PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUN has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND
401k plan membership statisitcs for PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND
| Measure | Date | Value |
|---|
| 2023 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2023-03-31 | $-61,182 |
| Total unrealized appreciation/depreciation of assets | 2023-03-31 | $-61,182 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-03-31 | $3,082,673 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-03-31 | $2,896,887 |
| Total income from all sources (including contributions) | 2023-03-31 | $2,962,411 |
| Total loss/gain on sale of assets | 2023-03-31 | $-51,818 |
| Total of all expenses incurred | 2023-03-31 | $3,099,568 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-03-31 | $2,415,979 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-03-31 | $3,161,159 |
| Value of total assets at end of year | 2023-03-31 | $6,959,302 |
| Value of total assets at beginning of year | 2023-03-31 | $6,910,673 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-03-31 | $683,589 |
| Total interest from all sources | 2023-03-31 | $83,270 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-03-31 | $59,268 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-03-31 | $59,268 |
| Administrative expenses professional fees incurred | 2023-03-31 | $179,162 |
| Was this plan covered by a fidelity bond | 2023-03-31 | Yes |
| Value of fidelity bond cover | 2023-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-03-31 | No |
| Contributions received from participants | 2023-03-31 | $832,291 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-03-31 | $18,448 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-03-31 | $136,175 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-03-31 | $111,497 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-03-31 | $115,050 |
| Administrative expenses (other) incurred | 2023-03-31 | $57,125 |
| Liabilities. Value of operating payables at end of year | 2023-03-31 | $31,557 |
| Liabilities. Value of operating payables at beginning of year | 2023-03-31 | $40,950 |
| Total non interest bearing cash at end of year | 2023-03-31 | $535,905 |
| Total non interest bearing cash at beginning of year | 2023-03-31 | $511,645 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-03-31 | No |
| Value of net income/loss | 2023-03-31 | $-137,157 |
| Value of net assets at end of year (total assets less liabilities) | 2023-03-31 | $3,876,629 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-03-31 | $4,013,786 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-03-31 | No |
| Investment advisory and management fees | 2023-03-31 | $22,441 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-03-31 | $2,043,331 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-03-31 | $3,100,045 |
| Income. Interest from US Government securities | 2023-03-31 | $33,272 |
| Income. Interest from corporate debt instruments | 2023-03-31 | $49,548 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-03-31 | $227,391 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-03-31 | $283,254 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-03-31 | $283,254 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-03-31 | $450 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-03-31 | $2,415,979 |
| Asset value of US Government securities at end of year | 2023-03-31 | $1,749,472 |
| Asset value of US Government securities at beginning of year | 2023-03-31 | $1,493,296 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-03-31 | $-228,286 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-03-31 | No |
| Contributions received in cash from employer | 2023-03-31 | $2,328,868 |
| Employer contributions (assets) at end of year | 2023-03-31 | $604,249 |
| Employer contributions (assets) at beginning of year | 2023-03-31 | $343,155 |
| Asset. Corporate debt instrument preferred debt at end of year | 2023-03-31 | $1,601,964 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2023-03-31 | $884,514 |
| Asset. Corporate debt instrument debt (other) at end of year | 2023-03-31 | $165,948 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2023-03-31 | $154,195 |
| Contract administrator fees | 2023-03-31 | $424,861 |
| Liabilities. Value of benefit claims payable at end of year | 2023-03-31 | $2,939,619 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-03-31 | $2,740,887 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2023-03-31 | $12,594 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2023-03-31 | $4,394 |
| Did the plan have assets held for investment | 2023-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-03-31 | No |
| Aggregate proceeds on sale of assets | 2023-03-31 | $615,540 |
| Aggregate carrying amount (costs) on sale of assets | 2023-03-31 | $667,358 |
| Opinion of an independent qualified public accountant for this plan | 2023-03-31 | Unqualified |
| Accountancy firm name | 2023-03-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2023-03-31 | 952036255 |
| 2022 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-03-31 | $-155,243 |
| Total unrealized appreciation/depreciation of assets | 2022-03-31 | $-155,243 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-03-31 | $2,896,887 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-03-31 | $6,697,818 |
| Total income from all sources (including contributions) | 2022-03-31 | $2,871,463 |
| Total loss/gain on sale of assets | 2022-03-31 | $-712 |
| Total of all expenses incurred | 2022-03-31 | $901,851 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-03-31 | $218,895 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-03-31 | $2,635,809 |
| Value of total assets at end of year | 2022-03-31 | $6,910,673 |
| Value of total assets at beginning of year | 2022-03-31 | $8,741,992 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-03-31 | $682,956 |
| Total interest from all sources | 2022-03-31 | $42,963 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-03-31 | $87,139 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-03-31 | $87,139 |
| Administrative expenses professional fees incurred | 2022-03-31 | $157,136 |
| Was this plan covered by a fidelity bond | 2022-03-31 | Yes |
| Value of fidelity bond cover | 2022-03-31 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-03-31 | No |
| Contributions received from participants | 2022-03-31 | $931,003 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-03-31 | $136,175 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-03-31 | $1,025,604 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-03-31 | $115,050 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-03-31 | $1,143,646 |
| Other income not declared elsewhere | 2022-03-31 | $156,805 |
| Administrative expenses (other) incurred | 2022-03-31 | $62,805 |
| Liabilities. Value of operating payables at end of year | 2022-03-31 | $40,950 |
| Liabilities. Value of operating payables at beginning of year | 2022-03-31 | $25,172 |
| Total non interest bearing cash at end of year | 2022-03-31 | $511,645 |
| Total non interest bearing cash at beginning of year | 2022-03-31 | $178,279 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Value of net income/loss | 2022-03-31 | $1,969,612 |
| Value of net assets at end of year (total assets less liabilities) | 2022-03-31 | $4,013,786 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-03-31 | $2,044,174 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-03-31 | No |
| Investment advisory and management fees | 2022-03-31 | $25,089 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-03-31 | $3,100,045 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-03-31 | $6,906,484 |
| Income. Interest from US Government securities | 2022-03-31 | $22,137 |
| Income. Interest from corporate debt instruments | 2022-03-31 | $20,774 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-03-31 | $283,254 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-03-31 | $509,562 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-03-31 | $509,562 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-03-31 | $52 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-03-31 | $218,895 |
| Asset value of US Government securities at end of year | 2022-03-31 | $1,493,296 |
| Asset value of US Government securities at beginning of year | 2022-03-31 | $0 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-03-31 | $104,702 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-03-31 | No |
| Contributions received in cash from employer | 2022-03-31 | $1,704,806 |
| Employer contributions (assets) at end of year | 2022-03-31 | $343,155 |
| Employer contributions (assets) at beginning of year | 2022-03-31 | $122,063 |
| Asset. Corporate debt instrument preferred debt at end of year | 2022-03-31 | $884,514 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2022-03-31 | $0 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-03-31 | $154,195 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-03-31 | $0 |
| Contract administrator fees | 2022-03-31 | $437,926 |
| Liabilities. Value of benefit claims payable at end of year | 2022-03-31 | $2,740,887 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-03-31 | $5,529,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2022-03-31 | $4,394 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2022-03-31 | $0 |
| Did the plan have assets held for investment | 2022-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-03-31 | No |
