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HAWAII TAPERS HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameHAWAII TAPERS HEALTH AND WELFARE PLAN
Plan identification number 501

HAWAII TAPERS HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES OF HAWAII TAPERS HEALTH AND WELFARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF HAWAII TAPERS HEALTH AND WELFARE PLAN
Employer identification number (EIN):990213908
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAWAII TAPERS HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01RYDEN VALMOJA VINCENT NIHIPALI2018-10-12
5012016-01-01RYDEN VALMOJA VINCENT NIHIPALI2017-10-13
5012016-01-01 VINCENT NIHIPALI2017-10-13
5012015-01-01RYDEN VALMOJA VINCENT NIHIPALI2016-10-14
5012014-01-01RYDEN VALMOJA VINCENT NIHIPALI2015-10-13
5012013-01-01RYDEN VALMOJA VINCENT NIHIPALI2014-10-10
5012012-01-01RYDEN VALMOJA VINCENT NIHIPALI2013-10-11
5012011-01-01LYNN KINNEY VINCENT NIHIPALI2012-10-12
5012010-01-01JOSEPH BAZEMORE VINCENT NIHIPALI2011-10-13
5012009-01-01JOSEPH BAZEMORE CLYDE TAKATSUKI2010-10-13

Plan Statistics for HAWAII TAPERS HEALTH AND WELFARE PLAN

401k plan membership statisitcs for HAWAII TAPERS HEALTH AND WELFARE PLAN

Measure Date Value
2022: HAWAII TAPERS HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01284
Total number of active participants reported on line 7a of the Form 55002022-01-01272
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01272
Number of employers contributing to the scheme2022-01-0152
2021: HAWAII TAPERS HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01251
Total number of active participants reported on line 7a of the Form 55002021-01-01284
Total of all active and inactive participants2021-01-01284
Number of employers contributing to the scheme2021-01-0151
2020: HAWAII TAPERS HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01244
Total number of active participants reported on line 7a of the Form 55002020-01-01251
Total of all active and inactive participants2020-01-01251
Number of employers contributing to the scheme2020-01-0153
2019: HAWAII TAPERS HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01332
Total number of active participants reported on line 7a of the Form 55002019-01-01244
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01244
Number of employers contributing to the scheme2019-01-0155
2018: HAWAII TAPERS HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01291
Total number of active participants reported on line 7a of the Form 55002018-01-01332
Total of all active and inactive participants2018-01-01332
Number of employers contributing to the scheme2018-01-0151
2017: HAWAII TAPERS HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01458
Total number of active participants reported on line 7a of the Form 55002017-01-01290
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-01291
Number of employers contributing to the scheme2017-01-0155
2016: HAWAII TAPERS HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01341
Total number of active participants reported on line 7a of the Form 55002016-01-01457
Number of retired or separated participants receiving benefits2016-01-011
Total of all active and inactive participants2016-01-01458
Number of employers contributing to the scheme2016-01-0157
2015: HAWAII TAPERS HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01256
Total number of active participants reported on line 7a of the Form 55002015-01-01340
Number of retired or separated participants receiving benefits2015-01-011
Total of all active and inactive participants2015-01-01341
Number of employers contributing to the scheme2015-01-0157
2014: HAWAII TAPERS HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01242
Total number of active participants reported on line 7a of the Form 55002014-01-01255
Number of retired or separated participants receiving benefits2014-01-011
Total of all active and inactive participants2014-01-01256
Number of employers contributing to the scheme2014-01-0157
2013: HAWAII TAPERS HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01208
Total number of active participants reported on line 7a of the Form 55002013-01-01239
Number of retired or separated participants receiving benefits2013-01-013
Total of all active and inactive participants2013-01-01242
Number of employers contributing to the scheme2013-01-0154
2012: HAWAII TAPERS HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01262
Total number of active participants reported on line 7a of the Form 55002012-01-01205
Number of retired or separated participants receiving benefits2012-01-013
Total of all active and inactive participants2012-01-01208
Number of employers contributing to the scheme2012-01-0151
2011: HAWAII TAPERS HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01254
Total number of active participants reported on line 7a of the Form 55002011-01-01259
Number of retired or separated participants receiving benefits2011-01-013
Total of all active and inactive participants2011-01-01262
Number of employers contributing to the scheme2011-01-0146
2010: HAWAII TAPERS HEALTH AND WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01296
Total number of active participants reported on line 7a of the Form 55002010-01-01252
Number of retired or separated participants receiving benefits2010-01-012
Total of all active and inactive participants2010-01-01254
Number of employers contributing to the scheme2010-01-0143
2009: HAWAII TAPERS HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01422
Total number of active participants reported on line 7a of the Form 55002009-01-01294
Number of retired or separated participants receiving benefits2009-01-012
Total of all active and inactive participants2009-01-01296
Number of employers contributing to the scheme2009-01-0144

Financial Data on HAWAII TAPERS HEALTH AND WELFARE PLAN

Measure Date Value
2022 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,499,887
Total unrealized appreciation/depreciation of assets2022-12-31$-1,499,887
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$803,615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$706,125
Total income from all sources (including contributions)2022-12-31$3,046,136
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$4,361,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,216,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,473,150
Value of total assets at end of year2022-12-31$12,252,876
Value of total assets at beginning of year2022-12-31$13,470,789
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$145,431
Total interest from all sources2022-12-31$4,265
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$306,960
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$306,960
Administrative expenses professional fees incurred2022-12-31$59,502
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$56,251
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$351,262
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$739,200
Administrative expenses (other) incurred2022-12-31$11,817
Total non interest bearing cash at end of year2022-12-31$58,791
Total non interest bearing cash at beginning of year2022-12-31$194,708
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,315,403
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,449,261
