BOARD OF TRUSTEES OF JOINT BENEFIT TRUST has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2023 : JOINT BENEFIT TRUST 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2023-04-30 | $-13,403 |
| Total unrealized appreciation/depreciation of assets | 2023-04-30 | $-13,403 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $4,343,194 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-04-30 | $6,810,426 |
| Total income from all sources (including contributions) | 2023-04-30 | $47,588,047 |
| Total loss/gain on sale of assets | 2023-04-30 | $0 |
| Total of all expenses incurred | 2023-04-30 | $44,111,465 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-04-30 | $39,172,578 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-04-30 | $41,912,345 |
| Value of total assets at end of year | 2023-04-30 | $58,700,650 |
| Value of total assets at beginning of year | 2023-04-30 | $57,691,300 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-04-30 | $4,938,887 |
| Total interest from all sources | 2023-04-30 | $835,732 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-04-30 | $169,932 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-04-30 | No |
| Administrative expenses professional fees incurred | 2023-04-30 | $542,353 |
| Was this plan covered by a fidelity bond | 2023-04-30 | Yes |
| Value of fidelity bond cover | 2023-04-30 | $3,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-04-30 | No |
| Contributions received from participants | 2023-04-30 | $546,579 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-04-30 | $3,758,773 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-04-30 | $7,172,990 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-04-30 | $282,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-04-30 | $322,000 |
| Other income not declared elsewhere | 2023-04-30 | $4,683,441 |
| Administrative expenses (other) incurred | 2023-04-30 | $1,235,064 |
| Liabilities. Value of operating payables at end of year | 2023-04-30 | $111,194 |
| Liabilities. Value of operating payables at beginning of year | 2023-04-30 | $138,426 |
| Total non interest bearing cash at end of year | 2023-04-30 | $1,460,340 |
| Total non interest bearing cash at beginning of year | 2023-04-30 | $647,280 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Value of net income/loss | 2023-04-30 | $3,476,582 |
| Value of net assets at end of year (total assets less liabilities) | 2023-04-30 | $54,357,456 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-04-30 | $50,880,874 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-04-30 | No |
| Investment advisory and management fees | 2023-04-30 | $148,630 |
| Income. Interest from US Government securities | 2023-04-30 | $233,470 |
| Income. Interest from corporate debt instruments | 2023-04-30 | $406,299 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-04-30 | $5,450,502 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-04-30 | $9,785,228 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-04-30 | $9,785,228 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-04-30 | $195,963 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-04-30 | $8,534,472 |
| Asset value of US Government securities at end of year | 2023-04-30 | $22,664,893 |
| Asset value of US Government securities at beginning of year | 2023-04-30 | $12,449,141 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-04-30 | No |
| Contributions received in cash from employer | 2023-04-30 | $41,365,766 |
| Employer contributions (assets) at end of year | 2023-04-30 | $3,002,280 |
| Employer contributions (assets) at beginning of year | 2023-04-30 | $3,792,214 |
| Income. Dividends from common stock | 2023-04-30 | $169,932 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-04-30 | $30,638,106 |
| Asset. Corporate debt instrument preferred debt at end of year | 2023-04-30 | $13,575,703 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2023-04-30 | $17,362,040 |
| Asset. Corporate debt instrument debt (other) at end of year | 2023-04-30 | $3,469,842 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2023-04-30 | $2,280,299 |
| Contract administrator fees | 2023-04-30 | $3,012,840 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2023-04-30 | $5,318,317 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2023-04-30 | $4,202,108 |
| Liabilities. Value of benefit claims payable at end of year | 2023-04-30 | $3,950,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-04-30 | $6,350,000 |
| Did the plan have assets held for investment | 2023-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-04-30 | Unqualified |
| Accountancy firm name | 2023-04-30 | WITHUMSMITH+BROWN, PC |
| Accountancy firm EIN | 2023-04-30 | 222027092 |
| 2022 : JOINT BENEFIT TRUST 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-04-30 | $-1,169,039 |
| Total unrealized appreciation/depreciation of assets | 2022-04-30 | $-1,169,039 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $6,810,426 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-04-30 | $9,622,039 |
| Total income from all sources (including contributions) | 2022-04-30 | $60,260,698 |
| Total loss/gain on sale of assets | 2022-04-30 | $-160,987 |
| Total of all expenses incurred | 2022-04-30 | $49,608,922 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-04-30 | $44,629,958 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-04-30 | $50,859,493 |
| Value of total assets at end of year | 2022-04-30 | $57,691,300 |
| Value of total assets at beginning of year | 2022-04-30 | $49,851,137 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-04-30 | $4,978,964 |
| Total interest from all sources | 2022-04-30 | $531,044 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-04-30 | $142,183 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-04-30 | No |
| Administrative expenses professional fees incurred | 2022-04-30 | $492,477 |
| Was this plan covered by a fidelity bond | 2022-04-30 | Yes |
| Value of fidelity bond cover | 2022-04-30 | $3,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-04-30 | No |
| Contributions received from participants | 2022-04-30 | $767,112 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-04-30 | $7,172,990 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-04-30 | $2,393,220 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-04-30 | $322,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-04-30 | $350,000 |
| Other income not declared elsewhere | 2022-04-30 | $10,058,004 |
| Administrative expenses (other) incurred | 2022-04-30 | $1,369,540 |
| Liabilities. Value of operating payables at end of year | 2022-04-30 | $138,426 |
| Liabilities. Value of operating payables at beginning of year | 2022-04-30 | $442,039 |
| Total non interest bearing cash at end of year | 2022-04-30 | $647,280 |
| Total non interest bearing cash at beginning of year | 2022-04-30 | $665,153 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Value of net income/loss | 2022-04-30 | $10,651,776 |
| Value of net assets at end of year (total assets less liabilities) | 2022-04-30 | $50,880,874 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-04-30 | $40,229,098 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-04-30 | No |
| Investment advisory and management fees | 2022-04-30 | $104,107 |
| Income. Interest from US Government securities | 2022-04-30 | $166,886 |
| Income. Interest from corporate debt instruments | 2022-04-30 | $359,555 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-04-30 | $9,785,228 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-04-30 | $8,384,638 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-04-30 | $8,384,638 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-04-30 | $4,603 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-04-30 | $9,129,380 |
| Asset value of US Government securities at end of year | 2022-04-30 | $12,449,141 |
| Asset value of US Government securities at beginning of year | 2022-04-30 | $12,986,873 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-04-30 | No |
| Contributions received in cash from employer | 2022-04-30 | $50,092,381 |
| Employer contributions (assets) at end of year | 2022-04-30 | $3,792,214 |
| Employer contributions (assets) at beginning of year | 2022-04-30 | $3,934,889 |
| Income. Dividends from common stock | 2022-04-30 | $142,183 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-04-30 | $35,500,578 |
| Asset. Corporate debt instrument preferred debt at end of year | 2022-04-30 | $17,362,040 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2022-04-30 | $14,040,099 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-04-30 | $2,280,299 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-04-30 | $2,447,384 |
| Contract administrator fees | 2022-04-30 | $3,012,840 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2022-04-30 | $4,202,108 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2022-04-30 | $4,998,881 |
| Liabilities. Value of benefit claims payable at end of year | 2022-04-30 | $6,350,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-04-30 | $8,830,000 |
| Did the plan have assets held for investment | 2022-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-04-30 | No |
| Aggregate proceeds on sale of assets | 2022-04-30 | $18,150,726 |
| Aggregate carrying amount (costs) on sale of assets | 2022-04-30 | $18,311,713 |
| Opinion of an independent qualified public accountant for this plan | 2022-04-30 | Unqualified |
| Accountancy firm name | 2022-04-30 | WITHUMSMTIH+BROWN, PC |
| Accountancy firm EIN | 2022-04-30 | 222027092 |
| 2021 : JOINT BENEFIT TRUST 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-04-30 | $1,194,246 |
| Total unrealized appreciation/depreciation of assets | 2021-04-30 | $1,194,246 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $9,622,039 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-04-30 | $4,428,880 |
| Total income from all sources (including contributions) | 2021-04-30 | $55,749,002 |
| Total loss/gain on sale of assets | 2021-04-30 | $-33,800 |
| Total of all expenses incurred | 2021-04-30 | $52,859,086 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-04-30 | $47,918,072 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-04-30 | $50,386,705 |
| Value of total assets at end of year | 2021-04-30 | $49,851,137 |