| Aggregate proceeds on sale of assets | 2022-03-31 | $50,403 |
| Aggregate carrying amount (costs) on sale of assets | 2022-03-31 | $51,115 |
| Opinion of an independent qualified public accountant for this plan | 2022-03-31 | Unqualified |
| Accountancy firm name | 2022-03-31 | MILLER KAPLAN ARASE LLP |
| Accountancy firm EIN | 2022-03-31 | 952036255 |
| 2021 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2021 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-03-31 | $6,697,818 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-03-31 | $7,359,675 |
| Total income from all sources (including contributions) | 2021-03-31 | $2,623,161 |
| Total of all expenses incurred | 2021-03-31 | $2,284,398 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-03-31 | $1,572,657 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-03-31 | $1,686,716 |
| Value of total assets at end of year | 2021-03-31 | $8,741,992 |
| Value of total assets at beginning of year | 2021-03-31 | $9,065,086 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-03-31 | $711,741 |
| Total interest from all sources | 2021-03-31 | $1 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-03-31 | $176,445 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-03-31 | $176,445 |
| Administrative expenses professional fees incurred | 2021-03-31 | $139,698 |
| Was this plan covered by a fidelity bond | 2021-03-31 | Yes |
| Value of fidelity bond cover | 2021-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2021-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-03-31 | No |
| Contributions received from participants | 2021-03-31 | $988,356 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-03-31 | $1,010,901 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-03-31 | $143,959 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-03-31 | $119,151 |
| Other income not declared elsewhere | 2021-03-31 | $406,013 |
| Administrative expenses (other) incurred | 2021-03-31 | $67,221 |
| Liabilities. Value of operating payables at end of year | 2021-03-31 | $25,172 |
| Liabilities. Value of operating payables at beginning of year | 2021-03-31 | $47,524 |
| Total non interest bearing cash at end of year | 2021-03-31 | $178,279 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Value of net income/loss | 2021-03-31 | $338,763 |
| Value of net assets at end of year (total assets less liabilities) | 2021-03-31 | $2,044,174 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-03-31 | $1,705,411 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-03-31 | No |
| Investment advisory and management fees | 2021-03-31 | $41,919 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-03-31 | $7,416,046 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-03-31 | $8,740,814 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-03-31 | $178,279 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-03-31 | $48,574 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-03-31 | $48,574 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-03-31 | $1 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-03-31 | $1,572,657 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-03-31 | $353,986 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-03-31 | No |
| Contributions received in cash from employer | 2021-03-31 | $698,360 |
| Employer contributions (assets) at end of year | 2021-03-31 | $122,063 |
| Employer contributions (assets) at beginning of year | 2021-03-31 | $271,985 |
| Contract administrator fees | 2021-03-31 | $462,903 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2021-03-31 | $5,529,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-03-31 | $7,193,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2021-03-31 | $14,703 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2021-03-31 | $3,713 |
| Did the plan have assets held for investment | 2021-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-03-31 | No |
| Liabilities. Value of acquisition indebtedness at end of year | 2021-03-31 | $999,687 |
| Opinion of an independent qualified public accountant for this plan | 2021-03-31 | Unqualified |
| Accountancy firm name | 2021-03-31 | EIDE BAILLY, LLP |
| Accountancy firm EIN | 2021-03-31 | 450250958 |
| 2020 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-03-31 | $-479,135 |
| Total unrealized appreciation/depreciation of assets | 2020-03-31 | $-479,135 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-03-31 | $7,359,675 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-03-31 | $7,179,221 |
| Total income from all sources (including contributions) | 2020-03-31 | $3,053,461 |
| Total of all expenses incurred | 2020-03-31 | $3,812,163 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-03-31 | $3,126,765 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-03-31 | $3,379,351 |
| Value of total assets at end of year | 2020-03-31 | $9,065,086 |
| Value of total assets at beginning of year | 2020-03-31 | $9,643,334 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-03-31 | $685,398 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-03-31 | $296,529 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-03-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-03-31 | $296,529 |
| Administrative expenses professional fees incurred | 2020-03-31 | $162,693 |
| Was this plan covered by a fidelity bond | 2020-03-31 | Yes |
| Value of fidelity bond cover | 2020-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2020-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-03-31 | No |
| Contributions received from participants | 2020-03-31 | $1,064,765 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-03-31 | $119,151 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-03-31 | $133,336 |
| Administrative expenses (other) incurred | 2020-03-31 | $45,330 |
| Liabilities. Value of operating payables at end of year | 2020-03-31 | $47,524 |
| Liabilities. Value of operating payables at beginning of year | 2020-03-31 | $29,885 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Value of net income/loss | 2020-03-31 | $-758,702 |
| Value of net assets at end of year (total assets less liabilities) | 2020-03-31 | $1,705,411 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-03-31 | $2,464,113 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-03-31 | No |
| Investment advisory and management fees | 2020-03-31 | $27,932 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-03-31 | $8,740,814 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-03-31 | $8,412,394 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-03-31 | $48,574 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-03-31 | $960,579 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-03-31 | $960,579 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-03-31 | $3,126,765 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-03-31 | $-143,284 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-03-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-03-31 | No |
| Contributions received in cash from employer | 2020-03-31 | $2,314,586 |
| Employer contributions (assets) at end of year | 2020-03-31 | $271,985 |
| Employer contributions (assets) at beginning of year | 2020-03-31 | $254,005 |
| Contract administrator fees | 2020-03-31 | $449,443 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2020-03-31 | $7,193,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-03-31 | $7,016,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2020-03-31 | $3,713 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2020-03-31 | $16,356 |
| Did the plan have assets held for investment | 2020-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-03-31 | Unqualified |
| Accountancy firm name | 2020-03-31 | EIDE BAILLY LLP |
| Accountancy firm EIN | 2020-03-31 | 450250958 |
| 2019 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-03-31 | $20,705 |
| Total unrealized appreciation/depreciation of assets | 2019-03-31 | $20,705 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-03-31 | $7,179,221 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-03-31 | $5,107,926 |
| Total income from all sources (including contributions) | 2019-03-31 | $3,850,861 |
| Total loss/gain on sale of assets | 2019-03-31 | $81,976 |
| Total of all expenses incurred | 2019-03-31 | $5,469,926 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-03-31 | $4,864,761 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-03-31 | $3,560,535 |
| Value of total assets at end of year | 2019-03-31 | $9,643,334 |
| Value of total assets at beginning of year | 2019-03-31 | $9,191,104 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-03-31 | $605,165 |
| Total interest from all sources | 2019-03-31 | $187,645 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-03-31 | No |
| Administrative expenses professional fees incurred | 2019-03-31 | $163,119 |
| Was this plan covered by a fidelity bond | 2019-03-31 | Yes |
| Value of fidelity bond cover | 2019-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2019-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-03-31 | No |
| Contributions received from participants | 2019-03-31 | $1,132,494 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-03-31 | $133,336 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-03-31 | $135,075 |
| Administrative expenses (other) incurred | 2019-03-31 | $44,112 |
| Liabilities. Value of operating payables at end of year | 2019-03-31 | $29,885 |
