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PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 401k Plan overview

Plan NamePRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND
Plan identification number 501

PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND Benefits

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

401k Sponsoring company profile

PRINTING SPECIALTIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION H&W F has sponsored the creation of one or more 401k plans.

Company Name:PRINTING SPECIALTIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION H&W F
Employer identification number (EIN):956035137
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01GAYLE SPARAPANI2023-11-12 DAN CABADA2023-11-12
5012021-02-01GAYLE SPARAPANI2022-10-19 DAN CABADA2022-10-19
5012020-02-01
5012019-02-01
5012018-02-01
5012017-02-01GAYLE SPARAPANI DAN CABADA2018-11-13
5012016-02-01GAYLE SPARAPANI STEPHEN NORTHUP2017-10-11
5012015-02-01GAYLE SPARAPANI STEPHEN NORTHUP2016-10-06
5012014-02-01GAYLE SPARAPANI STEPHEN NORTHUP2015-10-01
5012013-02-01GAYLE SPARAPANI STEPHEN NORTHUP2014-10-01
5012012-02-01GAYLE SPARAPANI STEPHEN NORTHUP2013-10-10
5012011-02-01GAYLE SPARAPANI STEPHEN NORTHUP2012-10-09
5012009-02-01SHELLEY GUIDRY

Plan Statistics for PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND

401k plan membership statisitcs for PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND

Measure Date Value
2022: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-02-012,971
Total number of active participants reported on line 7a of the Form 55002022-02-012,907
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-012,907
Number of employers contributing to the scheme2022-02-0128
2021: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-02-013,187
Total number of active participants reported on line 7a of the Form 55002021-02-012,971
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-012,971
Number of employers contributing to the scheme2021-02-0128
2020: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-02-013,127
Total number of active participants reported on line 7a of the Form 55002020-02-013,187
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-013,187
Number of employers contributing to the scheme2020-02-0130
2019: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-02-013,365
Total number of active participants reported on line 7a of the Form 55002019-02-013,127
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-013,127
Number of employers contributing to the scheme2019-02-0128
2018: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-02-013,234
Total number of active participants reported on line 7a of the Form 55002018-02-013,365
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-013,365
Number of employers contributing to the scheme2018-02-0129
2017: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-02-013,430
Total number of active participants reported on line 7a of the Form 55002017-02-013,234
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-013,234
Number of employers contributing to the scheme2017-02-0131
2016: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-02-013,561
Total number of active participants reported on line 7a of the Form 55002016-02-013,430
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-013,430
Number of employers contributing to the scheme2016-02-0134
2015: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-02-013,566
Total number of active participants reported on line 7a of the Form 55002015-02-013,561
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-013,561
Number of employers contributing to the scheme2015-02-0135
2014: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-02-013,715
Total number of active participants reported on line 7a of the Form 55002014-02-013,566
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-013,566
Number of employers contributing to the scheme2014-02-0138
2013: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-02-014,283
Total number of active participants reported on line 7a of the Form 55002013-02-013,715
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-013,715
Number of employers contributing to the scheme2013-02-0147
2012: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-02-014,331
Total number of active participants reported on line 7a of the Form 55002012-02-014,283
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-014,283
Number of employers contributing to the scheme2012-02-0153
2011: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-02-014,602
Total number of active participants reported on line 7a of the Form 55002011-02-014,331
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-014,331
Number of employers contributing to the scheme2011-02-0147
2009: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-02-015,402
Total number of active participants reported on line 7a of the Form 55002009-02-014,933
Number of retired or separated participants receiving benefits2009-02-010
Number of other retired or separated participants entitled to future benefits2009-02-010
Total of all active and inactive participants2009-02-014,933
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-02-010
Total participants2009-02-014,933
Number of participants with account balances2009-02-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-02-010
Number of employers contributing to the scheme2009-02-0150

Financial Data on PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND

Measure Date Value
2023 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of real estate assets2023-01-31$-2,989,992
Total unrealized appreciation/depreciation of assets2023-01-31$-2,989,992
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$5,441,971
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$17,184,313
Total income from all sources (including contributions)2023-01-31$56,645,943
Total loss/gain on sale of assets2023-01-31$-2,410,701
Total of all expenses incurred2023-01-31$57,639,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-31$55,450,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-31$56,508,794
Value of total assets at end of year2023-01-31$109,236,019
Value of total assets at beginning of year2023-01-31$121,971,664
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-31$2,188,481
Total interest from all sources2023-01-31$2,417,264
Total dividends received (eg from common stock, registered investment company shares)2023-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-31No
Administrative expenses professional fees incurred2023-01-31$488,404
Was this plan covered by a fidelity bond2023-01-31Yes
Value of fidelity bond cover2023-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-01-31No
Contributions received from participants2023-01-31$158,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-31$1,099,412
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-31$13,334,741
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-31$734,061
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-31$12,622,887
Other income not declared elsewhere2023-01-31$3,120,578
Administrative expenses (other) incurred2023-01-31$570,698
Liabilities. Value of operating payables at end of year2023-01-31$179,910
Liabilities. Value of operating payables at beginning of year2023-01-31$201,426
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Value of net income/loss2023-01-31$-993,303
Value of net assets at end of year (total assets less liabilities)2023-01-31$103,794,048
Value of net assets at beginning of year (total assets less liabilities)2023-01-31$104,787,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-31No
Were any leases to which the plan was party in default or uncollectible2023-01-31No
Investment advisory and management fees2023-01-31$282,762
Income. Interest from US Government securities2023-01-31$1,479,197
Income. Interest from corporate debt instruments2023-01-31$924,225
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-31$10,450,456
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-01-31$7,260,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-01-31$7,260,778
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-31$13,842
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-31$29,253,644
Asset value of US Government securities at end of year2023-01-31$64,046,243
Asset value of US Government securities at beginning of year2023-01-31$62,692,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-31Yes
Was there a failure to transmit to the plan any participant contributions2023-01-31No
Has the plan failed to provide any benefit when due under the plan2023-01-31No
Contributions received in cash from employer2023-01-31$56,349,818
Employer contributions (assets) at end of year2023-01-31$4,762,910
Employer contributions (assets) at beginning of year2023-01-31$4,811,016
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-31$26,197,121
Asset. Corporate debt instrument preferred debt at end of year2023-01-31$12,172,399
Asset. Corporate debt instrument preferred debt at beginning of year2023-01-31$17,754,529
Asset. Corporate debt instrument debt (other) at end of year2023-01-31$16,704,599
Asset. Corporate debt instrument debt (other) at beginning of year2023-01-31$16,117,825
Contract administrator fees2023-01-31$846,617
Liabilities. Value of benefit claims payable at end of year2023-01-31$4,528,000
Liabilities. Value of benefit claims payable at beginning of year2023-01-31$4,360,000
Did the plan have assets held for investment2023-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-31No
Aggregate proceeds on sale of assets2023-01-31$300,144,839
Aggregate carrying amount (costs) on sale of assets2023-01-31$302,555,540
Opinion of an independent qualified public accountant for this plan2023-01-31Unqualified
Accountancy firm name2023-01-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2023-01-31222027092
2022 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-31$-2,110,267
Total unrealized appreciation/depreciation of assets2022-01-31$-2,110,267
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$17,184,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$8,842,276
Total income from all sources (including contributions)2022-01-31$57,365,625
Total loss/gain on sale of assets2022-01-31$-967,449
Total of all expenses incurred2022-01-31$60,046,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-31$57,959,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-31$57,236,507
Value of total assets at end of year2022-01-31$121,971,664
Value of total assets at beginning of year2022-01-31$116,310,833
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-31$2,087,549
Total interest from all sources2022-01-31$1,455,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-31No
Administrative expenses professional fees incurred2022-01-31$484,493
Was this plan covered by a fidelity bond2022-01-31Yes
