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I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 401k Plan overview

Plan NameI.A.T.S.E. LOCAL 16 WELFARE TRUST FUND
Plan identification number 501

I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND
Employer identification number (EIN):946138741
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01JIM BEAUMONTE2023-10-11 JEN GOOD2023-10-11
5012021-01-01JIM BEAUMONTE2022-10-10 LANCE HUGHSTON JR2022-10-09
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01
5012016-01-01STEVE LUTGE
5012015-01-01STEVE LUTGE
5012014-01-01STEVE LUTGE STEVE LUTGE2015-10-15
5012013-01-01STEVE LUTGE STEVE LUTGE2014-10-07
5012012-01-01STEVE LUTGE
5012011-01-01STEVE LUTGE
5012009-01-01FX CROWLEY

Plan Statistics for I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND

401k plan membership statisitcs for I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND

Measure Date Value
2022: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01419
Total number of active participants reported on line 7a of the Form 55002022-01-01849
Number of retired or separated participants receiving benefits2022-01-0192
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01941
Number of employers contributing to the scheme2022-01-01165
2021: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01910
Total number of active participants reported on line 7a of the Form 55002021-01-01323
Number of retired or separated participants receiving benefits2021-01-0196
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01419
Number of employers contributing to the scheme2021-01-01123
2020: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-01-011,156
Total number of active participants reported on line 7a of the Form 55002020-01-01765
Number of retired or separated participants receiving benefits2020-01-01145
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01910
Number of employers contributing to the scheme2020-01-0188
2019: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-01-011,239
Total number of active participants reported on line 7a of the Form 55002019-01-011,025
Number of retired or separated participants receiving benefits2019-01-01131
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,156
Number of employers contributing to the scheme2019-01-01351
2018: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-01-011,103
Total number of active participants reported on line 7a of the Form 55002018-01-011,082
Number of retired or separated participants receiving benefits2018-01-01124
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,206
Number of employers contributing to the scheme2018-01-01352
2017: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-01-011,246
Total number of active participants reported on line 7a of the Form 55002017-01-01932
Number of retired or separated participants receiving benefits2017-01-01171
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,103
Number of employers contributing to the scheme2017-01-01221
2016: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,178
Total number of active participants reported on line 7a of the Form 55002016-01-011,073
Number of retired or separated participants receiving benefits2016-01-01207
Total of all active and inactive participants2016-01-011,280
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0127
Total participants2016-01-011,307
Number of employers contributing to the scheme2016-01-01156
2015: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,037
Total number of active participants reported on line 7a of the Form 55002015-01-01922
Number of retired or separated participants receiving benefits2015-01-01230
Total of all active and inactive participants2015-01-011,152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-0126
Total participants2015-01-011,178
Number of employers contributing to the scheme2015-01-01187
2014: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01975
Total number of active participants reported on line 7a of the Form 55002014-01-01768
Number of retired or separated participants receiving benefits2014-01-01244
Total of all active and inactive participants2014-01-011,012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-0125
Total participants2014-01-011,037
Number of employers contributing to the scheme2014-01-01184
2013: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01937
Total number of active participants reported on line 7a of the Form 55002013-01-01722
Number of retired or separated participants receiving benefits2013-01-01229
Total of all active and inactive participants2013-01-01951
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-0124
Total participants2013-01-01975
Number of employers contributing to the scheme2013-01-01204
2012: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01927
Total number of active participants reported on line 7a of the Form 55002012-01-01694
Number of retired or separated participants receiving benefits2012-01-01218
Total of all active and inactive participants2012-01-01912
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-0125
Total participants2012-01-01937
Number of employers contributing to the scheme2012-01-01212
2011: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01918
Total number of active participants reported on line 7a of the Form 55002011-01-01684
Number of retired or separated participants receiving benefits2011-01-01220
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01904
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-0123
Total participants2011-01-01927
Number of employers contributing to the scheme2011-01-01226
2009: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01919
Total number of active participants reported on line 7a of the Form 55002009-01-01745
Number of retired or separated participants receiving benefits2009-01-01103
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01848
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-0125
Total participants2009-01-01873
Number of employers contributing to the scheme2009-01-01251

Financial Data on I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND

Measure Date Value
2022 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$0
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,632,738
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,160,663
Total income from all sources (including contributions)2022-12-31$14,176,510
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$9,959,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$9,133,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$14,599,413
Value of total assets at end of year2022-12-31$16,035,612
Value of total assets at beginning of year2022-12-31$11,346,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$826,389
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$192,109
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$192,109
Administrative expenses professional fees incurred2022-12-31$267,021
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$641,944
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$1,929,701
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$132,623
