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THE 170 GROUP INSURANCE BENEFITS TRUST 401k Plan overview

Plan NameTHE 170 GROUP INSURANCE BENEFITS TRUST
Plan identification number 501

THE 170 GROUP INSURANCE BENEFITS TRUST Benefits

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

401k Sponsoring company profile

THE 170 GROUP INSURANCE BENEFITS TRUST has sponsored the creation of one or more 401k plans.

Company Name:THE 170 GROUP INSURANCE BENEFITS TRUST
Employer identification number (EIN):953136353
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE 170 GROUP INSURANCE BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01MARK CASSIDY MARIO VEGAS2023-04-06
5012020-07-01MARIO VEGA2022-03-25 MARK M CASSIDY2022-03-25
5012020-07-01MARIO VEGA2022-11-08 MARK M CASSIDY2022-11-15
5012019-07-01MARIO VEGA2021-04-13 MARK M CASSIDY2021-04-13
5012019-07-01MARIO VEGA2021-11-22 MARK M CASSIDY2021-11-21
5012018-07-01MARIO VEGA2020-05-18 MARK CASSIDY2020-05-12
5012017-07-01MARIO VEGA2019-04-12 MARK CASSIDY2019-04-15
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01LINDA JALOMA
5012011-07-01MARK M. CASSIDY
5012009-07-01MARK M CASSIDY

Plan Statistics for THE 170 GROUP INSURANCE BENEFITS TRUST

401k plan membership statisitcs for THE 170 GROUP INSURANCE BENEFITS TRUST

Measure Date Value
2021: THE 170 GROUP INSURANCE BENEFITS TRUST 2021 401k membership
Total participants, beginning-of-year2021-07-01676
Total number of active participants reported on line 7a of the Form 55002021-07-01600
Total of all active and inactive participants2021-07-01600
Number of employers contributing to the scheme2021-07-0115
2020: THE 170 GROUP INSURANCE BENEFITS TRUST 2020 401k membership
Total participants, beginning-of-year2020-07-01713
Total number of active participants reported on line 7a of the Form 55002020-07-01676
Total of all active and inactive participants2020-07-01676
Number of employers contributing to the scheme2020-07-0116
2019: THE 170 GROUP INSURANCE BENEFITS TRUST 2019 401k membership
Total participants, beginning-of-year2019-07-01690
Total number of active participants reported on line 7a of the Form 55002019-07-01741
Total of all active and inactive participants2019-07-01741
Number of employers contributing to the scheme2019-07-0114
2018: THE 170 GROUP INSURANCE BENEFITS TRUST 2018 401k membership
Total participants, beginning-of-year2018-07-01704
Total number of active participants reported on line 7a of the Form 55002018-07-01690
Total of all active and inactive participants2018-07-01690
Number of employers contributing to the scheme2018-07-0114
2017: THE 170 GROUP INSURANCE BENEFITS TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-01842
Total number of active participants reported on line 7a of the Form 55002017-07-01704
Total of all active and inactive participants2017-07-01704
Number of employers contributing to the scheme2017-07-0121
2016: THE 170 GROUP INSURANCE BENEFITS TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-01829
Total number of active participants reported on line 7a of the Form 55002016-07-01842
Total of all active and inactive participants2016-07-01842
Number of employers contributing to the scheme2016-07-0121
2015: THE 170 GROUP INSURANCE BENEFITS TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-01843
Total number of active participants reported on line 7a of the Form 55002015-07-01829
Total of all active and inactive participants2015-07-01829
Number of employers contributing to the scheme2015-07-0121
2014: THE 170 GROUP INSURANCE BENEFITS TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-01811
Total number of active participants reported on line 7a of the Form 55002014-07-01843
Total of all active and inactive participants2014-07-01843
Number of employers contributing to the scheme2014-07-0123
2013: THE 170 GROUP INSURANCE BENEFITS TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-01751
Total number of active participants reported on line 7a of the Form 55002013-07-01811
Total of all active and inactive participants2013-07-01811
Number of employers contributing to the scheme2013-07-0124
2012: THE 170 GROUP INSURANCE BENEFITS TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-01814
Total number of active participants reported on line 7a of the Form 55002012-07-01751
Total of all active and inactive participants2012-07-01751
Number of employers contributing to the scheme2012-07-0127
2011: THE 170 GROUP INSURANCE BENEFITS TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-01750
Total number of active participants reported on line 7a of the Form 55002011-07-01814
Total of all active and inactive participants2011-07-01814
Number of employers contributing to the scheme2011-07-0128
2009: THE 170 GROUP INSURANCE BENEFITS TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-01988
Total number of active participants reported on line 7a of the Form 55002009-07-01831
Total of all active and inactive participants2009-07-01831
Number of employers contributing to the scheme2009-07-0132

Financial Data on THE 170 GROUP INSURANCE BENEFITS TRUST

Measure Date Value
2022 : THE 170 GROUP INSURANCE BENEFITS TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-85,290
Total unrealized appreciation/depreciation of assets2022-06-30$-85,290
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$651,218
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$28,431
Total income from all sources (including contributions)2022-06-30$7,714,442
Total loss/gain on sale of assets2022-06-30$-29,858
Total of all expenses incurred2022-06-30$8,252,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$7,960,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$7,794,952
Value of total assets at end of year2022-06-30$3,483,237
Value of total assets at beginning of year2022-06-30$3,398,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$292,314