Value of fidelity bond cover2022-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-01-31No
Contributions received from participants2022-01-31$79,010
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-31$13,334,741
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-31$4,079,649
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-31$12,622,887
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-31$5,294,984
Other income not declared elsewhere2022-01-31$1,751,302
Administrative expenses (other) incurred2022-01-31$524,032
Liabilities. Value of operating payables at end of year2022-01-31$201,426
Liabilities. Value of operating payables at beginning of year2022-01-31$180,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Value of net income/loss2022-01-31$-2,681,206
Value of net assets at end of year (total assets less liabilities)2022-01-31$104,787,351
Value of net assets at beginning of year (total assets less liabilities)2022-01-31$107,468,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-31No
Were any leases to which the plan was party in default or uncollectible2022-01-31No
Investment advisory and management fees2022-01-31$315,049
Income. Interest from US Government securities2022-01-31$672,474
Income. Interest from corporate debt instruments2022-01-31$782,746
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-31$7,260,778
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-01-31$12,978,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-01-31$12,978,408
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-31$312
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-31$29,893,749
Asset value of US Government securities at end of year2022-01-31$62,692,775
Asset value of US Government securities at beginning of year2022-01-31$63,408,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-31Yes
Was there a failure to transmit to the plan any participant contributions2022-01-31No
Has the plan failed to provide any benefit when due under the plan2022-01-31No
Contributions received in cash from employer2022-01-31$57,157,497
Employer contributions (assets) at end of year2022-01-31$4,811,016
Employer contributions (assets) at beginning of year2022-01-31$4,875,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-31$28,065,533
Asset. Corporate debt instrument preferred debt at end of year2022-01-31$17,754,529
Asset. Corporate debt instrument preferred debt at beginning of year2022-01-31$9,786,889
Asset. Corporate debt instrument debt (other) at end of year2022-01-31$16,117,825
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-31$21,181,988
Contract administrator fees2022-01-31$763,975
Liabilities. Value of benefit claims payable at end of year2022-01-31$4,360,000
Liabilities. Value of benefit claims payable at beginning of year2022-01-31$3,367,000
Did the plan have assets held for investment2022-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-31No
Aggregate proceeds on sale of assets2022-01-31$247,788,970
Aggregate carrying amount (costs) on sale of assets2022-01-31$248,756,419
Opinion of an independent qualified public accountant for this plan2022-01-31Unqualified
Accountancy firm name2022-01-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2022-01-31222027092
2021 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-01-31$895,531
Total unrealized appreciation/depreciation of assets2021-01-31$895,531
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-01-31$8,842,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-01-31$6,833,560
Total income from all sources (including contributions)2021-01-31$64,901,062
Total loss/gain on sale of assets2021-01-31$539,845
Total of all expenses incurred2021-01-31$56,307,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-01-31$54,313,825
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-01-31$58,904,128
Value of total assets at end of year2021-01-31$116,310,833
Value of total assets at beginning of year2021-01-31$105,708,865
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-01-31$1,993,985
Total interest from all sources2021-01-31$1,862,642
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-01-31No
Administrative expenses professional fees incurred2021-01-31$500,001
Was this plan covered by a fidelity bond2021-01-31Yes
Value of fidelity bond cover2021-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-01-31No
Contributions received from participants2021-01-31$13,227
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-01-31$4,079,649
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-01-31$2,613,993
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-01-31$5,294,984
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-01-31$2,915,542
Other income not declared elsewhere2021-01-31$2,698,916
Administrative expenses (other) incurred2021-01-31$481,238
Liabilities. Value of operating payables at end of year2021-01-31$180,292
Liabilities. Value of operating payables at beginning of year2021-01-31$142,318
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Value of net income/loss2021-01-31$8,593,252
Value of net assets at end of year (total assets less liabilities)2021-01-31$107,468,557
Value of net assets at beginning of year (total assets less liabilities)2021-01-31$98,875,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-01-31No
Were any leases to which the plan was party in default or uncollectible2021-01-31No
Investment advisory and management fees2021-01-31$263,615
Income. Interest from US Government securities2021-01-31$964,125
Income. Interest from corporate debt instruments2021-01-31$881,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-01-31$12,978,408
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-01-31$7,820,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-01-31$7,820,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-01-31$16,784
Expenses. Payments to insurance carriers foe the provision of benefits2021-01-31$31,736,489
Asset value of US Government securities at end of year2021-01-31$63,408,508
Asset value of US Government securities at beginning of year2021-01-31$59,327,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-01-31Yes
Was there a failure to transmit to the plan any participant contributions2021-01-31No
Has the plan failed to provide any benefit when due under the plan2021-01-31No
Contributions received in cash from employer2021-01-31$58,890,901
Employer contributions (assets) at end of year2021-01-31$4,875,391
Employer contributions (assets) at beginning of year2021-01-31$5,748,966
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-01-31$22,577,336
Asset. Corporate debt instrument preferred debt at end of year2021-01-31$9,786,889
Asset. Corporate debt instrument preferred debt at beginning of year2021-01-31$11,787,477
Asset. Corporate debt instrument debt (other) at end of year2021-01-31$21,181,988
Asset. Corporate debt instrument debt (other) at beginning of year2021-01-31$18,410,637
Contract administrator fees2021-01-31$749,131
Liabilities. Value of benefit claims payable at end of year2021-01-31$3,367,000
Liabilities. Value of benefit claims payable at beginning of year2021-01-31$3,775,700
Did the plan have assets held for investment2021-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-01-31No
Aggregate proceeds on sale of assets2021-01-31$193,306,838
Aggregate carrying amount (costs) on sale of assets2021-01-31$192,766,993
Opinion of an independent qualified public accountant for this plan2021-01-31Unqualified
Accountancy firm name2021-01-31LINDQUIST LLP
Accountancy firm EIN2021-01-31522385296
2020 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-01-31$1,847,691
Total unrealized appreciation/depreciation of assets2020-01-31$1,847,691
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$6,833,560
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-31$4,761,890
Total income from all sources (including contributions)2020-01-31$67,276,373
Total loss/gain on sale of assets2020-01-31$642,970
Total of all expenses incurred2020-01-31$57,391,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-31$55,345,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-31$60,300,803
Value of total assets at end of year2020-01-31$105,708,865
Value of total assets at beginning of year2020-01-31$93,751,822
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-31$2,045,703
Total interest from all sources2020-01-31$2,273,252
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-31No
Administrative expenses professional fees incurred2020-01-31$493,058
Was this plan covered by a fidelity bond2020-01-31Yes
Value of fidelity bond cover2020-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-01-31No
Contributions received from participants2020-01-31$40,682
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-01-31$2,613,993
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-01-31$1,301,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-01-31$2,915,542
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-01-31$1,060,534
Other income not declared elsewhere2020-01-31$2,211,657
Administrative expenses (other) incurred2020-01-31$551,266
Liabilities. Value of operating payables at end of year2020-01-31$142,318
Liabilities. Value of operating payables at beginning of year2020-01-31$165,156
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Value of net income/loss2020-01-31$9,885,373
Value of net assets at end of year (total assets less liabilities)2020-01-31$98,875,305
Value of net assets at beginning of year (total assets less liabilities)2020-01-31$88,989,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-31No
Were any leases to which the plan was party in default or uncollectible2020-01-31No
Investment advisory and management fees2020-01-31$271,452
Income. Interest from US Government securities2020-01-31$1,105,632
Income. Interest from corporate debt instruments2020-01-31$1,001,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-01-31$7,820,340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-01-31$10,051,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-01-31$10,051,035
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-01-31$165,640
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-31$30,263,868
Asset value of US Government securities at end of year2020-01-31$59,327,452
Asset value of US Government securities at beginning of year2020-01-31$37,830,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-31Yes
Was there a failure to transmit to the plan any participant contributions2020-01-31No
Has the plan failed to provide any benefit when due under the plan2020-01-31No
Contributions received in cash from employer2020-01-31$60,260,121
Employer contributions (assets) at end of year2020-01-31$5,748,966
Employer contributions (assets) at beginning of year2020-01-31$5,484,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-01-31$25,081,429