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,795,192
Other income not declared elsewhere2022-12-31$332,616
Administrative expenses (other) incurred2022-12-31$264,326
Liabilities. Value of operating payables at end of year2022-12-31$63,738
Liabilities. Value of operating payables at beginning of year2022-12-31$44,163
Total non interest bearing cash at end of year2022-12-31$9,780,050
Total non interest bearing cash at beginning of year2022-12-31$3,030,635
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$4,216,554
Value of net assets at end of year (total assets less liabilities)2022-12-31$14,402,874
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,186,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$13,944
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,789,060
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,425,131
Value of interest in common/collective trusts at end of year2022-12-31$539,412
Value of interest in common/collective trusts at beginning of year2022-12-31$659,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-828,179
Net investment gain or loss from common/collective trusts2022-12-31$-119,449
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$13,957,469
Employer contributions (assets) at end of year2022-12-31$794,467
Employer contributions (assets) at beginning of year2022-12-31$436,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$7,203,866
Contract administrator fees2022-12-31$281,098
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,569,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,116,500
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2022-12-31222027092
2021 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,160,663
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,188,057
Total income from all sources (including contributions)2021-12-31$10,533,132
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,307,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$8,626,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$7,673,892
Value of total assets at end of year2021-12-31$11,346,983
Value of total assets at beginning of year2021-12-31$10,149,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$681,237
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$242,049
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$242,049
Administrative expenses professional fees incurred2021-12-31$151,795
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,143,200
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,795,192
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$963,371
Other income not declared elsewhere2021-12-31$2,403,171
Administrative expenses (other) incurred2021-12-31$219,585
Liabilities. Value of operating payables at end of year2021-12-31$44,163
Liabilities. Value of operating payables at beginning of year2021-12-31$15,057
Total non interest bearing cash at end of year2021-12-31$3,030,635
Total non interest bearing cash at beginning of year2021-12-31$592,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,225,310
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,186,320
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,961,010
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$12,694
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$5,425,131
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,009,891
Value of interest in common/collective trusts at end of year2021-12-31$659,861
Value of interest in common/collective trusts at beginning of year2021-12-31$1,316,737
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,007,816
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-40,103
Net investment gain or loss from common/collective trusts2021-12-31$254,123
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$6,530,692
Employer contributions (assets) at end of year2021-12-31$436,164
Employer contributions (assets) at beginning of year2021-12-31$266,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$7,618,769
Contract administrator fees2021-12-31$297,163
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,116,500
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,173,000
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2021-12-31222027092
2020 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,188,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,691,747
Total income from all sources (including contributions)2020-12-31$10,360,597
Total of all expenses incurred2020-12-31$16,858,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,063,853
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,646,905
Value of total assets at end of year2020-12-31$10,149,067
Value of total assets at beginning of year2020-12-31$17,150,844
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$794,831
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$254,592
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$254,592
Administrative expenses professional fees incurred2020-12-31$178,894
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,676,727
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$963,371
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$3,170,185
Other income not declared elsewhere2020-12-31$2,210,804
Administrative expenses (other) incurred2020-12-31$348,029
Liabilities. Value of operating payables at end of year2020-12-31$15,057
Liabilities. Value of operating payables at beginning of year2020-12-31$22,247
Total non interest bearing cash at end of year2020-12-31$592,376
Total non interest bearing cash at beginning of year2020-12-31$5,073,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-6,498,087
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,961,010
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$15,459,097
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$13,272
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$7,009,891
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$6,709,742
Value of interest in common/collective trusts at end of year2020-12-31$1,316,737
Value of interest in common/collective trusts at beginning of year2020-12-31$1,114,100
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,206,670
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$44,659
Net investment gain or loss from common/collective trusts2020-12-31$203,637
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$5,970,178
Employer contributions (assets) at end of year2020-12-31$266,692
Employer contributions (assets) at beginning of year2020-12-31$1,083,669
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$13,857,183
Contract administrator fees2020-12-31$254,636
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,173,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,669,500
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LINDQUIST LLP
Accountancy firm EIN2020-12-31522385396
2019 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,691,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,387,320
Total income from all sources (including contributions)2019-12-31$19,919,118
Total of all expenses incurred2019-12-31$17,389,665