| Value of total assets at beginning of year | 2021-04-30 | $41,768,062 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-04-30 | $4,941,014 |
| Total interest from all sources | 2021-04-30 | $576,348 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-04-30 | $138,084 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-04-30 | No |
| Administrative expenses professional fees incurred | 2021-04-30 | $528,854 |
| Was this plan covered by a fidelity bond | 2021-04-30 | Yes |
| Value of fidelity bond cover | 2021-04-30 | $3,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-04-30 | No |
| Contributions received from participants | 2021-04-30 | $944,998 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-04-30 | $2,393,220 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-04-30 | $1,729,595 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-04-30 | $350,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-04-30 | $328,000 |
| Other income not declared elsewhere | 2021-04-30 | $3,487,419 |
| Administrative expenses (other) incurred | 2021-04-30 | $1,305,095 |
| Liabilities. Value of operating payables at end of year | 2021-04-30 | $442,039 |
| Liabilities. Value of operating payables at beginning of year | 2021-04-30 | $180,880 |
| Total non interest bearing cash at end of year | 2021-04-30 | $665,153 |
| Total non interest bearing cash at beginning of year | 2021-04-30 | $945,709 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Value of net income/loss | 2021-04-30 | $2,889,916 |
| Value of net assets at end of year (total assets less liabilities) | 2021-04-30 | $40,229,098 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-04-30 | $37,339,182 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-04-30 | No |
| Investment advisory and management fees | 2021-04-30 | $94,225 |
| Income. Interest from US Government securities | 2021-04-30 | $249,246 |
| Income. Interest from corporate debt instruments | 2021-04-30 | $316,995 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-04-30 | $8,384,638 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-04-30 | $10,814,058 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-04-30 | $10,814,058 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-04-30 | $10,107 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-04-30 | $8,317,594 |
| Asset value of US Government securities at end of year | 2021-04-30 | $12,986,873 |
| Asset value of US Government securities at beginning of year | 2021-04-30 | $11,817,407 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-04-30 | No |
| Contributions received in cash from employer | 2021-04-30 | $49,441,707 |
| Employer contributions (assets) at end of year | 2021-04-30 | $3,934,889 |
| Employer contributions (assets) at beginning of year | 2021-04-30 | $3,569,910 |
| Income. Dividends from common stock | 2021-04-30 | $138,084 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-04-30 | $39,600,478 |
| Asset. Corporate debt instrument preferred debt at end of year | 2021-04-30 | $14,040,099 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2021-04-30 | $8,519,658 |
| Asset. Corporate debt instrument debt (other) at end of year | 2021-04-30 | $2,447,384 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2021-04-30 | $1,044,381 |
| Contract administrator fees | 2021-04-30 | $3,012,840 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-04-30 | $4,998,881 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-04-30 | $3,327,344 |
| Liabilities. Value of benefit claims payable at end of year | 2021-04-30 | $8,830,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-04-30 | $3,920,000 |
| Did the plan have assets held for investment | 2021-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-04-30 | No |
| Aggregate proceeds on sale of assets | 2021-04-30 | $14,388,730 |
| Aggregate carrying amount (costs) on sale of assets | 2021-04-30 | $14,422,530 |
| Opinion of an independent qualified public accountant for this plan | 2021-04-30 | Unqualified |
| Accountancy firm name | 2021-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2021-04-30 | 522385296 |
| 2020 : JOINT BENEFIT TRUST 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-04-30 | $-70,610 |
| Total unrealized appreciation/depreciation of assets | 2020-04-30 | $-70,610 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $4,428,880 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-04-30 | $7,467,678 |
| Total income from all sources (including contributions) | 2020-04-30 | $51,493,553 |
| Total loss/gain on sale of assets | 2020-04-30 | $41,810 |
| Total of all expenses incurred | 2020-04-30 | $45,695,572 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-04-30 | $40,579,674 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-04-30 | $47,840,856 |
| Value of total assets at end of year | 2020-04-30 | $41,768,062 |
| Value of total assets at beginning of year | 2020-04-30 | $39,008,879 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-04-30 | $5,115,898 |
| Total interest from all sources | 2020-04-30 | $656,637 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-04-30 | $135,180 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-04-30 | No |
| Administrative expenses professional fees incurred | 2020-04-30 | $578,743 |
| Was this plan covered by a fidelity bond | 2020-04-30 | Yes |
| Value of fidelity bond cover | 2020-04-30 | $3,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-04-30 | No |
| Contributions received from participants | 2020-04-30 | $1,072,085 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-04-30 | $1,729,595 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-04-30 | $2,062,787 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-04-30 | $328,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-04-30 | $524,000 |
| Other income not declared elsewhere | 2020-04-30 | $2,889,680 |
| Administrative expenses (other) incurred | 2020-04-30 | $1,426,244 |
| Liabilities. Value of operating payables at end of year | 2020-04-30 | $180,880 |
| Liabilities. Value of operating payables at beginning of year | 2020-04-30 | $367,678 |
| Total non interest bearing cash at end of year | 2020-04-30 | $945,709 |
| Total non interest bearing cash at beginning of year | 2020-04-30 | $768,827 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Value of net income/loss | 2020-04-30 | $5,797,981 |
| Value of net assets at end of year (total assets less liabilities) | 2020-04-30 | $37,339,182 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-04-30 | $31,541,201 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-04-30 | No |
| Investment advisory and management fees | 2020-04-30 | $98,071 |
| Income. Interest from US Government securities | 2020-04-30 | $298,193 |
| Income. Interest from corporate debt instruments | 2020-04-30 | $201,634 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-04-30 | $10,814,058 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-04-30 | $7,642,688 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-04-30 | $7,642,688 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-04-30 | $156,810 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-04-30 | $6,601,100 |
| Asset value of US Government securities at end of year | 2020-04-30 | $11,817,407 |
| Asset value of US Government securities at beginning of year | 2020-04-30 | $13,041,711 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-04-30 | No |
| Contributions received in cash from employer | 2020-04-30 | $46,768,771 |
| Employer contributions (assets) at end of year | 2020-04-30 | $3,569,910 |
| Employer contributions (assets) at beginning of year | 2020-04-30 | $4,225,774 |
| Income. Dividends from common stock | 2020-04-30 | $135,180 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-04-30 | $33,978,574 |
| Asset. Corporate debt instrument preferred debt at end of year | 2020-04-30 | $8,519,658 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2020-04-30 | $6,051,985 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-04-30 | $1,044,381 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2020-04-30 | $1,422,368 |
| Contract administrator fees | 2020-04-30 | $3,012,840 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-04-30 | $3,327,344 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-04-30 | $3,792,739 |
| Liabilities. Value of benefit claims payable at end of year | 2020-04-30 | $3,920,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-04-30 | $6,576,000 |
| Did the plan have assets held for investment | 2020-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-04-30 | No |
| Aggregate proceeds on sale of assets | 2020-04-30 | $21,602,546 |
| Aggregate carrying amount (costs) on sale of assets | 2020-04-30 | $21,560,736 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-04-30 | Unqualified |
| Accountancy firm name | 2020-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2020-04-30 | 522385396 |
| 2019 : JOINT BENEFIT TRUST 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-04-30 | $378,180 |
| Total unrealized appreciation/depreciation of assets | 2019-04-30 | $378,180 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $7,467,678 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-04-30 | $7,454,014 |
| Total income from all sources (including contributions) | 2019-04-30 | $51,903,482 |
| Total loss/gain on sale of assets | 2019-04-30 | $174 |
| Total of all expenses incurred | 2019-04-30 | $53,964,438 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-04-30 | $48,734,585 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-04-30 | $47,724,753 |
| Value of total assets at end of year | 2019-04-30 | $39,008,879 |
| Value of total assets at beginning of year | 2019-04-30 | $41,056,171 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-04-30 | $5,229,853 |
| Total interest from all sources | 2019-04-30 | $701,709 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-04-30 | $119,138 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-04-30 | No |
| Administrative expenses professional fees incurred | 2019-04-30 | $586,759 |
| Was this plan covered by a fidelity bond | 2019-04-30 | Yes |
| Value of fidelity bond cover | 2019-04-30 | $3,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-04-30 | No |
