ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY
401k plan membership statisitcs for ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY
| Measure | Date | Value |
|---|
| 2022 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2022 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $6,989,736 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $7,026,526 |
| Total income from all sources (including contributions) | 2022-12-31 | $18,979,228 |
| Total of all expenses incurred | 2022-12-31 | $21,010,191 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $20,505,235 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $21,082,374 |
| Value of total assets at end of year | 2022-12-31 | $19,972,842 |
| Value of total assets at beginning of year | 2022-12-31 | $22,040,595 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $504,956 |
| Total interest from all sources | 2022-12-31 | $701 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $50,519 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $50,519 |
| Administrative expenses professional fees incurred | 2022-12-31 | $215,371 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $1,289,894 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $1,149,375 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $478,224 |
| Administrative expenses (other) incurred | 2022-12-31 | $122,230 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $6,989,736 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $7,026,526 |
| Total non interest bearing cash at end of year | 2022-12-31 | $3,302,398 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $2,385,745 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-2,030,963 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $12,983,106 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $15,014,069 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $3,888 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $3,178,931 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $3,936,016 |
| Interest earned on other investments | 2022-12-31 | $701 |
| Value of interest in common/collective trusts at end of year | 2022-12-31 | $9,895,401 |
| Value of interest in common/collective trusts at beginning of year | 2022-12-31 | $12,749,623 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $20,505,235 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-307,604 |
| Net investment gain or loss from common/collective trusts | 2022-12-31 | $-1,846,762 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $19,792,480 |
| Employer contributions (assets) at end of year | 2022-12-31 | $2,446,737 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $2,490,987 |
| Contract administrator fees | 2022-12-31 | $163,467 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | LANTAN AND ASSOCIATES |
| Accountancy firm EIN | 2022-12-31 | 923971331 |
| 2021 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $7,026,526 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $7,175,479 |
| Total income from all sources (including contributions) | 2021-12-31 | $21,448,204 |
| Total of all expenses incurred | 2021-12-31 | $22,134,385 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $21,683,932 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $18,891,783 |
| Value of total assets at end of year | 2021-12-31 | $22,040,595 |
| Value of total assets at beginning of year | 2021-12-31 | $22,875,729 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $450,453 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $58,081 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $58,081 |
| Administrative expenses professional fees incurred | 2021-12-31 | $170,199 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $5,250,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $1,219,903 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $478,224 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $521,452 |
| Other income not declared elsewhere | 2021-12-31 | $465,561 |
| Administrative expenses (other) incurred | 2021-12-31 | $65,390 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $7,026,526 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $7,175,479 |
| Total non interest bearing cash at end of year | 2021-12-31 | $2,385,745 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $2,350,283 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $-686,181 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $15,014,069 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $15,700,250 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $4,342 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $3,936,016 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $3,891,604 |
| Value of interest in common/collective trusts at end of year | 2021-12-31 | $12,749,623 |
| Value of interest in common/collective trusts at beginning of year | 2021-12-31 | $13,706,248 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $21,683,932 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $986,346 |
| Net investment gain or loss from common/collective trusts | 2021-12-31 | $1,046,433 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $17,671,880 |
| Employer contributions (assets) at end of year | 2021-12-31 | $2,490,987 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $2,406,142 |
| Contract administrator fees | 2021-12-31 | $210,522 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | BUCKLEY PATCHEN |
| Accountancy firm EIN | 2021-12-31 | 942302150 |
| 2020 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2020 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $7,175,479 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $7,572,331 |
| Total income from all sources (including contributions) | 2020-12-31 | $19,881,062 |
| Total of all expenses incurred | 2020-12-31 | $22,123,128 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $21,563,135 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $17,968,813 |
| Value of total assets at end of year | 2020-12-31 | $22,875,729 |
| Value of total assets at beginning of year | 2020-12-31 | $25,514,647 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $559,993 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $103,398 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $103,398 |
| Administrative expenses professional fees incurred | 2020-12-31 | $284,617 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $4,100,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $1,136,348 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $521,452 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $667,165 |