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$16,548,020
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$16,861,771
Value of total assets at end of year2019-12-31$17,150,844
Value of total assets at beginning of year2019-12-31$14,316,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$841,645
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$271,584
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$271,584
Administrative expenses professional fees incurred2019-12-31$196,398
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$702,180
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$3,170,185
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$993,426
Other income not declared elsewhere2019-12-31$2,323,052
Administrative expenses (other) incurred2019-12-31$376,639
Liabilities. Value of operating payables at end of year2019-12-31$22,247
Liabilities. Value of operating payables at beginning of year2019-12-31$15,520
Total non interest bearing cash at end of year2019-12-31$5,073,148
Total non interest bearing cash at beginning of year2019-12-31$4,681,426
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,529,453
Value of net assets at end of year (total assets less liabilities)2019-12-31$15,459,097
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$12,929,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$13,927
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,709,742
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,242,685
Value of interest in common/collective trusts at end of year2019-12-31$1,114,100
Value of interest in common/collective trusts at beginning of year2019-12-31$848,418
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,460,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$196,027
Net investment gain or loss from common/collective trusts2019-12-31$266,684
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$16,159,591
Employer contributions (assets) at end of year2019-12-31$1,083,669
Employer contributions (assets) at beginning of year2019-12-31$1,551,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$14,088,000
Contract administrator fees2019-12-31$254,681
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,669,500
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,371,800
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LINDQUIST LLP
Accountancy firm EIN2019-12-31522385396
2018 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,387,320
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,330,344
Total income from all sources (including contributions)2018-12-31$17,655,011
Total of all expenses incurred2018-12-31$14,687,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$13,905,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$16,024,233
Value of total assets at end of year2018-12-31$14,316,964
Value of total assets at beginning of year2018-12-31$12,292,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$781,938
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$284,016
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$284,016
Administrative expenses professional fees incurred2018-12-31$163,163
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$676,241
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$993,426
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$706,620
Other income not declared elsewhere2018-12-31$1,677,064
Administrative expenses (other) incurred2018-12-31$351,966
Liabilities. Value of operating payables at end of year2018-12-31$15,520
Liabilities. Value of operating payables at beginning of year2018-12-31$18,344
Total non interest bearing cash at end of year2018-12-31$4,681,426
Total non interest bearing cash at beginning of year2018-12-31$3,329,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$2,967,915
Value of net assets at end of year (total assets less liabilities)2018-12-31$12,929,644
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,961,729
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$11,986
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,242,685
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$6,182,173
Value of interest in common/collective trusts at end of year2018-12-31$848,418
Value of interest in common/collective trusts at beginning of year2018-12-31$888,560
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,976,479
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-291,161
Net investment gain or loss from common/collective trusts2018-12-31$-39,141
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$15,347,992
Employer contributions (assets) at end of year2018-12-31$1,551,009
Employer contributions (assets) at beginning of year2018-12-31$1,185,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$11,928,679
Contract administrator fees2018-12-31$254,823
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,371,800
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$2,312,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31LINDQUIST LLP
Accountancy firm EIN2018-12-31522385396
2017 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,330,344
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,818,736
Total income from all sources (including contributions)2017-12-31$17,255,726
Total of all expenses incurred2017-12-31$18,089,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$17,250,492
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$13,909,127
Value of total assets at end of year2017-12-31$12,292,073
Value of total assets at beginning of year2017-12-31$12,614,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$839,252
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$233,158
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$233,158
Administrative expenses professional fees incurred2017-12-31$131,063
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$716,192
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$706,620
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,009,152
Other income not declared elsewhere2017-12-31$2,892,289
Administrative expenses (other) incurred2017-12-31$447,732
Liabilities. Value of operating payables at end of year2017-12-31$18,344
Liabilities. Value of operating payables at beginning of year2017-12-31$41,336
Total non interest bearing cash at end of year2017-12-31$3,329,628
Total non interest bearing cash at beginning of year2017-12-31$3,930,822
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-834,018
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,961,729
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,795,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$12,499
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$6,182,173
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,965,397
Value of interest in common/collective trusts at end of year2017-12-31$888,560
Value of interest in common/collective trusts at beginning of year2017-12-31$730,473
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,751,512
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$62,066
Net investment gain or loss from common/collective trusts2017-12-31$159,086
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$13,192,935