| Liabilities. Value of operating payables at beginning of year | 2019-03-31 | $21,851 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Value of net income/loss | 2019-03-31 | $-1,619,065 |
| Value of net assets at end of year (total assets less liabilities) | 2019-03-31 | $2,464,113 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-03-31 | $4,083,178 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-03-31 | No |
| Investment advisory and management fees | 2019-03-31 | $34,425 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-03-31 | $8,412,394 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-03-31 | $7,999,005 |
| Value of interest in pooled separate accounts at end of year | 2019-03-31 | $0 |
| Interest earned on other investments | 2019-03-31 | $178,413 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-03-31 | $960,579 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-03-31 | $819,702 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-03-31 | $819,702 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-03-31 | $9,232 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-03-31 | $4,864,761 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-03-31 | No |
| Contributions received in cash from employer | 2019-03-31 | $2,428,041 |
| Employer contributions (assets) at end of year | 2019-03-31 | $254,005 |
| Employer contributions (assets) at beginning of year | 2019-03-31 | $332,002 |
| Contract administrator fees | 2019-03-31 | $363,509 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2019-03-31 | $7,016,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-03-31 | $4,951,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2019-03-31 | $16,356 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2019-03-31 | $40,395 |
| Did the plan have assets held for investment | 2019-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-03-31 | No |
| Aggregate proceeds on sale of assets | 2019-03-31 | $6,499,704 |
| Aggregate carrying amount (costs) on sale of assets | 2019-03-31 | $6,417,728 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-03-31 | Unqualified |
| Accountancy firm name | 2019-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2019-03-31 | 952556670 |
| 2018 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-03-31 | $168,785 |
| Total unrealized appreciation/depreciation of assets | 2018-03-31 | $168,785 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-03-31 | $5,107,926 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-03-31 | $4,513,675 |
| Total income from all sources (including contributions) | 2018-03-31 | $3,870,625 |
| Total of all expenses incurred | 2018-03-31 | $3,763,736 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-03-31 | $3,210,337 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-03-31 | $3,475,403 |
| Value of total assets at end of year | 2018-03-31 | $9,191,104 |
| Value of total assets at beginning of year | 2018-03-31 | $8,489,964 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-03-31 | $553,399 |
| Total interest from all sources | 2018-03-31 | $219,421 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-03-31 | No |
| Administrative expenses professional fees incurred | 2018-03-31 | $139,608 |
| Was this plan covered by a fidelity bond | 2018-03-31 | Yes |
| Value of fidelity bond cover | 2018-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2018-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-03-31 | No |
| Contributions received from participants | 2018-03-31 | $1,064,983 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-03-31 | $135,075 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-03-31 | $124,804 |
| Administrative expenses (other) incurred | 2018-03-31 | $46,891 |
| Liabilities. Value of operating payables at end of year | 2018-03-31 | $21,851 |
| Liabilities. Value of operating payables at beginning of year | 2018-03-31 | $27,871 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Value of net income/loss | 2018-03-31 | $106,889 |
| Value of net assets at end of year (total assets less liabilities) | 2018-03-31 | $4,083,178 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-03-31 | $3,976,289 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-03-31 | No |
| Investment advisory and management fees | 2018-03-31 | $32,026 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-03-31 | $7,999,005 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-03-31 | $7,159,250 |
| Interest earned on other investments | 2018-03-31 | $215,604 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-03-31 | $819,702 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-03-31 | $939,687 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-03-31 | $939,687 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-03-31 | $3,817 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-03-31 | $3,210,337 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-03-31 | $7,016 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-03-31 | No |
| Contributions received in cash from employer | 2018-03-31 | $2,410,420 |
| Employer contributions (assets) at end of year | 2018-03-31 | $332,002 |
| Employer contributions (assets) at beginning of year | 2018-03-31 | $373,509 |
| Contract administrator fees | 2018-03-31 | $334,874 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2018-03-31 | $4,951,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-03-31 | $4,361,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-03-31 | $40,395 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-03-31 | $17,518 |
| Did the plan have assets held for investment | 2018-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-03-31 | Unqualified |
| Accountancy firm name | 2018-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2018-03-31 | 952556670 |
| 2017 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-03-31 | $427,970 |
| Total unrealized appreciation/depreciation of assets | 2017-03-31 | $427,970 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $4,513,675 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-03-31 | $4,484,548 |
| Total income from all sources (including contributions) | 2017-03-31 | $3,973,489 |
| Total of all expenses incurred | 2017-03-31 | $2,989,668 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-03-31 | $2,401,700 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-03-31 | $3,483,028 |
| Value of total assets at end of year | 2017-03-31 | $8,489,964 |
| Value of total assets at beginning of year | 2017-03-31 | $7,477,016 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-03-31 | $587,968 |
| Total interest from all sources | 2017-03-31 | $128,820 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-03-31 | No |
| Administrative expenses professional fees incurred | 2017-03-31 | $198,465 |
| Was this plan covered by a fidelity bond | 2017-03-31 | Yes |
| Value of fidelity bond cover | 2017-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-03-31 | No |
| Contributions received from participants | 2017-03-31 | $967,010 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-03-31 | $124,804 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-03-31 | $119,287 |
| Administrative expenses (other) incurred | 2017-03-31 | $35,698 |
| Liabilities. Value of operating payables at end of year | 2017-03-31 | $27,871 |
| Liabilities. Value of operating payables at beginning of year | 2017-03-31 | $33,261 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Value of net income/loss | 2017-03-31 | $983,821 |
| Value of net assets at end of year (total assets less liabilities) | 2017-03-31 | $3,976,289 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-03-31 | $2,992,468 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-03-31 | No |
| Investment advisory and management fees | 2017-03-31 | $20,586 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-03-31 | $7,159,250 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-03-31 | $5,553,655 |
| Interest earned on other investments | 2017-03-31 | $126,023 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-03-31 | $939,687 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-03-31 | $1,630,373 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-03-31 | $1,630,373 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-03-31 | $2,797 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-03-31 | $2,401,700 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-03-31 | $-66,329 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-03-31 | No |
| Contributions received in cash from employer | 2017-03-31 | $2,516,018 |
| Employer contributions (assets) at end of year | 2017-03-31 | $373,509 |
| Employer contributions (assets) at beginning of year | 2017-03-31 | $276,745 |
| Contract administrator fees | 2017-03-31 | $333,219 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-03-31 | $4,361,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-03-31 | $4,332,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2017-03-31 | $17,518 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2017-03-31 | $16,243 |
| Did the plan have assets held for investment | 2017-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-03-31 | Unqualified |
| Accountancy firm name | 2017-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2017-03-31 | 952556670 |
| 2016 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-03-31 | $-441,641 |
| Total unrealized appreciation/depreciation of assets | 2016-03-31 | $-441,641 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-03-31 | $4,484,548 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-03-31 | $4,213,762 |
