BOARD OF TRUSTEES OF OPERATING ENGINEERS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan OPERATING ENGINEERS LOCAL 501 SECURITY FUND
| Measure | Date | Value |
|---|
| 2022 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-09-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-09-30 | $6,005,759 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-09-30 | $5,618,917 |
| Total income from all sources (including contributions) | 2022-09-30 | $45,042,350 |
| Total loss/gain on sale of assets | 2022-09-30 | $0 |
| Total of all expenses incurred | 2022-09-30 | $47,817,090 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-09-30 | $45,236,497 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-09-30 | $53,449,530 |
| Value of total assets at end of year | 2022-09-30 | $102,185,036 |
| Value of total assets at beginning of year | 2022-09-30 | $104,572,934 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-09-30 | $2,580,593 |
| Total interest from all sources | 2022-09-30 | $1,687,335 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-09-30 | $147,062 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-09-30 | $147,062 |
| Administrative expenses professional fees incurred | 2022-09-30 | $463,243 |
| Was this plan covered by a fidelity bond | 2022-09-30 | Yes |
| Value of fidelity bond cover | 2022-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-09-30 | No |
| Contributions received from participants | 2022-09-30 | $2,189,815 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-09-30 | $1,346,807 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-09-30 | $1,867,260 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-09-30 | $3,940,070 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-09-30 | $3,680,450 |
| Other income not declared elsewhere | 2022-09-30 | $1,815,076 |
| Administrative expenses (other) incurred | 2022-09-30 | $230,678 |
| Liabilities. Value of operating payables at end of year | 2022-09-30 | $119,089 |
| Liabilities. Value of operating payables at beginning of year | 2022-09-30 | $53,867 |
| Total non interest bearing cash at end of year | 2022-09-30 | $19,214,997 |
| Total non interest bearing cash at beginning of year | 2022-09-30 | $14,421,460 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-09-30 | No |
| Value of net income/loss | 2022-09-30 | $-2,774,740 |
| Value of net assets at end of year (total assets less liabilities) | 2022-09-30 | $96,179,277 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-09-30 | $98,954,017 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-09-30 | No |
| Investment advisory and management fees | 2022-09-30 | $209,614 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-09-30 | $28,402,467 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-09-30 | $31,531,663 |
| Income. Interest from corporate debt instruments | 2022-09-30 | $1,653,736 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-09-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-09-30 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-09-30 | $33,599 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-09-30 | $24,644,936 |
| Asset value of US Government securities at end of year | 2022-09-30 | $4,806,280 |
| Asset value of US Government securities at beginning of year | 2022-09-30 | $1,869,864 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-09-30 | $-12,056,653 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-09-30 | No |
| Contributions received in cash from employer | 2022-09-30 | $51,259,715 |
| Employer contributions (assets) at end of year | 2022-09-30 | $4,590,590 |
| Employer contributions (assets) at beginning of year | 2022-09-30 | $4,216,646 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-09-30 | $20,591,561 |
| Asset. Corporate debt instrument preferred debt at end of year | 2022-09-30 | $43,823,895 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2022-09-30 | $50,666,041 |
| Contract administrator fees | 2022-09-30 | $1,677,058 |
| Liabilities. Value of benefit claims payable at end of year | 2022-09-30 | $1,946,600 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-09-30 | $1,884,600 |
| Did the plan have assets held for investment | 2022-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-09-30 | Unqualified |
| Accountancy firm name | 2022-09-30 | WITHUMSMITH+BROWN, PC |
| Accountancy firm EIN | 2022-09-30 | 222027092 |
| 2021 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-09-30 | $1,341,729 |
| Total unrealized appreciation/depreciation of assets | 2021-09-30 | $1,341,729 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-09-30 | $5,618,917 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-09-30 | $4,655,830 |
| Total income from all sources (including contributions) | 2021-09-30 | $53,898,983 |
| Total of all expenses incurred | 2021-09-30 | $42,059,128 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-09-30 | $39,867,490 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-09-30 | $45,736,051 |
| Value of total assets at end of year | 2021-09-30 | $104,572,934 |
| Value of total assets at beginning of year | 2021-09-30 | $91,769,992 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-09-30 | $2,191,638 |
| Total interest from all sources | 2021-09-30 | $1,050,875 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-09-30 | $1,022,473 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-09-30 | $1,022,473 |
| Administrative expenses professional fees incurred | 2021-09-30 | $461,803 |
| Was this plan covered by a fidelity bond | 2021-09-30 | Yes |
| Value of fidelity bond cover | 2021-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-09-30 | No |
| Contributions received from participants | 2021-09-30 | $2,438,081 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-09-30 | $1,867,260 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-09-30 | $1,202,475 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-09-30 | $3,680,450 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-09-30 | $2,362,639 |
| Other income not declared elsewhere | 2021-09-30 | $2,286,482 |
| Administrative expenses (other) incurred | 2021-09-30 | $178,369 |
| Liabilities. Value of operating payables at end of year | 2021-09-30 | $53,867 |
| Liabilities. Value of operating payables at beginning of year | 2021-09-30 | $6,791 |
| Total non interest bearing cash at end of year | 2021-09-30 | $14,421,460 |
| Total non interest bearing cash at beginning of year | 2021-09-30 | $12,150,356 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-09-30 | No |
| Value of net income/loss | 2021-09-30 | $11,839,855 |
| Value of net assets at end of year (total assets less liabilities) | 2021-09-30 | $98,954,017 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-09-30 | $87,114,162 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-09-30 | No |
| Investment advisory and management fees | 2021-09-30 | $140,358 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-09-30 | $31,531,663 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-09-30 | $24,324,709 |
| Income. Interest from US Government securities | 2021-09-30 | $0 |
| Income. Interest from corporate debt instruments | 2021-09-30 | $1,043,548 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-09-30 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-09-30 | $7,046,656 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-09-30 | $7,046,656 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-09-30 | $7,327 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-09-30 | $22,242,315 |
| Asset value of US Government securities at end of year | 2021-09-30 | $1,869,864 |
| Asset value of US Government securities at beginning of year | 2021-09-30 | $2,318,979 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-09-30 | $2,461,373 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-09-30 | No |
| Contributions received in cash from employer | 2021-09-30 | $43,297,970 |
| Employer contributions (assets) at end of year | 2021-09-30 | $4,216,646 |
| Employer contributions (assets) at beginning of year | 2021-09-30 | $3,318,296 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-09-30 | $17,625,175 |
| Asset. Corporate debt instrument preferred debt at end of year | 2021-09-30 | $50,666,041 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2021-09-30 | $41,408,521 |
| Contract administrator fees | 2021-09-30 | $1,411,108 |
| Liabilities. Value of benefit claims payable at end of year | 2021-09-30 | $1,884,600 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-09-30 | $2,286,400 |