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$12,764,664
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$15,859
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$8,539,074
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,758,457
Value of interest in common/collective trusts at end of year2022-12-31$1,281,993
Value of interest in common/collective trusts at beginning of year2022-12-31$1,498,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,686,053
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$936,451
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$936,451
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$4,265
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$4,216,108
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-238,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,416,899
Employer contributions (assets) at end of year2022-12-31$335,703
Employer contributions (assets) at beginning of year2022-12-31$343,217
Contract administrator fees2022-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$803,615
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$706,125
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$4,465,872
Aggregate carrying amount (costs) on sale of assets2022-12-31$4,465,872
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2022-12-31990155373
2021 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$100,805
Total unrealized appreciation/depreciation of assets2021-12-31$100,805
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$706,125
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$718,954
Total income from all sources (including contributions)2021-12-31$4,897,220
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$4,176,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,043,693
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$4,241,553
Value of total assets at end of year2021-12-31$13,470,789
Value of total assets at beginning of year2021-12-31$12,763,108
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$133,017
Total interest from all sources2021-12-31$5,009
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$288,808
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$288,808
Administrative expenses professional fees incurred2021-12-31$44,911
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$66,690
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$739,200
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$681,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$22,500
Administrative expenses (other) incurred2021-12-31$14,188
Total non interest bearing cash at end of year2021-12-31$194,708
Total non interest bearing cash at beginning of year2021-12-31$190,370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$720,510
Value of net assets at end of year (total assets less liabilities)2021-12-31$12,764,664
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,044,154
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$15,665
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,758,457
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$9,389,497
Value of interest in common/collective trusts at end of year2021-12-31$1,498,756
Value of interest in common/collective trusts at beginning of year2021-12-31$1,217,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$936,451
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$905,926
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$905,926
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$5,009
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$4,043,693
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$261,045
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,174,863
Employer contributions (assets) at end of year2021-12-31$343,217
Employer contributions (assets) at beginning of year2021-12-31$378,232
Contract administrator fees2021-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$706,125
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$696,454
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$4,208,687
Aggregate carrying amount (costs) on sale of assets2021-12-31$4,208,687
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2021-12-31990155373
2020 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$164,645
Total unrealized appreciation/depreciation of assets2020-12-31$164,645
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$718,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$676,776
Total income from all sources (including contributions)2020-12-31$4,825,017
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,019,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,887,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,016,705
Value of total assets at end of year2020-12-31$12,763,108
Value of total assets at beginning of year2020-12-31$11,915,558
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$132,405
Total interest from all sources2020-12-31$6,985
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$260,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$260,881
Administrative expenses professional fees incurred2020-12-31$51,410
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$65,070
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$681,934
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$559,629
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$22,500
Other income not declared elsewhere2020-12-31$2,748
Administrative expenses (other) incurred2020-12-31$7,675
Total non interest bearing cash at end of year2020-12-31$190,370
Total non interest bearing cash at beginning of year2020-12-31$554,660
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$805,372
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,044,154
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$11,238,782
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$15,067
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$9,389,497
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$9,810,649
Value of interest in common/collective trusts at end of year2020-12-31$1,217,149
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$905,926
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$642,854
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$642,854
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$6,985
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$3,887,240
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$373,053
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,951,635
Employer contributions (assets) at end of year2020-12-31$378,232
Employer contributions (assets) at beginning of year2020-12-31$347,766
Contract administrator fees2020-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$696,454
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$654,276
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$5,059,606
Aggregate carrying amount (costs) on sale of assets2020-12-31$5,059,606
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2020-12-31990155373
2019 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$685,082
Total unrealized appreciation/depreciation of assets2019-12-31$685,082
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$676,776
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$674,214