Asset. Corporate debt instrument preferred debt at end of year2020-01-31$11,787,477
Asset. Corporate debt instrument debt (other) at end of year2020-01-31$18,410,637
Asset. Corporate debt instrument debt (other) at beginning of year2020-01-31$39,084,939
Contract administrator fees2020-01-31$729,927
Liabilities. Value of benefit claims payable at end of year2020-01-31$3,775,700
Liabilities. Value of benefit claims payable at beginning of year2020-01-31$3,536,200
Did the plan have assets held for investment2020-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-31No
Aggregate proceeds on sale of assets2020-01-31$271,839,556
Aggregate carrying amount (costs) on sale of assets2020-01-31$271,196,586
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-01-31No
Opinion of an independent qualified public accountant for this plan2020-01-31Unqualified
Accountancy firm name2020-01-31LINDQUIST LLP
Accountancy firm EIN2020-01-31522385296
2018 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-01-31$-400,835
Total unrealized appreciation/depreciation of assets2018-01-31$-400,835
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-31$4,157,969
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-31$11,903,849
Total income from all sources (including contributions)2018-01-31$63,838,099
Total loss/gain on sale of assets2018-01-31$-295,974
Total of all expenses incurred2018-01-31$54,152,330
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-01-31$51,921,127
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-01-31$60,889,832
Value of total assets at end of year2018-01-31$87,896,868
Value of total assets at beginning of year2018-01-31$85,956,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-01-31$2,231,203
Total interest from all sources2018-01-31$1,554,582
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-01-31No
Administrative expenses professional fees incurred2018-01-31$611,300
Was this plan covered by a fidelity bond2018-01-31Yes
Value of fidelity bond cover2018-01-31$500,000
If this is an individual account plan, was there a blackout period2018-01-31No
Were there any nonexempt tranactions with any party-in-interest2018-01-31No
Contributions received from participants2018-01-31$45,448
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-01-31$360,001
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-01-31$2,148,241
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-01-31$1,055,059
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-01-31$3,145,877
Other income not declared elsewhere2018-01-31$2,090,494
Administrative expenses (other) incurred2018-01-31$658,223
Liabilities. Value of operating payables at end of year2018-01-31$176,910
Liabilities. Value of operating payables at beginning of year2018-01-31$118,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Value of net income/loss2018-01-31$9,685,769
Value of net assets at end of year (total assets less liabilities)2018-01-31$83,738,899
Value of net assets at beginning of year (total assets less liabilities)2018-01-31$74,053,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-01-31No
Were any leases to which the plan was party in default or uncollectible2018-01-31No
Investment advisory and management fees2018-01-31$234,201
Income. Interest from US Government securities2018-01-31$750,448
Income. Interest from corporate debt instruments2018-01-31$793,146
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-01-31$8,810,145
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-01-31$8,333,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-01-31$8,333,666
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-01-31$10,988
Expenses. Payments to insurance carriers foe the provision of benefits2018-01-31$31,033,296
Asset value of US Government securities at end of year2018-01-31$27,430,790
Asset value of US Government securities at beginning of year2018-01-31$29,811,825
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-01-31Yes
Was there a failure to transmit to the plan any participant contributions2018-01-31No
Has the plan failed to provide any benefit when due under the plan2018-01-31No
Contributions received in cash from employer2018-01-31$60,844,384
Employer contributions (assets) at end of year2018-01-31$5,551,000
Employer contributions (assets) at beginning of year2018-01-31$5,100,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-01-31$20,887,831
Asset. Corporate debt instrument debt (other) at end of year2018-01-31$45,744,932
Asset. Corporate debt instrument debt (other) at beginning of year2018-01-31$40,563,247
Contract administrator fees2018-01-31$727,479
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-01-31No
Liabilities. Value of benefit claims payable at end of year2018-01-31$2,926,000
Liabilities. Value of benefit claims payable at beginning of year2018-01-31$8,639,000
Did the plan have assets held for investment2018-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-01-31No
Aggregate proceeds on sale of assets2018-01-31$204,966,941
Aggregate carrying amount (costs) on sale of assets2018-01-31$205,262,915
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-01-31No
Opinion of an independent qualified public accountant for this plan2018-01-31Unqualified
Accountancy firm name2018-01-31LINDQUIST LLP
Accountancy firm EIN2018-01-31522385296
2017 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-01-31$-444,983
Total unrealized appreciation/depreciation of assets2017-01-31$-444,983
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-01-31$11,903,849
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-01-31$3,968,970
Total income from all sources (including contributions)2017-01-31$61,632,684
Total loss/gain on sale of assets2017-01-31$83,945
Total of all expenses incurred2017-01-31$62,595,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-31$60,608,754
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-31$59,823,749
Value of total assets at end of year2017-01-31$85,956,979
Value of total assets at beginning of year2017-01-31$78,984,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-01-31$1,986,568
Total interest from all sources2017-01-31$949,288
Total dividends received (eg from common stock, registered investment company shares)2017-01-31$23,962
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-01-31$23,962
Administrative expenses professional fees incurred2017-01-31$532,027
Was this plan covered by a fidelity bond2017-01-31Yes
Value of fidelity bond cover2017-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-01-31No
Contributions received from participants2017-01-31$28,612
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-01-31$2,148,241
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-01-31$372,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-01-31$3,145,877
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-01-31$698,441
Other income not declared elsewhere2017-01-31$979,885
Administrative expenses (other) incurred2017-01-31$533,088
Liabilities. Value of operating payables at end of year2017-01-31$118,972
Liabilities. Value of operating payables at beginning of year2017-01-31$114,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Value of net income/loss2017-01-31$-962,638
Value of net assets at end of year (total assets less liabilities)2017-01-31$74,053,130
Value of net assets at beginning of year (total assets less liabilities)2017-01-31$75,015,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-31No
Were any leases to which the plan was party in default or uncollectible2017-01-31No
Investment advisory and management fees2017-01-31$196,688
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-01-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-01-31$9,949,401
Income. Interest from US Government securities2017-01-31$345,271
Income. Interest from corporate debt instruments2017-01-31$604,017
Value of interest in common/collective trusts at end of year2017-01-31$0
Value of interest in common/collective trusts at beginning of year2017-01-31$40,825,301
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-01-31$8,333,666
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-01-31$8,874,167
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-01-31$8,874,167
Expenses. Payments to insurance carriers foe the provision of benefits2017-01-31$30,113,389
Asset value of US Government securities at end of year2017-01-31$29,811,825
Asset value of US Government securities at beginning of year2017-01-31$5,026,804
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-01-31$19,442
Net investment gain or loss from common/collective trusts2017-01-31$197,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-31Yes
Was there a failure to transmit to the plan any participant contributions2017-01-31No
Has the plan failed to provide any benefit when due under the plan2017-01-31No
Contributions received in cash from employer2017-01-31$59,795,137
Employer contributions (assets) at end of year2017-01-31$5,100,000
Employer contributions (assets) at beginning of year2017-01-31$5,505,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-01-31$30,495,365
Asset. Corporate debt instrument debt (other) at end of year2017-01-31$40,563,247
Asset. Corporate debt instrument debt (other) at beginning of year2017-01-31$8,431,765
Contract administrator fees2017-01-31$724,765
Liabilities. Value of benefit claims payable at end of year2017-01-31$8,639,000
Liabilities. Value of benefit claims payable at beginning of year2017-01-31$3,156,500
Did the plan have assets held for investment2017-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-31No
Aggregate proceeds on sale of assets2017-01-31$253,984,595
Aggregate carrying amount (costs) on sale of assets2017-01-31$253,900,650
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-01-31No
Opinion of an independent qualified public accountant for this plan2017-01-31Unqualified
Accountancy firm name2017-01-31LINDQUIST LLP
Accountancy firm EIN2017-01-31522385296
2016 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-01-31$-386,793
Total unrealized appreciation/depreciation of assets2016-01-31$-386,793
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$3,968,970
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$8,137,845
Total income from all sources (including contributions)2016-01-31$60,528,017
Total loss/gain on sale of assets2016-01-31$-50,210
Total of all expenses incurred2016-01-31$55,856,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$53,795,871
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$57,448,903
Value of total assets at end of year2016-01-31$78,984,738
Value of total assets at beginning of year2016-01-31$78,482,102
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-31$2,060,635
Total interest from all sources2016-01-31$327,685
Total dividends received (eg from common stock, registered investment company shares)2016-01-31$267,970
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-01-31$267,970
