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STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 401k Plan overview

Plan NameSTEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN
Plan identification number 501

STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

HI-SIC INC. has sponsored the creation of one or more 401k plans.

Company Name:HI-SIC INC.
Employer identification number (EIN):990313967
NAIC Classification:483000
NAIC Description: Water Transportation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT 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
5012017-01-01MATTHEW SCHAFER RANDY GRUNE2018-09-27
5012016-01-01MATTHEW SCHAFER T. ROBERT GUARD2017-10-12
5012016-01-01 RANDY GRUNE2018-10-30
5012015-01-01MATTHEW SCHAFER T. ROBERT GUARD2016-10-17
5012015-01-01MATTHEW SCHAFER T. ROBERT GUARD2017-09-11
5012014-01-01DAWNA OTA
5012013-01-01DAWNA OTA
5012012-01-01DAWNA OTA
5012011-01-01DAWNA OTA
5012009-01-01DAWNA OTA ROBERT GUARD2010-10-14

Plan Statistics for STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN

401k plan membership statisitcs for STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN

Measure Date Value
2022: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,379
Total number of active participants reported on line 7a of the Form 55002022-01-01851
Number of retired or separated participants receiving benefits2022-01-01401
Number of other retired or separated participants entitled to future benefits2022-01-01127
Total of all active and inactive participants2022-01-011,379
Number of employers contributing to the scheme2022-01-014
2021: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,353
Total number of active participants reported on line 7a of the Form 55002021-01-01844
Number of retired or separated participants receiving benefits2021-01-01406
Number of other retired or separated participants entitled to future benefits2021-01-01129
Total of all active and inactive participants2021-01-011,379
Number of employers contributing to the scheme2021-01-014
2020: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,372
Total number of active participants reported on line 7a of the Form 55002020-01-01828
Number of retired or separated participants receiving benefits2020-01-01404
Number of other retired or separated participants entitled to future benefits2020-01-01121
Total of all active and inactive participants2020-01-011,353
Number of employers contributing to the scheme2020-01-014
2019: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,232
Total number of active participants reported on line 7a of the Form 55002019-01-01835
Number of retired or separated participants receiving benefits2019-01-01397
Number of other retired or separated participants entitled to future benefits2019-01-01140
Total of all active and inactive participants2019-01-011,372
Number of employers contributing to the scheme2019-01-014
2018: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,343
Total number of active participants reported on line 7a of the Form 55002018-01-01848
Number of retired or separated participants receiving benefits2018-01-01384
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,232
Number of employers contributing to the scheme2018-01-014
2017: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,015
Total number of active participants reported on line 7a of the Form 55002017-01-01838
Number of retired or separated participants receiving benefits2017-01-01380
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-01125
Total participants2017-01-011,343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
Number of employers contributing to the scheme2017-01-014
2016: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01964
Total number of active participants reported on line 7a of the Form 55002016-01-01662
Number of retired or separated participants receiving benefits2016-01-01353
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
Number of employers contributing to the scheme2016-01-014
2015: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01902
Total number of active participants reported on line 7a of the Form 55002015-01-01617
Number of retired or separated participants receiving benefits2015-01-01347
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01964
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01964
Number of employers contributing to the scheme2015-01-014
2014: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01935
Total number of active participants reported on line 7a of the Form 55002014-01-01602
Number of retired or separated participants receiving benefits2014-01-01362
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01964
2013: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01898
Total number of active participants reported on line 7a of the Form 55002013-01-01576
Number of retired or separated participants receiving benefits2013-01-01359
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01935
2012: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01919
Total number of active participants reported on line 7a of the Form 55002012-01-01538
Number of retired or separated participants receiving benefits2012-01-01360
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01898
2011: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01941
Total number of active participants reported on line 7a of the Form 55002011-01-01557
Number of retired or separated participants receiving benefits2011-01-01362
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01919
Number of employers contributing to the scheme2011-01-015
2009: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01976
Total number of active participants reported on line 7a of the Form 55002009-01-01579
Number of retired or separated participants receiving benefits2009-01-01369
Number of other retired or separated participants entitled to future benefits2009-01-018
Total of all active and inactive participants2009-01-01956