Employer contributions (assets) at end of year2017-12-31$1,185,092
Employer contributions (assets) at beginning of year2017-12-31$978,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$15,498,980
Contract administrator fees2017-12-31$247,958
Liabilities. Value of benefit claims payable at end of year2017-12-31$2,312,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,777,400
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31LINDQUIST LLP
Accountancy firm EIN2017-12-31522385396
2016 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,818,736
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,187,834
Total income from all sources (including contributions)2016-12-31$15,416,649
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$11,137,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,524,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$14,997,361
Value of total assets at end of year2016-12-31$12,614,483
Value of total assets at beginning of year2016-12-31$8,704,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$612,964
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$189,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$189,907
Administrative expenses professional fees incurred2016-12-31$126,308
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$562,007
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,009,152
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$774,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$41,336
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$289,534
Other income not declared elsewhere2016-12-31$107,702
Administrative expenses (other) incurred2016-12-31$233,555
Total non interest bearing cash at end of year2016-12-31$3,930,822
Total non interest bearing cash at beginning of year2016-12-31$2,766,976
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$4,278,790
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,795,747
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,516,957
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$12,501
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,965,397
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,916,362
Value of interest in common/collective trusts at end of year2016-12-31$730,473
Value of interest in common/collective trusts at beginning of year2016-12-31$468,925
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,068,975
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$59,264
Net investment gain or loss from common/collective trusts2016-12-31$62,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$14,435,354
Employer contributions (assets) at end of year2016-12-31$978,639
Employer contributions (assets) at beginning of year2016-12-31$777,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$8,455,920
Contract administrator fees2016-12-31$240,600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,777,400
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,898,300
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31SHEA LABAGH DOBBERSTEIN CPAS
Accountancy firm EIN2016-12-31942290202
2015 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,187,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,617,257
Total income from all sources (including contributions)2015-12-31$13,031,244
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$12,527,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$11,619,365
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$12,984,829
Value of total assets at end of year2015-12-31$8,704,791
Value of total assets at beginning of year2015-12-31$7,630,562
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$908,227
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$177,181
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$177,181
Administrative expenses professional fees incurred2015-12-31$123,210
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$517,114
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$774,853
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$424,098
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$289,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$18,357
Other income not declared elsewhere2015-12-31$101,311
Administrative expenses (other) incurred2015-12-31$478,263
Total non interest bearing cash at end of year2015-12-31$2,766,976
Total non interest bearing cash at beginning of year2015-12-31$1,867,204
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$503,652
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,516,957
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,013,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$12,166
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,916,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,977,666
Value of interest in common/collective trusts at end of year2015-12-31$468,925
Value of interest in common/collective trusts at beginning of year2015-12-31$463,385
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,833,911
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-238,484
Net investment gain or loss from common/collective trusts2015-12-31$6,407
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$12,467,715
Employer contributions (assets) at end of year2015-12-31$777,675
Employer contributions (assets) at beginning of year2015-12-31$898,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,785,454
Contract administrator fees2015-12-31$294,588
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,898,300
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,598,900
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31SHEA LABAGH DOBBERSTEIN
Accountancy firm EIN2015-12-31942290202
2014 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,617,257
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,627,222
Total income from all sources (including contributions)2014-12-31$11,298,301
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$10,885,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$10,201,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$10,975,450
Value of total assets at end of year2014-12-31$7,630,562
Value of total assets at beginning of year2014-12-31$7,228,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$684,729
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$25,480
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$25,480
Administrative expenses professional fees incurred2014-12-31$143,111
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$600,929
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$424,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$396,812
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$18,357
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$96,622
Other income not declared elsewhere2014-12-31$179,944
Administrative expenses (other) incurred2014-12-31$343,192
Total non interest bearing cash at end of year2014-12-31$1,867,204
Total non interest bearing cash at beginning of year2014-12-31$2,020,265
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$412,302
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,013,305
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,601,003