| Total income from all sources (including contributions) | 2016-03-31 | $3,285,419 |
| Total of all expenses incurred | 2016-03-31 | $3,223,548 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-03-31 | $2,687,975 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-03-31 | $3,546,996 |
| Value of total assets at end of year | 2016-03-31 | $7,477,016 |
| Value of total assets at beginning of year | 2016-03-31 | $7,144,359 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-03-31 | $535,573 |
| Total interest from all sources | 2016-03-31 | $197,662 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-03-31 | No |
| Administrative expenses professional fees incurred | 2016-03-31 | $135,039 |
| Was this plan covered by a fidelity bond | 2016-03-31 | Yes |
| Value of fidelity bond cover | 2016-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-03-31 | No |
| Contributions received from participants | 2016-03-31 | $1,194,324 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-03-31 | $3,623 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-03-31 | $119,287 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-03-31 | $126,364 |
| Administrative expenses (other) incurred | 2016-03-31 | $52,162 |
| Liabilities. Value of operating payables at end of year | 2016-03-31 | $33,261 |
| Liabilities. Value of operating payables at beginning of year | 2016-03-31 | $23,398 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Value of net income/loss | 2016-03-31 | $61,871 |
| Value of net assets at end of year (total assets less liabilities) | 2016-03-31 | $2,992,468 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-03-31 | $2,930,597 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-03-31 | No |
| Investment advisory and management fees | 2016-03-31 | $15,255 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-03-31 | $5,553,655 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-03-31 | $5,622,907 |
| Interest earned on other investments | 2016-03-31 | $197,587 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-03-31 | $1,630,373 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-03-31 | $1,140,040 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-03-31 | $1,140,040 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-03-31 | $75 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-03-31 | $2,687,975 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-03-31 | $-17,598 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-03-31 | No |
| Contributions received in cash from employer | 2016-03-31 | $2,352,672 |
| Employer contributions (assets) at end of year | 2016-03-31 | $276,745 |
| Employer contributions (assets) at beginning of year | 2016-03-31 | $358,042 |
| Contract administrator fees | 2016-03-31 | $333,117 |
| 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 | 2016-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-03-31 | $4,332,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-03-31 | $4,064,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2016-03-31 | $16,243 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2016-03-31 | $19,747 |
| Did the plan have assets held for investment | 2016-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-03-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-03-31 | Unqualified |
| Accountancy firm name | 2016-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2016-03-31 | 952556670 |
| 2015 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-03-31 | $-140,933 |
| Total unrealized appreciation/depreciation of assets | 2015-03-31 | $-140,933 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-03-31 | $4,213,762 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-03-31 | $4,739,551 |
| Total income from all sources (including contributions) | 2015-03-31 | $3,828,265 |
| Total loss/gain on sale of assets | 2015-03-31 | $-24,691 |
| Total of all expenses incurred | 2015-03-31 | $2,846,097 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-03-31 | $2,293,642 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-03-31 | $3,648,466 |
| Value of total assets at end of year | 2015-03-31 | $7,144,359 |
| Value of total assets at beginning of year | 2015-03-31 | $6,687,980 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-03-31 | $552,455 |
| Total interest from all sources | 2015-03-31 | $93,652 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-03-31 | No |
| Administrative expenses professional fees incurred | 2015-03-31 | $135,891 |
| Was this plan covered by a fidelity bond | 2015-03-31 | Yes |
| Value of fidelity bond cover | 2015-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-03-31 | No |
| Contributions received from participants | 2015-03-31 | $1,366,193 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-03-31 | $3,623 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-03-31 | $13,491 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-03-31 | $126,364 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-03-31 | $241,891 |
| Administrative expenses (other) incurred | 2015-03-31 | $45,175 |
| Liabilities. Value of operating payables at end of year | 2015-03-31 | $23,398 |
| Liabilities. Value of operating payables at beginning of year | 2015-03-31 | $19,660 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Value of net income/loss | 2015-03-31 | $982,168 |
| Value of net assets at end of year (total assets less liabilities) | 2015-03-31 | $2,930,597 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-03-31 | $1,948,429 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-03-31 | No |
| Investment advisory and management fees | 2015-03-31 | $33,487 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-03-31 | $5,622,907 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-03-31 | $1,045,822 |
| Interest earned on other investments | 2015-03-31 | $56,606 |
| Income. Interest from US Government securities | 2015-03-31 | $13,859 |
| Income. Interest from corporate debt instruments | 2015-03-31 | $23,120 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-03-31 | $1,140,040 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-03-31 | $1,326,726 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-03-31 | $1,326,726 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-03-31 | $67 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-03-31 | $2,293,642 |
| Asset value of US Government securities at end of year | 2015-03-31 | $0 |
| Asset value of US Government securities at beginning of year | 2015-03-31 | $2,617,574 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-03-31 | $251,771 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-03-31 | No |
| Contributions received in cash from employer | 2015-03-31 | $2,282,273 |
| Employer contributions (assets) at end of year | 2015-03-31 | $358,042 |
| Employer contributions (assets) at beginning of year | 2015-03-31 | $376,132 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-03-31 | $0 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-03-31 | $1,291,212 |
| Contract administrator fees | 2015-03-31 | $337,902 |
| 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 | 2015-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-03-31 | $4,064,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-03-31 | $4,478,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2015-03-31 | $19,747 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2015-03-31 | $17,023 |
| Did the plan have assets held for investment | 2015-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-03-31 | No |
| Aggregate proceeds on sale of assets | 2015-03-31 | $4,922,179 |
| Aggregate carrying amount (costs) on sale of assets | 2015-03-31 | $4,946,870 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-03-31 | Unqualified |
| Accountancy firm name | 2015-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2015-03-31 | 952556670 |
| 2014 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-03-31 | $75,356 |
| Total unrealized appreciation/depreciation of assets | 2014-03-31 | $75,356 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $4,739,551 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-03-31 | $4,424,458 |
| Total income from all sources (including contributions) | 2014-03-31 | $4,025,968 |
| Total loss/gain on sale of assets | 2014-03-31 | $-35,870 |
| Total of all expenses incurred | 2014-03-31 | $3,796,155 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-03-31 | $3,259,561 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-03-31 | $3,830,319 |
| Value of total assets at end of year | 2014-03-31 | $6,687,980 |
| Value of total assets at beginning of year | 2014-03-31 | $6,143,074 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-03-31 | $536,594 |
| Total interest from all sources | 2014-03-31 | $90,637 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-03-31 | No |
| Administrative expenses professional fees incurred | 2014-03-31 | $143,048 |
| Was this plan covered by a fidelity bond | 2014-03-31 | Yes |
| Value of fidelity bond cover | 2014-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-03-31 | No |
| Contributions received from participants | 2014-03-31 | $1,596,414 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-03-31 | $13,491 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-03-31 | $16,170 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-03-31 | $241,891 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-03-31 | $270,053 |