Administrative expenses professional fees incurred2016-01-31$516,302
Was this plan covered by a fidelity bond2016-01-31Yes
Value of fidelity bond cover2016-01-31$500,000
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Contributions received from participants2016-01-31$37,886
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-01-31$372,300
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-01-31$706,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-01-31$698,441
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-01-31$820,699
Other income not declared elsewhere2016-01-31$2,919,246
Administrative expenses (other) incurred2016-01-31$623,654
Liabilities. Value of operating payables at end of year2016-01-31$114,029
Liabilities. Value of operating payables at beginning of year2016-01-31$137,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$4,671,511
Value of net assets at end of year (total assets less liabilities)2016-01-31$75,015,768
Value of net assets at beginning of year (total assets less liabilities)2016-01-31$70,344,257
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Investment advisory and management fees2016-01-31$228,790
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-01-31$9,949,401
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-01-31$9,104,007
Income. Interest from US Government securities2016-01-31$86,716
Income. Interest from corporate debt instruments2016-01-31$240,967
Value of interest in common/collective trusts at end of year2016-01-31$40,825,301
Value of interest in common/collective trusts at beginning of year2016-01-31$40,779,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-01-31$8,874,167
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-01-31$8,266,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-01-31$8,266,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-01-31$2
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-31$30,299,577
Asset value of US Government securities at end of year2016-01-31$5,026,804
Asset value of US Government securities at beginning of year2016-01-31$5,696,580
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-01-31$-189,001
Net investment gain or loss from common/collective trusts2016-01-31$190,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Contributions received in cash from employer2016-01-31$57,411,017
Employer contributions (assets) at end of year2016-01-31$5,505,000
Employer contributions (assets) at beginning of year2016-01-31$5,278,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-01-31$23,496,294
Asset. Corporate debt instrument debt (other) at end of year2016-01-31$8,431,765
Asset. Corporate debt instrument debt (other) at beginning of year2016-01-31$8,651,061
Contract administrator fees2016-01-31$691,889
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-01-31No
Liabilities. Value of benefit claims payable at end of year2016-01-31$3,156,500
Liabilities. Value of benefit claims payable at beginning of year2016-01-31$7,179,600
Did the plan have assets held for investment2016-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Aggregate proceeds on sale of assets2016-01-31$5,955,246
Aggregate carrying amount (costs) on sale of assets2016-01-31$6,005,456
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Unqualified
Accountancy firm name2016-01-31LINDQUIST LLP
Accountancy firm EIN2016-01-31522385296
2015 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-01-31$216,847
Total unrealized appreciation/depreciation of assets2015-01-31$216,847
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$8,137,845
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$5,351,214
Total income from all sources (including contributions)2015-01-31$59,160,395
Total loss/gain on sale of assets2015-01-31$10,531
Total of all expenses incurred2015-01-31$58,394,984
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$56,294,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$55,734,764
Value of total assets at end of year2015-01-31$78,482,102
Value of total assets at beginning of year2015-01-31$74,930,060
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$2,100,272
Total interest from all sources2015-01-31$327,968
Total dividends received (eg from common stock, registered investment company shares)2015-01-31$276,115
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-01-31$276,115
Administrative expenses professional fees incurred2015-01-31$515,516
Was this plan covered by a fidelity bond2015-01-31Yes
Value of fidelity bond cover2015-01-31$500,000
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$164,890
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-01-31$706,507
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-01-31$214,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-01-31$820,699
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-01-31$689,049
Other income not declared elsewhere2015-01-31$1,806,967
Administrative expenses (other) incurred2015-01-31$675,181
Liabilities. Value of operating payables at end of year2015-01-31$137,546
Liabilities. Value of operating payables at beginning of year2015-01-31$147,165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net income/loss2015-01-31$765,411
Value of net assets at end of year (total assets less liabilities)2015-01-31$70,344,257
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$69,578,846
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Investment advisory and management fees2015-01-31$230,182
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-01-31$9,104,007
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-01-31$8,529,873
Income. Interest from US Government securities2015-01-31$54,521
Income. Interest from corporate debt instruments2015-01-31$273,442
Value of interest in common/collective trusts at end of year2015-01-31$40,779,107
Value of interest in common/collective trusts at beginning of year2015-01-31$42,550,555
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-01-31$8,266,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-01-31$5,726,111
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-01-31$5,726,111
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-01-31$5
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$29,764,454
Asset value of US Government securities at end of year2015-01-31$5,696,580
Asset value of US Government securities at beginning of year2015-01-31$5,892,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-01-31$209,130
Net investment gain or loss from common/collective trusts2015-01-31$578,073
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31No
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$55,569,874
Employer contributions (assets) at end of year2015-01-31$5,278,000
Employer contributions (assets) at beginning of year2015-01-31$4,460,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$26,530,258
Asset. Corporate debt instrument debt (other) at end of year2015-01-31$8,651,061
Asset. Corporate debt instrument debt (other) at beginning of year2015-01-31$7,556,720
Contract administrator fees2015-01-31$679,393
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-01-31No
Liabilities. Value of benefit claims payable at end of year2015-01-31$7,179,600
Liabilities. Value of benefit claims payable at beginning of year2015-01-31$4,515,000
Did the plan have assets held for investment2015-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Aggregate proceeds on sale of assets2015-01-31$6,439,205
Aggregate carrying amount (costs) on sale of assets2015-01-31$6,428,674
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31LINDQUIST LLP
Accountancy firm EIN2015-01-31522385296
2014 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-01-31$-140,187
Total unrealized appreciation/depreciation of assets2014-01-31$-140,187
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$5,351,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$4,618,848
Total income from all sources (including contributions)2014-01-31$57,812,674
Total loss/gain on sale of assets2014-01-31$-49,179
Total of all expenses incurred2014-01-31$61,697,732
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$59,763,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$55,573,204
Value of total assets at end of year2014-01-31$74,930,060
Value of total assets at beginning of year2014-01-31$78,082,752
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-01-31$1,933,875
Total interest from all sources2014-01-31$283,831
Total dividends received (eg from common stock, registered investment company shares)2014-01-31$336,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-01-31$336,983
Administrative expenses professional fees incurred2014-01-31$471,298
Was this plan covered by a fidelity bond2014-01-31Yes
Value of fidelity bond cover2014-01-31$500,000
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Contributions received from participants2014-01-31$453,600
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-01-31$214,676
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-01-31$208,959
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-01-31$689,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-01-31$529,075
Other income not declared elsewhere2014-01-31$1,606,888
Administrative expenses (other) incurred2014-01-31$514,250
Liabilities. Value of operating payables at end of year2014-01-31$147,165
Liabilities. Value of operating payables at beginning of year2014-01-31$158,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$-3,885,058
Value of net assets at end of year (total assets less liabilities)2014-01-31$69,578,846
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$73,463,904
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Investment advisory and management fees2014-01-31$235,489
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-01-31$8,529,873
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-01-31$10,896,130
Income. Interest from US Government securities2014-01-31$87,604
Income. Interest from corporate debt instruments2014-01-31$196,223
Value of interest in common/collective trusts at end of year2014-01-31$42,550,555
Value of interest in common/collective trusts at beginning of year2014-01-31$45,234,476
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-01-31$5,726,111
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-01-31$5,406,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-01-31$5,406,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-01-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2014-01-31$31,229,120
Asset value of US Government securities at end of year2014-01-31$5,892,125
Asset value of US Government securities at beginning of year2014-01-31$6,579,495
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-01-31$-269,340
Net investment gain or loss from common/collective trusts2014-01-31$470,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31Yes