Financial Data on STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN

Measure Date Value
2022 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$28,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$11,054
Total income from all sources (including contributions)2022-12-31$37,046,014
Total of all expenses incurred2022-12-31$37,139,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$36,872,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$36,008,923
Value of total assets at end of year2022-12-31$11,563,512
Value of total assets at beginning of year2022-12-31$11,639,710
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$267,285
Total interest from all sources2022-12-31$1,570,733
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$118,487
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$118,487
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$309,403
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$288,626
Other income not declared elsewhere2022-12-31$788
Liabilities. Value of operating payables at end of year2022-12-31$28,780
Liabilities. Value of operating payables at beginning of year2022-12-31$11,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-93,924
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,534,732
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$11,628,656
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,031,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,565,111
Interest earned on other investments2022-12-31$1,544,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,832,423
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,327,127
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,327,127
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$25,814
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$36,872,653
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-652,917
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$36,008,923
Employer contributions (assets) at end of year2022-12-31$4,390,218
Employer contributions (assets) at beginning of year2022-12-31$3,458,846
Contract administrator fees2022-12-31$267,285
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
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CW ASSOCIATES, CPS
Accountancy firm EIN2022-12-31261659234
2021 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$11,054
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$18,011
Total income from all sources (including contributions)2021-12-31$35,630,025
Total of all expenses incurred2021-12-31$34,478,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$34,232,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$35,301,845
Value of total assets at end of year2021-12-31$11,639,710
Value of total assets at beginning of year2021-12-31$10,495,438
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$246,769
Total interest from all sources2021-12-31$263,058
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$32,490
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$32,490
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$288,626
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$324,453
Other income not declared elsewhere2021-12-31$5,711
Liabilities. Value of operating payables at end of year2021-12-31$11,054
Liabilities. Value of operating payables at beginning of year2021-12-31$18,011
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$1,151,229
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,628,656
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,477,427
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,565,111
Interest earned on other investments2021-12-31$262,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,327,127
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,287,011
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,287,011
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,004
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$34,232,027
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$26,921
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$35,301,845
Employer contributions (assets) at end of year2021-12-31$3,458,846
Employer contributions (assets) at beginning of year2021-12-31$2,883,974
Contract administrator fees2021-12-31$246,769
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
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CW ASSOCIATES, CPS
Accountancy firm EIN2021-12-31261659234
2020 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$18,011
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$8,378
Total income from all sources (including contributions)2020-12-31$34,086,447
Total of all expenses incurred2020-12-31$34,273,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$34,017,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$33,736,131
Value of total assets at end of year2020-12-31$10,495,438
Value of total assets at beginning of year2020-12-31$10,672,462
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$255,939
Total interest from all sources2020-12-31$350,316
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$324,453
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$310,184
Liabilities. Value of operating payables at end of year2020-12-31$18,011
Liabilities. Value of operating payables at beginning of year2020-12-31$8,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-186,657
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,477,427
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,664,084
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
Interest earned on other investments2020-12-31$330,404
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,287,011
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$7,188,671
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$7,188,671
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$19,912
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$34,017,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
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$33,736,131
Employer contributions (assets) at end of year2020-12-31$2,883,974
Employer contributions (assets) at beginning of year2020-12-31$3,173,607
Contract administrator fees2020-12-31$255,939
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
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
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CW ASSOCIATES, CPS
Accountancy firm EIN2020-12-31261659234
2019 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$8,378
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$44,308
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$44,308
Total income from all sources (including contributions)2019-12-31$37,720,677
Total income from all sources (including contributions)2019-12-31$37,720,677
Total of all expenses incurred2019-12-31$34,945,399
Total of all expenses incurred2019-12-31$34,945,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$34,715,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$37,373,302
Value of total assets at end of year2019-12-31$10,672,462
Value of total assets at end of year2019-12-31$10,672,462
Value of total assets at beginning of year2019-12-31$7,933,114
Value of total assets at beginning of year2019-12-31$7,933,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$229,734
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$229,734
Total interest from all sources2019-12-31$347,375
Total interest from all sources2019-12-31$347,375
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$600,000