Total income from all sources (including contributions)2019-12-31$4,921,898
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,848,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,694,412
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,808,035
Value of total assets at end of year2019-12-31$11,915,558
Value of total assets at beginning of year2019-12-31$10,839,561
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$154,051
Total interest from all sources2019-12-31$7,081
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$253,709
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$253,709
Administrative expenses professional fees incurred2019-12-31$71,961
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$56,860
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$559,629
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$391,410
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$22,500
Other income not declared elsewhere2019-12-31$7,540
Administrative expenses (other) incurred2019-12-31$8,451
Total non interest bearing cash at end of year2019-12-31$554,660
Total non interest bearing cash at beginning of year2019-12-31$257,092
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,073,435
Value of net assets at end of year (total assets less liabilities)2019-12-31$11,238,782
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,165,347
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$15,386
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$9,810,649
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$9,318,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$642,854
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$584,290
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$584,290
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$7,081
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$3,694,412
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$160,451
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,751,175
Employer contributions (assets) at end of year2019-12-31$347,766
Employer contributions (assets) at beginning of year2019-12-31$288,404
Contract administrator fees2019-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$654,276
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$651,714
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$4,268,093
Aggregate carrying amount (costs) on sale of assets2019-12-31$4,268,093
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LEMKE, CHINEN, & TANAKA, CPA, INC.
Accountancy firm EIN2019-12-31990155373
2018 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$94,469
Total unrealized appreciation/depreciation of assets2018-12-31$94,469
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$674,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$750,562
Total income from all sources (including contributions)2018-12-31$3,737,620
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$4,361,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,232,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,799,412
Value of total assets at end of year2018-12-31$10,839,561
Value of total assets at beginning of year2018-12-31$11,539,990
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$128,832
Total interest from all sources2018-12-31$13,086
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$269,003
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$269,003
Administrative expenses professional fees incurred2018-12-31$56,415
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$69,763
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$391,410
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$396,758
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$22,500
Other income not declared elsewhere2018-12-31$4,430
Total non interest bearing cash at end of year2018-12-31$257,092
Total non interest bearing cash at beginning of year2018-12-31$904,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-624,081
Value of net assets at end of year (total assets less liabilities)2018-12-31$10,165,347
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$10,789,428
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$14,164
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$9,318,365
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,397,673
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$584,290
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$502,714
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$502,714
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$13,086
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,232,869
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-442,780
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,729,649
Employer contributions (assets) at end of year2018-12-31$288,404
Employer contributions (assets) at beginning of year2018-12-31$338,384
Contract administrator fees2018-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$651,714
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$728,062
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$1,732,585
Aggregate carrying amount (costs) on sale of assets2018-12-31$1,732,585
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2018-12-31990155373
2017 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$750,562
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$814,011
Total income from all sources (including contributions)2017-12-31$4,818,412
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$4,363,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,233,550
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,049,414
Value of total assets at end of year2017-12-31$11,539,990
Value of total assets at beginning of year2017-12-31$11,148,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$130,333
Total interest from all sources2017-12-31$8,549
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$209,731
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$209,731
Administrative expenses professional fees incurred2017-12-31$49,930
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$61,421
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$396,758
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$554,166
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$22,500
Other income not declared elsewhere2017-12-31$1,678
Administrative expenses (other) incurred2017-12-31$8,257
Total non interest bearing cash at end of year2017-12-31$904,461
Total non interest bearing cash at beginning of year2017-12-31$999,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$454,529
Value of net assets at end of year (total assets less liabilities)2017-12-31$10,789,428
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,334,899
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$13,893
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,397,673
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$8,638,903
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$502,714
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$516,989
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$516,989
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$8,549
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,233,550
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$549,040