| Administrative expenses (other) incurred | 2014-03-31 | $40,910 |
| Liabilities. Value of operating payables at end of year | 2014-03-31 | $19,660 |
| Liabilities. Value of operating payables at beginning of year | 2014-03-31 | $31,405 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Value of net income/loss | 2014-03-31 | $229,813 |
| Value of net assets at end of year (total assets less liabilities) | 2014-03-31 | $1,948,429 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-03-31 | $1,718,616 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-03-31 | No |
| Investment advisory and management fees | 2014-03-31 | $14,954 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-03-31 | $1,045,822 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-03-31 | $845,063 |
| Interest earned on other investments | 2014-03-31 | $12,945 |
| Income. Interest from US Government securities | 2014-03-31 | $21,480 |
| Income. Interest from corporate debt instruments | 2014-03-31 | $56,190 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-03-31 | $1,326,726 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-03-31 | $1,318,527 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-03-31 | $1,318,527 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-03-31 | $22 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-03-31 | $3,259,561 |
| Asset value of US Government securities at end of year | 2014-03-31 | $2,617,574 |
| Asset value of US Government securities at beginning of year | 2014-03-31 | $1,754,428 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-03-31 | $65,526 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-03-31 | No |
| Contributions received in cash from employer | 2014-03-31 | $2,233,905 |
| Employer contributions (assets) at end of year | 2014-03-31 | $376,132 |
| Employer contributions (assets) at beginning of year | 2014-03-31 | $375,419 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-03-31 | $1,291,212 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-03-31 | $1,818,742 |
| Contract administrator fees | 2014-03-31 | $337,682 |
| 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 | 2014-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-03-31 | $4,478,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-03-31 | $4,123,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-03-31 | $17,023 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-03-31 | $14,725 |
| Did the plan have assets held for investment | 2014-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-03-31 | No |
| Aggregate proceeds on sale of assets | 2014-03-31 | $1,734,858 |
| Aggregate carrying amount (costs) on sale of assets | 2014-03-31 | $1,770,728 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-03-31 | Unqualified |
| Accountancy firm name | 2014-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2014-03-31 | 952556670 |
| 2013 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-03-31 | $76,972 |
| Total unrealized appreciation/depreciation of assets | 2013-03-31 | $76,972 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $4,424,458 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-03-31 | $3,688,396 |
| Total income from all sources (including contributions) | 2013-03-31 | $4,293,028 |
| Total loss/gain on sale of assets | 2013-03-31 | $-11,354 |
| Total of all expenses incurred | 2013-03-31 | $4,035,355 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-03-31 | $3,483,028 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-03-31 | $4,123,726 |
| Value of total assets at end of year | 2013-03-31 | $6,143,074 |
| Value of total assets at beginning of year | 2013-03-31 | $5,149,339 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-03-31 | $552,327 |
| Total interest from all sources | 2013-03-31 | $95,319 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-03-31 | No |
| Administrative expenses professional fees incurred | 2013-03-31 | $156,828 |
| Was this plan covered by a fidelity bond | 2013-03-31 | Yes |
| Value of fidelity bond cover | 2013-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-03-31 | No |
| Contributions received from participants | 2013-03-31 | $1,780,470 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-03-31 | $16,170 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-03-31 | $17,836 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-03-31 | $270,053 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-03-31 | $167,910 |
| Administrative expenses (other) incurred | 2013-03-31 | $49,944 |
| Liabilities. Value of operating payables at end of year | 2013-03-31 | $31,405 |
| Liabilities. Value of operating payables at beginning of year | 2013-03-31 | $38,486 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Value of net income/loss | 2013-03-31 | $257,673 |
| Value of net assets at end of year (total assets less liabilities) | 2013-03-31 | $1,718,616 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-03-31 | $1,460,943 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-03-31 | No |
| Investment advisory and management fees | 2013-03-31 | $11,452 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-03-31 | $845,063 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-03-31 | $862,622 |
| Interest earned on other investments | 2013-03-31 | $10,089 |
| Income. Interest from US Government securities | 2013-03-31 | $20,199 |
| Income. Interest from corporate debt instruments | 2013-03-31 | $65,026 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-03-31 | $1,318,527 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-03-31 | $642,839 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-03-31 | $642,839 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-03-31 | $5 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-03-31 | $3,483,028 |
| Asset value of US Government securities at end of year | 2013-03-31 | $1,754,428 |
| Asset value of US Government securities at beginning of year | 2013-03-31 | $1,604,376 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-03-31 | $8,365 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-03-31 | No |
| Contributions received in cash from employer | 2013-03-31 | $2,343,256 |
| Employer contributions (assets) at end of year | 2013-03-31 | $375,419 |
| Employer contributions (assets) at beginning of year | 2013-03-31 | $282,341 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-03-31 | $1,818,742 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-03-31 | $1,723,340 |
| Contract administrator fees | 2013-03-31 | $334,103 |
| 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 | 2013-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-03-31 | $4,123,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-03-31 | $3,482,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-03-31 | $14,725 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-03-31 | $15,985 |
| Did the plan have assets held for investment | 2013-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-03-31 | No |
| Aggregate proceeds on sale of assets | 2013-03-31 | $2,354,957 |
| Aggregate carrying amount (costs) on sale of assets | 2013-03-31 | $2,366,311 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-03-31 | Unqualified |
| Accountancy firm name | 2013-03-31 | BERNARD KOTKIN AND COMPANY, LLP |
| Accountancy firm EIN | 2013-03-31 | 952556670 |
| 2012 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-03-31 | $-40,374 |
| Total unrealized appreciation/depreciation of assets | 2012-03-31 | $-40,374 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $3,688,396 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-03-31 | $4,477,760 |
| Total income from all sources (including contributions) | 2012-03-31 | $4,285,456 |
| Total loss/gain on sale of assets | 2012-03-31 | $-98,064 |
| Total of all expenses incurred | 2012-03-31 | $3,322,991 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-03-31 | $2,779,801 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-03-31 | $4,165,995 |
| Value of total assets at end of year | 2012-03-31 | $5,149,339 |
| Value of total assets at beginning of year | 2012-03-31 | $4,976,238 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-03-31 | $543,190 |
| Total interest from all sources | 2012-03-31 | $112,923 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-03-31 | No |
| Administrative expenses professional fees incurred | 2012-03-31 | $159,987 |
| Was this plan covered by a fidelity bond | 2012-03-31 | Yes |
| Value of fidelity bond cover | 2012-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-03-31 | No |
| Contributions received from participants | 2012-03-31 | $1,969,987 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-03-31 | $17,836 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-03-31 | $24,915 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-03-31 | $167,910 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-03-31 | $194,425 |
| Administrative expenses (other) incurred | 2012-03-31 | $66,836 |
| Liabilities. Value of operating payables at end of year | 2012-03-31 | $38,486 |
| Liabilities. Value of operating payables at beginning of year | 2012-03-31 | $31,335 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Value of net income/loss | 2012-03-31 | $962,465 |
| Value of net assets at end of year (total assets less liabilities) | 2012-03-31 | $1,460,943 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-03-31 | $498,478 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-03-31 | No |