| Other income not declared elsewhere | 2020-12-31 | $110,262 |
| Administrative expenses (other) incurred | 2020-12-31 | $68,722 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $7,175,479 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $7,572,331 |
| Total non interest bearing cash at end of year | 2020-12-31 | $2,350,283 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $4,107,503 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $-2,242,066 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $15,700,250 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $17,942,316 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $3,304 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $3,891,604 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $5,982,344 |
| Value of interest in common/collective trusts at end of year | 2020-12-31 | $13,706,248 |
| Value of interest in common/collective trusts at beginning of year | 2020-12-31 | $12,313,549 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $21,563,135 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $305,892 |
| Net investment gain or loss from common/collective trusts | 2020-12-31 | $1,392,697 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $16,832,465 |
| Employer contributions (assets) at end of year | 2020-12-31 | $2,406,142 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $2,444,086 |
| Contract administrator fees | 2020-12-31 | $203,350 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | BUCKLEY PATCHEN |
| Accountancy firm EIN | 2020-12-31 | 942302150 |
| 2019 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2019 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $7,572,331 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $9,108,546 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $9,108,546 |
| Total income from all sources (including contributions) | 2019-12-31 | $24,241,695 |
| Total income from all sources (including contributions) | 2019-12-31 | $24,241,695 |
| Total of all expenses incurred | 2019-12-31 | $22,117,168 |
| Total of all expenses incurred | 2019-12-31 | $22,117,168 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $21,622,714 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $21,622,714 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $21,551,580 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $21,551,580 |
| Value of total assets at end of year | 2019-12-31 | $25,514,647 |
| Value of total assets at beginning of year | 2019-12-31 | $24,926,335 |
| Value of total assets at beginning of year | 2019-12-31 | $24,926,335 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $494,454 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $494,454 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $132,487 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $132,487 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $132,487 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $132,487 |
| Administrative expenses professional fees incurred | 2019-12-31 | $153,715 |
| Administrative expenses professional fees incurred | 2019-12-31 | $153,715 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $4,100,000 |
| Value of fidelity bond cover | 2019-12-31 | $4,100,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $912,914 |
| Contributions received from participants | 2019-12-31 | $912,914 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $667,165 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $667,165 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $656,704 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $656,704 |
| Other income not declared elsewhere | 2019-12-31 | $11,451 |
| Other income not declared elsewhere | 2019-12-31 | $11,451 |
| Administrative expenses (other) incurred | 2019-12-31 | $119,343 |
| Administrative expenses (other) incurred | 2019-12-31 | $119,343 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $7,572,331 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $7,572,331 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $9,108,546 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $9,108,546 |
| Total non interest bearing cash at end of year | 2019-12-31 | $4,107,503 |
| Total non interest bearing cash at end of year | 2019-12-31 | $4,107,503 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $5,040,346 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $5,040,346 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $2,124,527 |
| Value of net income/loss | 2019-12-31 | $2,124,527 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $17,942,316 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $17,942,316 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $15,817,789 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $15,817,789 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $4,149 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $5,982,344 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $5,982,344 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $5,042,284 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $5,042,284 |
| Value of interest in common/collective trusts at end of year | 2019-12-31 | $12,313,549 |
| Value of interest in common/collective trusts at beginning of year | 2019-12-31 | $12,074,945 |
| Value of interest in common/collective trusts at beginning of year | 2019-12-31 | $12,074,945 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $21,622,714 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $21,622,714 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $807,572 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $807,572 |
| Net investment gain or loss from common/collective trusts | 2019-12-31 | $1,738,605 |
| Net investment gain or loss from common/collective trusts | 2019-12-31 | $1,738,605 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $20,638,666 |
| Employer contributions (assets) at end of year | 2019-12-31 | $2,444,086 |
| Employer contributions (assets) at end of year | 2019-12-31 | $2,444,086 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $2,112,056 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $2,112,056 |
| Contract administrator fees | 2019-12-31 | $217,247 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | BUCKLEY PATCHEN |
| Accountancy firm name | 2019-12-31 | BUCKLEY PATCHEN |
| Accountancy firm EIN | 2019-12-31 | 942302150 |