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Contributions received in cash from employer2014-01-31$55,119,604
Employer contributions (assets) at end of year2014-01-31$4,460,000
Employer contributions (assets) at beginning of year2014-01-31$4,975,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-01-31$28,534,737
Asset. Corporate debt instrument debt (other) at end of year2014-01-31$7,556,720
Asset. Corporate debt instrument debt (other) at beginning of year2014-01-31$4,781,785
Contract administrator fees2014-01-31$712,838
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-01-31No
Liabilities. Value of benefit claims payable at end of year2014-01-31$4,515,000
Liabilities. Value of benefit claims payable at beginning of year2014-01-31$3,931,100
Did the plan have assets held for investment2014-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Aggregate proceeds on sale of assets2014-01-31$7,570,416
Aggregate carrying amount (costs) on sale of assets2014-01-31$7,619,595
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31No
Opinion of an independent qualified public accountant for this plan2014-01-31Unqualified
Accountancy firm name2014-01-31LINDQUIST LLP
Accountancy firm EIN2014-01-31522385296
2013 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-01-31$30,893
Total unrealized appreciation/depreciation of assets2013-01-31$30,893
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$4,618,848
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$6,116,487
Total income from all sources (including contributions)2013-01-31$59,456,361
Total loss/gain on sale of assets2013-01-31$-32,475
Total of all expenses incurred2013-01-31$61,365,646
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$59,340,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$57,552,389
Value of total assets at end of year2013-01-31$78,082,752
Value of total assets at beginning of year2013-01-31$81,489,676
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-01-31$2,024,904
Total interest from all sources2013-01-31$254,762
Total dividends received (eg from common stock, registered investment company shares)2013-01-31$426,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-01-31$426,309
Administrative expenses professional fees incurred2013-01-31$522,435
Was this plan covered by a fidelity bond2013-01-31Yes
Value of fidelity bond cover2013-01-31$500,000
If this is an individual account plan, was there a blackout period2013-01-31No
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Contributions received from participants2013-01-31$528,956
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-01-31$208,959
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-01-31$414,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-01-31$529,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-01-31$344,747
Other income not declared elsewhere2013-01-31$328,201
Administrative expenses (other) incurred2013-01-31$536,557
Liabilities. Value of operating payables at end of year2013-01-31$158,673
Liabilities. Value of operating payables at beginning of year2013-01-31$145,740
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$-1,909,285
Value of net assets at end of year (total assets less liabilities)2013-01-31$73,463,904
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$75,373,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Investment advisory and management fees2013-01-31$234,450
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-01-31$10,896,130
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-01-31$11,649,021
Income. Interest from US Government securities2013-01-31$125,259
Income. Interest from corporate debt instruments2013-01-31$129,109
Value of interest in common/collective trusts at end of year2013-01-31$45,234,476
Value of interest in common/collective trusts at beginning of year2013-01-31$50,375,375
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-01-31$5,406,907
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-01-31$4,323,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-01-31$4,323,460
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-01-31$394
Expenses. Payments to insurance carriers foe the provision of benefits2013-01-31$34,999,120
Asset value of US Government securities at end of year2013-01-31$6,579,495
Asset value of US Government securities at beginning of year2013-01-31$6,669,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-01-31$-134,824
Net investment gain or loss from common/collective trusts2013-01-31$1,031,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31Yes
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Contributions received in cash from employer2013-01-31$57,023,433
Employer contributions (assets) at end of year2013-01-31$4,975,000
Employer contributions (assets) at beginning of year2013-01-31$4,860,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-01-31$24,341,622
Asset. Corporate debt instrument debt (other) at end of year2013-01-31$4,781,785
Asset. Corporate debt instrument debt (other) at beginning of year2013-01-31$3,197,723
Contract administrator fees2013-01-31$731,462
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-01-31No
Liabilities. Value of benefit claims payable at end of year2013-01-31$3,931,100
Liabilities. Value of benefit claims payable at beginning of year2013-01-31$5,626,000
Did the plan have assets held for investment2013-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Aggregate proceeds on sale of assets2013-01-31$15,486,235
Aggregate carrying amount (costs) on sale of assets2013-01-31$15,518,710
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31No
Opinion of an independent qualified public accountant for this plan2013-01-31Unqualified
Accountancy firm name2013-01-31LINDQUIST LLP
Accountancy firm EIN2013-01-31522385296
2012 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-01-31$131,521
Total unrealized appreciation/depreciation of assets2012-01-31$131,521
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$6,116,487
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$12,912,782
Total income from all sources (including contributions)2012-01-31$59,030,460
Total loss/gain on sale of assets2012-01-31$110,047
Total of all expenses incurred2012-01-31$51,562,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$49,641,256
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$56,694,533
Value of total assets at end of year2012-01-31$81,489,676
Value of total assets at beginning of year2012-01-31$80,818,209
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$1,921,442
Total interest from all sources2012-01-31$343,171
Total dividends received (eg from common stock, registered investment company shares)2012-01-31$418,327
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-01-31$418,327
Administrative expenses professional fees incurred2012-01-31$509,125
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$500,000
If this is an individual account plan, was there a blackout period2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$272,820
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-31$414,998
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-31$465,237
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-01-31$344,747
Other income not declared elsewhere2012-01-31$255,713
Administrative expenses (other) incurred2012-01-31$434,887
Liabilities. Value of operating payables at end of year2012-01-31$145,740
Liabilities. Value of operating payables at beginning of year2012-01-31$166,286
Total non interest bearing cash at beginning of year2012-01-31$-281,623
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$7,467,762
Value of net assets at end of year (total assets less liabilities)2012-01-31$75,373,189
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$67,905,427
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Investment advisory and management fees2012-01-31$239,370
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-01-31$11,649,021
Income. Interest from US Government securities2012-01-31$215,550
Income. Interest from corporate debt instruments2012-01-31$127,601
Value of interest in common/collective trusts at end of year2012-01-31$50,375,375
Value of interest in common/collective trusts at beginning of year2012-01-31$46,928,192
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-01-31$4,323,460
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-01-31$8,222,087
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-01-31$8,222,087
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-01-31$20
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-31$33,444,381
Asset value of US Government securities at end of year2012-01-31$6,669,099
Asset value of US Government securities at beginning of year2012-01-31$17,141,996
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-01-31$50,679
Net investment gain or loss from common/collective trusts2012-01-31$1,026,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31Yes
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Contributions received in cash from employer2012-01-31$56,421,713
Employer contributions (assets) at end of year2012-01-31$4,860,000
Employer contributions (assets) at beginning of year2012-01-31$5,000,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$16,196,875
Asset. Corporate debt instrument debt (other) at end of year2012-01-31$3,197,723
Asset. Corporate debt instrument debt (other) at beginning of year2012-01-31$3,342,320
Contract administrator fees2012-01-31$738,060
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-01-31No
Liabilities. Value of benefit claims payable at end of year2012-01-31$5,626,000
Liabilities. Value of benefit claims payable at beginning of year2012-01-31$12,746,496
Did the plan have assets held for investment2012-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Aggregate proceeds on sale of assets2012-01-31$35,451,950
Aggregate carrying amount (costs) on sale of assets2012-01-31$35,341,903
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31LINDQUIST LLP
Accountancy firm EIN2012-01-31522385296
2011 : PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-01-31$-572,480
Total unrealized appreciation/depreciation of assets2011-01-31$-572,480
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$12,912,782
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$12,298,075
Total income from all sources (including contributions)2011-01-31$57,817,161
Total loss/gain on sale of assets2011-01-31$225,878
Total of all expenses incurred2011-01-31$54,521,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$52,601,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$55,837,909
Value of total assets at end of year2011-01-31$80,818,209
Value of total assets at beginning of year2011-01-31$76,908,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$1,919,927
Total interest from all sources2011-01-31$629,793