| Contributions received from participants | 2019-04-30 | $1,255,659 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-04-30 | $2,062,787 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-04-30 | $1,610,489 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-04-30 | $524,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-04-30 | $518,000 |
| Other income not declared elsewhere | 2019-04-30 | $2,979,528 |
| Administrative expenses (other) incurred | 2019-04-30 | $1,537,735 |
| Liabilities. Value of operating payables at end of year | 2019-04-30 | $367,678 |
| Liabilities. Value of operating payables at beginning of year | 2019-04-30 | $138,014 |
| Total non interest bearing cash at end of year | 2019-04-30 | $768,827 |
| Total non interest bearing cash at beginning of year | 2019-04-30 | $715,222 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Value of net income/loss | 2019-04-30 | $-2,060,956 |
| Value of net assets at end of year (total assets less liabilities) | 2019-04-30 | $31,541,201 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-04-30 | $33,602,157 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-04-30 | No |
| Investment advisory and management fees | 2019-04-30 | $92,519 |
| Income. Interest from US Government securities | 2019-04-30 | $242,235 |
| Income. Interest from corporate debt instruments | 2019-04-30 | $205,186 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-04-30 | $7,642,688 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-04-30 | $13,878,634 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-04-30 | $13,878,634 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-04-30 | $254,288 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-04-30 | $6,396,232 |
| Asset value of US Government securities at end of year | 2019-04-30 | $13,041,711 |
| Asset value of US Government securities at beginning of year | 2019-04-30 | $10,683,161 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-04-30 | No |
| Contributions received in cash from employer | 2019-04-30 | $46,469,094 |
| Employer contributions (assets) at end of year | 2019-04-30 | $4,225,774 |
| Employer contributions (assets) at beginning of year | 2019-04-30 | $3,689,383 |
| Income. Dividends from common stock | 2019-04-30 | $119,138 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-04-30 | $42,338,353 |
| Asset. Corporate debt instrument preferred debt at end of year | 2019-04-30 | $6,051,985 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2019-04-30 | $5,166,806 |
| Asset. Corporate debt instrument debt (other) at end of year | 2019-04-30 | $1,422,368 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2019-04-30 | $2,062,245 |
| Contract administrator fees | 2019-04-30 | $3,012,840 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-04-30 | $3,792,739 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-04-30 | $3,250,231 |
| Liabilities. Value of benefit claims payable at end of year | 2019-04-30 | $6,576,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-04-30 | $6,798,000 |
| Did the plan have assets held for investment | 2019-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-04-30 | No |
| Aggregate proceeds on sale of assets | 2019-04-30 | $68,419,752 |
| Aggregate carrying amount (costs) on sale of assets | 2019-04-30 | $68,419,578 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-04-30 | Unqualified |
| Accountancy firm name | 2019-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2019-04-30 | 522385396 |
| 2018 : JOINT BENEFIT TRUST 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-04-30 | $-22,604 |
| Total unrealized appreciation/depreciation of assets | 2018-04-30 | $-22,604 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $7,454,014 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-04-30 | $8,255,394 |
| Total income from all sources (including contributions) | 2018-04-30 | $54,678,703 |
| Total loss/gain on sale of assets | 2018-04-30 | $35,411 |
| Total of all expenses incurred | 2018-04-30 | $50,227,183 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-04-30 | $44,866,396 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-04-30 | $50,865,568 |
| Value of total assets at end of year | 2018-04-30 | $41,056,171 |
| Value of total assets at beginning of year | 2018-04-30 | $37,406,031 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-04-30 | $5,360,787 |
| Total interest from all sources | 2018-04-30 | $545,492 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-04-30 | $103,144 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-04-30 | No |
| Administrative expenses professional fees incurred | 2018-04-30 | $606,120 |
| Was this plan covered by a fidelity bond | 2018-04-30 | Yes |
| Value of fidelity bond cover | 2018-04-30 | $2,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-04-30 | No |
| Contributions received from participants | 2018-04-30 | $1,333,314 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-04-30 | $1,610,489 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-04-30 | $845,128 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-04-30 | $518,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-04-30 | $469,000 |
| Other income not declared elsewhere | 2018-04-30 | $3,151,692 |
| Administrative expenses (other) incurred | 2018-04-30 | $1,616,869 |
| Liabilities. Value of operating payables at end of year | 2018-04-30 | $138,014 |
| Liabilities. Value of operating payables at beginning of year | 2018-04-30 | $398,394 |
| Total non interest bearing cash at end of year | 2018-04-30 | $715,222 |
| Total non interest bearing cash at beginning of year | 2018-04-30 | $629,186 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Value of net income/loss | 2018-04-30 | $4,451,520 |
| Value of net assets at end of year (total assets less liabilities) | 2018-04-30 | $33,602,157 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-04-30 | $29,150,637 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-04-30 | No |
| Investment advisory and management fees | 2018-04-30 | $85,151 |
| Income. Interest from US Government securities | 2018-04-30 | $190,446 |
| Income. Interest from corporate debt instruments | 2018-04-30 | $183,063 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-04-30 | $13,878,634 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-04-30 | $14,200,087 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-04-30 | $14,200,087 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-04-30 | $171,983 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-04-30 | $6,148,695 |
| Asset value of US Government securities at end of year | 2018-04-30 | $10,683,161 |
| Asset value of US Government securities at beginning of year | 2018-04-30 | $7,527,337 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-04-30 | No |
| Contributions received in cash from employer | 2018-04-30 | $49,532,254 |
| Employer contributions (assets) at end of year | 2018-04-30 | $3,689,383 |
| Employer contributions (assets) at beginning of year | 2018-04-30 | $3,884,996 |
| Income. Dividends from common stock | 2018-04-30 | $103,144 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-04-30 | $38,717,701 |
| Asset. Corporate debt instrument preferred debt at end of year | 2018-04-30 | $5,166,806 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2018-04-30 | $5,840,682 |
| Asset. Corporate debt instrument debt (other) at end of year | 2018-04-30 | $2,062,245 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2018-04-30 | $1,721,320 |
| Contract administrator fees | 2018-04-30 | $3,052,647 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-04-30 | $3,250,231 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-04-30 | $2,757,295 |
| Liabilities. Value of benefit claims payable at end of year | 2018-04-30 | $6,798,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-04-30 | $7,388,000 |
| Did the plan have assets held for investment | 2018-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-04-30 | No |
| Aggregate proceeds on sale of assets | 2018-04-30 | $52,955,859 |
| Aggregate carrying amount (costs) on sale of assets | 2018-04-30 | $52,920,448 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-04-30 | Unqualified |
| Accountancy firm name | 2018-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2018-04-30 | 522385396 |
| 2017 : JOINT BENEFIT TRUST 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-04-30 | $31,944 |
| Total unrealized appreciation/depreciation of assets | 2017-04-30 | $31,944 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $8,255,394 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-04-30 | $5,455,278 |
| Total income from all sources (including contributions) | 2017-04-30 | $48,618,357 |
| Total loss/gain on sale of assets | 2017-04-30 | $-96,818 |
| Total of all expenses incurred | 2017-04-30 | $49,053,555 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-04-30 | $43,258,123 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-04-30 | $47,330,661 |
| Value of total assets at end of year | 2017-04-30 | $37,406,031 |
| Value of total assets at beginning of year | 2017-04-30 | $35,041,113 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-04-30 | $5,795,432 |
| Total interest from all sources | 2017-04-30 | $428,829 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-04-30 | $75,288 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-04-30 | No |
| Administrative expenses professional fees incurred | 2017-04-30 | $639,099 |
| Was this plan covered by a fidelity bond | 2017-04-30 | Yes |
| Value of fidelity bond cover | 2017-04-30 | $2,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-04-30 | No |
| Contributions received from participants | 2017-04-30 | $1,503,016 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-04-30 | $845,128 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-04-30 | $1,316,238 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-04-30 | $469,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-04-30 | $489,000 |
| Other income not declared elsewhere | 2017-04-30 | $848,453 |
| Administrative expenses (other) incurred | 2017-04-30 | $2,015,566 |
| Liabilities. Value of operating payables at end of year | 2017-04-30 | $398,394 |
| Liabilities. Value of operating payables at beginning of year | 2017-04-30 | $649,278 |