| Accountancy firm EIN | 2019-12-31 | 942302150 |
| 2018 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $9,108,546 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $6,618,086 |
| Total income from all sources (including contributions) | 2018-12-31 | $22,086,552 |
| Total of all expenses incurred | 2018-12-31 | $22,091,334 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $21,535,010 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $22,395,744 |
| Value of total assets at end of year | 2018-12-31 | $24,926,335 |
| Value of total assets at beginning of year | 2018-12-31 | $22,440,657 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $556,324 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $106,903 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $106,903 |
| Administrative expenses professional fees incurred | 2018-12-31 | $126,228 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $4,100,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $994,326 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $656,704 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $278,439 |
| Other income not declared elsewhere | 2018-12-31 | $68,188 |
| Administrative expenses (other) incurred | 2018-12-31 | $59,311 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $9,108,546 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $6,618,086 |
| Total non interest bearing cash at end of year | 2018-12-31 | $5,040,346 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $2,458,072 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-4,782 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $15,817,789 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $15,822,571 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $4,127 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $5,042,284 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $5,275,276 |
| Value of interest in common/collective trusts at end of year | 2018-12-31 | $12,074,945 |
| Value of interest in common/collective trusts at beginning of year | 2018-12-31 | $12,219,333 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $21,535,010 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-339,894 |
| Net investment gain or loss from common/collective trusts | 2018-12-31 | $-144,389 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $21,401,418 |
| Employer contributions (assets) at end of year | 2018-12-31 | $2,112,056 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $2,209,537 |
| Contract administrator fees | 2018-12-31 | $366,658 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | BUCKLEY PATCHEN |
| Accountancy firm EIN | 2018-12-31 | 942302150 |
| 2017 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $6,618,086 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $6,174,961 |
| Total income from all sources (including contributions) | 2017-12-31 | $21,157,966 |
| Total of all expenses incurred | 2017-12-31 | $19,578,333 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $18,993,089 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $19,583,482 |
| Value of total assets at end of year | 2017-12-31 | $22,440,657 |
| Value of total assets at beginning of year | 2017-12-31 | $20,417,899 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $585,244 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $108,247 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $108,247 |
| Administrative expenses professional fees incurred | 2017-12-31 | $138,664 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $4,100,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $278,439 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $137,231 |
| Other income not declared elsewhere | 2017-12-31 | $86,942 |
| Administrative expenses (other) incurred | 2017-12-31 | $54,201 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $6,618,086 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $6,174,961 |
| Total non interest bearing cash at end of year | 2017-12-31 | $2,458,072 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $1,464,300 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $1,579,633 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $15,822,571 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $14,242,938 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $33,512 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $5,275,276 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $4,475,887 |
| Value of interest in common/collective trusts at end of year | 2017-12-31 | $12,219,333 |
| Value of interest in common/collective trusts at beginning of year | 2017-12-31 | $12,387,445 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $18,993,089 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $474,528 |
| Net investment gain or loss from common/collective trusts | 2017-12-31 | $904,767 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $19,583,482 |
| Employer contributions (assets) at end of year | 2017-12-31 | $2,209,537 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $1,953,036 |
| Contract administrator fees | 2017-12-31 | $358,867 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | BUCKLEY PATCHEN |
| Accountancy firm EIN | 2017-12-31 | 942302150 |
| 2016 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $6,174,961 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $5,659,447 |
| Total income from all sources (including contributions) | 2016-12-31 | $18,652,258 |
| Total of all expenses incurred | 2016-12-31 | $18,199,600 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $17,620,511 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $17,453,293 |
| Value of total assets at end of year | 2016-12-31 | $20,417,899 |
| Value of total assets at beginning of year | 2016-12-31 | $19,449,727 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $579,089 |
| Total interest from all sources | 2016-12-31 | $138 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $126,112 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $126,112 |
| Administrative expenses professional fees incurred | 2016-12-31 | $127,030 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $4,100,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $137,231 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $86,453 |
| Other income not declared elsewhere | 2016-12-31 | $106,996 |
| Administrative expenses (other) incurred | 2016-12-31 | $70,220 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $6,174,961 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $5,659,447 |