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Administrative expenses professional fees incurred2011-01-31$499,985
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$273,530
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-01-31$465,237
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-01-31$1,491,257
Other income not declared elsewhere2011-01-31$210,767
Administrative expenses (other) incurred2011-01-31$464,870
Liabilities. Value of operating payables at end of year2011-01-31$166,286
Liabilities. Value of operating payables at beginning of year2011-01-31$240,220
Total non interest bearing cash at end of year2011-01-31$-281,623
Total non interest bearing cash at beginning of year2011-01-31$-349,217
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$3,295,279
Value of net assets at end of year (total assets less liabilities)2011-01-31$67,905,427
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$64,610,148
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Investment advisory and management fees2011-01-31$234,089
Income. Interest from US Government securities2011-01-31$402,625
Income. Interest from corporate debt instruments2011-01-31$226,427
Value of interest in common/collective trusts at end of year2011-01-31$46,928,192
Value of interest in common/collective trusts at beginning of year2011-01-31$45,703,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-01-31$8,222,087
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-01-31$6,850,714
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-01-31$6,850,714
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-01-31$741
Expenses. Payments to insurance carriers foe the provision of benefits2011-01-31$34,155,931
Asset value of US Government securities at end of year2011-01-31$17,141,996
Asset value of US Government securities at beginning of year2011-01-31$12,727,611
Net investment gain or loss from common/collective trusts2011-01-31$1,485,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31Yes
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Contributions received in cash from employer2011-01-31$55,564,379
Employer contributions (assets) at end of year2011-01-31$5,000,000
Employer contributions (assets) at beginning of year2011-01-31$4,400,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$18,446,024
Asset. Corporate debt instrument debt (other) at end of year2011-01-31$3,342,320
Asset. Corporate debt instrument debt (other) at beginning of year2011-01-31$6,084,590
Contract administrator fees2011-01-31$720,983
Liabilities. Value of benefit claims payable at end of year2011-01-31$12,746,496
Liabilities. Value of benefit claims payable at beginning of year2011-01-31$12,057,855
Did the plan have assets held for investment2011-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Aggregate proceeds on sale of assets2011-01-31$66,068,399
Aggregate carrying amount (costs) on sale of assets2011-01-31$65,842,521
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31No
Opinion of an independent qualified public accountant for this plan2011-01-31Unqualified
Accountancy firm name2011-01-31MILLER, KAPLAN, ARASE & CO., LLP
Accountancy firm EIN2011-01-31952036255

Form 5500 Responses for PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND

2022: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-02-01Type of plan entityMulti-employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planYes
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement - TrustYes
2021: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-02-01Type of plan entityMulti-employer plan
2021-02-01Submission has been amendedYes
2021-02-01Plan is a collectively bargained planYes
2021-02-01Plan funding arrangement – TrustYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement - TrustYes
2020: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-02-01Type of plan entityMulti-employer plan
2020-02-01Plan is a collectively bargained planYes
2020-02-01Plan funding arrangement – TrustYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement - TrustYes
2019: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-02-01Type of plan entityMulti-employer plan
2019-02-01Plan is a collectively bargained planYes
2019-02-01Plan funding arrangement – TrustYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement - TrustYes
2018: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-02-01Type of plan entityMulti-employer plan
2018-02-01Plan is a collectively bargained planYes
2018-02-01Plan funding arrangement – TrustYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement - TrustYes
2017: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-02-01Type of plan entityMulti-employer plan
2017-02-01Plan is a collectively bargained planYes
2017-02-01Plan funding arrangement – TrustYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement - TrustYes
2016: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-02-01Type of plan entityMulti-employer plan
2016-02-01Plan is a collectively bargained planYes
2016-02-01Plan funding arrangement – TrustYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement - TrustYes
2015: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-02-01Type of plan entityMulti-employer plan
2015-02-01Plan is a collectively bargained planYes
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement - TrustYes
2014: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-02-01Type of plan entityMulti-employer plan
2014-02-01Plan is a collectively bargained planYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement - TrustYes
2013: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-02-01Type of plan entityMulti-employer plan
2013-02-01Plan is a collectively bargained planYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-02-01Type of plan entityMulti-employer plan
2012-02-01Plan is a collectively bargained planYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2011: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-02-01Type of plan entityMulti-employer plan
2011-02-01Plan is a collectively bargained planYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2009: PRINTING SPECIALITIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-02-01Type of plan entityMulti-employer plan
2009-02-01Plan is a collectively bargained planYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2497
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $25,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 2
Insurance contract or identification number22327
Number of Individuals Covered178
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,255,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 3
Insurance contract or identification number1753
Number of Individuals Covered236
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,524,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 4
Insurance contract or identification number0904100
Number of Individuals Covered393
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,881,113
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 number45
Policy instance 5
Insurance contract or identification number45
Number of Individuals Covered411
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,003,011
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 number100999
Policy instance 6
Insurance contract or identification number100999
Number of Individuals Covered725
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,675,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 7
Insurance contract or identification numberFLX200024
Number of Individuals Covered2903
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $67,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 8
Insurance contract or identification numberOK200010
Number of Individuals Covered2903
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number64327-1
Policy instance 9
Insurance contract or identification number64327-1
Number of Individuals Covered1469
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,411,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 10
Insurance contract or identification number0141940
Number of Individuals Covered570
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $77,489
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 number0711797
Policy instance 11
Insurance contract or identification number0711797
Number of Individuals Covered237
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $158,939
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 number0742237
Policy instance 12
Insurance contract or identification number0742237
Number of Individuals Covered75
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $57,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered390
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
Welfare Benefit Premiums Paid to CarrierUSD $76,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number64327-1
Policy instance 6
Insurance contract or identification number64327-1
Number of Individuals Covered1357
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,283,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered2925
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered2925
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
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 $81,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered510
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,889,354
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered248
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
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 $173,003
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered2153
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,576,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2525
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
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 $25,471
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 number0742237
Policy instance 12
Insurance contract or identification number0742237
Number of Individuals Covered72
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,979,567
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered256
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,542,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered198
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,304,787
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1392
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,820,077
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered234
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,266,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered2978
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number64327-1
Policy instance 6
Insurance contract or identification number64327-1
Number of Individuals Covered1318
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,241,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2506