| Investment advisory and management fees | 2012-03-31 | $11,584 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-03-31 | $862,622 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-03-31 | $893,032 |
| Interest earned on other investments | 2012-03-31 | $15,381 |
| Income. Interest from US Government securities | 2012-03-31 | $18,793 |
| Income. Interest from corporate debt instruments | 2012-03-31 | $78,734 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-03-31 | $642,839 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-03-31 | $323,553 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-03-31 | $323,553 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-03-31 | $15 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-03-31 | $2,779,801 |
| Asset value of US Government securities at end of year | 2012-03-31 | $1,604,376 |
| Asset value of US Government securities at beginning of year | 2012-03-31 | $1,262,098 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-03-31 | $144,976 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-03-31 | No |
| Contributions received in cash from employer | 2012-03-31 | $2,196,008 |
| Employer contributions (assets) at end of year | 2012-03-31 | $282,341 |
| Employer contributions (assets) at beginning of year | 2012-03-31 | $367,679 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-03-31 | $1,723,340 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-03-31 | $2,087,258 |
| Contract administrator fees | 2012-03-31 | $304,783 |
| 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 | 2012-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-03-31 | $3,482,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-03-31 | $4,252,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-03-31 | $15,985 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-03-31 | $17,703 |
| Did the plan have assets held for investment | 2012-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-03-31 | No |
| Aggregate proceeds on sale of assets | 2012-03-31 | $2,194,963 |
| Aggregate carrying amount (costs) on sale of assets | 2012-03-31 | $2,293,027 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-03-31 | Unqualified |
| Accountancy firm name | 2012-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2012-03-31 | 952556670 |
| 2011 : PROFESSIONAL MUSICIANS, LOCAL 47 AND EMPLOYERS' HEALTH AND WELFARE FUND 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-03-31 | $124,856 |
| Total unrealized appreciation/depreciation of assets | 2011-03-31 | $124,856 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $4,477,760 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-03-31 | $5,464,718 |
| Total income from all sources (including contributions) | 2011-03-31 | $4,477,488 |
| Total loss/gain on sale of assets | 2011-03-31 | $17,480 |
| Total of all expenses incurred | 2011-03-31 | $3,615,302 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-03-31 | $3,039,411 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-03-31 | $4,191,742 |
| Value of total assets at end of year | 2011-03-31 | $4,976,238 |
| Value of total assets at beginning of year | 2011-03-31 | $5,101,010 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-03-31 | $575,891 |
| Total interest from all sources | 2011-03-31 | $135,699 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-03-31 | No |
| Administrative expenses professional fees incurred | 2011-03-31 | $203,240 |
| Was this plan covered by a fidelity bond | 2011-03-31 | Yes |
| Value of fidelity bond cover | 2011-03-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-03-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-03-31 | No |
| Contributions received from participants | 2011-03-31 | $1,955,508 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-03-31 | $24,915 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-03-31 | $23,780 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-03-31 | $194,425 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-03-31 | $195,595 |
| Administrative expenses (other) incurred | 2011-03-31 | $56,351 |
| Liabilities. Value of operating payables at end of year | 2011-03-31 | $31,335 |
| Liabilities. Value of operating payables at beginning of year | 2011-03-31 | $52,123 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Value of net income/loss | 2011-03-31 | $862,186 |
| Value of net assets at end of year (total assets less liabilities) | 2011-03-31 | $498,478 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-03-31 | $-363,708 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-03-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-03-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-03-31 | No |
| Investment advisory and management fees | 2011-03-31 | $12,400 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-03-31 | $893,032 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-03-31 | $849,418 |
| Interest earned on other investments | 2011-03-31 | $20,099 |
| Income. Interest from US Government securities | 2011-03-31 | $15,803 |
| Income. Interest from corporate debt instruments | 2011-03-31 | $97,566 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-03-31 | $323,553 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-03-31 | $1,238,746 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-03-31 | $1,238,746 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-03-31 | $2,231 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-03-31 | $3,039,411 |
| Asset value of US Government securities at end of year | 2011-03-31 | $1,262,098 |
| Asset value of US Government securities at beginning of year | 2011-03-31 | $780,027 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-03-31 | $7,711 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-03-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-03-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-03-31 | No |
| Contributions received in cash from employer | 2011-03-31 | $2,236,234 |
| Employer contributions (assets) at end of year | 2011-03-31 | $367,679 |
| Employer contributions (assets) at beginning of year | 2011-03-31 | $309,669 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-03-31 | $2,087,258 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-03-31 | $1,895,450 |
| Contract administrator fees | 2011-03-31 | $303,900 |
| 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 | 2011-03-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-03-31 | $4,252,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-03-31 | $5,217,000 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-03-31 | $17,703 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-03-31 | $3,920 |
| Did the plan have assets held for investment | 2011-03-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-03-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-03-31 | No |
| Aggregate proceeds on sale of assets | 2011-03-31 | $784,437 |
| Aggregate carrying amount (costs) on sale of assets | 2011-03-31 | $766,957 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-03-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-03-31 | Unqualified |
| Accountancy firm name | 2011-03-31 | BERNARD KOTKIN AND COMPANY LLP |
| Accountancy firm EIN | 2011-03-31 | 952556670 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 2 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 217 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,272,858 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 1 |
| Insurance contract or identification number | W0054377 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $828,036 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W*000 |
| Policy instance | 7 |
| Insurance contract or identification number | LH595W*000 | | Number of Individuals Covered | 125 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $5,081 | | 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 | 45588 |
| Policy instance | 3 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 604 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D AND LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $35,591 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 01811 |
| Policy instance | 4 |
| Insurance contract or identification number | 01811 | | Number of Individuals Covered | 174 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $90,037 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 72274 |
| Policy instance | 5 |
| Insurance contract or identification number | 72274 | | Number of Individuals Covered | 47 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,049 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,228 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 1 |
| Insurance contract or identification number | W0054377 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,273,778 | | 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 | 231472 |
| Policy instance | 2 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 260 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,625,234 | | 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 | 45588 |
| Policy instance | 3 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 612 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D AND LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $49,755 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 72274 |
| Policy instance | 5 |
| Insurance contract or identification number | 72274 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,002 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,303 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W*000 |