| Total non interest bearing cash at end of year | 2017-04-30 | $629,186 |
| Total non interest bearing cash at beginning of year | 2017-04-30 | $788,490 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Value of net income/loss | 2017-04-30 | $-435,198 |
| Value of net assets at end of year (total assets less liabilities) | 2017-04-30 | $29,150,637 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-04-30 | $29,585,835 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-04-30 | No |
| Investment advisory and management fees | 2017-04-30 | $70,843 |
| Income. Interest from US Government securities | 2017-04-30 | $149,172 |
| Income. Interest from corporate debt instruments | 2017-04-30 | $191,825 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-04-30 | $14,200,087 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-04-30 | $12,877,080 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-04-30 | $12,877,080 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-04-30 | $87,832 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-04-30 | $5,945,951 |
| Asset value of US Government securities at end of year | 2017-04-30 | $7,527,337 |
| Asset value of US Government securities at beginning of year | 2017-04-30 | $7,668,137 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-04-30 | No |
| Contributions received in cash from employer | 2017-04-30 | $45,827,645 |
| Employer contributions (assets) at end of year | 2017-04-30 | $3,884,996 |
| Employer contributions (assets) at beginning of year | 2017-04-30 | $3,445,310 |
| Income. Dividends from common stock | 2017-04-30 | $75,288 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-04-30 | $37,312,172 |
| Asset. Corporate debt instrument preferred debt at end of year | 2017-04-30 | $5,840,682 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2017-04-30 | $7,450,837 |
| Asset. Corporate debt instrument debt (other) at end of year | 2017-04-30 | $1,721,320 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2017-04-30 | $1,495,021 |
| Contract administrator fees | 2017-04-30 | $3,069,924 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-04-30 | $2,757,295 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-04-30 | $0 |
| Liabilities. Value of benefit claims payable at end of year | 2017-04-30 | $7,388,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-04-30 | $4,317,000 |
| Did the plan have assets held for investment | 2017-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-04-30 | No |
| Aggregate proceeds on sale of assets | 2017-04-30 | $51,320,359 |
| Aggregate carrying amount (costs) on sale of assets | 2017-04-30 | $51,417,177 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-04-30 | Unqualified |
| Accountancy firm name | 2017-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2017-04-30 | 522385396 |
| 2016 : JOINT BENEFIT TRUST 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-04-30 | $9,429 |
| Total unrealized appreciation/depreciation of assets | 2016-04-30 | $9,429 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $5,455,278 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-04-30 | $5,815,306 |
| Total income from all sources (including contributions) | 2016-04-30 | $51,534,087 |
| Total loss/gain on sale of assets | 2016-04-30 | $-71,627 |
| Total of all expenses incurred | 2016-04-30 | $47,541,667 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-04-30 | $41,673,824 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-04-30 | $50,197,630 |
| Value of total assets at end of year | 2016-04-30 | $35,041,113 |
| Value of total assets at beginning of year | 2016-04-30 | $31,408,721 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-04-30 | $5,867,843 |
| Total interest from all sources | 2016-04-30 | $344,767 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-04-30 | No |
| Administrative expenses professional fees incurred | 2016-04-30 | $769,404 |
| Was this plan covered by a fidelity bond | 2016-04-30 | Yes |
| Value of fidelity bond cover | 2016-04-30 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-04-30 | No |
| Contributions received from participants | 2016-04-30 | $1,841,640 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-04-30 | $1,316,238 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-04-30 | $721,596 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-04-30 | $489,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-04-30 | $468,000 |
| Other income not declared elsewhere | 2016-04-30 | $1,053,888 |
| Administrative expenses (other) incurred | 2016-04-30 | $1,986,052 |
| Liabilities. Value of operating payables at end of year | 2016-04-30 | $649,278 |
| Liabilities. Value of operating payables at beginning of year | 2016-04-30 | $514,306 |
| Total non interest bearing cash at end of year | 2016-04-30 | $788,490 |
| Total non interest bearing cash at beginning of year | 2016-04-30 | $188,742 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Value of net income/loss | 2016-04-30 | $3,992,420 |
| Value of net assets at end of year (total assets less liabilities) | 2016-04-30 | $29,585,835 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-04-30 | $25,593,415 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-04-30 | No |
| Investment advisory and management fees | 2016-04-30 | $41,940 |
| Interest earned on other investments | 2016-04-30 | $8,957 |
| Income. Interest from US Government securities | 2016-04-30 | $141,327 |
| Income. Interest from corporate debt instruments | 2016-04-30 | $153,816 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-04-30 | $12,877,080 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-04-30 | $14,985,774 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-04-30 | $14,985,774 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-04-30 | $40,667 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-04-30 | $5,850,917 |
| Asset value of US Government securities at end of year | 2016-04-30 | $7,668,137 |
| Asset value of US Government securities at beginning of year | 2016-04-30 | $5,616,207 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-04-30 | No |
| Contributions received in cash from employer | 2016-04-30 | $48,355,990 |
| Employer contributions (assets) at end of year | 2016-04-30 | $3,445,310 |
| Employer contributions (assets) at beginning of year | 2016-04-30 | $3,341,455 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-04-30 | $35,822,907 |
| Asset. Corporate debt instrument preferred debt at end of year | 2016-04-30 | $7,450,837 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2016-04-30 | $4,969,020 |
| Asset. Corporate debt instrument debt (other) at end of year | 2016-04-30 | $1,495,021 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2016-04-30 | $1,585,927 |
| Contract administrator fees | 2016-04-30 | $3,070,447 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-04-30 | $4,317,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-04-30 | $4,833,000 |
| Did the plan have assets held for investment | 2016-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-04-30 | No |
| Aggregate proceeds on sale of assets | 2016-04-30 | $15,562,170 |
| Aggregate carrying amount (costs) on sale of assets | 2016-04-30 | $15,633,797 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-04-30 | Unqualified |
| Accountancy firm name | 2016-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2016-04-30 | 522385396 |
| 2015 : JOINT BENEFIT TRUST 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-04-30 | $-79,199 |
| Total unrealized appreciation/depreciation of assets | 2015-04-30 | $-79,199 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $5,815,306 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-04-30 | $5,252,821 |
| Total income from all sources (including contributions) | 2015-04-30 | $48,736,871 |
| Total loss/gain on sale of assets | 2015-04-30 | $-77,956 |
| Total of all expenses incurred | 2015-04-30 | $44,745,427 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-04-30 | $39,132,912 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-04-30 | $47,915,682 |
| Value of total assets at end of year | 2015-04-30 | $31,408,721 |
| Value of total assets at beginning of year | 2015-04-30 | $26,854,792 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-04-30 | $5,612,515 |
| Total interest from all sources | 2015-04-30 | $313,999 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-04-30 | No |
| Administrative expenses professional fees incurred | 2015-04-30 | $580,537 |
| Was this plan covered by a fidelity bond | 2015-04-30 | Yes |
| Value of fidelity bond cover | 2015-04-30 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-04-30 | No |
| Contributions received from participants | 2015-04-30 | $1,932,732 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-04-30 | $721,596 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-04-30 | $1,709,406 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-04-30 | $468,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-04-30 | $452,000 |
| Other income not declared elsewhere | 2015-04-30 | $664,345 |
| Administrative expenses (other) incurred | 2015-04-30 | $1,923,544 |
| Liabilities. Value of operating payables at end of year | 2015-04-30 | $514,306 |
| Liabilities. Value of operating payables at beginning of year | 2015-04-30 | $254,821 |
| Total non interest bearing cash at end of year | 2015-04-30 | $188,742 |
| Total non interest bearing cash at beginning of year | 2015-04-30 | $1,057,406 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Value of net income/loss | 2015-04-30 | $3,991,444 |
| Value of net assets at end of year (total assets less liabilities) | 2015-04-30 | $25,593,415 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-04-30 | $21,601,971 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-04-30 | No |
| Investment advisory and management fees | 2015-04-30 | $39,482 |
| Interest earned on other investments | 2015-04-30 | $5,944 |
| Income. Interest from US Government securities | 2015-04-30 | $151,347 |
| Income. Interest from corporate debt instruments | 2015-04-30 | $146,730 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-04-30 | $14,985,774 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-04-30 | $9,099,856 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-04-30 | $9,099,856 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-04-30 | $9,978 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-04-30 | $5,987,353 |