Value of fidelity bond cover2019-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$310,184
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$310,184
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$335,130
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$335,130
Liabilities. Value of operating payables at end of year2019-12-31$8,378
Liabilities. Value of operating payables at end of year2019-12-31$8,378
Liabilities. Value of operating payables at beginning of year2019-12-31$11,417
Liabilities. Value of operating payables at beginning of year2019-12-31$11,417
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
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$2,775,278
Value of net income/loss2019-12-31$2,775,278
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,664,084
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,664,084
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,888,806
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,888,806
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Interest earned on other investments2019-12-31$278,527
Interest earned on other investments2019-12-31$278,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$7,188,671
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$7,188,671
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,813,866
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,813,866
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,813,866
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,813,866
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$68,848
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$68,848
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$34,715,665
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$34,715,665
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$37,373,302
Contributions received in cash from employer2019-12-31$37,373,302
Employer contributions (assets) at end of year2019-12-31$3,173,607
Employer contributions (assets) at end of year2019-12-31$3,173,607
Employer contributions (assets) at beginning of year2019-12-31$2,784,118
Employer contributions (assets) at beginning of year2019-12-31$2,784,118
Contract administrator fees2019-12-31$229,734
Contract administrator fees2019-12-31$229,734
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$32,891
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$32,891
Did the plan have assets held for investment2019-12-31Yes
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
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
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
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31CW ASSOCIATES,CPS
Accountancy firm name2019-12-31CW ASSOCIATES,CPS
Accountancy firm EIN2019-12-31261659234
Accountancy firm EIN2019-12-31261659234
2018 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$44,308
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$26,998
Total income from all sources (including contributions)2018-12-31$32,918,380
Total of all expenses incurred2018-12-31$31,897,316
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$31,675,605
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$32,882,029
Value of total assets at end of year2018-12-31$7,933,114
Value of total assets at beginning of year2018-12-31$6,894,740
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$221,711
Total interest from all sources2018-12-31$36,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$221,627
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$308,533
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$335,130
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$324,318
Administrative expenses (other) incurred2018-12-31$84
Liabilities. Value of operating payables at end of year2018-12-31$11,417
Liabilities. Value of operating payables at beginning of year2018-12-31$26,998
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$1,021,064
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,888,806
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$6,867,742
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,813,866
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$4,245,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$4,245,323
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$36,351
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$31,675,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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$32,573,496
Employer contributions (assets) at end of year2018-12-31$2,784,118
Employer contributions (assets) at beginning of year2018-12-31$2,325,099
Liabilities. Value of benefit claims payable at end of year2018-12-31$32,891
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
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 name2018-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2018-12-31261659234
2017 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$26,998
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,195,575
Total income from all sources (including contributions)2017-12-31$31,315,509
Total of all expenses incurred2017-12-31$29,827,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$29,612,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$31,292,354
Value of total assets at end of year2017-12-31$6,894,740
Value of total assets at beginning of year2017-12-31$6,575,396
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$214,654
Total interest from all sources2017-12-31$23,155
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$209,677
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$600,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$348,902
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$324,318
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$187,808
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,178,954
Administrative expenses (other) incurred2017-12-31$4,977
Liabilities. Value of operating payables at end of year2017-12-31$26,998
Liabilities. Value of operating payables at beginning of year2017-12-31$16,621
Total non interest bearing cash at beginning of year2017-12-31$4,792
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$1,487,921
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,867,742
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,379,821
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$4,245,323
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$5,234,350
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$5,234,350
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$23,155
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$29,612,934
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$30,943,452
Employer contributions (assets) at end of year2017-12-31$2,325,099
Employer contributions (assets) at beginning of year2017-12-31$1,148,446
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
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 name2017-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2017-12-31261659234
2016 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,195,575
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,361,754
Total income from all sources (including contributions)2016-12-31$20,150,934
Total of all expenses incurred2016-12-31$19,723,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$19,537,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$20,137,367
Value of total assets at end of year2016-12-31$6,575,396
Value of total assets at beginning of year2016-12-31$6,313,653