| Policy instance | 7 |
| Insurance contract or identification number | LH595W*000 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Other welfare benefits provided | ACUPUNCTURE/CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $10,048 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 01811 |
| Policy instance | 4 |
| Insurance contract or identification number | 01811 | | Number of Individuals Covered | 116 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $128,067 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 72274 |
| Policy instance | 5 |
| Insurance contract or identification number | 72274 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 133 | | Welfare Benefit Premiums Paid to Carrier | USD $24,198 |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 1 |
| Insurance contract or identification number | W0054377 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 127 | | Welfare Benefit Premiums Paid to Carrier | USD $1,309,351 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 2 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 268 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,622,855 | | 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 | 45588 |
| Policy instance | 3 |
| Insurance contract or identification number | 45588 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 929 | | Welfare Benefit Premiums Paid to Carrier | USD $4,846 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 01811 |
| Policy instance | 4 |
| Insurance contract or identification number | 01811 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 205 | | Welfare Benefit Premiums Paid to Carrier | USD $138,162 |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 301 | | Welfare Benefit Premiums Paid to Carrier | USD $21,534 | | Commission paid to Insurance Broker | USD $1,292 | | Insurance broker organization code? | 3 |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W*000 |
| Policy instance | 7 |
| Insurance contract or identification number | LH595W*000 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CHIROPRACTIC | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Number of Individuals Covered | 155 | | Welfare Benefit Premiums Paid to Carrier | USD $10,867 |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 285 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $1,165 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,423 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,165 | | Insurance broker organization code? | 3 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 72274 |
| Policy instance | 5 |
| Insurance contract or identification number | 72274 | | Number of Individuals Covered | 128 | | 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 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,845 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 01811 |
| Policy instance | 4 |
| Insurance contract or identification number | 01811 | | Number of Individuals Covered | 198 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $2,703 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $115,899 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,703 | | Insurance broker organization code? | 3 |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45588 |
| Policy instance | 3 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 1068 | | 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 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | BASIC AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $56,591 | | 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 | 231472 |
| Policy instance | 2 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 250 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $9,801 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,340,244 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,801 | | Insurance broker organization code? | 3 |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 1 |
| Insurance contract or identification number | W0054377 | | Number of Individuals Covered | 118 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,536,212 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W*000 |
| Policy instance | 7 |
| Insurance contract or identification number | LH595W*000 | | Number of Individuals Covered | 255 | | 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 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $8,689 | | 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 | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 935 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $1,952 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $52,599 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,952 | | Insurance broker organization code? | 3 |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 7 |
| Insurance contract or identification number | W0054377 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $13,952 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $984,728 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,952 |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 6 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $40,586 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,601,134 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $40,586 |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 5 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 245 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $1,286 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,650 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,286 |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 270 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $9,315 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $607 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,197 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $607 |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 149 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $3,244 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $108,138 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,244 |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 7 |
| Insurance contract or identification number | W0054377 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $38,583 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $870,251 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,583 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 6 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $44,225 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,534,547 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $44,225 | | Insurance broker name | THE PLANNING CORPORATION |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 5 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 239 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $1,070 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,549 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,070 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 269 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $8,781 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 121 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $762 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,392 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $762 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $3,190 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $106,343 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,190 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 930 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $2,774 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $55,474 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,774 | | Insurance broker name | THE PLANNING CORPORATION |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | N3331A, 11919A |
| Policy instance | 5 |
| Insurance contract or identification number | N3331A, 11919A | | Number of Individuals Covered | 112 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $24,006 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $815,820 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,006 | | Insurance broker name | THE PLANNING CORPORATION |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 893 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $2,582 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,835 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,582 | | Insurance broker name | THE PLANNING CORPORATION |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $3,952 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $105,327 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,952 | | Insurance broker name | THE PLANNING CORPORATION |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 119 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $2,105 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,266 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,105 | | Insurance broker name | THE PLANNING CORPORATION |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 241 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $8,338 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 47732 ) |
| Policy contract number | W0054377 |
| Policy instance | 8 |