| Total non interest bearing cash at end of year | 2016-12-31 | $1,464,300 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $1,669,466 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $452,658 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $14,242,938 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $13,790,280 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $42,806 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $4,475,887 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $3,919,515 |
| Value of interest in common/collective trusts at end of year | 2016-12-31 | $12,387,445 |
| Value of interest in common/collective trusts at beginning of year | 2016-12-31 | $11,851,988 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $11,276 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $11,276 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $138 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $17,620,511 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $450,645 |
| Net investment gain or loss from common/collective trusts | 2016-12-31 | $515,074 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $17,453,293 |
| Employer contributions (assets) at end of year | 2016-12-31 | $1,953,036 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $1,911,029 |
| Contract administrator fees | 2016-12-31 | $339,033 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | BUCKLEY, PATCHEN, RIEMANN AND HALL |
| Accountancy firm EIN | 2016-12-31 | 942302150 |
| 2015 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $5,659,447 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $5,490,910 |
| Total income from all sources (including contributions) | 2015-12-31 | $16,886,820 |
| Total of all expenses incurred | 2015-12-31 | $17,115,296 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $16,548,174 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $16,784,274 |
| Value of total assets at end of year | 2015-12-31 | $19,449,727 |
| Value of total assets at beginning of year | 2015-12-31 | $19,509,666 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $567,122 |
| Total interest from all sources | 2015-12-31 | $66 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $209,795 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $209,795 |
| Administrative expenses professional fees incurred | 2015-12-31 | $119,169 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $4,100,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-12-31 | $247,581 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $86,453 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $86,231 |
| Other income not declared elsewhere | 2015-12-31 | $124,086 |
| Administrative expenses (other) incurred | 2015-12-31 | $69,945 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $5,659,447 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $5,490,910 |
| Total non interest bearing cash at end of year | 2015-12-31 | $1,669,466 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $1,330,557 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-228,476 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $13,790,280 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $14,018,756 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $38,076 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $3,919,515 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $4,030,840 |
| Value of interest in common/collective trusts at end of year | 2015-12-31 | $11,851,988 |
| Value of interest in common/collective trusts at beginning of year | 2015-12-31 | $11,762,268 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $11,276 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $611,211 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $611,211 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $66 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $16,300,593 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-309,323 |
| Net investment gain or loss from common/collective trusts | 2015-12-31 | $77,922 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $16,784,274 |
| Employer contributions (assets) at end of year | 2015-12-31 | $1,911,029 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $1,688,559 |
| Contract administrator fees | 2015-12-31 | $339,932 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | No |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | BUCKLEY, PATCHEN, RIEMANN AND HALL |
| Accountancy firm EIN | 2015-12-31 | 942302150 |
| 2014 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $5,490,910 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $5,002,108 |
| Total income from all sources (including contributions) | 2014-12-31 | $18,956,110 |
| Total of all expenses incurred | 2014-12-31 | $17,306,907 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $16,256,803 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $17,744,748 |
| Value of total assets at end of year | 2014-12-31 | $19,509,666 |
| Value of total assets at beginning of year | 2014-12-31 | $17,371,661 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,050,104 |
| Total interest from all sources | 2014-12-31 | $340 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $157,355 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $157,355 |
| Administrative expenses professional fees incurred | 2014-12-31 | $104,496 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $86,231 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $86,295 |
| Other income not declared elsewhere | 2014-12-31 | $87,218 |
| Administrative expenses (other) incurred | 2014-12-31 | $580,909 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $5,490,910 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $5,002,108 |
| Total non interest bearing cash at end of year | 2014-12-31 | $1,330,557 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $940,641 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $1,649,203 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $14,018,756 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $12,369,553 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $34,780 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $4,030,840 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $3,726,414 |
| Value of interest in common/collective trusts at end of year | 2014-12-31 | $11,762,268 |