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
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 $26,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered2978
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
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 $36,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered579
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 $79,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered211
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,347,911
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1473
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,215,259
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered2276
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,702,880
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 number0742237
Policy instance 12
Insurance contract or identification number0742237
Number of Individuals Covered82
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,879,045
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered275
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
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 $184,472
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered508
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,273,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered3112
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
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 $87,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered230
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,390,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered243
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,551,061
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1506
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,658,982
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 number0742237
Policy instance 12
Insurance contract or identification number0742237
Number of Individuals Covered87
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,905,323
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered2306
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,046,774
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered282
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
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 $181,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2395
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
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 $26,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered549
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,228,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number64327-1
Policy instance 6
Insurance contract or identification number64327-1
Number of Individuals Covered1363
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $2,169,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered3112
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $14,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered621
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 $80,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered531
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,125,920
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 number0742237
Policy instance 12
Insurance contract or identification number0742237
Number of Individuals Covered87
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,951,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered250
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,419,890
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1515
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,885,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2482
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
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 $26,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number64327-1
Policy instance 6
Insurance contract or identification number64327-1
Number of Individuals Covered1357
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,972,823
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered302
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
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 $179,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered392
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 $81,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered3217
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,226
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered2276
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,906,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered244
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,556,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered3217
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
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 $61,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered666
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
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 $90,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2584
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
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 $27,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered489
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,683,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered4835
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
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 $167,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered4835
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $24,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 6
Insurance contract or identification numberEXRK
Number of Individuals Covered1362
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,515,405
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered86
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
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 $188,504
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered2560
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,714,923
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1711
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,605,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered250
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,155,747
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered275
Insurance policy start date2016-04-01
Insurance policy end date2017-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,356,011
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 number0742237
Policy instance 12
Insurance contract or identification number0742237
Number of Individuals Covered88
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,818,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered262
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,237,237
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 number0742237
Policy instance 13
Insurance contract or identification number0742237
Number of Individuals Covered97
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,815,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered798
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 $105,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 6
Insurance contract or identification numberEXRK
Number of Individuals Covered1387
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINDIVIDUAL EXCESS RISK
Welfare Benefit Premiums Paid to CarrierUSD $886,372
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered3076
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,800,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered102
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered3263
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
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 $90,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered522
Insurance policy start date2015-04-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,033,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2749
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
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 $28,007
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1749
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,596,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered201
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $983,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number4378
Policy instance 12
Insurance contract or identification number4378
Number of Individuals Covered1289
Insurance policy start date2015-02-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,806
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered315
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
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 $170,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number4378
Policy instance 12
Insurance contract or identification number4378
Number of Individuals Covered1467
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered488
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,239,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2636
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,327
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 number0742237
Policy instance 13
Insurance contract or identification number0742237
Number of Individuals Covered102
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,847,981
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered3066
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,382,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered243
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,155,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered3528
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered3528
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered204
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $970,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 6
Insurance contract or identification numberEXRK
Number of Individuals Covered1467
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedINDIVIDUAL EXCESS RISK
Welfare Benefit Premiums Paid to CarrierUSD $635,613
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered323
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,866
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered1887
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,826,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered804
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,225
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered2724
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered3593
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered3593
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $15,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered819