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,987,993
Employer contributions (assets) at end of year2017-12-31$338,384
Employer contributions (assets) at beginning of year2017-12-31$439,545
Contract administrator fees2017-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$728,062
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$791,511
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$4,190,309
Aggregate carrying amount (costs) on sale of assets2017-12-31$4,190,309
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2017-12-31990155373
2016 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$814,011
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$650,660
Total income from all sources (including contributions)2016-12-31$5,998,134
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,758,719
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,625,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,692,133
Value of total assets at end of year2016-12-31$11,148,910
Value of total assets at beginning of year2016-12-31$9,746,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$133,552
Total interest from all sources2016-12-31$7,382
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$130,815
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$130,815
Administrative expenses professional fees incurred2016-12-31$50,266
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$36,001
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$554,166
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$410,118
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$22,500
Other income not declared elsewhere2016-12-31$1,758
Administrative expenses (other) incurred2016-12-31$9,159
Total non interest bearing cash at end of year2016-12-31$999,307
Total non interest bearing cash at beginning of year2016-12-31$816,168
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,239,415
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,334,899
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$9,095,484
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$15,874
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$8,638,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,630,132
Interest earned on other investments2016-12-31$6,563
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$516,989
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$420,959
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$420,959
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$819
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,625,167
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$166,046
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$5,656,132
Employer contributions (assets) at end of year2016-12-31$439,545
Employer contributions (assets) at beginning of year2016-12-31$468,767
Contract administrator fees2016-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$791,511
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$628,160
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$9,029,571
Aggregate carrying amount (costs) on sale of assets2016-12-31$9,029,571
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2016-12-31990155373
2015 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$650,660
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$506,973
Total income from all sources (including contributions)2015-12-31$3,605,688
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$3,286,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,157,222
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,484,188
Value of total assets at end of year2015-12-31$9,746,144
Value of total assets at beginning of year2015-12-31$9,283,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$129,246
Total interest from all sources2015-12-31$8,021
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$187,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$187,491
Administrative expenses professional fees incurred2015-12-31$51,375
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$57,697
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$410,118
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$322,699
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$22,500
Other income not declared elsewhere2015-12-31$1,923
Administrative expenses (other) incurred2015-12-31$9,587
Total non interest bearing cash at end of year2015-12-31$816,168
Total non interest bearing cash at beginning of year2015-12-31$967,406
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$319,220
Value of net assets at end of year (total assets less liabilities)2015-12-31$9,095,484
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$8,776,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$10,031
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$7,630,132
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,518,577
Interest earned on other investments2015-12-31$7,875
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$420,959
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$276,584
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$276,584
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$146
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,157,222
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-75,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,426,491
Employer contributions (assets) at end of year2015-12-31$468,767
Employer contributions (assets) at beginning of year2015-12-31$197,971
Contract administrator fees2015-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$628,160
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$484,473
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$3,070,457
Aggregate carrying amount (costs) on sale of assets2015-12-31$3,070,457
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2015-12-31990155373
2014 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$506,973
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$728,006
Total income from all sources (including contributions)2014-12-31$3,391,439
Total loss/gain on sale of assets2014-12-31$113,659
Total of all expenses incurred2014-12-31$3,120,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,953,481
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,108,318
Value of total assets at end of year2014-12-31$9,283,237
Value of total assets at beginning of year2014-12-31$9,233,153
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$166,841
Total interest from all sources2014-12-31$37,008
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$190,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$173,216
Administrative expenses professional fees incurred2014-12-31$56,123
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$66,971
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$850
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$322,699
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$375,847
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$22,500
Other income not declared elsewhere2014-12-31$60
Administrative expenses (other) incurred2014-12-31$9,118
Liabilities. Value of operating payables at end of year2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$14,057
Total non interest bearing cash at end of year2014-12-31$967,406