| Value of interest in common/collective trusts at beginning of year | 2014-12-31 | $10,942,889 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $611,211 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $1,610,871 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $1,610,871 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $340 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $16,256,803 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-12-31 | $206,948 |
| Net investment gain or loss from common/collective trusts | 2014-12-31 | $759,501 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $17,744,748 |
| Employer contributions (assets) at end of year | 2014-12-31 | $1,688,559 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $64,551 |
| Contract administrator fees | 2014-12-31 | $329,919 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-12-31 | No |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | BUCKLEY, PATCHEN, RIEMANN AND HALL |
| Accountancy firm EIN | 2014-12-31 | 942302150 |
| 2013 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $5,002,108 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $5,068,879 |
| Total income from all sources (including contributions) | 2013-12-31 | $16,732,497 |
| Total of all expenses incurred | 2013-12-31 | $17,006,137 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $15,899,165 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $15,641,402 |
| Value of total assets at end of year | 2013-12-31 | $17,371,661 |
| Value of total assets at beginning of year | 2013-12-31 | $17,712,072 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $1,106,972 |
| Total interest from all sources | 2013-12-31 | $1,244 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $164,087 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $164,087 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Income. Received or receivable in cash from other sources (including rollovers) | 2013-12-31 | $995,099 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $39,173 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $86,295 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $86,297 |
| Other income not declared elsewhere | 2013-12-31 | $151,449 |
| Administrative expenses (other) incurred | 2013-12-31 | $1,106,972 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $5,002,108 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $5,068,879 |
| Total non interest bearing cash at end of year | 2013-12-31 | $940,641 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $2,039,041 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-273,640 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $12,369,553 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $12,643,193 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $3,726,414 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $3,128,351 |
| Value of interest in common/collective trusts at end of year | 2013-12-31 | $10,942,889 |
| Value of interest in common/collective trusts at beginning of year | 2013-12-31 | $10,602,552 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $1,610,871 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $1,609,626 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $1,609,626 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $1,244 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $15,859,992 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $410,174 |
| Net investment gain or loss from common/collective trusts | 2013-12-31 | $364,141 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $14,646,303 |
| Employer contributions (assets) at end of year | 2013-12-31 | $64,551 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $246,205 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-12-31 | No |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | BUCKLEY, PATCHEN, RIEMANN AND HALL |
| Accountancy firm EIN | 2013-12-31 | 942302150 |
| 2012 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $222,900 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $162,971 |
| Total income from all sources (including contributions) | 2012-12-31 | $16,492,929 |
| Total of all expenses incurred | 2012-12-31 | $14,640,697 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $13,738,327 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $15,391,920 |
| Value of total assets at end of year | 2012-12-31 | $17,712,072 |
| Value of total assets at beginning of year | 2012-12-31 | $15,799,911 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $902,370 |
| Total interest from all sources | 2012-12-31 | $869 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $121,166 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $121,166 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Income. Received or receivable in cash from other sources (including rollovers) | 2012-12-31 | $1,009,923 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $86,297 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $162,789 |
| Other income not declared elsewhere | 2012-12-31 | $121,375 |
| Administrative expenses (other) incurred | 2012-12-31 | $902,370 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $222,900 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $162,971 |
| Total non interest bearing cash at end of year | 2012-12-31 | $2,039,041 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $1,282,036 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $1,852,232 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $17,489,172 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $15,636,940 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $3,128,351 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $3,706,858 |
| Value of interest in common/collective trusts at end of year | 2012-12-31 | $10,602,552 |
| Value of interest in common/collective trusts at beginning of year | 2012-12-31 | $10,045,278 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $1,609,626 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $602,950 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $602,950 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $869 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $13,738,327 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $304,954 |
| Net investment gain or loss from common/collective trusts | 2012-12-31 | $552,645 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $14,381,997 |
| Employer contributions (assets) at end of year | 2012-12-31 | $246,205 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | BUCKLEY, PATCHEN, RIEMANN AND HALL |