| Did the plan have assets held for investment | 2021-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-09-30 | Unqualified |
| Accountancy firm name | 2021-09-30 | WITHUMSMITH+BROWN, PC |
| Accountancy firm EIN | 2021-09-30 | 222027092 |
| 2020 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-09-30 | $2,075,974 |
| Total unrealized appreciation/depreciation of assets | 2020-09-30 | $2,075,974 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-09-30 | $4,655,830 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-09-30 | $4,557,871 |
| Total income from all sources (including contributions) | 2020-09-30 | $50,496,201 |
| Total loss/gain on sale of assets | 2020-09-30 | $83,530 |
| Total of all expenses incurred | 2020-09-30 | $38,893,254 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-09-30 | $36,735,922 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-09-30 | $44,671,547 |
| Value of total assets at end of year | 2020-09-30 | $91,769,992 |
| Value of total assets at beginning of year | 2020-09-30 | $80,069,086 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-09-30 | $2,157,332 |
| Total interest from all sources | 2020-09-30 | $1,615,034 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-09-30 | $316,960 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-09-30 | $316,960 |
| Administrative expenses professional fees incurred | 2020-09-30 | $509,255 |
| Was this plan covered by a fidelity bond | 2020-09-30 | Yes |
| Value of fidelity bond cover | 2020-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-09-30 | No |
| Contributions received from participants | 2020-09-30 | $2,403,049 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-09-30 | $1,202,475 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-09-30 | $1,242,335 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-09-30 | $2,362,639 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-09-30 | $2,304,757 |
| Other income not declared elsewhere | 2020-09-30 | $1,412,567 |
| Administrative expenses (other) incurred | 2020-09-30 | $152,577 |
| Liabilities. Value of operating payables at end of year | 2020-09-30 | $6,791 |
| Liabilities. Value of operating payables at beginning of year | 2020-09-30 | $240,214 |
| Total non interest bearing cash at end of year | 2020-09-30 | $12,150,356 |
| Total non interest bearing cash at beginning of year | 2020-09-30 | $14,674,657 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-09-30 | No |
| Value of net income/loss | 2020-09-30 | $11,602,947 |
| Value of net assets at end of year (total assets less liabilities) | 2020-09-30 | $87,114,162 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-09-30 | $75,511,215 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-09-30 | No |
| Investment advisory and management fees | 2020-09-30 | $118,228 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-09-30 | $24,324,709 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-09-30 | $31,626,765 |
| Income. Interest from US Government securities | 2020-09-30 | $73,874 |
| Income. Interest from corporate debt instruments | 2020-09-30 | $1,255,292 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-09-30 | $7,046,656 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-09-30 | $558,208 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-09-30 | $558,208 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-09-30 | $285,868 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-09-30 | $21,878,905 |
| Asset value of US Government securities at end of year | 2020-09-30 | $2,318,979 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-09-30 | $320,589 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-09-30 | No |
| Contributions received in cash from employer | 2020-09-30 | $42,268,498 |
| Employer contributions (assets) at end of year | 2020-09-30 | $3,318,296 |
| Employer contributions (assets) at beginning of year | 2020-09-30 | $3,593,257 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-09-30 | $14,857,017 |
| Asset. Corporate debt instrument preferred debt at end of year | 2020-09-30 | $41,408,521 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2020-09-30 | $28,373,864 |
| Contract administrator fees | 2020-09-30 | $1,377,272 |
| Liabilities. Value of benefit claims payable at end of year | 2020-09-30 | $2,286,400 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-09-30 | $2,012,900 |
| Did the plan have assets held for investment | 2020-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-09-30 | No |
| Aggregate proceeds on sale of assets | 2020-09-30 | $6,961,408 |
| Aggregate carrying amount (costs) on sale of assets | 2020-09-30 | $6,877,878 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-09-30 | Unqualified |
| Accountancy firm name | 2020-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2020-09-30 | 522385296 |
| 2019 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-09-30 | $256,510 |
| Total unrealized appreciation/depreciation of assets | 2019-09-30 | $256,510 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-09-30 | $4,557,871 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-09-30 | $7,136,135 |
| Total income from all sources (including contributions) | 2019-09-30 | $49,276,230 |
| Total of all expenses incurred | 2019-09-30 | $37,889,619 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-09-30 | $35,830,171 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-09-30 | $44,764,047 |
| Value of total assets at end of year | 2019-09-30 | $80,069,086 |
| Value of total assets at beginning of year | 2019-09-30 | $71,260,739 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-09-30 | $2,059,448 |
| Total interest from all sources | 2019-09-30 | $172,272 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-09-30 | $932,248 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-09-30 | $932,248 |
| Administrative expenses professional fees incurred | 2019-09-30 | $490,803 |
| Was this plan covered by a fidelity bond | 2019-09-30 | Yes |
| Value of fidelity bond cover | 2019-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-09-30 | No |
| Contributions received from participants | 2019-09-30 | $2,365,726 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-09-30 | $1,242,335 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-09-30 | $503,831 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-09-30 | $2,304,757 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-09-30 | $4,471,183 |
| Other income not declared elsewhere | 2019-09-30 | $1,878,574 |
| Administrative expenses (other) incurred | 2019-09-30 | $128,165 |
| Liabilities. Value of operating payables at end of year | 2019-09-30 | $240,214 |
| Liabilities. Value of operating payables at beginning of year | 2019-09-30 | $54,052 |
| Total non interest bearing cash at end of year | 2019-09-30 | $14,674,657 |
| Total non interest bearing cash at beginning of year | 2019-09-30 | $35,622,756 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-09-30 | No |
| Value of net income/loss | 2019-09-30 | $11,386,611 |
| Value of net assets at end of year (total assets less liabilities) | 2019-09-30 | $75,511,215 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-09-30 | $64,124,604 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-09-30 | No |
| Investment advisory and management fees | 2019-09-30 | $43,431 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-09-30 | $31,626,765 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-09-30 | $31,599,017 |
| Income. Interest from corporate debt instruments | 2019-09-30 | $166,971 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-09-30 | $558,208 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-09-30 | $5,301 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-09-30 | $20,877,949 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-09-30 | $1,272,579 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-09-30 | No |
| Contributions received in cash from employer | 2019-09-30 | $42,398,321 |
| Employer contributions (assets) at end of year | 2019-09-30 | $3,593,257 |
| Employer contributions (assets) at beginning of year | 2019-09-30 | $3,535,135 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-09-30 | $14,952,222 |
| Asset. Corporate debt instrument preferred debt at end of year | 2019-09-30 | $28,373,864 |
| Contract administrator fees | 2019-09-30 | $1,397,049 |
| Liabilities. Value of benefit claims payable at end of year | 2019-09-30 | $2,012,900 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-09-30 | $2,610,900 |
| Did the plan have assets held for investment | 2019-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-09-30 | Unqualified |