Total interest from all sources2022-06-30$32,574
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$145,378
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$3,018
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$14,086
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-30$624,806
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$21,222
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$9,259
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$613,040
Other income not declared elsewhere2022-06-30$2,064
Administrative expenses (other) incurred2022-06-30$25,431
Liabilities. Value of operating payables at end of year2022-06-30$38,178
Liabilities. Value of operating payables at beginning of year2022-06-30$28,431
Total non interest bearing cash at end of year2022-06-30$824,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-538,275
Value of net assets at end of year (total assets less liabilities)2022-06-30$2,832,019
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$3,370,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$8,786
Income. Interest from US Government securities2022-06-30$3,120
Income. Interest from corporate debt instruments2022-06-30$29,285
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$60,030
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$849,696
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$849,696
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$169
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$7,335,597
Asset value of US Government securities at end of year2022-06-30$652,279
Asset value of US Government securities at beginning of year2022-06-30$613,379
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$7,777,848
Employer contributions (assets) at end of year2022-06-30$758,638
Employer contributions (assets) at beginning of year2022-06-30$663,291
Asset. Corporate debt instrument preferred debt at end of year2022-06-30$1,166,895
Asset. Corporate debt instrument preferred debt at beginning of year2022-06-30$1,263,100
Contract administrator fees2022-06-30$112,719
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$5,201,543
Aggregate carrying amount (costs) on sale of assets2022-06-30$5,231,401
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30EIDE BAILLY LLP
Accountancy firm EIN2022-06-30450250958
2021 : THE 170 GROUP INSURANCE BENEFITS TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$-1,964
Total unrealized appreciation/depreciation of assets2021-06-30$-1,964
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,715,431
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,677,842
Total income from all sources (including contributions)2021-06-30$8,274,411
Total loss/gain on sale of assets2021-06-30$292
Total of all expenses incurred2021-06-30$7,392,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$7,115,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$8,241,433
Value of total assets at end of year2021-06-30$4,246,941
Value of total assets at beginning of year2021-06-30$3,327,642
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$277,545
Total interest from all sources2021-06-30$34,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$121,083
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$2,035
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$12,990
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$648,161
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$56,383
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$1,687,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$1,653,000
Other income not declared elsewhere2021-06-30$12,990
Administrative expenses (other) incurred2021-06-30$28,273
Liabilities. Value of operating payables at end of year2021-06-30$28,431
Liabilities. Value of operating payables at beginning of year2021-06-30$24,842
Total non interest bearing cash at end of year2021-06-30$760,524
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$881,710
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,531,510
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,649,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$9,158
Income. Interest from US Government securities2021-06-30$7,796
Income. Interest from corporate debt instruments2021-06-30$16,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$89,173
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$492,906
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$492,906
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$10,800
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$7,115,156
Asset value of US Government securities at end of year2021-06-30$613,379
Asset value of US Government securities at beginning of year2021-06-30$486,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$8,226,408
Employer contributions (assets) at end of year2021-06-30$872,604
Employer contributions (assets) at beginning of year2021-06-30$684,739
Asset. Corporate debt instrument preferred debt at end of year2021-06-30$1,263,100
Asset. Corporate debt instrument preferred debt at beginning of year2021-06-30$1,606,683
Contract administrator fees2021-06-30$119,031
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$292
Aggregate carrying amount (costs) on sale of assets2021-06-30$4,391,179
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30EIDE BAILLY LLP
Accountancy firm EIN2021-06-30450250958
2020 : THE 170 GROUP INSURANCE BENEFITS TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$5,880
Total unrealized appreciation/depreciation of assets2020-06-30$5,880
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,711,842
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,096,697
Total income from all sources (including contributions)2020-06-30$8,137,410
Total loss/gain on sale of assets2020-06-30$16,796