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$11,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,977,666
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,599,270
Value of interest in common/collective trusts at end of year2014-12-31$463,385
Value of interest in common/collective trusts at beginning of year2014-12-31$699,874
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$1,650,854
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$18,916
Net investment gain or loss from common/collective trusts2014-12-31$98,511
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$10,374,521
Employer contributions (assets) at end of year2014-12-31$898,209
Employer contributions (assets) at beginning of year2014-12-31$512,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,550,416
Contract administrator fees2014-12-31$187,426
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,598,900
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,530,600
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SHEA LABAGH DOBBERSTEIN
Accountancy firm EIN2014-12-31942290202
2013 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,627,222
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,330,330
Total income from all sources (including contributions)2013-12-31$9,726,964
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$9,929,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$9,293,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$9,465,120
Value of total assets at end of year2013-12-31$7,228,225
Value of total assets at beginning of year2013-12-31$7,133,462
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$635,427
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$24,592
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$24,592
Administrative expenses professional fees incurred2013-12-31$101,482
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$716,648
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$396,812
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$225,446
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$96,622
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$8,330
Other income not declared elsewhere2013-12-31$99,693
Administrative expenses (other) incurred2013-12-31$344,719
Total non interest bearing cash at end of year2013-12-31$2,020,265
Total non interest bearing cash at beginning of year2013-12-31$2,283,952
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-202,129
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,601,003
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$5,803,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$11,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,599,270
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,608,181
Value of interest in common/collective trusts at end of year2013-12-31$699,874
Value of interest in common/collective trusts at beginning of year2013-12-31$529,812
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,501,115
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-33,503
Net investment gain or loss from common/collective trusts2013-12-31$171,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$8,748,472
Employer contributions (assets) at end of year2013-12-31$512,004
Employer contributions (assets) at beginning of year2013-12-31$486,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$7,792,551
Contract administrator fees2013-12-31$178,226
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,530,600
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,322,000
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SHEA LABAGH DOBBERSTEIN
Accountancy firm EIN2013-12-31942290202
2012 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,330,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,065,555
Total income from all sources (including contributions)2012-12-31$9,210,110
Total of all expenses incurred2012-12-31$9,479,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,889,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,968,349
Value of total assets at end of year2012-12-31$7,133,462
Value of total assets at beginning of year2012-12-31$7,137,766
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$589,546
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$67,831
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$67,831
Administrative expenses professional fees incurred2012-12-31$94,017
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$545,538
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$225,446
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$93,222
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$8,330
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$7,555
Other income not declared elsewhere2012-12-31$114,062
Administrative expenses (other) incurred2012-12-31$327,082
Total non interest bearing cash at end of year2012-12-31$2,283,952
Total non interest bearing cash at beginning of year2012-12-31$2,362,072
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-269,079
Value of net assets at end of year (total assets less liabilities)2012-12-31$5,803,132
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,072,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$11,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,608,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,553,617
Value of interest in common/collective trusts at end of year2012-12-31$529,812
Value of interest in common/collective trusts at beginning of year2012-12-31$457,677
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,258,148
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-13,267
Net investment gain or loss from common/collective trusts2012-12-31$73,135
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$8,422,811
Employer contributions (assets) at end of year2012-12-31$486,071
Employer contributions (assets) at beginning of year2012-12-31$671,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,631,495
Contract administrator fees2012-12-31$157,447
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,322,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,058,000
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31SHEA LABAGH DOBBERSTEIN
Accountancy firm EIN2012-12-31942290202
2011 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,065,555
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,036,555
Total income from all sources (including contributions)2011-12-31$8,974,252
Total of all expenses incurred2011-12-31$7,914,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$7,232,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$8,794,223
Value of total assets at end of year2011-12-31$7,137,766
Value of total assets at beginning of year2011-12-31$6,048,514
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$681,360
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$73,243
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$73,243
Administrative expenses professional fees incurred2011-12-31$121,128
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$559,275
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$93,222