| Accountancy firm name | 2019-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2019-09-30 | 522385296 |
| 2018 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-09-30 | $7,136,135 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-09-30 | $2,832,477 |
| Total income from all sources (including contributions) | 2018-09-30 | $45,212,714 |
| Total of all expenses incurred | 2018-09-30 | $36,349,271 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-09-30 | $34,427,238 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-09-30 | $44,248,034 |
| Value of total assets at end of year | 2018-09-30 | $71,260,739 |
| Value of total assets at beginning of year | 2018-09-30 | $58,093,638 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-09-30 | $1,922,033 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-09-30 | $869,643 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-09-30 | $869,643 |
| Administrative expenses professional fees incurred | 2018-09-30 | $478,661 |
| Was this plan covered by a fidelity bond | 2018-09-30 | Yes |
| Value of fidelity bond cover | 2018-09-30 | $500,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-09-30 | No |
| Contributions received from participants | 2018-09-30 | $2,349,079 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-09-30 | $503,831 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-09-30 | $414,861 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-09-30 | $4,471,183 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-09-30 | $719,658 |
| Other income not declared elsewhere | 2018-09-30 | $1,057,462 |
| Administrative expenses (other) incurred | 2018-09-30 | $132,021 |
| Liabilities. Value of operating payables at end of year | 2018-09-30 | $54,052 |
| Liabilities. Value of operating payables at beginning of year | 2018-09-30 | $41,819 |
| Total non interest bearing cash at end of year | 2018-09-30 | $35,622,756 |
| Total non interest bearing cash at beginning of year | 2018-09-30 | $22,508,621 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-09-30 | No |
| Value of net income/loss | 2018-09-30 | $8,863,443 |
| Value of net assets at end of year (total assets less liabilities) | 2018-09-30 | $64,124,604 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-09-30 | $55,261,161 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-09-30 | No |
| Investment advisory and management fees | 2018-09-30 | $31,522 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-09-30 | $31,599,017 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-09-30 | $31,691,800 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-09-30 | $19,663,532 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-09-30 | $-962,425 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-09-30 | No |
| Contributions received in cash from employer | 2018-09-30 | $41,898,955 |
| Employer contributions (assets) at end of year | 2018-09-30 | $3,535,135 |
| Employer contributions (assets) at beginning of year | 2018-09-30 | $3,478,356 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-09-30 | $14,763,706 |
| Contract administrator fees | 2018-09-30 | $1,279,829 |
| Liabilities. Value of benefit claims payable at end of year | 2018-09-30 | $2,610,900 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-09-30 | $2,071,000 |
| Did the plan have assets held for investment | 2018-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-09-30 | Unqualified |
| Accountancy firm name | 2018-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2018-09-30 | 522385296 |
| 2017 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-09-30 | $2,832,477 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-09-30 | $3,357,430 |
| Total income from all sources (including contributions) | 2017-09-30 | $45,450,202 |
| Total of all expenses incurred | 2017-09-30 | $35,889,649 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-09-30 | $33,884,299 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-09-30 | $44,177,006 |
| Value of total assets at end of year | 2017-09-30 | $58,093,638 |
| Value of total assets at beginning of year | 2017-09-30 | $49,058,038 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-09-30 | $2,005,350 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-09-30 | $742,875 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-09-30 | $742,875 |
| Administrative expenses professional fees incurred | 2017-09-30 | $488,353 |
| Was this plan covered by a fidelity bond | 2017-09-30 | Yes |
| Value of fidelity bond cover | 2017-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-09-30 | No |
| Contributions received from participants | 2017-09-30 | $2,462,666 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-09-30 | $414,861 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-09-30 | $715,198 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-09-30 | $719,658 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-09-30 | $1,112,978 |
| Other income not declared elsewhere | 2017-09-30 | $702,786 |
| Administrative expenses (other) incurred | 2017-09-30 | $213,984 |
| Liabilities. Value of operating payables at end of year | 2017-09-30 | $41,819 |
| Liabilities. Value of operating payables at beginning of year | 2017-09-30 | $80,452 |
| Total non interest bearing cash at end of year | 2017-09-30 | $22,508,621 |
| Total non interest bearing cash at beginning of year | 2017-09-30 | $13,682,712 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-09-30 | No |
| Value of net income/loss | 2017-09-30 | $9,560,553 |
| Value of net assets at end of year (total assets less liabilities) | 2017-09-30 | $55,261,161 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-09-30 | $45,700,608 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-09-30 | No |
| Investment advisory and management fees | 2017-09-30 | $31,084 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-09-30 | $31,691,800 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-09-30 | $31,121,389 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-09-30 | $19,189,194 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-09-30 | $-172,465 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-09-30 | No |
| Contributions received in cash from employer | 2017-09-30 | $41,714,340 |
| Employer contributions (assets) at end of year | 2017-09-30 | $3,478,356 |
| Employer contributions (assets) at beginning of year | 2017-09-30 | $3,538,739 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-09-30 | $14,695,105 |
| Contract administrator fees | 2017-09-30 | $1,271,929 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-09-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-09-30 | $2,071,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-09-30 | $2,164,000 |
| Did the plan have assets held for investment | 2017-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-09-30 | Unqualified |
| Accountancy firm name | 2017-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2017-09-30 | 522385296 |
| 2016 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2016 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-09-30 | $3,357,430 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-09-30 | $2,557,075 |
| Total income from all sources (including contributions) | 2016-09-30 | $49,319,326 |
| Total of all expenses incurred | 2016-09-30 | $35,641,969 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-09-30 | $33,426,038 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-09-30 | $46,234,860 |
| Value of total assets at end of year | 2016-09-30 | $49,058,038 |
| Value of total assets at beginning of year | 2016-09-30 | $34,580,326 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-09-30 | $2,215,931 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-09-30 | $643,617 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-09-30 | $643,617 |
| Administrative expenses professional fees incurred | 2016-09-30 | $537,876 |
| Was this plan covered by a fidelity bond | 2016-09-30 | Yes |
| Value of fidelity bond cover | 2016-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-09-30 | No |
| Contributions received from participants | 2016-09-30 | $2,579,996 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-09-30 | $715,198 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-09-30 | $1,283,860 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-09-30 | $1,112,978 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-09-30 | $979,477 |
| Other income not declared elsewhere | 2016-09-30 | $1,628,972 |