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$271,117
Value of net assets at end of year (total assets less liabilities)2014-12-31$8,776,264
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$8,505,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$43,347
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,518,577
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,203,269
Interest earned on other investments2014-12-31$7,875
Income. Interest from US Government securities2014-12-31$17,724
Income. Interest from corporate debt instruments2014-12-31$10,932
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$276,584
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,817,846
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,817,846
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$477
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,953,481
Asset value of US Government securities at end of year2014-12-31$0
Asset value of US Government securities at beginning of year2014-12-31$780,407
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-58,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,041,347
Employer contributions (assets) at end of year2014-12-31$197,971
Employer contributions (assets) at beginning of year2014-12-31$246,714
Income. Dividends from common stock2014-12-31$17,586
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$946,013
Contract administrator fees2014-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$1,862,207
Liabilities. Value of benefit claims payable at end of year2014-12-31$484,473
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$691,449
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$28,876,031
Aggregate carrying amount (costs) on sale of assets2014-12-31$28,762,372
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2014-12-31990155373
2013 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$173,223
Total unrealized appreciation/depreciation of assets2013-12-31$173,223
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$728,006
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$447,381
Total income from all sources (including contributions)2013-12-31$3,363,894
Total loss/gain on sale of assets2013-12-31$114,609
Total of all expenses incurred2013-12-31$2,933,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,788,913
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,002,790
Value of total assets at end of year2013-12-31$9,233,153
Value of total assets at beginning of year2013-12-31$8,522,580
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$145,033
Total interest from all sources2013-12-31$41,315
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$20,394
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$12,983
Administrative expenses professional fees incurred2013-12-31$59,629
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$88,218
Participant contributions at end of year2013-12-31$850
Participant contributions at beginning of year2013-12-31$1,630
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$375,847
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$389,761
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$22,500
Other income not declared elsewhere2013-12-31$1,377
Administrative expenses (other) incurred2013-12-31$8,837
Liabilities. Value of operating payables at end of year2013-12-31$14,057
Liabilities. Value of operating payables at beginning of year2013-12-31$1,869
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$429,948
Value of net assets at end of year (total assets less liabilities)2013-12-31$8,505,147
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$8,075,199
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$0
Assets. partnership/joint venture interests at beginning of year2013-12-31$6,922,872
Investment advisory and management fees2013-12-31$18,314
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,203,269
Income. Interest from US Government securities2013-12-31$10,580
Income. Interest from corporate debt instruments2013-12-31$7,466
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,817,846
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,001,589
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,001,589
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$23,269
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,788,913
Asset value of US Government securities at end of year2013-12-31$780,407
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$10,186
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,914,572
Employer contributions (assets) at end of year2013-12-31$246,714
Employer contributions (assets) at beginning of year2013-12-31$206,728
Income. Dividends from common stock2013-12-31$7,411
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$946,013
Contract administrator fees2013-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$1,862,207
Liabilities. Value of benefit claims payable at end of year2013-12-31$691,449
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$423,012
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$11,552,319
Aggregate carrying amount (costs) on sale of assets2013-12-31$11,437,710
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31LEMKE, CHINEN & TANAKA, C.P.A., INC
Accountancy firm EIN2013-12-31990155373
2012 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$383,784
Total unrealized appreciation/depreciation of assets2012-12-31$383,784
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$447,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$270,512
Total income from all sources (including contributions)2012-12-31$2,666,923
Total loss/gain on sale of assets2012-12-31$1
Total of all expenses incurred2012-12-31$3,021,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,889,552
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,240,010
Value of total assets at end of year2012-12-31$8,522,580
Value of total assets at beginning of year2012-12-31$8,700,558
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$132,218
Total interest from all sources2012-12-31$11,877
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$54,001
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$107,355
Participant contributions at end of year2012-12-31$1,630
Participant contributions at beginning of year2012-12-31$150
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$389,761
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$310,057
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$22,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$32,912
Other income not declared elsewhere2012-12-31$31,251
Administrative expenses (other) incurred2012-12-31$6,678
Liabilities. Value of operating payables at end of year2012-12-31$1,869
Liabilities. Value of operating payables at beginning of year2012-12-31$1,681
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-354,847
Value of net assets at end of year (total assets less liabilities)2012-12-31$8,075,199
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$8,430,046
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$6,922,872
Assets. partnership/joint venture interests at beginning of year2012-12-31$7,539,089
Investment advisory and management fees2012-12-31$13,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,001,589