Total of all expenses incurred2020-06-30$7,825,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$7,564,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$8,053,358
Value of total assets at end of year2020-06-30$4,048,242
Value of total assets at beginning of year2020-06-30$3,120,824
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$260,602
Total interest from all sources2020-06-30$60,876
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$97,035
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$4,890
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$1,950
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$710,998
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$231,277
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$1,687,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$1,070,715
Other income not declared elsewhere2020-06-30$500
Administrative expenses (other) incurred2020-06-30$36,849
Liabilities. Value of operating payables at end of year2020-06-30$24,842
Liabilities. Value of operating payables at beginning of year2020-06-30$25,982
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$312,273
Value of net assets at end of year (total assets less liabilities)2020-06-30$2,336,400
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$2,024,127
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$7,802
Interest earned on other investments2020-06-30$34
Income. Interest from US Government securities2020-06-30$6,895
Income. Interest from corporate debt instruments2020-06-30$48,419
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$492,906
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$181,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$181,129
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$5,528
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$7,564,535
Asset value of US Government securities at end of year2020-06-30$486,930
Asset value of US Government securities at beginning of year2020-06-30$399,481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$8,046,518
Employer contributions (assets) at end of year2020-06-30$750,724
Employer contributions (assets) at beginning of year2020-06-30$718,302
Asset. Corporate debt instrument preferred debt at end of year2020-06-30$1,606,684
Asset. Corporate debt instrument preferred debt at beginning of year2020-06-30$1,590,635
Contract administrator fees2020-06-30$118,916
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$16,796
Aggregate carrying amount (costs) on sale of assets2020-06-30$4,610,958
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30EIDE BAILLY LLP
Accountancy firm EIN2020-06-30450250958
2019 : THE 170 GROUP INSURANCE BENEFITS TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$37,104
Total unrealized appreciation/depreciation of assets2019-06-30$37,104
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,096,697
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,133,340
Total income from all sources (including contributions)2019-06-30$7,479,621
Total loss/gain on sale of assets2019-06-30$4,422
Total of all expenses incurred2019-06-30$7,540,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$7,281,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$7,359,409
Value of total assets at end of year2019-06-30$3,120,824
Value of total assets at beginning of year2019-06-30$3,218,626
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$259,647
Total interest from all sources2019-06-30$71,317
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$112,180
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$12,017
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$231,277
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$408,983
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$1,070,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$1,108,535
Other income not declared elsewhere2019-06-30$7,369
Administrative expenses (other) incurred2019-06-30$25,579
Liabilities. Value of operating payables at end of year2019-06-30$25,982
Liabilities. Value of operating payables at beginning of year2019-06-30$24,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-61,159
Value of net assets at end of year (total assets less liabilities)2019-06-30$2,024,127
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$2,085,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$8,671
Income. Interest from US Government securities2019-06-30$14,131
Income. Interest from corporate debt instruments2019-06-30$41,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$181,129
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$53,259
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$53,259
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$15,284
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$7,281,133
Asset value of US Government securities at end of year2019-06-30$399,481
Asset value of US Government securities at beginning of year2019-06-30$640,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$7,347,392
Employer contributions (assets) at end of year2019-06-30$718,302
Employer contributions (assets) at beginning of year2019-06-30$698,287
Asset. Corporate debt instrument preferred debt at end of year2019-06-30$1,590,635
Asset. Corporate debt instrument preferred debt at beginning of year2019-06-30$1,417,771
Contract administrator fees2019-06-30$113,217
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$4,892,805
Aggregate carrying amount (costs) on sale of assets2019-06-30$4,888,383
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30EIDE BAILLY LLP
Accountancy firm EIN2019-06-30450250958
2018 : THE 170 GROUP INSURANCE BENEFITS TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-12,866
Total unrealized appreciation/depreciation of assets2018-06-30$-12,866
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,133,340
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,205,658
Total income from all sources (including contributions)2018-06-30$7,530,518