| Administrative expenses (other) incurred | 2016-09-30 | $349,874 |
| Liabilities. Value of operating payables at end of year | 2016-09-30 | $80,452 |
| Liabilities. Value of operating payables at beginning of year | 2016-09-30 | $121,598 |
| Total non interest bearing cash at end of year | 2016-09-30 | $13,682,712 |
| Total non interest bearing cash at beginning of year | 2016-09-30 | $8,380,325 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-09-30 | No |
| Value of net income/loss | 2016-09-30 | $13,677,357 |
| Value of net assets at end of year (total assets less liabilities) | 2016-09-30 | $45,700,608 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-09-30 | $32,023,251 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-09-30 | No |
| Investment advisory and management fees | 2016-09-30 | $56,677 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-09-30 | $31,121,389 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-09-30 | $20,665,883 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-09-30 | $19,621,063 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-09-30 | $811,877 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-09-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-09-30 | No |
| Contributions received in cash from employer | 2016-09-30 | $43,654,864 |
| Employer contributions (assets) at end of year | 2016-09-30 | $3,538,739 |
| Employer contributions (assets) at beginning of year | 2016-09-30 | $4,250,258 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-09-30 | $13,804,975 |
| Contract administrator fees | 2016-09-30 | $1,271,504 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-09-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-09-30 | $2,164,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-09-30 | $1,456,000 |
| Did the plan have assets held for investment | 2016-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-09-30 | Unqualified |
| Accountancy firm name | 2016-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2016-09-30 | 522385296 |
| 2015 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-09-30 | $2,557,075 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-09-30 | $3,168,285 |
| Total income from all sources (including contributions) | 2015-09-30 | $48,042,512 |
| Total of all expenses incurred | 2015-09-30 | $36,389,252 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-09-30 | $34,213,382 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-09-30 | $46,877,319 |
| Value of total assets at end of year | 2015-09-30 | $34,580,326 |
| Value of total assets at beginning of year | 2015-09-30 | $23,538,276 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-09-30 | $2,175,870 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-09-30 | $331,699 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-09-30 | $331,699 |
| Administrative expenses professional fees incurred | 2015-09-30 | $406,949 |
| Was this plan covered by a fidelity bond | 2015-09-30 | Yes |
| Value of fidelity bond cover | 2015-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-09-30 | No |
| Contributions received from participants | 2015-09-30 | $3,337,617 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-09-30 | $1,283,860 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-09-30 | $931,939 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-09-30 | $979,477 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-09-30 | $295,969 |
| Other income not declared elsewhere | 2015-09-30 | $815,891 |
| Administrative expenses (other) incurred | 2015-09-30 | $412,992 |
| Liabilities. Value of operating payables at end of year | 2015-09-30 | $121,598 |
| Liabilities. Value of operating payables at beginning of year | 2015-09-30 | $191,316 |
| Total non interest bearing cash at end of year | 2015-09-30 | $8,380,325 |
| Total non interest bearing cash at beginning of year | 2015-09-30 | $5,150,943 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-09-30 | No |
| Value of net income/loss | 2015-09-30 | $11,653,260 |
| Value of net assets at end of year (total assets less liabilities) | 2015-09-30 | $32,023,251 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-09-30 | $20,369,991 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-09-30 | No |
| Investment advisory and management fees | 2015-09-30 | $57,364 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-09-30 | $20,665,883 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-09-30 | $13,616,581 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-09-30 | $19,043,445 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-09-30 | $17,603 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-09-30 | No |
| Contributions received in cash from employer | 2015-09-30 | $43,539,702 |
| Employer contributions (assets) at end of year | 2015-09-30 | $4,250,258 |
| Employer contributions (assets) at beginning of year | 2015-09-30 | $3,838,813 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-09-30 | $15,169,937 |
| Contract administrator fees | 2015-09-30 | $1,298,565 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-09-30 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-09-30 | $1,456,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-09-30 | $2,681,000 |
| Did the plan have assets held for investment | 2015-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-09-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-09-30 | Unqualified |
| Accountancy firm name | 2015-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2015-09-30 | 522385296 |
| 2014 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-09-30 | $53,351 |
| Total unrealized appreciation/depreciation of assets | 2014-09-30 | $53,351 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-09-30 | $3,168,285 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-09-30 | $4,116,489 |
| Total income from all sources (including contributions) | 2014-09-30 | $46,312,303 |
| Total loss/gain on sale of assets | 2014-09-30 | $21,864 |
| Total of all expenses incurred | 2014-09-30 | $38,975,462 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-09-30 | $36,864,070 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-09-30 | $45,210,143 |
| Value of total assets at end of year | 2014-09-30 | $23,538,276 |
| Value of total assets at beginning of year | 2014-09-30 | $17,149,639 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-09-30 | $2,111,392 |
| Total interest from all sources | 2014-09-30 | $5,236 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-09-30 | $232,700 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-09-30 | $232,279 |
| Administrative expenses professional fees incurred | 2014-09-30 | $434,364 |
| Was this plan covered by a fidelity bond | 2014-09-30 | Yes |
| Value of fidelity bond cover | 2014-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-09-30 | No |
| Contributions received from participants | 2014-09-30 | $3,331,480 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-09-30 | $931,939 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-09-30 | $1,005,705 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-09-30 | $295,969 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-09-30 | $447,745 |
| Other income not declared elsewhere | 2014-09-30 | $774,196 |
| Administrative expenses (other) incurred | 2014-09-30 | $179,920 |
| Liabilities. Value of operating payables at end of year | 2014-09-30 | $191,316 |
| Liabilities. Value of operating payables at beginning of year | 2014-09-30 | $179,744 |
| Total non interest bearing cash at end of year | 2014-09-30 | $5,150,943 |
| Total non interest bearing cash at beginning of year | 2014-09-30 | $3,227,563 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-09-30 | No |
| Value of net income/loss | 2014-09-30 | $7,336,841 |
| Value of net assets at end of year (total assets less liabilities) | 2014-09-30 | $20,369,991 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-09-30 | $13,033,150 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-09-30 | No |
| Investment advisory and management fees | 2014-09-30 | $44,232 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-09-30 | $13,616,581 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-09-30 | $1,352,274 |
| Income. Interest from corporate debt instruments | 2014-09-30 | $5,195 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-09-30 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-09-30 | $675,521 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-09-30 | $675,521 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-09-30 | $41 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-09-30 | $18,328,462 |