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$685,005
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$685,005
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$11,877
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,889,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,132,655
Employer contributions (assets) at end of year2012-12-31$206,728
Employer contributions (assets) at beginning of year2012-12-31$166,257
Contract administrator fees2012-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$423,012
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$235,919
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$3,024,899
Aggregate carrying amount (costs) on sale of assets2012-12-31$3,024,898
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2012-12-31990155373
2011 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$57,973
Total unrealized appreciation/depreciation of assets2011-12-31$57,973
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$270,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$152,758
Total income from all sources (including contributions)2011-12-31$2,517,472
Total loss/gain on sale of assets2011-12-31$2
Total of all expenses incurred2011-12-31$2,838,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,708,629
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,446,064
Value of total assets at end of year2011-12-31$8,700,558
Value of total assets at beginning of year2011-12-31$8,903,894
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$129,933
Total interest from all sources2011-12-31$12,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$50,854
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$88,146
Participant contributions at end of year2011-12-31$150
Participant contributions at beginning of year2011-12-31$930
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$310,057
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$353,689
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$32,912
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$31,947
Other income not declared elsewhere2011-12-31$823
Administrative expenses (other) incurred2011-12-31$5,662
Liabilities. Value of operating payables at end of year2011-12-31$1,681
Liabilities. Value of operating payables at beginning of year2011-12-31$1,756
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-321,090
Value of net assets at end of year (total assets less liabilities)2011-12-31$8,430,046
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$8,751,136
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$7,539,089
Assets. partnership/joint venture interests at beginning of year2011-12-31$7,731,116
Investment advisory and management fees2011-12-31$15,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$685,005
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$611,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$611,245
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$12,610
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,708,629
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$2,357,918
Employer contributions (assets) at end of year2011-12-31$166,257
Employer contributions (assets) at beginning of year2011-12-31$206,914
Contract administrator fees2011-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$235,919
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$119,055
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$2,415,910
Aggregate carrying amount (costs) on sale of assets2011-12-31$2,415,908
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2011-12-31990155373
2010 : HAWAII TAPERS HEALTH AND WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$532,532
Total unrealized appreciation/depreciation of assets2010-12-31$532,532
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$152,758
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$213,378
Total income from all sources (including contributions)2010-12-31$3,074,660
Total loss/gain on sale of assets2010-12-31$1
Total of all expenses incurred2010-12-31$2,646,736
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,516,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,285,727
Value of total assets at end of year2010-12-31$8,903,894
Value of total assets at beginning of year2010-12-31$8,536,590
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$130,362
Total interest from all sources2010-12-31$15,616
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$52,874
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$108,083
Participant contributions at end of year2010-12-31$930
Participant contributions at beginning of year2010-12-31$930
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$353,689
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$114,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$31,947
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$159,153
Other income not declared elsewhere2010-12-31$240,784
Administrative expenses (other) incurred2010-12-31$5,318
Liabilities. Value of operating payables at end of year2010-12-31$1,756
Liabilities. Value of operating payables at beginning of year2010-12-31$4,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$427,924
Value of net assets at end of year (total assets less liabilities)2010-12-31$8,751,136
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$8,323,212
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at end of year2010-12-31$7,731,116
Assets. partnership/joint venture interests at beginning of year2010-12-31$6,698,584
Investment advisory and management fees2010-12-31$13,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$611,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,555,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,555,277
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$15,616
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,516,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,177,644
Employer contributions (assets) at end of year2010-12-31$206,914
Employer contributions (assets) at beginning of year2010-12-31$167,682
Contract administrator fees2010-12-31$58,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$119,055
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$49,541
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$2,286,532
Aggregate carrying amount (costs) on sale of assets2010-12-31$2,286,531
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2010-12-31990155373

Form 5500 Responses for HAWAII TAPERS HEALTH AND WELFARE PLAN

2022: HAWAII TAPERS HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HAWAII TAPERS HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HAWAII TAPERS HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HAWAII TAPERS HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HAWAII TAPERS HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HAWAII TAPERS HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HAWAII TAPERS HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HAWAII TAPERS HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HAWAII TAPERS HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HAWAII TAPERS HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HAWAII TAPERS HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HAWAII TAPERS HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HAWAII TAPERS HEALTH AND WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HAWAII TAPERS HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered315
