government securities at beginning of year2014-12-31$4,052,528
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-179,703
Net gain/loss from 103.12 investment entities2014-12-31$149,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$77,775,808
Employer contributions (assets) at end of year2014-12-31$6,564,213
Employer contributions (assets) at beginning of year2014-12-31$6,467,579
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$83,406,766
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$3,439,576
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$1,793,075
Contract administrator fees2014-12-31$6,671,244
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$2,018,704
Aggregate carrying amount (costs) on sale of assets2014-12-31$2,037,680
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-12-31300702322
2013 : UEBT RETIREE HEALTH PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-44,827
Total unrealized appreciation/depreciation of assets2013-12-31$-44,827
Total transfer of assets from this plan2013-12-31$45,882,498
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$18,772,294
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$128,291,082
Total income from all sources (including contributions)2013-12-31$120,203,499
Total loss/gain on sale of assets2013-12-31$-47,827
Total of all expenses incurred2013-12-31$118,128,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$107,487,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$110,377,338
Value of total assets at end of year2013-12-31$52,816,091
Value of total assets at beginning of year2013-12-31$206,141,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$10,640,411
Total interest from all sources2013-12-31$125,779
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$158,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$158,973
Administrative expenses professional fees incurred2013-12-31$4,680,571
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$33,054,008
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$-188,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$8,508,258
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$13,159,401
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$18,668,886
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$23,085,610
Other income not declared elsewhere2013-12-31$9,484,319
Administrative expenses (other) incurred2013-12-31$423,743
Liabilities. Value of operating payables at end of year2013-12-31$103,408
Liabilities. Value of operating payables at beginning of year2013-12-31$539,572
Total non interest bearing cash at end of year2013-12-31$24,628,432
Total non interest bearing cash at beginning of year2013-12-31$27,434,258
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$2,075,489
Value of net assets at end of year (total assets less liabilities)2013-12-31$34,043,797
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$77,850,806
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$149,645
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,350,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$30,640,017
Income. Interest from US Government securities2013-12-31$76,284
Income. Interest from corporate debt instruments2013-12-31$49,372
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$841,028
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$808,678
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$808,678
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$123
Assets. Value of investments in 103.12 investment entities at end of year2013-12-31$3,174,723
Assets. Value of investments in 103.12 investment entities at beginning of year2013-12-31$33,644,423
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$28,132,867
Asset value of US Government securities at end of year2013-12-31$4,052,528
Asset value of US Government securities at beginning of year2013-12-31$35,610,492
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-78,068
Net gain/loss from 103.12 investment entities2013-12-31$227,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$77,323,330
Employer contributions (assets) at end of year2013-12-31$6,467,579
Employer contributions (assets) at beginning of year2013-12-31$44,552,778
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$79,354,732
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$1,793,075
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$20,480,527
Contract administrator fees2013-12-31$5,386,452
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$104,665,900
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$6,393,357
Aggregate carrying amount (costs) on sale of assets2013-12-31$6,441,184
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2013-12-31300702322
2012 : UEBT RETIREE HEALTH PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$120,587
Total unrealized appreciation/depreciation of assets2012-12-31$120,587
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$128,291,082
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$128,404,933
Total income from all sources (including contributions)2012-12-31$515,444,153
Total loss/gain on sale of assets2012-12-31$-459,051
Total of all expenses incurred2012-12-31$589,358,638
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$552,912,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$495,332,558
Value of total assets at end of year2012-12-31$206,141,888
Value of total assets at beginning of year2012-12-31$280,170,224
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$36,446,354
Total interest from all sources2012-12-31$1,971,662
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,877,832
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,877,832
Administrative expenses professional fees incurred2012-12-31$17,423,058
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$21,629,063
Assets. Other investments not covered elsewhere at end of year2012-12-31$-188,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$13,159,401
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$18,993,517
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$23,085,610
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$27,399,294
Other income not declared elsewhere2012-12-31$11,649,081
Administrative expenses (other) incurred2012-12-31$1,822,135
Liabilities. Value of operating payables at end of year2012-12-31$539,572
Liabilities. Value of operating payables at beginning of year2012-12-31$28,233
Total non interest bearing cash at end of year2012-12-31$27,434,258
Total non interest bearing cash at beginning of year2012-12-31$31,090,923
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-73,914,485
Value of net assets at end of year (total assets less liabilities)2012-12-31$77,850,806
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$151,765,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$989,404
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$30,640,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$42,436,753
Interest earned on other investments2012-12-31$2,122
Income. Interest from US Government securities2012-12-31$770,269
Income. Interest from corporate debt instruments2012-12-31$1,199,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$808,678
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$7,465,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$7,465,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$96
Assets. Value of investments in 103.12 investment entities at end of year2012-12-31$33,644,423
Assets. Value of investments in 103.12 investment entities at beginning of year2012-12-31$49,725,952
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$155,129,049
Asset value of US Government securities at end of year2012-12-31$35,610,492
Asset value of US Government securities at beginning of year2012-12-31$63,083,531