| Insurance contract or identification number | W0054377 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $11,170 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $223,391 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,170 | | Insurance broker name | THE PLANNING CORPORATION |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $1,029 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,660 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,029 | | Insurance broker name | THE PLANNING CORPORATION |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 7 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 198 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $35,487 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,176,338 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $35,487 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 226 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $1,576 | | 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 $21,977 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,576 | | Insurance broker name | THE PLANNING CORPORATION |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 242 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $9,536 | | 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 | N3331A, 11919A |
| Policy instance | 5 |
| Insurance contract or identification number | N3331A, 11919A | | Number of Individuals Covered | 113 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $38,622 | | 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 $1,308,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,622 | | Insurance broker name | THE PLANNING CORPORATION |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $2,943 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,468 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,943 | | Insurance broker name | THE PLANNING CORPORATION |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 893 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $2,109 | | 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 $42,176 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,109 | | Insurance broker name | THE PLANNING CORPORATION |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 136 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $5,039 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $125,985 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,039 | | Insurance broker name | THE PLANNING CORPORATION |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 7 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 216 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $57,697 | | 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 $1,170,160 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $57,697 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $5,253 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $131,351 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,253 | | Insurance broker name | THE PLANNING CORPORATION |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $2,401 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $36,049 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,401 | | Insurance broker name | THE PLANNING CORPORATION |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | N3331A, 11919A |
| Policy instance | 5 |
| Insurance contract or identification number | N3331A, 11919A | | Number of Individuals Covered | 157 | | Insurance policy start date | 2013-03-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $45,737 | | 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 $1,712,110 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45,737 | | Insurance broker name | THE PLANNING CORPORATION |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 268 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $1,485 | | 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 $24,588 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,485 | | Insurance broker name | THE PLANNING CORPORATION |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 7 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 176 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $20,000 | | 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 $945,589 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,000 | | Insurance broker name | PACFED INSURANCE SERVICES, INC. |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 944 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $2,216 | | 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 $44,315 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,216 | | Insurance broker name | THE PLANNING CORPORATION |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 352 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $10,592 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 183 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $4,097 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $135,414 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,097 | | Insurance broker name | THE PLANNING CORPORATION |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $3,439 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,421 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,439 | | Insurance broker name | THE PLANNING CORPORATION |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 370 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $10,863 | | 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 | N3331A, 11919A |
| Policy instance | 5 |
| Insurance contract or identification number | N3331A, 11919A | | Number of Individuals Covered | 199 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $66,168 | | 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 $2,399,149 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $66,168 | | Insurance broker name | THE PLANNING CORPORATION |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 231472 |
| Policy instance | 7 |
| Insurance contract or identification number | 231472 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-03-31 | | 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 $203,080 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,638 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker name | THE PLANNING CORPORATION |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 1092 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $1,673 | | 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 $33,460 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,673 | | Insurance broker name | THE PLANNING CORPORATION |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 434 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $14,185 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $7,298 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $182,441 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $4,461 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET (National Association of Insurance Commissioners NAIC id number: 00623 ) |
| Policy contract number | N3331A, 11919A |
| Policy instance | 5 |
| Insurance contract or identification number | N3331A, 11919A | | Number of Individuals Covered | 350 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $88,151 | | 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 $3,237,700 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 313 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $2,314 | | 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 $35,715 | | 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 | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 778 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $1,741 | | 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 $34,809 | | 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 | 45588 |
| Policy instance | 1 |
| Insurance contract or identification number | 45588 | | Number of Individuals Covered | 968 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $2,212 | | 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 $44,249 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 1811-0001 |
| Policy instance | 2 |
| Insurance contract or identification number | 1811-0001 | | Number of Individuals Covered | 262 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $9,022 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 02274-0001 |
| Policy instance | 3 |
| Insurance contract or identification number | 02274-0001 | | Number of Individuals Covered | 180 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $4,846 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LANDMARK HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | LH595W |
| Policy instance | 4 |
| Insurance contract or identification number | LH595W | | Number of Individuals Covered | 596 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CHIROPRACTIC | | Welfare Benefit Premiums Paid to Carrier | USD $37,467 | | 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 | N3331A, 11919A |
| Policy instance | 5 |
| Insurance contract or identification number | N3331A, 11919A | | Number of Individuals Covered | 486 | | Insurance policy start date | 2010-03-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $99,492 | | 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 $3,604,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) |
| Policy contract number | 289-015 |
| Policy instance | 6 |
| Insurance contract or identification number | 289-015 | | Number of Individuals Covered | 450 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $2,753 | | 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 $44,029 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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