| Asset value of US Government securities at end of year | 2015-04-30 | $5,616,207 |
| Asset value of US Government securities at beginning of year | 2015-04-30 | $5,319,235 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-04-30 | No |
| Contributions received in cash from employer | 2015-04-30 | $45,982,950 |
| Employer contributions (assets) at end of year | 2015-04-30 | $3,341,455 |
| Employer contributions (assets) at beginning of year | 2015-04-30 | $2,991,128 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-04-30 | $33,145,559 |
| Asset. Corporate debt instrument preferred debt at end of year | 2015-04-30 | $4,969,020 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2015-04-30 | $5,584,699 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-04-30 | $1,585,927 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-04-30 | $1,093,062 |
| Contract administrator fees | 2015-04-30 | $3,068,952 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-04-30 | $4,833,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-04-30 | $4,546,000 |
| Did the plan have assets held for investment | 2015-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-04-30 | No |
| Aggregate proceeds on sale of assets | 2015-04-30 | $11,263,302 |
| Aggregate carrying amount (costs) on sale of assets | 2015-04-30 | $11,341,258 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-04-30 | Unqualified |
| Accountancy firm name | 2015-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2015-04-30 | 522385396 |
| 2014 : JOINT BENEFIT TRUST 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-04-30 | $-82,316 |
| Total unrealized appreciation/depreciation of assets | 2014-04-30 | $-82,316 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $5,252,821 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-04-30 | $7,155,203 |
| Total income from all sources (including contributions) | 2014-04-30 | $47,957,486 |
| Total loss/gain on sale of assets | 2014-04-30 | $-68,547 |
| Total of all expenses incurred | 2014-04-30 | $45,067,489 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-04-30 | $39,668,021 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-04-30 | $46,137,542 |
| Value of total assets at end of year | 2014-04-30 | $26,854,792 |
| Value of total assets at beginning of year | 2014-04-30 | $25,867,177 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-04-30 | $5,399,468 |
| Total interest from all sources | 2014-04-30 | $277,230 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-04-30 | No |
| Administrative expenses professional fees incurred | 2014-04-30 | $554,437 |
| Was this plan covered by a fidelity bond | 2014-04-30 | Yes |
| Value of fidelity bond cover | 2014-04-30 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-04-30 | No |
| Contributions received from participants | 2014-04-30 | $2,457,540 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-04-30 | $1,709,406 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-04-30 | $875,723 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-04-30 | $452,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-04-30 | $716,000 |
| Other income not declared elsewhere | 2014-04-30 | $1,693,577 |
| Administrative expenses (other) incurred | 2014-04-30 | $1,734,857 |
| Liabilities. Value of operating payables at end of year | 2014-04-30 | $254,821 |
| Liabilities. Value of operating payables at beginning of year | 2014-04-30 | $236,203 |
| Total non interest bearing cash at end of year | 2014-04-30 | $1,057,406 |
| Total non interest bearing cash at beginning of year | 2014-04-30 | $1,138,421 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Value of net income/loss | 2014-04-30 | $2,889,997 |
| Value of net assets at end of year (total assets less liabilities) | 2014-04-30 | $21,601,971 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-04-30 | $18,711,974 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-04-30 | No |
| Investment advisory and management fees | 2014-04-30 | $39,027 |
| Interest earned on other investments | 2014-04-30 | $5,131 |
| Income. Interest from US Government securities | 2014-04-30 | $123,924 |
| Income. Interest from corporate debt instruments | 2014-04-30 | $142,860 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-04-30 | $9,099,856 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-04-30 | $9,094,856 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-04-30 | $9,094,856 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-04-30 | $5,315 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-04-30 | $6,305,079 |
| Asset value of US Government securities at end of year | 2014-04-30 | $5,319,235 |
| Asset value of US Government securities at beginning of year | 2014-04-30 | $4,703,745 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-04-30 | No |
| Contributions received in cash from employer | 2014-04-30 | $43,680,002 |
| Employer contributions (assets) at end of year | 2014-04-30 | $2,991,128 |
| Employer contributions (assets) at beginning of year | 2014-04-30 | $3,181,096 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-04-30 | $33,362,942 |
| Asset. Corporate debt instrument preferred debt at end of year | 2014-04-30 | $5,584,699 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2014-04-30 | $6,672,084 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-04-30 | $1,093,062 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-04-30 | $201,252 |
| Contract administrator fees | 2014-04-30 | $3,071,147 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-04-30 | $4,546,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-04-30 | $6,203,000 |
| Did the plan have assets held for investment | 2014-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-04-30 | No |
| Aggregate proceeds on sale of assets | 2014-04-30 | $11,589,760 |
| Aggregate carrying amount (costs) on sale of assets | 2014-04-30 | $11,658,307 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-04-30 | Unqualified |
| Accountancy firm name | 2014-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2014-04-30 | 522385296 |
| 2013 : JOINT BENEFIT TRUST 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-04-30 | $-27,814 |
| Total unrealized appreciation/depreciation of assets | 2013-04-30 | $-27,814 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $7,155,203 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-04-30 | $6,405,754 |
| Total income from all sources (including contributions) | 2013-04-30 | $52,295,549 |
| Total loss/gain on sale of assets | 2013-04-30 | $-56,873 |
| Total of all expenses incurred | 2013-04-30 | $50,268,851 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-04-30 | $44,504,096 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-04-30 | $50,966,833 |
| Value of total assets at end of year | 2013-04-30 | $25,867,177 |
| Value of total assets at beginning of year | 2013-04-30 | $23,091,030 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-04-30 | $5,764,755 |
| Total interest from all sources | 2013-04-30 | $250,118 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-04-30 | No |
| Administrative expenses professional fees incurred | 2013-04-30 | $689,184 |
| Was this plan covered by a fidelity bond | 2013-04-30 | Yes |
| Value of fidelity bond cover | 2013-04-30 | $1,500,000 |
| If this is an individual account plan, was there a blackout period | 2013-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-04-30 | No |
| Contributions received from participants | 2013-04-30 | $2,726,150 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-04-30 | $120,139 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-04-30 | $875,723 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-04-30 | $755,473 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-04-30 | $716,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-04-30 | $1,408,000 |
| Other income not declared elsewhere | 2013-04-30 | $1,163,285 |
| Administrative expenses (other) incurred | 2013-04-30 | $1,956,266 |
| Liabilities. Value of operating payables at end of year | 2013-04-30 | $236,203 |
| Liabilities. Value of operating payables at beginning of year | 2013-04-30 | $410,754 |
| Total non interest bearing cash at end of year | 2013-04-30 | $1,138,421 |
| Total non interest bearing cash at beginning of year | 2013-04-30 | $1,018,808 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Value of net income/loss | 2013-04-30 | $2,026,698 |
| Value of net assets at end of year (total assets less liabilities) | 2013-04-30 | $18,711,974 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-04-30 | $16,685,276 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-04-30 | No |
| Investment advisory and management fees | 2013-04-30 | $38,602 |
| Interest earned on other investments | 2013-04-30 | $291 |
| Income. Interest from US Government securities | 2013-04-30 | $117,322 |
| Income. Interest from corporate debt instruments | 2013-04-30 | $124,673 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-04-30 | $9,094,856 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-04-30 | $4,293,538 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-04-30 | $4,293,538 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-04-30 | $7,832 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-04-30 | $11,894,682 |
| Asset value of US Government securities at end of year | 2013-04-30 | $4,703,745 |
| Asset value of US Government securities at beginning of year | 2013-04-30 | $7,058,384 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-04-30 | No |
| Contributions received in cash from employer | 2013-04-30 | $48,240,683 |
| Employer contributions (assets) at end of year | 2013-04-30 | $3,181,096 |
| Employer contributions (assets) at beginning of year | 2013-04-30 | $3,885,506 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-04-30 | $32,609,414 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-04-30 | $6,672,084 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-04-30 | $5,759,182 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-04-30 | $201,252 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-04-30 | $200,000 |