Total loss/gain on sale of assets2018-06-30$-18,903
Total of all expenses incurred2018-06-30$7,931,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$7,644,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$7,449,690
Value of total assets at end of year2018-06-30$3,218,626
Value of total assets at beginning of year2018-06-30$3,691,530
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$286,317
Total interest from all sources2018-06-30$68,075
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$124,674
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$408,983
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$553,161
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$1,108,535
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$1,178,650
Other income not declared elsewhere2018-06-30$44,522
Administrative expenses (other) incurred2018-06-30$33,154
Liabilities. Value of operating payables at end of year2018-06-30$24,805
Liabilities. Value of operating payables at beginning of year2018-06-30$27,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-400,586
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,085,286
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$2,485,872
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$10,520
Income. Interest from US Government securities2018-06-30$10,571
Income. Interest from corporate debt instruments2018-06-30$39,374
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$53,259
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$290,109
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$290,109
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$18,130
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$7,644,787
Asset value of US Government securities at end of year2018-06-30$640,326
Asset value of US Government securities at beginning of year2018-06-30$568,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$7,449,690
Employer contributions (assets) at end of year2018-06-30$698,287
Employer contributions (assets) at beginning of year2018-06-30$741,412
Asset. Corporate debt instrument preferred debt at end of year2018-06-30$1,417,771
Asset. Corporate debt instrument preferred debt at beginning of year2018-06-30$1,537,997
Contract administrator fees2018-06-30$117,969
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Aggregate proceeds on sale of assets2018-06-30$5,268,791
Aggregate carrying amount (costs) on sale of assets2018-06-30$5,287,694
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2018-06-30952648289
2017 : THE 170 GROUP INSURANCE BENEFITS TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$-7,944
Total unrealized appreciation/depreciation of assets2017-06-30$-7,944
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$1,205,658
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$1,910,780
Total income from all sources (including contributions)2017-06-30$7,883,439
Total loss/gain on sale of assets2017-06-30$-20,928
Total of all expenses incurred2017-06-30$7,825,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$7,553,554
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$7,827,972
Value of total assets at end of year2017-06-30$3,691,530
Value of total assets at beginning of year2017-06-30$4,338,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$271,533
Total interest from all sources2017-06-30$75,215
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$105,986
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$3,862
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$553,161
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$692,380
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$1,178,650
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$1,886,000
Other income not declared elsewhere2017-06-30$9,124
Administrative expenses (other) incurred2017-06-30$28,994
Liabilities. Value of operating payables at end of year2017-06-30$27,008
Liabilities. Value of operating payables at beginning of year2017-06-30$24,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$58,352
Value of net assets at end of year (total assets less liabilities)2017-06-30$2,485,872
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$2,427,520
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$7,589
Income. Interest from US Government securities2017-06-30$8,133
Income. Interest from corporate debt instruments2017-06-30$44,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$290,109
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$839,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$839,310
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$22,807
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$7,553,554
Asset value of US Government securities at end of year2017-06-30$568,851
Asset value of US Government securities at beginning of year2017-06-30$399,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$7,824,110
Employer contributions (assets) at end of year2017-06-30$741,412
Employer contributions (assets) at beginning of year2017-06-30$672,375
Asset. Corporate debt instrument preferred debt at end of year2017-06-30$1,537,997
Asset. Corporate debt instrument preferred debt at beginning of year2017-06-30$1,734,273
Contract administrator fees2017-06-30$128,964
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Aggregate proceeds on sale of assets2017-06-30$6,017,422
Aggregate carrying amount (costs) on sale of assets2017-06-30$6,038,350
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2017-06-30952648289
2016 : THE 170 GROUP INSURANCE BENEFITS TRUST 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-06-30$1,700,000
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$20,448
Total unrealized appreciation/depreciation of assets2016-06-30$1,720,448
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,910,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$1,787,266