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$3,670,571
Net gain/loss from 103.12 investment entities2012-12-31$1,280,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$473,703,495
Employer contributions (assets) at end of year2012-12-31$44,552,778
Employer contributions (assets) at beginning of year2012-12-31$44,858,291
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$397,783,235
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$20,480,527
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$22,516,197
Contract administrator fees2012-12-31$16,211,757
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$104,665,900
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$100,977,406
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$113,159,920
Aggregate carrying amount (costs) on sale of assets2012-12-31$113,618,971
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2012-12-31300702322
2011 : UEBT RETIREE HEALTH PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-360,745
Total unrealized appreciation/depreciation of assets2011-12-31$-360,745
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$128,404,933
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$152,673,392
Total income from all sources (including contributions)2011-12-31$534,232,206
Total loss/gain on sale of assets2011-12-31$-404,048
Total of all expenses incurred2011-12-31$558,789,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$522,424,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$512,013,519
Value of total assets at end of year2011-12-31$280,170,224
Value of total assets at beginning of year2011-12-31$328,995,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$36,364,876
Total interest from all sources2011-12-31$2,631,268
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$2,224,673
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$2,224,673
Administrative expenses professional fees incurred2011-12-31$16,604,293
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$21,095,299
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$5,243,722
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$18,993,517
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$10,056,415
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$27,399,294
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$25,399,959
Other income not declared elsewhere2011-12-31$22,016,788
Administrative expenses (other) incurred2011-12-31$1,213,744
Liabilities. Value of operating payables at end of year2011-12-31$28,233
Liabilities. Value of operating payables at beginning of year2011-12-31$409,365
Total non interest bearing cash at end of year2011-12-31$31,090,923
Total non interest bearing cash at beginning of year2011-12-31$25,860,921
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-24,557,003
Value of net assets at end of year (total assets less liabilities)2011-12-31$151,765,291
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$176,322,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$350,852
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$42,436,753
Interest earned on other investments2011-12-31$7,625
Income. Interest from US Government securities2011-12-31$1,704,738
Income. Interest from corporate debt instruments2011-12-31$918,811
Value of interest in common/collective trusts at beginning of year2011-12-31$52,601,642
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$7,465,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$27,926,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$27,926,186
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$94
Assets. Value of investments in 103.12 investment entities at end of year2011-12-31$49,725,952
Assets. Value of investments in 103.12 investment entities at beginning of year2011-12-31$88,662,181
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$150,449,700
Asset value of US Government securities at end of year2011-12-31$63,083,531
Asset value of US Government securities at beginning of year2011-12-31$62,784,631
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-3,787,710
Net investment gain or loss from common/collective trusts2011-12-31$334,690
Net gain/loss from 103.12 investment entities2011-12-31$-436,229
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$490,918,220
Employer contributions (assets) at end of year2011-12-31$44,858,291
Employer contributions (assets) at beginning of year2011-12-31$41,314,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$371,974,633
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$22,516,197
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$14,545,235
Contract administrator fees2011-12-31$18,195,987
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$100,977,406
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$126,864,068
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$121,939,514
Aggregate carrying amount (costs) on sale of assets2011-12-31$122,343,562
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2011-12-31300702322
2010 : UEBT RETIREE HEALTH PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-781,382
Total unrealized appreciation/depreciation of assets2010-12-31$-781,382
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$152,673,392
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$158,173,039
Total income from all sources (including contributions)2010-12-31$492,113,899
Total loss/gain on sale of assets2010-12-31$1,090,313
Total of all expenses incurred2010-12-31$582,184,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$547,101,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$470,614,858
Value of total assets at end of year2010-12-31$328,995,686
Value of total assets at beginning of year2010-12-31$424,565,691
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$35,082,942
Total interest from all sources2010-12-31$4,129,823
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$16,190,364
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$22,067,535
Assets. Other investments not covered elsewhere at end of year2010-12-31$5,243,722
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$21,291,419
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$10,056,415
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$8,961,168
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$25,399,959
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$94,090,843
Other income not declared elsewhere2010-12-31$12,615,695
Administrative expenses (other) incurred2010-12-31$563,094
Liabilities. Value of operating payables at end of year2010-12-31$409,365
Liabilities. Value of operating payables at beginning of year2010-12-31$541,753
Total non interest bearing cash at end of year2010-12-31$25,860,921
Total non interest bearing cash at beginning of year2010-12-31$43,878,399
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-90,070,358
Value of net assets at end of year (total assets less liabilities)2010-12-31$176,322,294
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$266,392,652
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$841,020
Interest earned on other investments2010-12-31$8,350
Income. Interest from US Government securities2010-12-31$2,882,437
Income. Interest from corporate debt instruments2010-12-31$1,232,931
Value of interest in common/collective trusts at end of year2010-12-31$52,601,642
Value of interest in common/collective trusts at beginning of year2010-12-31$75,469,191
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$27,926,186
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,418,050
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,418,050
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$6,105
Assets. Value of investments in 103.12 investment entities at end of year2010-12-31$88,662,181