| Asset value of US Government securities at end of year | 2014-09-30 | $0 |
| Asset value of US Government securities at beginning of year | 2014-09-30 | $4,029,161 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-09-30 | $14,813 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-09-30 | No |
| Contributions received in cash from employer | 2014-09-30 | $41,878,663 |
| Employer contributions (assets) at end of year | 2014-09-30 | $3,838,813 |
| Employer contributions (assets) at beginning of year | 2014-09-30 | $3,620,376 |
| Income. Dividends from common stock | 2014-09-30 | $421 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-09-30 | $18,535,608 |
| Asset. Corporate debt instrument preferred debt at end of year | 2014-09-30 | $0 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2014-09-30 | $2,866,207 |
| Contract administrator fees | 2014-09-30 | $1,452,876 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-09-30 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-09-30 | $0 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-09-30 | $372,832 |
| Liabilities. Value of benefit claims payable at end of year | 2014-09-30 | $2,681,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-09-30 | $3,489,000 |
| Did the plan have assets held for investment | 2014-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-09-30 | No |
| Aggregate proceeds on sale of assets | 2014-09-30 | $20,670,826 |
| Aggregate carrying amount (costs) on sale of assets | 2014-09-30 | $20,648,962 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-09-30 | Unqualified |
| Accountancy firm name | 2014-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2014-09-30 | 522385296 |
| 2013 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-09-30 | $-207,000 |
| Total unrealized appreciation/depreciation of assets | 2013-09-30 | $-207,000 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-09-30 | $4,116,489 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-09-30 | $2,834,307 |
| Total income from all sources (including contributions) | 2013-09-30 | $39,929,367 |
| Total loss/gain on sale of assets | 2013-09-30 | $-70,031 |
| Total of all expenses incurred | 2013-09-30 | $38,344,351 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-09-30 | $36,271,562 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-09-30 | $38,894,966 |
| Value of total assets at end of year | 2013-09-30 | $17,149,639 |
| Value of total assets at beginning of year | 2013-09-30 | $14,282,441 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-09-30 | $2,072,789 |
| Total interest from all sources | 2013-09-30 | $258,721 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-09-30 | $38,131 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-09-30 | $29,108 |
| Administrative expenses professional fees incurred | 2013-09-30 | $364,461 |
| Was this plan covered by a fidelity bond | 2013-09-30 | Yes |
| Value of fidelity bond cover | 2013-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-09-30 | No |
| Contributions received from participants | 2013-09-30 | $2,938,738 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-09-30 | $1,005,705 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-09-30 | $630,213 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-09-30 | $447,745 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-09-30 | $265,541 |
| Other income not declared elsewhere | 2013-09-30 | $836,293 |
| Administrative expenses (other) incurred | 2013-09-30 | $182,387 |
| Liabilities. Value of operating payables at end of year | 2013-09-30 | $179,744 |
| Liabilities. Value of operating payables at beginning of year | 2013-09-30 | $84,766 |
| Total non interest bearing cash at end of year | 2013-09-30 | $3,227,563 |
| Total non interest bearing cash at beginning of year | 2013-09-30 | $1,863,802 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-09-30 | No |
| Value of net income/loss | 2013-09-30 | $1,585,016 |
| Value of net assets at end of year (total assets less liabilities) | 2013-09-30 | $13,033,150 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-09-30 | $11,448,134 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-09-30 | No |
| Investment advisory and management fees | 2013-09-30 | $36,686 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-09-30 | $1,352,274 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-09-30 | $1,167,341 |
| Income. Interest from US Government securities | 2013-09-30 | $149,137 |
| Income. Interest from corporate debt instruments | 2013-09-30 | $108,939 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-09-30 | $675,521 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-09-30 | $606,730 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-09-30 | $606,730 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-09-30 | $645 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-09-30 | $18,045,385 |
| Asset value of US Government securities at end of year | 2013-09-30 | $4,029,161 |
| Asset value of US Government securities at beginning of year | 2013-09-30 | $4,126,268 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-09-30 | $178,287 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-09-30 | No |
| Contributions received in cash from employer | 2013-09-30 | $35,956,228 |
| Employer contributions (assets) at end of year | 2013-09-30 | $3,620,376 |
| Employer contributions (assets) at beginning of year | 2013-09-30 | $2,699,783 |
| Income. Dividends from common stock | 2013-09-30 | $9,023 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-09-30 | $18,226,177 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-09-30 | $2,866,207 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-09-30 | $2,739,317 |
| Contract administrator fees | 2013-09-30 | $1,489,255 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-09-30 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-09-30 | $372,832 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-09-30 | $448,987 |
| Liabilities. Value of benefit claims payable at end of year | 2013-09-30 | $3,489,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-09-30 | $2,484,000 |
| Did the plan have assets held for investment | 2013-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-09-30 | No |
| Aggregate proceeds on sale of assets | 2013-09-30 | $3,496,103 |
| Aggregate carrying amount (costs) on sale of assets | 2013-09-30 | $3,566,134 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-09-30 | Unqualified |
| Accountancy firm name | 2013-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2013-09-30 | 522385296 |
| 2012 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-09-30 | $124,419 |
| Total unrealized appreciation/depreciation of assets | 2012-09-30 | $124,419 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-09-30 | $2,834,307 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-09-30 | $3,887,452 |
| Total income from all sources (including contributions) | 2012-09-30 | $35,736,616 |
| Total loss/gain on sale of assets | 2012-09-30 | $-8,463 |
| Total of all expenses incurred | 2012-09-30 | $35,611,678 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-09-30 | $33,688,738 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-09-30 | $34,418,342 |
| Value of total assets at end of year | 2012-09-30 | $14,282,441 |
| Value of total assets at beginning of year | 2012-09-30 | $15,210,648 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-09-30 | $1,922,940 |
| Total interest from all sources | 2012-09-30 | $294,243 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-09-30 | $43,262 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-09-30 | $30,182 |
| Administrative expenses professional fees incurred | 2012-09-30 | $219,084 |
| Was this plan covered by a fidelity bond | 2012-09-30 | Yes |
| Value of fidelity bond cover | 2012-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-09-30 | No |
| Contributions received from participants | 2012-09-30 | $3,961,877 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-09-30 | $630,213 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-09-30 | $848,822 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-09-30 | $265,541 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-09-30 | $192,277 |
| Other income not declared elsewhere | 2012-09-30 | $576,153 |
| Administrative expenses (other) incurred | 2012-09-30 | $140,237 |
| Liabilities. Value of operating payables at end of year | 2012-09-30 | $84,766 |
| Liabilities. Value of operating payables at beginning of year | 2012-09-30 | $118,175 |