Total income from all sources (including contributions)2016-06-30$9,753,777
Total loss/gain on sale of assets2016-06-30$-17,553
Total of all expenses incurred2016-06-30$8,970,220
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$8,312,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$7,956,860
Value of total assets at end of year2016-06-30$4,338,300
Value of total assets at beginning of year2016-06-30$3,431,229
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$658,058
Total interest from all sources2016-06-30$74,167
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$97,274
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$15,286
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$692,380
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$28,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$1,886,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$1,756,687
Other income not declared elsewhere2016-06-30$19,855
Administrative expenses (other) incurred2016-06-30$343,973
Liabilities. Value of operating payables at end of year2016-06-30$24,780
Liabilities. Value of operating payables at beginning of year2016-06-30$30,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$783,557
Value of net assets at end of year (total assets less liabilities)2016-06-30$2,427,520
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,643,963
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$82,461
Income. Interest from US Government securities2016-06-30$3,183
Income. Interest from corporate debt instruments2016-06-30$46,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$839,310
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$443,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$443,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$24,938
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$8,312,162
Asset value of US Government securities at end of year2016-06-30$399,962
Asset value of US Government securities at beginning of year2016-06-30$218,048
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$7,941,574
Employer contributions (assets) at end of year2016-06-30$672,375
Employer contributions (assets) at beginning of year2016-06-30$557,689
Asset. Corporate debt instrument preferred debt at end of year2016-06-30$1,734,273
Asset. Corporate debt instrument preferred debt at beginning of year2016-06-30$1,860,398
Contract administrator fees2016-06-30$134,350
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-06-30$322,918
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$5,229,013
Aggregate carrying amount (costs) on sale of assets2016-06-30$5,246,566
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-06-30300702322
2015 : THE 170 GROUP INSURANCE BENEFITS TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-17,971
Total unrealized appreciation/depreciation of assets2015-06-30$-17,971
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,787,266
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$1,637,929
Total income from all sources (including contributions)2015-06-30$7,207,725
Total loss/gain on sale of assets2015-06-30$-9,461
Total of all expenses incurred2015-06-30$7,704,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$7,401,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$7,127,536
Value of total assets at end of year2015-06-30$3,431,229
Value of total assets at beginning of year2015-06-30$3,778,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$303,005
Total interest from all sources2015-06-30$50,141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$121,675
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$55,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$28,815
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$29,820
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$1,756,687
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$1,607,687
Other income not declared elsewhere2015-06-30$57,480
Administrative expenses (other) incurred2015-06-30$49,814
Liabilities. Value of operating payables at end of year2015-06-30$30,579
Liabilities. Value of operating payables at beginning of year2015-06-30$30,242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-496,824
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,643,963
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,140,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$7,315
Income. Interest from US Government securities2015-06-30$3,259
Income. Interest from corporate debt instruments2015-06-30$46,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$443,361
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$726,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$726,544
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$7
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$7,401,544
Asset value of US Government securities at end of year2015-06-30$218,048
Asset value of US Government securities at beginning of year2015-06-30$444,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$7,072,213
Employer contributions (assets) at end of year2015-06-30$557,689
Employer contributions (assets) at beginning of year2015-06-30$583,966
Asset. Corporate debt instrument preferred debt at end of year2015-06-30$1,860,398
Asset. Corporate debt instrument preferred debt at beginning of year2015-06-30$1,594,697
Contract administrator fees2015-06-30$124,201
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2015-06-30$322,918
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-06-30$399,663
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$5,740,768
Aggregate carrying amount (costs) on sale of assets2015-06-30$5,750,229
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2015-06-30300702322
2014 : THE 170 GROUP INSURANCE BENEFITS TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$22,359