| Accountancy firm EIN | 2012-12-31 | 942302150 |
| 2011 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $162,971 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $8,611 |
| Total income from all sources (including contributions) | 2011-12-31 | $14,321,203 |
| Total of all expenses incurred | 2011-12-31 | $17,393,822 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $16,941,595 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $13,191,444 |
| Value of total assets at end of year | 2011-12-31 | $15,799,911 |
| Value of total assets at beginning of year | 2011-12-31 | $18,718,170 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $452,227 |
| Total interest from all sources | 2011-12-31 | $1,602 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $483,893 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $483,893 |
| Administrative expenses professional fees incurred | 2011-12-31 | $144,862 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $313,051 |
| Assets. Other investments not covered elsewhere at end of year | 2011-12-31 | $62,789 |
| Assets. Other investments not covered elsewhere at beginning of year | 2011-12-31 | $1,492 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-12-31 | $1,185,947 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-12-31 | $31,064 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $100,000 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $115,000 |
| Other income not declared elsewhere | 2011-12-31 | $363,996 |
| Administrative expenses (other) incurred | 2011-12-31 | $35,171 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $27,161 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $8,611 |
| Total non interest bearing cash at end of year | 2011-12-31 | $1,282,036 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $1,311,920 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-3,072,619 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $15,636,940 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $18,709,559 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $28,068 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $3,706,858 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $3,616,378 |
| Value of interest in common/collective trusts at end of year | 2011-12-31 | $10,045,278 |
| Value of interest in common/collective trusts at beginning of year | 2011-12-31 | $11,971,598 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $602,950 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $1,701,782 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $1,701,782 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $1,602 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $16,910,531 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-33,619 |
| Net investment gain or loss from common/collective trusts | 2011-12-31 | $313,887 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $11,692,446 |
| Contract administrator fees | 2011-12-31 | $244,126 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $135,810 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | BUCKLEY, PATCHEN, RIEMANN & HALL |
| Accountancy firm EIN | 2011-12-31 | 942302150 |
| 2010 : ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR CONTRA COSTA COUNTY 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $8,611 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $38,477 |
| Total income from all sources (including contributions) | 2010-12-31 | $14,317,406 |
| Total of all expenses incurred | 2010-12-31 | $17,120,868 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $16,746,147 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $12,480,268 |
| Value of total assets at end of year | 2010-12-31 | $18,718,170 |
| Value of total assets at beginning of year | 2010-12-31 | $21,551,498 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $374,721 |
| Total interest from all sources | 2010-12-31 | $1,820 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $582,486 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $582,486 |
| Administrative expenses professional fees incurred | 2010-12-31 | $94,091 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Income. Received or receivable in cash from other sources (including rollovers) | 2010-12-31 | $1,000,653 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2010-12-31 | $21,389 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $116,492 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $128,984 |
| Other income not declared elsewhere | 2010-12-31 | $374,955 |
| Administrative expenses (other) incurred | 2010-12-31 | $28,857 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $8,611 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $38,477 |
| Total non interest bearing cash at end of year | 2010-12-31 | $1,311,920 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $1,633,911 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-2,803,462 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $18,709,559 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $21,513,021 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $34,794 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $3,616,378 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $3,067,069 |
| Value of interest in common/collective trusts at end of year | 2010-12-31 | $11,971,598 |
| Value of interest in common/collective trusts at beginning of year | 2010-12-31 | $16,030,533 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $1,701,782 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $691,001 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $691,001 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $1,820 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $188,297 |
| Net investment gain or loss from common/collective trusts | 2010-12-31 | $689,580 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $11,479,615 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $16,724,758 |
| Contract administrator fees | 2010-12-31 | $216,979 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | BUCKLEY, PATCHEN, RIEMANN & HALL |
| Accountancy firm EIN | 2010-12-31 | 942302150 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893 |
| Policy instance | 2 |
| Insurance contract or identification number | 893 | | Number of Individuals Covered | 303 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889 |
| Policy instance | 1 |