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,928
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 6
Insurance contract or identification numberEXRK
Number of Individuals Covered1445
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedINDIVIDUAL EXCESS RISK
Welfare Benefit Premiums Paid to CarrierUSD $590,929
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered3640
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,452,217
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered195
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $867,720
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered361
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $217,536
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered2375
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,351,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered229
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $992,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number4378
Policy instance 12
Insurance contract or identification number4378
Number of Individuals Covered3502
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedINTEGRATED PLAN
Welfare Benefit Premiums Paid to CarrierUSD $155,925
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 number0742237
Policy instance 13
Insurance contract or identification number0742237
Number of Individuals Covered107
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,787,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered509
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,368,908
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered571
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,293,870
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 number0742237
Policy instance 13
Insurance contract or identification number0742237
Number of Individuals Covered300
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,321,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered4131
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $76,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered107
Insurance policy start date2011-12-01
Insurance policy end date2012-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 6
Insurance contract or identification numberEXRK
Number of Individuals Covered1644
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedINDIVIDUAL EXCESS RISK
Welfare Benefit Premiums Paid to CarrierUSD $594,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered990
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $118,929
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered3963
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,310,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered3319
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,074
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered429
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,556
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered2400
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,106,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEAP
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered188
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $785,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered227
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $980,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number4378
Policy instance 12
Insurance contract or identification number4378
Number of Individuals Covered4222
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedINTEGRATED PLAN
Welfare Benefit Premiums Paid to CarrierUSD $169,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 11
Insurance contract or identification number1753
Number of Individuals Covered230
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $965,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 10
Insurance contract or identification number22327
Number of Individuals Covered196
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $776,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK200010
Policy instance 4
Insurance contract or identification numberOK200010
Number of Individuals Covered4353
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX200024
Policy instance 3
Insurance contract or identification numberFLX200024
Number of Individuals Covered4353
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $79,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 5
Insurance contract or identification number0141940
Number of Individuals Covered780
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $146,955
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 6
Insurance contract or identification numberEXRK
Number of Individuals Covered1664
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $556,296
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 number0711797
Policy instance 7
Insurance contract or identification number0711797
Number of Individuals Covered443
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $242,507
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 number100999
Policy instance 8
Insurance contract or identification number100999
Number of Individuals Covered3812
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,296,594
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered2440
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,925,353
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF OREGON, INC. (National Association of Insurance Commissioners NAIC id number: 95893 )
Policy contract number001540
Policy instance 12
Insurance contract or identification number001540
Number of Individuals Covered0
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $442,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number803692
Policy instance 13
Insurance contract or identification number803692
Number of Individuals Covered0
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $1,241,946
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number4378
Policy instance 14
Insurance contract or identification number4378
Number of Individuals Covered4248
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedINTEGRATED PLAN
Welfare Benefit Premiums Paid to CarrierUSD $181,892
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 number0742237
Policy instance 15
Insurance contract or identification number0742237
Number of Individuals Covered325
Insurance policy start date2011-06-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,343,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 2
Insurance contract or identification number0904100
Number of Individuals Covered333
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,179,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 1
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered3319
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number780025
Policy instance 14
Insurance contract or identification number780025
Number of Individuals Covered4525
Insurance policy start date2010-02-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $81,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract number0141940
Policy instance 3
Insurance contract or identification number0141940
Number of Individuals Covered1428
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 $169,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF OREGON, INC. (National Association of Insurance Commissioners NAIC id number: 95893 )
Policy contract number001540
Policy instance 4
Insurance contract or identification number001540
Number of Individuals Covered107
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,348,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE OF WASHINGTON, INC. (National Association of Insurance Commissioners NAIC id number: 48038 )
Policy contract number803692
Policy instance 5
Insurance contract or identification number803692
Number of Individuals Covered251
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,324,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number0904100
Policy instance 7
Insurance contract or identification number0904100
Number of Individuals Covered326
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,035,335
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 number45
Policy instance 9
Insurance contract or identification number45
Number of Individuals Covered2507
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,948,403
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 number00797500
Policy instance 2
Insurance contract or identification number00797500
Number of Individuals Covered4518
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
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 $796,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CAREINGTON INTERNATIONAL CORPORATION (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberPRINTSPEC
Policy instance 8
Insurance contract or identification numberPRINTSPEC
Number of Individuals Covered3535
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
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 $36,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MHN SERVICES (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract number4378
Policy instance 10
Insurance contract or identification number4378
Number of Individuals Covered4724
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINTEGRATED PLAN PREMIUMS
Welfare Benefit Premiums Paid to CarrierUSD $185,810
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 number711797
Policy instance 11
Insurance contract or identification number711797
Number of Individuals Covered397
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST (National Association of Insurance Commissioners NAIC id number: 95540 )
Policy contract number1753
Policy instance 12
Insurance contract or identification number1753
Number of Individuals Covered227
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $844,156
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 number100999
Policy instance 6
Insurance contract or identification number100999
Number of Individuals Covered4028
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,762,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF COLORADO (National Association of Insurance Commissioners NAIC id number: 95669 )
Policy contract number22327
Policy instance 13
Insurance contract or identification number22327
Number of Individuals Covered196
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $637,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number64327-1
Policy instance 1
Insurance contract or identification number64327-1
Number of Individuals Covered1878
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedINDIVIDUAL EXCESS RISK
Welfare Benefit Premiums Paid to CarrierUSD $416,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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