| Total non interest bearing cash at end of year | 2012-09-30 | $1,863,802 |
| Total non interest bearing cash at beginning of year | 2012-09-30 | $1,092,887 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-09-30 | No |
| Value of net income/loss | 2012-09-30 | $124,938 |
| Value of net assets at end of year (total assets less liabilities) | 2012-09-30 | $11,448,134 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-09-30 | $11,323,196 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-09-30 | No |
| Investment advisory and management fees | 2012-09-30 | $39,446 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-09-30 | $1,167,341 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-09-30 | $1,282,393 |
| Income. Interest from US Government securities | 2012-09-30 | $171,150 |
| Income. Interest from corporate debt instruments | 2012-09-30 | $122,737 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-09-30 | $606,730 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-09-30 | $672,672 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-09-30 | $672,672 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-09-30 | $356 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-09-30 | $16,982,873 |
| Asset value of US Government securities at end of year | 2012-09-30 | $4,126,268 |
| Asset value of US Government securities at beginning of year | 2012-09-30 | $4,979,896 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-09-30 | $288,660 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-09-30 | No |
| Contributions received in cash from employer | 2012-09-30 | $30,456,465 |
| Employer contributions (assets) at end of year | 2012-09-30 | $2,699,783 |
| Employer contributions (assets) at beginning of year | 2012-09-30 | $2,711,594 |
| Income. Dividends from common stock | 2012-09-30 | $13,080 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-09-30 | $16,705,865 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-09-30 | $2,739,317 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2012-09-30 | $3,076,910 |
| Contract administrator fees | 2012-09-30 | $1,524,173 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-09-30 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-09-30 | $448,987 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-09-30 | $545,474 |
| Liabilities. Value of benefit claims payable at end of year | 2012-09-30 | $2,484,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-09-30 | $3,577,000 |
| Did the plan have assets held for investment | 2012-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-09-30 | No |
| Aggregate proceeds on sale of assets | 2012-09-30 | $6,602,760 |
| Aggregate carrying amount (costs) on sale of assets | 2012-09-30 | $6,611,223 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-09-30 | Unqualified |
| Accountancy firm name | 2012-09-30 | LINDQUIST LLP |
| Accountancy firm EIN | 2012-09-30 | 522385296 |
| 2011 : OPERATING ENGINEERS LOCAL 501 SECURITY FUND 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-09-30 | $-24,893 |
| Total unrealized appreciation/depreciation of assets | 2011-09-30 | $-24,893 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-09-30 | $9,868,389 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-09-30 | $8,734,930 |
| Total income from all sources (including contributions) | 2011-09-30 | $34,526,127 |
| Total loss/gain on sale of assets | 2011-09-30 | $-31,775 |
| Total of all expenses incurred | 2011-09-30 | $34,906,471 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-09-30 | $33,032,959 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-09-30 | $34,309,225 |
| Value of total assets at end of year | 2011-09-30 | $14,901,906 |
| Value of total assets at beginning of year | 2011-09-30 | $14,148,791 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-09-30 | $1,873,512 |
| Total interest from all sources | 2011-09-30 | $285,571 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-09-30 | $36,640 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-09-30 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-09-30 | $25,549 |
| Administrative expenses professional fees incurred | 2011-09-30 | $218,870 |
| Was this plan covered by a fidelity bond | 2011-09-30 | Yes |
| Value of fidelity bond cover | 2011-09-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-09-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-09-30 | No |
| Contributions received from participants | 2011-09-30 | $2,301,044 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-09-30 | $540,080 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-09-30 | $534,947 |
| Administrative expenses (other) incurred | 2011-09-30 | $698,679 |
| Liabilities. Value of operating payables at end of year | 2011-09-30 | $168,756 |
| Liabilities. Value of operating payables at beginning of year | 2011-09-30 | $182,186 |
| Total non interest bearing cash at end of year | 2011-09-30 | $1,092,887 |
| Total non interest bearing cash at beginning of year | 2011-09-30 | $2,442,309 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-09-30 | No |
| Value of net income/loss | 2011-09-30 | $-380,344 |
| Value of net assets at end of year (total assets less liabilities) | 2011-09-30 | $5,033,517 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-09-30 | $5,413,861 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-09-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-09-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-09-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-09-30 | $1,282,393 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-09-30 | $1,099,274 |
| Interest earned on other investments | 2011-09-30 | $9,200 |
| Income. Interest from US Government securities | 2011-09-30 | $153,165 |
| Income. Interest from corporate debt instruments | 2011-09-30 | $122,838 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-09-30 | $672,672 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-09-30 | $602,211 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-09-30 | $602,211 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-09-30 | $368 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-09-30 | $15,013,352 |
| Asset value of US Government securities at end of year | 2011-09-30 | $5,204,390 |
| Asset value of US Government securities at beginning of year | 2011-09-30 | $3,261,698 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-09-30 | $-48,641 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-09-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-09-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-09-30 | No |
| Contributions received in cash from employer | 2011-09-30 | $32,008,181 |
| Employer contributions (assets) at end of year | 2011-09-30 | $2,711,594 |
| Employer contributions (assets) at beginning of year | 2011-09-30 | $2,827,085 |
| Income. Dividends from common stock | 2011-09-30 | $11,091 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-09-30 | $18,019,607 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-09-30 | $2,852,416 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-09-30 | $2,943,034 |
| Contract administrator fees | 2011-09-30 | $955,963 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-09-30 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-09-30 | $545,474 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-09-30 | $438,233 |
| Liabilities. Value of benefit claims payable at end of year | 2011-09-30 | $9,699,633 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-09-30 | $8,552,744 |
| Did the plan have assets held for investment | 2011-09-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-09-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-09-30 | No |
| Aggregate proceeds on sale of assets | 2011-09-30 | $2,230,902 |
| Aggregate carrying amount (costs) on sale of assets | 2011-09-30 | $2,262,677 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-09-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-09-30 | Unqualified |
| Accountancy firm name | 2011-09-30 | HENNINGFIELD & ASSOCIATES, INC. |
| Accountancy firm EIN | 2011-09-30 | 542189926 |
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 2 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $17,286 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 1 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 1599 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $368,703 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 900219 |
| Policy instance | 8 |