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $6,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered271
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,828
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $264,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4828
Insurance broker organization code?3
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered805
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered96
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,469
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered90
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $415,213
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered808
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered284
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,706
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4706
Insurance broker organization code?3
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered324
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $6,120
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered85
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $383,898
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered797
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered670
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,393
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $243,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,393
Insurance broker organization code?3
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered307
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,829
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered95
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $404,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered711
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,369
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,369
Insurance broker organization code?3
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered800
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered303
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $5,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered110
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $391,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered930
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered791
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,419
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $260,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,419
Insurance broker organization code?3
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered336
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $6,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered311
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $7,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered836
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,855
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $319,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,855
Insurance broker organization code?3
Insurance broker nameGROUP PLAN ADMINISTRATORS INC
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered953
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered108
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $379,812
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered105
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $335,992
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered827
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameGROUP PLAN ADMINISTRATORS INC
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,376
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered112
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $370,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered813
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered754
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,292
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,292
Insurance broker organization code?3
Insurance broker nameGROUP PLAN ADMINISTRATORS INC
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered297
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $5,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered277
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $5,264
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered123
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $326,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered791
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered726
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,670
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,670
Insurance broker organization code?3
Insurance broker nameGROUP PLAN ADMINISTRATORS INC
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered754
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered592
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,992
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,992
Insurance broker organization code?3
Insurance broker nameGROUP PLAN ADMINISTRATORS INC
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered108
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered274
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Welfare Benefit Premiums Paid to CarrierUSD $5,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered303
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $5,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered795
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,654
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered832
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
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 number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered112
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $282,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. (National Association of Insurance Commissioners NAIC id number: 64343 )
Policy contract numberGL-20854,854A
Policy instance 4
Insurance contract or identification numberGL-20854,854A
Number of Individuals Covered286
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Welfare Benefit Premiums Paid to CarrierUSD $5,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number42412-1,60475-1
Policy instance 2
Insurance contract or identification number42412-1,60475-1
Number of Individuals Covered824
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number624
Policy instance 3
Insurance contract or identification number624
Number of Individuals Covered732
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,329
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,329
Insurance broker organization code?3
Insurance broker nameGROUP PLAN ADMINISTRATORS INC
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number184/11
Policy instance 1
Insurance contract or identification number184/11
Number of Individuals Covered94
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $270,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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