Assets. Value of investments in 103.12 investment entities at beginning of year2010-12-31$88,850,040
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$148,976,443
Asset value of US Government securities at end of year2010-12-31$62,784,631
Asset value of US Government securities at beginning of year2010-12-31$97,678,997
Net investment gain or loss from common/collective trusts2010-12-31$4,632,451
Net gain/loss from 103.12 investment entities2010-12-31$-187,859
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$448,547,323
Employer contributions (assets) at end of year2010-12-31$41,314,753
Employer contributions (assets) at beginning of year2010-12-31$41,475,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$398,124,872
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$14,545,235
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$44,542,674
Contract administrator fees2010-12-31$17,488,464
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$126,864,068
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$63,540,443
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$414,761,886
Aggregate carrying amount (costs) on sale of assets2010-12-31$413,671,573
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31HEMMING MORSE CPAS & CONSULTANTS
Accountancy firm EIN2010-12-31942723629

Form 5500 Responses for UEBT RETIREE HEALTH PLAN

2022: UEBT RETIREE HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UEBT RETIREE HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UEBT RETIREE HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UEBT RETIREE HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UEBT RETIREE HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UEBT RETIREE HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UEBT RETIREE HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UEBT RETIREE HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UEBT RETIREE HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: UEBT RETIREE HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: UEBT RETIREE HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: UEBT RETIREE HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: UEBT RETIREE HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326
Policy instance 4
Insurance contract or identification number50326
Number of Individuals Covered592
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,851
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 number84
Policy instance 3
Insurance contract or identification number84
Number of Individuals Covered3304
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $27,859,792
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 number62069U
Policy instance 2
Insurance contract or identification number62069U
Number of Individuals Covered445
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,269,675
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 numberF5676U
Policy instance 1
Insurance contract or identification numberF5676U
Number of Individuals Covered306
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,051,121
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 numberF5676U
Policy instance 1
Insurance contract or identification numberF5676U
Number of Individuals Covered316
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,130,943
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 number62069U
Policy instance 2
Insurance contract or identification number62069U
Number of Individuals Covered483
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,386,862
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 number84
Policy instance 3
Insurance contract or identification number84
Number of Individuals Covered5995
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $25,163,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326
Policy instance 4
Insurance contract or identification number50326
Number of Individuals Covered739
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326
Policy instance 4
Insurance contract or identification number50326
Number of Individuals Covered951
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,284
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 number84
Policy instance 3
Insurance contract or identification number84
Number of Individuals Covered5722
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $31,596,405
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 number62069U
Policy instance 2
Insurance contract or identification number000010206350
Number of Individuals Covered239
Insurance policy start date2015-07-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,599
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $17,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,599
Insurance broker organization code?3
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberF5676U
Policy instance 1
Insurance contract or identification numberF5676U
Number of Individuals Covered316
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,534,780
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 number62069U
Policy instance 2
Insurance contract or identification number62069U
Number of Individuals Covered508
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,376,296
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 numberF5676U
Policy instance 1
Insurance contract or identification numberF5676U
Number of Individuals Covered305
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,005,568
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 number84
Policy instance 3
Insurance contract or identification number84
Number of Individuals Covered5859
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $30,066,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326
Policy instance 4
Insurance contract or identification number50326
Number of Individuals Covered1100
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326
Policy instance 4
Insurance contract or identification number50326
Number of Individuals Covered1341
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,968
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 numberF5676U
Policy instance 1
Insurance contract or identification numberF5676U
Number of Individuals Covered301
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $855,146
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 number62069
Policy instance 2
Insurance contract or identification number62069
Number of Individuals Covered517
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,489,477
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 number84
Policy instance 3
Insurance contract or identification number84
Number of Individuals Covered5765
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $29,341,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50326
Policy instance 4
Insurance contract or identification number50326
Number of Individuals Covered2446
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number84
Policy instance 3
Insurance contract or identification number84
Number of Individuals Covered5804
Insurance policy start date2016-06-01
Insurance policy end date2017-05-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $26,951,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract number62069
Policy instance 2
Insurance contract or identification number62069
Number of Individuals Covered528
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,396,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 )
Policy contract numberF5676
Policy instance 1
Insurance contract or identification numberF5676
Number of Individuals Covered304
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $973,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE

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