| Insurance contract or identification number | 900219 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $44,217 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 3 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 190 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $104,150 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 389 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,286,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 5 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 4030 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $20,965,932 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2302 |
| Policy instance | 6 |
| Insurance contract or identification number | 2302 | | Number of Individuals Covered | 2253 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $31,283 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 7 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1395 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $935,579 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 1 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 3940 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $20,534,170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 3 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,634 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 2 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 1499 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $316,409 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $817,770 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 6 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 187 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $104,047 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1036 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $857,942 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 900219 |
| Policy instance | 8 |
| Insurance contract or identification number | 900219 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,360 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2302 |
| Policy instance | 7 |
| Insurance contract or identification number | 2302 | | Number of Individuals Covered | 2171 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $31,624 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 3 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 98 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,543 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 2 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 1581 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $356,968 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 900219 |
| Policy instance | 8 |
| Insurance contract or identification number | 900219 | | Number of Individuals Covered | 30 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 6 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 199 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $111,615 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 1 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 4062 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $19,665,314 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1089 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $835,882 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2302 |
| Policy instance | 7 |
| Insurance contract or identification number | 2302 | | Number of Individuals Covered | 2126 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $34,170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $735,246 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 1 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 4023 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $18,071,753 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 2 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 1713 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $371,180 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 3 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,388 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 900219 |
| Policy instance | 9 |
| Insurance contract or identification number | 900219 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $29,667 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 ) |
| Policy contract number | 10000243 |
| Policy instance | 8 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,472 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2302 |
| Policy instance | 7 |
| Insurance contract or identification number | 2302 | | Number of Individuals Covered | 2027 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $33,142 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 6 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 200 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $109,010 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1071 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $807,320 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 188 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $746,937 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1076 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Welfare Benefit Premiums Paid to Carrier | USD $828,101 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 1 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 3962 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,060,194 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 2 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 1889 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $386,965 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 3 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 102 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,772 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 195 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $689,321 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 6 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $95,579 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 ) |
| Policy contract number | 10000243 |
| Policy instance | 8 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $39,573 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 2302 |
| Policy instance | 7 |
| Insurance contract or identification number | 2302 | | Number of Individuals Covered | 2090 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $33,180 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH NET LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002179 |
| Policy instance | 8 |
| Insurance contract or identification number | 002179 | | Number of Individuals Covered | 848 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-01-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $63,284 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 5 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1697 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,067,707 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 4 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 343 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,782,227 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 3 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,969 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 2 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 2088 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $447,103 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 1 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 4052 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $14,926,828 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002302 |
| Policy instance | 7 |
| Insurance contract or identification number | 002302 | | Number of Individuals Covered | 1160 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $18,381 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 6 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 235 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $130,196 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 DIV. 2 |
| Policy instance | 3 |
| Insurance contract or identification number | 04741 DIV. 2 | | Number of Individuals Covered | 60 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $39,545 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 2 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 3880 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,207,196 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 002528 ET AL |
| Policy instance | 1 |
| Insurance contract or identification number | 002528 ET AL | | Number of Individuals Covered | 0 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,567 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002302 |