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$286,787
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$7,555
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$7,555
Other income not declared elsewhere2011-12-31$71,611
Administrative expenses (other) incurred2011-12-31$402,297
Total non interest bearing cash at end of year2011-12-31$2,362,072
Total non interest bearing cash at beginning of year2011-12-31$1,257,985
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,060,252
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,072,211
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,011,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$11,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,553,617
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,454,717
Value of interest in common/collective trusts at end of year2011-12-31$457,677
Value of interest in common/collective trusts at beginning of year2011-12-31$449,159
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$937,086
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$25,657
Net investment gain or loss from common/collective trusts2011-12-31$9,518
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$8,234,948
Employer contributions (assets) at end of year2011-12-31$671,178
Employer contributions (assets) at beginning of year2011-12-31$599,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$6,295,554
Contract administrator fees2011-12-31$146,935
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,058,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,029,000
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31SHEA LABAGH DOBBERSTEIN
Accountancy firm EIN2011-12-31942290202
2010 : I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,036,555
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$888,920
Total income from all sources (including contributions)2010-12-31$7,956,173
Total of all expenses incurred2010-12-31$8,112,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$7,551,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$7,655,569
Value of total assets at end of year2010-12-31$6,048,514
Value of total assets at beginning of year2010-12-31$6,057,307
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$560,958
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$114,055
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$114,055
Administrative expenses professional fees incurred2010-12-31$248,494
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$499,999
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$286,787
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$55,848
Other income not declared elsewhere2010-12-31$105,459
Administrative expenses (other) incurred2010-12-31$301,464
Liabilities. Value of operating payables at end of year2010-12-31$7,555
Liabilities. Value of operating payables at beginning of year2010-12-31$6,920
Total non interest bearing cash at end of year2010-12-31$1,257,985
Total non interest bearing cash at beginning of year2010-12-31$1,092,094
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-156,428
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,011,959
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,168,387
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$11,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,454,717
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$4,018,427
Value of interest in common/collective trusts at end of year2010-12-31$449,159
Value of interest in common/collective trusts at beginning of year2010-12-31$391,304
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,069,364
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$22,235
Net investment gain or loss from common/collective trusts2010-12-31$58,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$7,155,570
Employer contributions (assets) at end of year2010-12-31$599,866
Employer contributions (assets) at beginning of year2010-12-31$499,634
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$6,482,279
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,029,000
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$882,000
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31SHEA LABAGH DOBBERSTEIN PC
Accountancy firm EIN2010-12-31942290202

Form 5500 Responses for I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND

2022: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: I.A.T.S.E. LOCAL 16 WELFARE TRUST FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number94238
Policy instance 2
Insurance contract or identification number94238
Number of Individuals Covered601
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,241
Total amount of fees paid to insurance companyUSD $241
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedA&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $74,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,241
Amount paid for insurance broker fees241
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered854
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $117,383
Total amount of fees paid to insurance companyUSD $92,192
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,854,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $92,192
Amount paid for insurance broker fees92192
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 2
Insurance contract or identification numberEXRK
Number of Individuals Covered236
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $49,434
Total amount of fees paid to insurance companyUSD $49,434
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $988,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,434
Amount paid for insurance broker fees49434
Additional information about fees paid to insurance brokerADMINISTRATION FEE
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number94238
Policy instance 1
Insurance contract or identification number94238
Number of Individuals Covered883
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,107
Total amount of fees paid to insurance companyUSD $310
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedA&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $19,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,783
Insurance broker organization code?3
Amount paid for insurance broker fees310
Additional information about fees paid to insurance brokerBONUS
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered314
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $218,852
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,075,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $218,852
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number94238
Policy instance 2
Insurance contract or identification number94238
Number of Individuals Covered883
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $21,593
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $130,948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,593
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number94238
Policy instance 2
Insurance contract or identification number94238
Number of Individuals Covered883
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $25,638