| Insurance contract or identification number | 889 | | Number of Individuals Covered | 1500 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 08725 |
| Policy instance | 3 |
| Insurance contract or identification number | 08725 | | Number of Individuals Covered | 1116 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | CAEGR004 |
| Policy instance | 4 |
| Insurance contract or identification number | CAEGR004 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 281872 |
| Policy instance | 5 |
| Insurance contract or identification number | 281872 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 6 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 72687-7 |
| Policy instance | 7 |
| Insurance contract or identification number | 72687-7 | | Number of Individuals Covered | 420 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889 |
| Policy instance | 1 |
| Insurance contract or identification number | 889 | | Number of Individuals Covered | 1590 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893 |
| Policy instance | 2 |
| Insurance contract or identification number | 893 | | Number of Individuals Covered | 287 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 ) |
| Policy contract number | CAEGR004 |
| Policy instance | 5 |
| Insurance contract or identification number | CAEGR004 | | Number of Individuals Covered | 263 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10412 |
| Policy instance | 4 |
| Insurance contract or identification number | SL10412 | | Number of Individuals Covered | 387 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $100,158 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $100,158 |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 281872 |
| Policy instance | 6 |
| Insurance contract or identification number | 281872 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 7 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 08725 |
| Policy instance | 3 |
| Insurance contract or identification number | 08725 | | Number of Individuals Covered | 1130 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10412 |
| Policy instance | 4 |
| Insurance contract or identification number | SL10412 | | Number of Individuals Covered | 400 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $43,472 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43,472 |
|
| ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 ) |
| Policy contract number | CAEGR004 |
| Policy instance | 5 |
| Insurance contract or identification number | CAEGR004 | | Number of Individuals Covered | 264 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 281872 |
| Policy instance | 6 |
| Insurance contract or identification number | 281872 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 08725 |
| Policy instance | 3 |
| Insurance contract or identification number | 08725 | | Number of Individuals Covered | 1142 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889 |
| Policy instance | 1 |
| Insurance contract or identification number | 889 | | Number of Individuals Covered | 1641 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893 |
| Policy instance | 2 |
| Insurance contract or identification number | 893 | | Number of Individuals Covered | 292 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 7 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | GRS00006 |
| Policy instance | 6 |
| Insurance contract or identification number | GRS00006 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 08725 |
| Policy instance | 3 |
| Insurance contract or identification number | 08725 | | Number of Individuals Covered | 1188 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893 |
| Policy instance | 2 |
| Insurance contract or identification number | 893 | | Number of Individuals Covered | 286 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) |
| Policy contract number | SE4E50073 |
| Policy instance | 5 |
| Insurance contract or identification number | SE4E50073 | | Number of Individuals Covered | 491 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $76,163 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $76,163 |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 276941 |
| Policy instance | 7 |
| Insurance contract or identification number | 276941 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889 |
| Policy instance | 1 |
| Insurance contract or identification number | 889 | | Number of Individuals Covered | 1685 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 08725 |
| Policy instance | 3 |
| Insurance contract or identification number | 08725 | | Number of Individuals Covered | 1140 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCCL 18878 |
| Policy instance | 5 |
| Insurance contract or identification number | HCCL 18878 | | Number of Individuals Covered | 252 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 276941 |
| Policy instance | 6 |
| Insurance contract or identification number | 276941 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889 |
| Policy instance | 1 |
| Insurance contract or identification number | 889 | | Number of Individuals Covered | 1655 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893 |
| Policy instance | 2 |
| Insurance contract or identification number | 893 | | Number of Individuals Covered | 277 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 08725 |
| Policy instance | 3 |
| Insurance contract or identification number | 08725 | | Number of Individuals Covered | 1091 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18878 |
| Policy instance | 5 |
| Insurance contract or identification number | HCL18878 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893 |
| Policy instance | 2 |
| Insurance contract or identification number | 893 | | Number of Individuals Covered | 281 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889 |
| Policy instance | 1 |
| Insurance contract or identification number | 889 | | Number of Individuals Covered | 1574 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889-0302 |
| Policy instance | 1 |
| Insurance contract or identification number | 889-0302 | | Number of Individuals Covered | 1473 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18878 |
| Policy instance | 7 |
| Insurance contract or identification number | HCL18878 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 276941 |
| Policy instance | 6 |
| Insurance contract or identification number | 276941 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 8725 |
| Policy instance | 3 |