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$185,273
Total interest from all sources2016-12-31$13,567
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$175,471
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$1,465
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$186,569
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$187,808
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$169,273
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,178,954
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$1,332,395
Administrative expenses (other) incurred2016-12-31$9,802
Liabilities. Value of operating payables at end of year2016-12-31$16,621
Liabilities. Value of operating payables at beginning of year2016-12-31$29,359
Total non interest bearing cash at end of year2016-12-31$4,792
Total non interest bearing cash at beginning of year2016-12-31$839,194
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$427,922
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,379,821
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,951,899
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$5,234,350
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$5,303,721
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$5,303,721
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$13,567
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$19,537,739
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$19,950,798
Employer contributions (assets) at end of year2016-12-31$1,148,446
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
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 name2016-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2016-12-31261659234
2015 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,361,754
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,025,119
Total income from all sources (including contributions)2015-12-31$16,300,314
Total of all expenses incurred2015-12-31$14,028,379
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$13,848,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$16,299,608
Value of total assets at end of year2015-12-31$6,313,653
Value of total assets at beginning of year2015-12-31$3,705,083
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$180,336
Total interest from all sources2015-12-31$706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$170,685
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at end of year2015-12-31$1,465
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$256,355
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$168,859
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$169,273
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$154,699
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$1,332,395
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,014,977
Administrative expenses (other) incurred2015-12-31$9,651
Liabilities. Value of operating payables at end of year2015-12-31$29,359
Liabilities. Value of operating payables at beginning of year2015-12-31$10,142
Total non interest bearing cash at end of year2015-12-31$839,194
Total non interest bearing cash at beginning of year2015-12-31$0
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$2,271,935
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,951,899
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,679,964
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$5,303,721
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,207,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,207,635
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$706
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$13,848,043
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$16,130,749
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$86,394
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
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 name2015-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2015-12-31261659234
2014 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2014 401k financial data
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$1,025,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$709,146
Total income from all sources (including contributions)2014-12-31$13,459,765
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$12,351,528
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$12,189,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$13,459,585
Value of total assets at end of year2014-12-31$3,705,083
Value of total assets at beginning of year2014-12-31$2,280,873
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$161,648
Total interest from all sources2014-12-31$180
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$153,316
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$256,355
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$1,661
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$154,677
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$154,699
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$152,862
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,014,977
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$707,292
Administrative expenses (other) incurred2014-12-31$8,332
Liabilities. Value of operating payables at end of year2014-12-31$10,142
Liabilities. Value of operating payables at beginning of year2014-12-31$1,854
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$93,653
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$1,108,237
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,679,964
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,571,727
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,207,635
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$2,032,697
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$2,032,697
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$180
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$12,189,880
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$13,304,908
Employer contributions (assets) at end of year2014-12-31$86,394
Employer contributions (assets) at beginning of year2014-12-31$0
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
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 name2014-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2014-12-31261659234
2013 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$709,146
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,026,841
Total income from all sources (including contributions)2013-12-31$11,249,397
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$11,388,141
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$11,226,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$11,249,261
Value of total assets at end of year2013-12-31$2,280,873
Value of total assets at beginning of year2013-12-31$2,737,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$162,085
Total interest from all sources2013-12-31$136
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$153,428
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Assets. Other investments not covered elsewhere at end of year2013-12-31$1,661
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$1,488
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$152,850
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$152,862
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$182,683
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$707,292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,019,617