| Contract administrator fees | 2013-04-30 | $3,080,703 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-04-30 | $6,203,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-04-30 | $4,587,000 |
| Did the plan have assets held for investment | 2013-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-04-30 | No |
| Aggregate proceeds on sale of assets | 2013-04-30 | $57,181,180 |
| Aggregate carrying amount (costs) on sale of assets | 2013-04-30 | $57,238,053 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-04-30 | Unqualified |
| Accountancy firm name | 2013-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2013-04-30 | 522385296 |
| 2012 : JOINT BENEFIT TRUST 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-04-30 | $-56,823 |
| Total unrealized appreciation/depreciation of assets | 2012-04-30 | $-56,823 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-04-30 | $6,405,754 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-04-30 | $7,060,824 |
| Total income from all sources (including contributions) | 2012-04-30 | $55,341,692 |
| Total loss/gain on sale of assets | 2012-04-30 | $-42,498 |
| Total of all expenses incurred | 2012-04-30 | $56,615,452 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-04-30 | $50,678,350 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-04-30 | $54,773,290 |
| Value of total assets at end of year | 2012-04-30 | $23,091,030 |
| Value of total assets at beginning of year | 2012-04-30 | $25,019,860 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-04-30 | $5,937,102 |
| Total interest from all sources | 2012-04-30 | $299,752 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-04-30 | No |
| Administrative expenses professional fees incurred | 2012-04-30 | $682,000 |
| Was this plan covered by a fidelity bond | 2012-04-30 | Yes |
| Value of fidelity bond cover | 2012-04-30 | $1,500,000 |
| If this is an individual account plan, was there a blackout period | 2012-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-04-30 | No |
| Contributions received from participants | 2012-04-30 | $2,804,646 |
| Assets. Other investments not covered elsewhere at end of year | 2012-04-30 | $120,139 |
| Assets. Other investments not covered elsewhere at beginning of year | 2012-04-30 | $227,325 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-04-30 | $755,473 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-04-30 | $1,771,881 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-04-30 | $1,408,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-04-30 | $1,603,163 |
| Other income not declared elsewhere | 2012-04-30 | $367,971 |
| Administrative expenses (other) incurred | 2012-04-30 | $2,135,944 |
| Liabilities. Value of operating payables at end of year | 2012-04-30 | $410,754 |
| Liabilities. Value of operating payables at beginning of year | 2012-04-30 | $208,661 |
| Total non interest bearing cash at end of year | 2012-04-30 | $1,018,808 |
| Total non interest bearing cash at beginning of year | 2012-04-30 | $1,556,912 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-04-30 | No |
| Value of net income/loss | 2012-04-30 | $-1,273,760 |
| Value of net assets at end of year (total assets less liabilities) | 2012-04-30 | $16,685,276 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-04-30 | $17,959,036 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-04-30 | No |
| Investment advisory and management fees | 2012-04-30 | $47,163 |
| Interest earned on other investments | 2012-04-30 | $1,363 |
| Income. Interest from US Government securities | 2012-04-30 | $207,998 |
| Income. Interest from corporate debt instruments | 2012-04-30 | $86,251 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-04-30 | $4,293,538 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-04-30 | $4,082,620 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-04-30 | $4,082,620 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-04-30 | $4,140 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-04-30 | $16,747,256 |
| Asset value of US Government securities at end of year | 2012-04-30 | $7,058,384 |
| Asset value of US Government securities at beginning of year | 2012-04-30 | $7,687,519 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-04-30 | No |
| Contributions received in cash from employer | 2012-04-30 | $51,968,644 |
| Employer contributions (assets) at end of year | 2012-04-30 | $3,885,506 |
| Employer contributions (assets) at beginning of year | 2012-04-30 | $3,652,483 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-04-30 | $33,931,094 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-04-30 | $5,759,182 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2012-04-30 | $6,041,120 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-04-30 | $200,000 |
| Contract administrator fees | 2012-04-30 | $3,071,995 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-04-30 | $4,587,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-04-30 | $5,249,000 |
| Did the plan have assets held for investment | 2012-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-04-30 | No |
| Aggregate proceeds on sale of assets | 2012-04-30 | $48,119,734 |
| Aggregate carrying amount (costs) on sale of assets | 2012-04-30 | $48,162,232 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-04-30 | Unqualified |
| Accountancy firm name | 2012-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2012-04-30 | 522385296 |
| 2011 : JOINT BENEFIT TRUST 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-04-30 | $812 |
| Total unrealized appreciation/depreciation of assets | 2011-04-30 | $812 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-04-30 | $7,060,824 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-04-30 | $5,873,543 |
| Total income from all sources (including contributions) | 2011-04-30 | $48,180,825 |
| Total loss/gain on sale of assets | 2011-04-30 | $-126,287 |
| Total of all expenses incurred | 2011-04-30 | $55,945,525 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-04-30 | $50,288,963 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-04-30 | $46,348,984 |
| Value of total assets at end of year | 2011-04-30 | $25,019,860 |
| Value of total assets at beginning of year | 2011-04-30 | $31,597,279 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-04-30 | $5,656,562 |
| Total interest from all sources | 2011-04-30 | $378,256 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-04-30 | $7,377 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-04-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-04-30 | $7,377 |
| Administrative expenses professional fees incurred | 2011-04-30 | $555,637 |
| Was this plan covered by a fidelity bond | 2011-04-30 | Yes |
| Value of fidelity bond cover | 2011-04-30 | $1,500,000 |
| If this is an individual account plan, was there a blackout period | 2011-04-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-04-30 | No |
| Contributions received from participants | 2011-04-30 | $2,708,123 |
| Assets. Other investments not covered elsewhere at end of year | 2011-04-30 | $227,325 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-04-30 | $1,771,881 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-04-30 | $1,298,470 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-04-30 | $1,603,163 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-04-30 | $1,312,000 |
| Other income not declared elsewhere | 2011-04-30 | $1,571,683 |
| Administrative expenses (other) incurred | 2011-04-30 | $2,079,889 |
| Liabilities. Value of operating payables at end of year | 2011-04-30 | $208,661 |
| Liabilities. Value of operating payables at beginning of year | 2011-04-30 | $242,543 |
| Total non interest bearing cash at end of year | 2011-04-30 | $1,556,912 |
| Total non interest bearing cash at beginning of year | 2011-04-30 | $413,662 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-04-30 | No |
| Value of net income/loss | 2011-04-30 | $-7,764,700 |
| Value of net assets at end of year (total assets less liabilities) | 2011-04-30 | $17,959,036 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-04-30 | $25,723,736 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-04-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-04-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-04-30 | No |
| Investment advisory and management fees | 2011-04-30 | $39,878 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-04-30 | $4,082,620 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-04-30 | $12,650,463 |
| Interest earned on other investments | 2011-04-30 | $1,139 |
| Income. Interest from US Government securities | 2011-04-30 | $284,882 |
| Income. Interest from corporate debt instruments | 2011-04-30 | $92,235 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-04-30 | $16,085,610 |
| Asset value of US Government securities at end of year | 2011-04-30 | $7,687,519 |
| Asset value of US Government securities at beginning of year | 2011-04-30 | $10,125,667 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-04-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-04-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-04-30 | No |
| Contributions received in cash from employer | 2011-04-30 | $43,640,861 |
| Employer contributions (assets) at end of year | 2011-04-30 | $3,652,483 |
| Employer contributions (assets) at beginning of year | 2011-04-30 | $3,277,791 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-04-30 | $34,203,353 |
| Asset. Corporate debt instrument preferred debt at end of year | 2011-04-30 | $6,041,120 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2011-04-30 | $3,831,226 |
| Contract administrator fees | 2011-04-30 | $2,981,158 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-04-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-04-30 | $5,249,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-04-30 | $4,319,000 |
| Did the plan have assets held for investment | 2011-04-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-04-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-04-30 | No |
| Aggregate proceeds on sale of assets | 2011-04-30 | $15,027,836 |
| Aggregate carrying amount (costs) on sale of assets | 2011-04-30 | $15,154,123 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-04-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-04-30 | Unqualified |