| Insurance contract or identification number | 8725 | | Number of Individuals Covered | 1065 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893-0302 |
| Policy instance | 2 |
| Insurance contract or identification number | 893-0302 | | Number of Individuals Covered | 276 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893-0302 |
| Policy instance | 2 |
| Insurance contract or identification number | 893-0302 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18878 |
| Policy instance | 7 |
| Insurance contract or identification number | HCL18878 | | Number of Individuals Covered | 374 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 8725 |
| Policy instance | 3 |
| Insurance contract or identification number | 8725 | | Number of Individuals Covered | 1053 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889-0302 |
| Policy instance | 1 |
| Insurance contract or identification number | 889-0302 | | Number of Individuals Covered | 1444 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 276941 |
| Policy instance | 6 |
| Insurance contract or identification number | 276941 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18878 |
| Policy instance | 8 |
| Insurance contract or identification number | HCL18878 | | Number of Individuals Covered | 367 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 276941 |
| Policy instance | 7 |
| Insurance contract or identification number | 276941 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 8725 |
| Policy instance | 3 |
| Insurance contract or identification number | 8725 | | Number of Individuals Covered | 1025 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECT NETWORK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 0 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHEMICAL DEPENDENCY | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAV-RX (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | IBEW 302-302R |
| Policy instance | 5 |
| Insurance contract or identification number | IBEW 302-302R | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 28 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893-0302 |
| Policy instance | 2 |
| Insurance contract or identification number | 893-0302 | | Number of Individuals Covered | 238 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889-0302 |
| Policy instance | 1 |
| Insurance contract or identification number | 889-0302 | | Number of Individuals Covered | 1382 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL18878 |
| Policy instance | 8 |
| Insurance contract or identification number | HCL18878 | | Number of Individuals Covered | 463 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 ) |
| Policy contract number | 276941 |
| Policy instance | 7 |
| Insurance contract or identification number | 276941 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECT NETWORK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 688 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHEMICAL DEPENDENCY | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 29 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAV-RX (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | IBEW 302-302R |
| Policy instance | 5 |
| Insurance contract or identification number | IBEW 302-302R | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 8725 |
| Policy instance | 3 |
| Insurance contract or identification number | 8725 | | Number of Individuals Covered | 1072 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893-0302 |
| Policy instance | 2 |
| Insurance contract or identification number | 893-0302 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889-0302 |
| Policy instance | 1 |
| Insurance contract or identification number | 889-0302 | | Number of Individuals Covered | 1524 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889-0302 |
| Policy instance | 7 |
| Insurance contract or identification number | 889-0302 | | Number of Individuals Covered | 1201 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 8725 |
| Policy instance | 5 |
| Insurance contract or identification number | 8725 | | Number of Individuals Covered | 1045 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 294 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893-0302 |
| Policy instance | 6 |
| Insurance contract or identification number | 893-0302 | | Number of Individuals Covered | 127 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAV-RX (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | IBEW 302-302R |
| Policy instance | 3 |
| Insurance contract or identification number | IBEW 302-302R | | Number of Individuals Covered | 1012 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECT NETWORK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 688 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Other welfare benefits provided | CHEMICAL DEPENDENCY | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 718646 |
| Policy instance | 1 |
| Insurance contract or identification number | 718646 | | Number of Individuals Covered | 209 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 889-0302 |
| Policy instance | 7 |
| Insurance contract or identification number | 889-0302 | | Number of Individuals Covered | 1188 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 893-0302 |
| Policy instance | 6 |
| Insurance contract or identification number | 893-0302 | | Number of Individuals Covered | 203 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 8725 |
| Policy instance | 5 |
| Insurance contract or identification number | 8725 | | Number of Individuals Covered | 1096 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 140590 |
| Policy instance | 4 |
| Insurance contract or identification number | 140590 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DIRECT NETWORK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 2 |
| Number of Individuals Covered | 764 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Other welfare benefits provided | CHEMICAL DEPENDENCY | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 718646 |
| Policy instance | 1 |
| Insurance contract or identification number | 718646 | | Number of Individuals Covered | 204 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SAV-RX (National Association of Insurance Commissioners NAIC id number: ) |
| Policy contract number | IBEW 302-302R |
| Policy instance | 3 |
| Insurance contract or identification number | IBEW 302-302R | | Number of Individuals Covered | 1078 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