Total unrealized appreciation/depreciation of assets2014-06-30$22,359
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,637,929
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,492,555
Total income from all sources (including contributions)2014-06-30$6,916,497
Total loss/gain on sale of assets2014-06-30$-9,912
Total of all expenses incurred2014-06-30$7,029,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$6,738,493
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$6,796,279
Value of total assets at end of year2014-06-30$3,778,716
Value of total assets at beginning of year2014-06-30$3,746,085
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$290,747
Total interest from all sources2014-06-30$39,883
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$146,608
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$26,533
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$29,820
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$9,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$1,607,687
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$1,467,065
Other income not declared elsewhere2014-06-30$67,888
Administrative expenses (other) incurred2014-06-30$30,889
Liabilities. Value of operating payables at end of year2014-06-30$30,242
Liabilities. Value of operating payables at beginning of year2014-06-30$25,490
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-112,743
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,140,787
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,253,530
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$7,778
Income. Interest from US Government securities2014-06-30$11,789
Income. Interest from corporate debt instruments2014-06-30$28,052
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$726,544
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$1,479,620
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$1,479,620
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$42
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$6,738,493
Asset value of US Government securities at end of year2014-06-30$444,026
Asset value of US Government securities at beginning of year2014-06-30$448,813
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$6,769,746
Employer contributions (assets) at end of year2014-06-30$583,966
Employer contributions (assets) at beginning of year2014-06-30$566,519
Asset. Corporate debt instrument preferred debt at end of year2014-06-30$1,594,697
Asset. Corporate debt instrument preferred debt at beginning of year2014-06-30$765,192
Contract administrator fees2014-06-30$105,472
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2014-06-30$399,663
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-06-30$476,407
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$7,989,082
Aggregate carrying amount (costs) on sale of assets2014-06-30$7,998,994
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-06-30300702322
2013 : THE 170 GROUP INSURANCE BENEFITS TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$24,167
Total unrealized appreciation/depreciation of assets2013-06-30$24,167
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,492,555
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,477,355
Total income from all sources (including contributions)2013-06-30$6,662,319
Total loss/gain on sale of assets2013-06-30$-1,716
Total of all expenses incurred2013-06-30$6,666,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$6,380,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$6,571,754
Value of total assets at end of year2013-06-30$3,746,085
Value of total assets at beginning of year2013-06-30$3,735,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$286,419
Total interest from all sources2013-06-30$4,005
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$11,389
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$11,389
Administrative expenses professional fees incurred2013-06-30$143,542
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$11,611
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$9,534
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$7,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$1,467,065
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$1,449,666
Other income not declared elsewhere2013-06-30$52,720
Administrative expenses (other) incurred2013-06-30$26,966
Liabilities. Value of operating payables at end of year2013-06-30$25,490
Liabilities. Value of operating payables at beginning of year2013-06-30$27,689
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-4,600
Value of net assets at end of year (total assets less liabilities)2013-06-30$2,253,530
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$2,258,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$1,500
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$1,035,533
Income. Interest from US Government securities2013-06-30$823
Income. Interest from corporate debt instruments2013-06-30$3,016
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$1,479,620
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$1,539,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$1,539,171
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$166
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$6,380,500
Asset value of US Government securities at end of year2013-06-30$448,813
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$6,560,143
Employer contributions (assets) at end of year2013-06-30$566,519
Employer contributions (assets) at beginning of year2013-06-30$639,613
Asset. Corporate debt instrument preferred debt at end of year2013-06-30$765,192
Contract administrator fees2013-06-30$114,411
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2013-06-30$476,407
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-06-30$514,152
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$6,549,816