| Policy instance | 9 |
| Insurance contract or identification number | 002302 | | Number of Individuals Covered | 1124 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $19,442 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 DIV. 1 |
| Policy instance | 8 |
| Insurance contract or identification number | 04741 DIV. 1 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $97,376 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 |
| Policy instance | 4 |
| Insurance contract or identification number | 76460 | | Number of Individuals Covered | 2217 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $394,363 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002179 |
| Policy instance | 10 |
| Insurance contract or identification number | 002179 | | Number of Individuals Covered | 942 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $202,989 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 6 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 592 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,410,582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 7 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1925 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,058,369 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 |
| Policy instance | 5 |
| Insurance contract or identification number | 76467 | | Number of Individuals Covered | 137 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,477 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 2 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 2051 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,843,821 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 DIV. 1 |
| Policy instance | 5 |
| Insurance contract or identification number | 76467 DIV. 1 | | Number of Individuals Covered | 116 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,546 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 6 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 837 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $2,109,677 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002179 |
| Policy instance | 7 |
| Insurance contract or identification number | 002179 | | Number of Individuals Covered | 1030 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $187,198 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 002528 ET AL |
| Policy instance | 1 |
| Insurance contract or identification number | 002528 ET AL | | Number of Individuals Covered | 0 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,593,369 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 008816 |
| Policy instance | 14 |
| Insurance contract or identification number | 008816 | | Number of Individuals Covered | 647 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $68,203 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002302 |
| Policy instance | 13 |
| Insurance contract or identification number | 002302 | | Number of Individuals Covered | 1072 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | EAP | | Welfare Benefit Premiums Paid to Carrier | USD $6,751 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 DIV. 3 |
| Policy instance | 11 |
| Insurance contract or identification number | 76460 DIV. 3 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,238 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 DIV. 2 |
| Policy instance | 10 |
| Insurance contract or identification number | 76460 DIV. 2 | | Number of Individuals Covered | 220 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,900 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 DIV. 1 |
| Policy instance | 9 |
| Insurance contract or identification number | 04741 DIV. 1 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $108,052 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76460 DIV. 1 |
| Policy instance | 4 |
| Insurance contract or identification number | 76460 DIV. 1 | | Number of Individuals Covered | 1843 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $250,347 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 DIV. 2 |
| Policy instance | 3 |
| Insurance contract or identification number | 04741 DIV. 2 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $49,404 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 76467 DIV. 2 |
| Policy instance | 12 |
| Insurance contract or identification number | 76467 DIV. 2 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,442 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 8 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1904 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $982,335 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 3 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 325 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $140,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 06460 |
| Policy instance | 4 |
| Insurance contract or identification number | 06460 | | Number of Individuals Covered | 675 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $413,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 06467 |
| Policy instance | 5 |
| Insurance contract or identification number | 06467 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $45,724 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 2 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 1934 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,983,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HEALTH PLAN OF NEVADA (National Association of Insurance Commissioners NAIC id number: 96342 ) |
| Policy contract number | 10000243 |
| Policy instance | 6 |
| Insurance contract or identification number | 10000243 | | Number of Individuals Covered | 716 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $1,879,084 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 004419 |
| Policy instance | 1 |
| Insurance contract or identification number | 004419 | | Number of Individuals Covered | 851 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,385,017 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | SL10006 |
| Policy instance | 8 |
| Insurance contract or identification number | SL10006 | | Number of Individuals Covered | 1795 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Welfare Benefit Premiums Paid to Carrier | USD $961,661 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 ) |
| Policy contract number | G2947, C4236 |
| Policy instance | 9 |
| Insurance contract or identification number | G2947, C4236 | | Number of Individuals Covered | 50 | | Insurance policy start date | 2011-03-01 | | Insurance policy end date | 2012-02-29 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $13,419 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| MANAGED HEALTH NETWORK (National Association of Insurance Commissioners NAIC id number: 52411 ) |
| Policy contract number | 002179 |
| Policy instance | 7 |
| Insurance contract or identification number | 002179 | | Number of Individuals Covered | 854 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | BEH HEALTH PREMIUMS | | Welfare Benefit Premiums Paid to Carrier | USD $125,896 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 4419 |
| Policy instance | 1 |
| Insurance contract or identification number | 4419 | | Number of Individuals Covered | 712 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,373,309 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 06467 |
| Policy instance | 3 |
| Insurance contract or identification number | 06467 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,508 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 06460 |
| Policy instance | 4 |
| Insurance contract or identification number | 06460 | | Number of Individuals Covered | 673 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $327,594 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04880 |
| Policy instance | 5 |
| Insurance contract or identification number | 04880 | | Number of Individuals Covered | 2809 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 04741 |
| Policy instance | 6 |
| Insurance contract or identification number | 04741 | | Number of Individuals Covered | 178 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $115,086 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | 229194 |
| Policy instance | 2 |
| Insurance contract or identification number | 229194 | | Number of Individuals Covered | 1480 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $4,802,001 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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