| Accountancy firm name | 2011-04-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2011-04-30 | 522385296 |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | 20493-03 |
| Policy instance | 1 |
| Insurance contract or identification number | 20493-03 | | Number of Individuals Covered | 1443 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,536,279 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 2 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 9 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $85,365 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 3 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 826 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,046,561 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 008830 |
| Policy instance | 4 |
| Insurance contract or identification number | 008830 | | Number of Individuals Covered | 1496 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $406,923 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 1758 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $22,773 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | SRSUP |
| Policy instance | 6 |
| Insurance contract or identification number | SRSUP | | Number of Individuals Covered | 34 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $82,955 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | S5921 |
| Policy instance | 7 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $144,408 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 8 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $55,010 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 867001 |
| Policy instance | 9 |
| Insurance contract or identification number | 867001 | | Number of Individuals Covered | 1787 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $270,464 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 2 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 14 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $88,569 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 3 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 826 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,046,561 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $25,487 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 008830 |
| Policy instance | 4 |
| Insurance contract or identification number | 008830 | | Number of Individuals Covered | 1973 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $450,151 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | SRSUP |
| Policy instance | 6 |
| Insurance contract or identification number | SRSUP | | Number of Individuals Covered | 54 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $129,157 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | S5921 |
| Policy instance | 7 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 52 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $224,840 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 8 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $74,143 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 867001 |
| Policy instance | 9 |
| Insurance contract or identification number | 867001 | | Number of Individuals Covered | 2243 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $324,381 | | 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 | 276374 |
| Policy instance | 1 |
| Insurance contract or identification number | 276374 | | Number of Individuals Covered | 1931 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,573,266 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 629 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,952,408 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | SRSUP |
| Policy instance | 7 |
| Insurance contract or identification number | SRSUP | | Number of Individuals Covered | 60 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $169,425 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 000867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 000867001 | | Number of Individuals Covered | 2225 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $315,996 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2240 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $21,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 15 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $101,424 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $87,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 1925 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $474,604 | | 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 | 20493 |
| Policy instance | 8 |
| Insurance contract or identification number | 20493 | | Number of Individuals Covered | 1987 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,179,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | S5921 |
| Policy instance | 9 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $300,184 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 16 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $128,471 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 1929 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $347,746 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 599 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,115,956 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | SRSUP |
| Policy instance | 7 |
| Insurance contract or identification number | SRSUP | | Number of Individuals Covered | 71 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $208,154 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | S5921 |
| Policy instance | 9 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $370,633 | | 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 | 20493 |
| Policy instance | 8 |
| Insurance contract or identification number | 20493 | | Number of Individuals Covered | 1978 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,814,367 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $102,134 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 000867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 000867001 | | Number of Individuals Covered | 2099 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $309,481 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2099 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $20,574 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 564 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,521,774 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | S5921 |
| Policy instance | 9 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $399,276 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 8 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 1947 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,718,484 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | SRSUP |
| Policy instance | 7 |
| Insurance contract or identification number | SRSUP | | Number of Individuals Covered | 86 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $224,220 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 000867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 000867001 | | Number of Individuals Covered | 2189 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $326,432 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $114,339 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2131 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $21,760 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2033 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $386,136 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 22 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $155,187 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2122 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $404,350 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) |
| Policy contract number | ERLL16100876004 |
| Policy instance | 10 |
| Insurance contract or identification number | ERLL16100876004 | | Number of Individuals Covered | 760 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $209,690 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 32395 ) |
| Policy contract number | S5921 |
| Policy instance | 9 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $446,319 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | SRSUP |
| Policy instance | 7 |
| Insurance contract or identification number | SRSUP | | Number of Individuals Covered | 98 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $252,286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 000867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 000867001 | | Number of Individuals Covered | 2396 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $341,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 27 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $178,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $110,318 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 399 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,284,965 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2351 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $22,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 8 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 2171 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,719,219 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2269 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $402,579 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 418 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,044,794 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $113,455 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 33 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $218,558 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2362 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $22,819 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 12221859 |
| Policy instance | 6 |
| Insurance contract or identification number | 12221859 | | Number of Individuals Covered | 7042 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $223,387 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2636 |
| Policy instance | 7 |
| Insurance contract or identification number | 2636 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $325,420 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | S5921 |