Aggregate carrying amount (costs) on sale of assets2013-06-30$6,551,532
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30HEMMING MORSE CPAS AND CONSULANTS
Accountancy firm EIN2013-06-30300702322
2012 : THE 170 GROUP INSURANCE BENEFITS TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,477,355
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,408,867
Total income from all sources (including contributions)2012-06-30$6,765,733
Total of all expenses incurred2012-06-30$6,489,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$6,226,170
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$6,681,192
Value of total assets at end of year2012-06-30$3,735,485
Value of total assets at beginning of year2012-06-30$3,390,757
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$263,323
Total interest from all sources2012-06-30$427
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$15,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$15,540
Administrative expenses professional fees incurred2012-06-30$113,599
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$16,936
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$7,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$26,896
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$1,449,666
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$1,369,990
Other income not declared elsewhere2012-06-30$63,736
Administrative expenses (other) incurred2012-06-30$34,196
Liabilities. Value of operating payables at end of year2012-06-30$27,689
Liabilities. Value of operating payables at beginning of year2012-06-30$38,877
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$276,240
Value of net assets at end of year (total assets less liabilities)2012-06-30$2,258,130
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,981,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$1,500
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$1,035,533
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$930,695
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$1,539,171
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,337,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,337,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$427
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$6,226,170
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$4,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$6,664,256
Employer contributions (assets) at end of year2012-06-30$639,613
Employer contributions (assets) at beginning of year2012-06-30$536,868
Contract administrator fees2012-06-30$114,028
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2012-06-30$514,152
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-06-30$558,958
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2012-06-30300702322
2011 : THE 170 GROUP INSURANCE BENEFITS TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,408,867
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,536,331
Total income from all sources (including contributions)2011-06-30$6,666,559
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$6,255,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$5,887,110
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$6,451,588
Value of total assets at end of year2011-06-30$3,390,757
Value of total assets at beginning of year2011-06-30$3,106,697
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$367,925
Total interest from all sources2011-06-30$292
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$20,380
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$20,380
Administrative expenses professional fees incurred2011-06-30$113,925
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$53,903
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$26,896
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$43,407
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$1,369,990
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$1,517,746
Other income not declared elsewhere2011-06-30$44,465
Administrative expenses (other) incurred2011-06-30$138,008
Liabilities. Value of operating payables at end of year2011-06-30$38,877
Liabilities. Value of operating payables at beginning of year2011-06-30$18,585
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$411,524
Value of net assets at end of year (total assets less liabilities)2011-06-30$1,981,890
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$1,570,366
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$1,500
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$930,695
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$748,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,337,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,158,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,158,549
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$292
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$5,887,110
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$149,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$6,397,685
Employer contributions (assets) at end of year2011-06-30$536,868
Employer contributions (assets) at beginning of year2011-06-30$562,436
Contract administrator fees2011-06-30$114,492
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2011-06-30$558,958
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$593,715
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$33,772
Aggregate carrying amount (costs) on sale of assets2011-06-30$33,772
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2011-06-30300702322

Form 5500 Responses for THE 170 GROUP INSURANCE BENEFITS TRUST

2021: THE 170 GROUP INSURANCE BENEFITS TRUST 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: THE 170 GROUP INSURANCE BENEFITS TRUST 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedYes
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: THE 170 GROUP INSURANCE BENEFITS TRUST 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedYes
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: THE 170 GROUP INSURANCE BENEFITS TRUST 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: THE 170 GROUP INSURANCE BENEFITS TRUST 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: THE 170 GROUP INSURANCE BENEFITS TRUST 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: THE 170 GROUP INSURANCE BENEFITS TRUST 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: THE 170 GROUP INSURANCE BENEFITS TRUST 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: THE 170 GROUP INSURANCE BENEFITS TRUST 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: THE 170 GROUP INSURANCE BENEFITS TRUST 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: THE 170 GROUP INSURANCE BENEFITS TRUST 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: THE 170 GROUP INSURANCE BENEFITS TRUST 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304790
Policy instance 4
Insurance contract or identification number304790
Number of Individuals Covered637
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,714
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 number227510
Policy instance 3
Insurance contract or identification number227510
Number of Individuals Covered1495
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $6,160,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740204-000,001
Policy instance 2
Insurance contract or identification number740204-000,001
Number of Individuals Covered1460
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00424201
Policy instance 1
Insurance contract or identification number00424201
Number of Individuals Covered643
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,804
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 number227510
Policy instance 3
Insurance contract or identification number227510
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered1692
Welfare Benefit Premiums Paid to CarrierUSD $6,604,284
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100304,100305
Policy instance 4
Insurance contract or identification number100304,100305
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304790
Policy instance 5
Insurance contract or identification number304790
Number of Individuals Covered675
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00424201
Policy instance 1
Insurance contract or identification number00424201
Number of Individuals Covered659
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740204-000,001
Policy instance 2
Insurance contract or identification number740204-000,001
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered1526
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304790
Policy instance 4
Insurance contract or identification number304790
Number of Individuals Covered675
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304790
Policy instance 5
Insurance contract or identification number304790
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100304,100305
Policy instance 4
Insurance contract or identification number100304,100305
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number227510
Policy instance 3
Insurance contract or identification number227510
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740204-000,001
Policy instance 2
Insurance contract or identification number740204-000,001
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00424201
Policy instance 1
Insurance contract or identification number00424201
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740204-000,001
Policy instance 2
Insurance contract or identification number740204-000,001
Number of Individuals Covered1175
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00424201
Policy instance 1
Insurance contract or identification number00424201
Number of Individuals Covered650
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,108
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 number227510
Policy instance 3
Insurance contract or identification number227510
Number of Individuals Covered1777
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $7,091,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100304,100305
Policy instance 4
Insurance contract or identification number100304,100305
Number of Individuals Covered538
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304790
Policy instance 5
Insurance contract or identification number304790
Number of Individuals Covered699
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number304790
Policy instance 5
Insurance contract or identification number304790
Number of Individuals Covered676
Insurance policy start date2017-11-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY DENTAL PLAN OF CALIFORNIA, INC (National Association of Insurance Commissioners NAIC id number: N/A )
Policy contract number100304,100379
Policy instance 4
Insurance contract or identification number100304,100379
Number of Individuals Covered612
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $86,063
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 number227510
Policy instance 3
Insurance contract or identification number227510
Number of Individuals Covered1996
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $7,474,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. (National Association of Insurance Commissioners NAIC id number: 95789 )
Policy contract number740204-000,001
Policy instance 2
Insurance contract or identification number740204-000,001
Number of Individuals Covered1258
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00424201
Policy instance 1
Insurance contract or identification number00424201
Number of Individuals Covered689
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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