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $158,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,638
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered1003
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $205,178
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,301,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $115,066
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number94238
Policy instance 2
Insurance contract or identification number94238
Number of Individuals Covered883
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $18,214
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $146,544
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,214
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered971
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $144,179
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,802,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $144,179
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number94238
Policy instance 2
Insurance contract or identification number94238
Number of Individuals Covered883
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $16,833
Total amount of fees paid to insurance companyUSD $2,459
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $110,770
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 numberEXRK
Policy instance 1
Insurance contract or identification numberEXRK
Number of Individuals Covered946
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $129,878
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,623,479
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 numberHCL18272
Policy instance 1
Insurance contract or identification numberHCL18272
Number of Individuals Covered885
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $121,165
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,514,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,728
Insurance broker organization code?3
Insurance broker nameAMWINS GROUP INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number094238
Policy instance 2
Insurance contract or identification number094238
Number of Individuals Covered698
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,172
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,172
Insurance broker organization code?3
Insurance broker nameSTOP LOSS INSURANCE SERVICES INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number094238
Policy instance 2
Insurance contract or identification number094238
Number of Individuals Covered769
Total amount of commissions paid to insurance brokerUSD $23,194
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $154,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,194
Insurance broker organization code?4
Insurance broker nameSTOP LOSS INSURANCE SERVICES, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18272
Policy instance 1
Insurance contract or identification numberHCL18272
Number of Individuals Covered841
Total amount of commissions paid to insurance brokerUSD $139,657
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,396,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,863
Insurance broker organization code?3
Insurance broker nameSTOP LOSS INSURANCE SERVICES INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number094238
Policy instance 3
Insurance contract or identification number094238
Number of Individuals Covered697
Total amount of commissions paid to insurance brokerUSD $12,541
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $83,606
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,541
Insurance broker organization code?4
Insurance broker nameSTOP LOSS INSURANCE SERVICES, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18272
Policy instance 2
Insurance contract or identification numberHCL18272
Number of Individuals Covered842
Total amount of commissions paid to insurance brokerUSD $126,008
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,260,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,605
Insurance broker organization code?3
Insurance broker nameAMWINS GROUP, INC.
CELTIC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberHCL18272
Policy instance 1
Insurance contract or identification numberHCL18272
Number of Individuals Covered842
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMEDICAL CONVERSION COVERAGE
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CELTIC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberHCL18272
Policy instance 1
Insurance contract or identification numberHCL18272
Number of Individuals Covered837
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedMEDICAL CONVERSION COVERAGE
Welfare Benefit Premiums Paid to CarrierUSD $5,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number094238
Policy instance 3
Insurance contract or identification number094238
Number of Individuals Covered697
Total amount of commissions paid to insurance brokerUSD $12,328
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,328
Insurance broker organization code?4
Insurance broker nameSTOP LOSS INSURANCE SERVICES, INC.
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18272
Policy instance 2
Insurance contract or identification numberHCL18272
Number of Individuals Covered837
Total amount of commissions paid to insurance brokerUSD $101,135
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,011,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,681
Insurance broker organization code?3
Insurance broker nameAMWQINS GROUP, INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number094238
Policy instance 3
Insurance contract or identification number094238
Number of Individuals Covered687
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,625
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CELTIC INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberHCL18272
Policy instance 1
Insurance contract or identification numberHCL18272
Number of Individuals Covered771
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitNo
Other welfare benefits providedMEDICAL CONVERSION COVERAGE
Welfare Benefit Premiums Paid to CarrierUSD $5,407
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 numberHCL18272
Policy instance 2
Insurance contract or identification numberHCL18272
Number of Individuals Covered771
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $83,637
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $836,367
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
Policy instance 3
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number094238
Policy instance 2
Insurance contract or identification number094238
Number of Individuals Covered808
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,036
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,237
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number060740
Policy instance 1
Insurance contract or identification number060740
Number of Individuals Covered808
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $50,242
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $843,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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