| Policy instance | 9 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $533,255 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) |
| Policy contract number | ERLL15100876002 |
| Policy instance | 10 |
| Insurance contract or identification number | ERLL15100876002 | | Number of Individuals Covered | 344 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $188,605 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 8 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 2238 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,575,435 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63357-7 |
| Policy instance | 8 |
| Insurance contract or identification number | 63357-7 | | Number of Individuals Covered | 2328 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,546,963 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00867001 | | Number of Individuals Covered | 2482 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $261,113 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 ) |
| Policy contract number | ERLL14100876001 |
| Policy instance | 10 |
| Insurance contract or identification number | ERLL14100876001 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2014-08-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $370,368 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | S5921 |
| Policy instance | 9 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $608,009 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2272 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $388,483 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 404 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,230,049 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $128,134 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 41 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $236,889 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2370 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,098 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2636 |
| Policy instance | 7 |
| Insurance contract or identification number | 2636 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $368,045 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63357-7 |
| Policy instance | 8 |
| Insurance contract or identification number | 63357-7 | | Number of Individuals Covered | 2178 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,296,305 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | S5921 |
| Policy instance | 10 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 204 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $693,368 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 718515 |
| Policy instance | 9 |
| Insurance contract or identification number | 718515 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-02-28 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $278,684 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00867001 | | Number of Individuals Covered | 2303 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $252,378 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2636 |
| Policy instance | 7 |
| Insurance contract or identification number | 2636 | | Number of Individuals Covered | 204 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $419,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2276 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,709 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2194 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $393,292 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 47 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $282,337 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $578,286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 570 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,032,522 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 63357-7 |
| Policy instance | 8 |
| Insurance contract or identification number | 63357-7 | | Number of Individuals Covered | 2117 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,292,883 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 718515 |
| Policy instance | 9 |
| Insurance contract or identification number | 718515 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $414,160 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | S5921 |
| Policy instance | 10 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 279 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $876,962 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 831 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,353,205 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2636 |
| Policy instance | 7 |
| Insurance contract or identification number | 2636 | | Number of Individuals Covered | 242 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $490,967 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00867001 | | Number of Individuals Covered | 2402 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $260,313 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F504SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F504SS, ETC | | Number of Individuals Covered | 112 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $343,682 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 146348 |
| Policy instance | 3 |
| Insurance contract or identification number | 146348 | | Number of Individuals Covered | 143 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,816,227 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2077 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $394,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2371 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $26,542 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 8 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 2087 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,110,648 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00867001 | | Number of Individuals Covered | 2978 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $300,680 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | S5921 |
| Policy instance | 10 |
| Insurance contract or identification number | S5921 | | Number of Individuals Covered | 265 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $957,364 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 718515 |
| Policy instance | 9 |
| Insurance contract or identification number | 718515 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $3,721 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $450,315 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2636 |
| Policy instance | 7 |
| Insurance contract or identification number | 2636 | | Number of Individuals Covered | 265 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $533,816 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 2947 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,067 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F5044SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F5044SS, ETC | | Number of Individuals Covered | 158 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $407,327 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 102613 |
| Policy instance | 3 |
| Insurance contract or identification number | 102613 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,903,176 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 1338 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,673,534 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2544 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $400,949 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 1537 |
| Policy instance | 11 |
| Insurance contract or identification number | 1537 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $637,497 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 8867 |
| Policy instance | 2 |
| Insurance contract or identification number | 8867 | | Number of Individuals Covered | 1279 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,443,485 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 102613 |
| Policy instance | 3 |
| Insurance contract or identification number | 102613 | | Number of Individuals Covered | 584 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,640,612 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | F5044SS, ETC |
| Policy instance | 4 |
| Insurance contract or identification number | F5044SS, ETC | | Number of Individuals Covered | 234 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $362,035 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2636 |
| Policy instance | 7 |
| Insurance contract or identification number | 2636 | | Number of Individuals Covered | 265 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $376,006 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 8830 |
| Policy instance | 1 |
| Insurance contract or identification number | 8830 | | Number of Individuals Covered | 2665 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | MANAGED CARE PLAN | | Welfare Benefit Premiums Paid to Carrier | USD $305,110 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 00867001 |
| Policy instance | 6 |
| Insurance contract or identification number | 00867001 | | Number of Individuals Covered | 3098 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $308,626 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | EXRK |
| Policy instance | 8 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 2127 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $904,623 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 718515 |
| Policy instance | 9 |
| Insurance contract or identification number | 718515 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $493,353 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PACIFICARE LIFE & HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70785 ) |
| Policy contract number | 14803 |
| Policy instance | 10 |
| Insurance contract or identification number | 14803 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $491,398 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 93876-002 |
| Policy instance | 5 |
| Insurance contract or identification number | 93876-002 | | Number of Individuals Covered | 3070 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,064 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