Administrative expenses (other) incurred2013-12-31$8,657
Liabilities. Value of operating payables at end of year2013-12-31$1,854
Liabilities. Value of operating payables at beginning of year2013-12-31$7,224
Total non interest bearing cash at end of year2013-12-31$93,653
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-138,744
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,571,727
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,710,471
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$2,032,697
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,553,141
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,553,141
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$136
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$11,226,056
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$11,096,411
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
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 name2013-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2013-12-31261659234
2012 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,026,841
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$957,337
Total income from all sources (including contributions)2012-12-31$10,806,087
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$11,086,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$10,953,273
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$10,805,905
Value of total assets at end of year2012-12-31$2,737,312
Value of total assets at beginning of year2012-12-31$2,948,681
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$133,687
Total interest from all sources2012-12-31$182
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
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$126,847
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$1,488
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$924,901
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$182,662
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$182,683
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$288,221
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,019,617
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$941,450
Administrative expenses (other) incurred2012-12-31$6,840
Liabilities. Value of operating payables at end of year2012-12-31$7,224
Liabilities. Value of operating payables at beginning of year2012-12-31$15,887
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$101,614
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-280,873
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,710,471
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,991,344
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,553,141
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,633,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,633,945
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$182
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$10,953,273
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$10,623,243
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
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 name2012-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2012-12-31261659234
2011 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$957,337
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$878,733
Total income from all sources (including contributions)2011-12-31$11,494,022
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$11,100,610
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$10,932,312
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$11,493,848
Value of total assets at end of year2011-12-31$2,948,681
Value of total assets at beginning of year2011-12-31$2,476,665
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$168,298
Total interest from all sources2011-12-31$174
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
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$161,445
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$924,901
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$922,782
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$244,542
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$288,221
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$178,090
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$941,450
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$859,721
Administrative expenses (other) incurred2011-12-31$6,853
Liabilities. Value of operating payables at end of year2011-12-31$15,887
Liabilities. Value of operating payables at beginning of year2011-12-31$19,012
Total non interest bearing cash at end of year2011-12-31$101,614
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$393,412
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,991,344
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,597,932
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,633,945
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,375,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,375,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$174
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$10,932,312
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$11,249,306
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
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 name2011-12-31CW ASSOCIATES, CPAS
Accountancy firm EIN2011-12-31261659234
2010 : STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$878,733
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$880,596
Total income from all sources (including contributions)2010-12-31$11,684,917
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$10,677,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$10,542,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$11,684,531
Value of total assets at end of year2010-12-31$2,476,665
Value of total assets at beginning of year2010-12-31$1,471,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$135,410
Total interest from all sources2010-12-31$386
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
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$129,353
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Assets. Other investments not covered elsewhere at end of year2010-12-31$922,782
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$1,179
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$141,268
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$178,090
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$259,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$859,721
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$857,713
Administrative expenses (other) incurred2010-12-31$6,057
Liabilities. Value of operating payables at end of year2010-12-31$19,012
Liabilities. Value of operating payables at beginning of year2010-12-31$22,883
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$1,007,363
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,597,932
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$590,569
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,375,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,210,898
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,210,898
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$386
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$10,542,144
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$11,543,263
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
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 name2010-12-31CW ASSOCIATES
Accountancy firm EIN2010-12-31261659234

Form 5500 Responses for STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN

2022: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT 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
2021: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT 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
2019: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT 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
2018: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT 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
2017: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedYes
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: STEVEDORE INDUSTRY COMMITTEE WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024051
Policy instance 4
Insurance contract or identification number50024051
Number of Individuals Covered760
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $26,120
Total amount of fees paid to insurance companyUSD $496
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,193,737
Commission paid to Insurance BrokerUSD $26,120
Amount paid for insurance broker fees0
Insurance broker organization code?3
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number186
Policy instance 3
Insurance contract or identification number186
Number of Individuals Covered384
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,038,665
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1240
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,028,078
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1-101_162-20/43
Policy instance 1
Insurance contract or identification number1-101_162-20/43
Number of Individuals Covered367
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $413,319
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 number1-101_162-20/43
Policy instance 1
Insurance contract or identification number1-101_162-20/43
Number of Individuals Covered361
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $440,821
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1225
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,336,092
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 number186
Policy instance 3
Insurance contract or identification number186
Number of Individuals Covered388
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,880,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024051
Policy instance 4
Insurance contract or identification number50024051
Number of Individuals Covered758
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $25,717
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,133,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,717
Insurance broker organization code?3
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number001/162
Policy instance 1
Insurance contract or identification number001/162
Number of Individuals Covered265
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,687
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1206
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,235,906
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number186
Policy instance 3
Insurance contract or identification number186
Number of Individuals Covered404
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,920,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024051
Policy instance 4
Insurance contract or identification number50024051
Number of Individuals Covered732
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $26,954
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,260,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number001/162
Policy instance 1
Insurance contract or identification number001/162
Number of Individuals Covered544
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $702,824
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1198
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,201,863
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 number186
Policy instance 3
Insurance contract or identification number186
Number of Individuals Covered429
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,177,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024051
Policy instance 4
Insurance contract or identification number50024051
Number of Individuals Covered734
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $26,961
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,256,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,961
Insurance broker organization code?3
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1178
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,659,917
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 number001/162
Policy instance 1
Insurance contract or identification number001/162
Number of Individuals Covered404
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $290,116
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 number186
Policy instance 3
Insurance contract or identification number186
Number of Individuals Covered966
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,781,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024051
Policy instance 4
Insurance contract or identification number50024051
Number of Individuals Covered729
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,277
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,141,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,277
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50024051
Policy instance 4
Insurance contract or identification number50024051
Number of Individuals Covered2893
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $42,774
Total amount of fees paid to insurance companyUSD $30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,174,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,604
Insurance broker organization code?3
Amount paid for insurance broker fees30
Insurance broker nameGALEN HANEDA
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number186
Policy instance 3
Insurance contract or identification number186
Number of Individuals Covered516
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,358,843
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1168
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,707,839
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 number001/162
Policy instance 1
Insurance contract or identification number001/162
Number of Individuals Covered423
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $529,529
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 number186
Policy instance 1
Insurance contract or identification number186
Number of Individuals Covered413
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,184,058
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1122
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,878,051
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 number001/162
Policy instance 3
Insurance contract or identification number001/162
Number of Individuals Covered957
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $954,194
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered2023
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $9,258,762
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 number001/162
Policy instance 3
Insurance contract or identification number001/162
Number of Individuals Covered2273
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $918,941
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 number186
Policy instance 1
Insurance contract or identification number186
Number of Individuals Covered366
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,191,879
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 number186
Policy instance 1
Insurance contract or identification number186
Number of Individuals Covered356
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,857,337
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1922
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,489,102
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 number001/162
Policy instance 3
Insurance contract or identification number001/162
Number of Individuals Covered2188
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $883,112
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1825
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,396,084
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 number001/162
Policy instance 3
Insurance contract or identification number001/162
Number of Individuals Covered2034
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $853,578
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 number186
Policy instance 1
Insurance contract or identification number186
Number of Individuals Covered326
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,701,865
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 number001/162
Policy instance 3
Insurance contract or identification number001/162
Number of Individuals Covered2110
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $889,977
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 number186
Policy instance 1
Insurance contract or identification number186
Number of Individuals Covered328
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,652,912
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1862
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $8,399,571
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 number186
Policy instance 1
Insurance contract or identification number186
Number of Individuals Covered328
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,527,674
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 number400
Policy instance 2
Insurance contract or identification number400
Number of Individuals Covered1848
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,761,020
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 number001/162
Policy instance 3
Insurance contract or identification number001/162
Number of Individuals Covered2257
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $950,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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