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HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 401k Plan overview

Plan NameHEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC.
Plan identification number 501

HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. Benefits

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

401k Sponsoring company profile

GOODWILL INDUSTRIES OF HAWAII, INC. has sponsored the creation of one or more 401k plans.

Company Name:GOODWILL INDUSTRIES OF HAWAII, INC.
Employer identification number (EIN):996001264
NAIC Classification:453310
NAIC Description:Used Merchandise Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01
5012021-08-01
5012020-08-01
5012019-08-01
5012018-08-01
5012017-08-01LAURA SMITH, PRESIDENTCEO CAROL TAIRA, VP FINANCECFO2019-01-10
5012016-08-01LAURA SMITH, PRESIDENTCEO CAROL TAIRA, VP FINANCECFO2018-01-24
5012015-08-01LAURA SMITH, PRESIDENTCEO CAROL TAIRA, VP FINANCECFO2017-02-10
5012014-08-01LAURA SMITH, PRESIDENTCEO CAROL TAIRA, VP FINANCECFO2016-05-12
5012013-08-01LAURA SMITH, PRESIDENTCEO CAROL TAIRA, VP FINANCECFO2015-01-31
5012012-08-01LAURA SMITH, PRESIDENTCEO CAROL TAIRA, VP FINANCECFO2014-05-14
5012011-08-01LAURA SMITH PRESIDENTCEO CAROL TAIRA VP FINANCECFO2013-01-09
5012010-08-01LAURA D ROBERTSON PRESIDENTCEO CAROL TAIRA VP FINANCECFO2011-11-30
5012009-08-01LAURA D ROBERTSON PRESIDENTCEO CAROL TAIRA VP FINANCECFO2011-02-25
5012009-01-01CAROL TAIRA

Plan Statistics for HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC.

401k plan membership statisitcs for HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC.

Measure Date Value
2022: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2022 401k membership
Total participants, beginning-of-year2022-08-016
Total number of active participants reported on line 7a of the Form 55002022-08-014
Total of all active and inactive participants2022-08-014
Total participants2022-08-014
2021: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2021 401k membership
Total participants, beginning-of-year2021-08-017
Total number of active participants reported on line 7a of the Form 55002021-08-016
Total of all active and inactive participants2021-08-016
Total participants2021-08-016
2020: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2020 401k membership
Total participants, beginning-of-year2020-08-0115
Total number of active participants reported on line 7a of the Form 55002020-08-017
Total of all active and inactive participants2020-08-017
Total participants2020-08-017
2019: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2019 401k membership
Total participants, beginning-of-year2019-08-0112
Total number of active participants reported on line 7a of the Form 55002019-08-0115
Total of all active and inactive participants2019-08-0115
Total participants2019-08-0115
2018: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2018 401k membership
Total participants, beginning-of-year2018-08-0111
Total number of active participants reported on line 7a of the Form 55002018-08-0112
Total of all active and inactive participants2018-08-0112
Total participants2018-08-0112
2017: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2017 401k membership
Total participants, beginning-of-year2017-08-0110
Total number of active participants reported on line 7a of the Form 55002017-08-0116
Total of all active and inactive participants2017-08-0116
Total participants2017-08-0116
2016: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2016 401k membership
Total participants, beginning-of-year2016-08-017
Total number of active participants reported on line 7a of the Form 55002016-08-0110
Total of all active and inactive participants2016-08-0110
Total participants2016-08-0110
2015: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2015 401k membership
Total participants, beginning-of-year2015-08-019
Total number of active participants reported on line 7a of the Form 55002015-08-017
Total of all active and inactive participants2015-08-017
Total participants2015-08-010
2014: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2014 401k membership
Total participants, beginning-of-year2014-08-017
Total number of active participants reported on line 7a of the Form 55002014-08-019
Total of all active and inactive participants2014-08-019
Total participants2014-08-010
2013: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2013 401k membership
Total participants, beginning-of-year2013-08-016
Total number of active participants reported on line 7a of the Form 55002013-08-017
Total of all active and inactive participants2013-08-017
Total participants2013-08-010
2012: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2012 401k membership
Total participants, beginning-of-year2012-08-019
Total number of active participants reported on line 7a of the Form 55002012-08-016
Total of all active and inactive participants2012-08-016
Total participants2012-08-010
2011: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2011 401k membership
Total participants, beginning-of-year2011-08-0130
Total number of active participants reported on line 7a of the Form 55002011-08-019
Total of all active and inactive participants2011-08-019
Total participants2011-08-019
2010: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2010 401k membership
Total participants, beginning-of-year2010-08-0150
Total number of active participants reported on line 7a of the Form 55002010-08-0130
Total of all active and inactive participants2010-08-0130
Total participants2010-08-0130
2009: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2009 401k membership
Total participants, beginning-of-year2009-08-0154
Total number of active participants reported on line 7a of the Form 55002009-08-0150
Total of all active and inactive participants2009-08-0150
Total participants2009-08-0150
Total participants, beginning-of-year2009-01-01513
Total number of active participants reported on line 7a of the Form 55002009-01-01594
Total of all active and inactive participants2009-01-01594
Total participants2009-01-01594

Financial Data on HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC.

Measure Date Value
2023 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2023 401k financial data
Total income from all sources2023-07-31$8,906
Expenses. Total of all expenses incurred2023-07-31$7,801
Total plan assets at end of year2023-07-31$111,406
Total plan assets at beginning of year2023-07-31$110,301
Value of fidelity bond covering the plan2023-07-31$12,000
Expenses. Other expenses not covered elsewhere2023-07-31$6,145
Other income received2023-07-31$3,889
Net income (gross income less expenses)2023-07-31$1,105
Net plan assets at end of year (total assets less liabilities)2023-07-31$111,406
Net plan assets at beginning of year (total assets less liabilities)2023-07-31$110,301
Total contributions received or receivable from employer(s)2023-07-31$5,017
Expenses. Administrative service providers (salaries,fees and commissions)2023-07-31$1,656
2022 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2022 401k financial data
Total income from all sources2022-07-31$9,055
Expenses. Total of all expenses incurred2022-07-31$7,934
Total plan assets at end of year2022-07-31$109,819
Total plan assets at beginning of year2022-07-31$108,698
Value of fidelity bond covering the plan2022-07-31$12,000
Expenses. Other expenses not covered elsewhere2022-07-31$5,039
Other income received2022-07-31$282
Net income (gross income less expenses)2022-07-31$1,121
Net plan assets at end of year (total assets less liabilities)2022-07-31$109,819
Net plan assets at beginning of year (total assets less liabilities)2022-07-31$108,698
Total contributions received or receivable from employer(s)2022-07-31$8,773
Expenses. Administrative service providers (salaries,fees and commissions)2022-07-31$2,895
2021 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2021 401k financial data
Total income from all sources2021-07-31$9,793
Expenses. Total of all expenses incurred2021-07-31$7,932
Total plan assets at end of year2021-07-31$108,698
Total plan assets at beginning of year2021-07-31$106,837
Value of fidelity bond covering the plan2021-07-31$12,000
Expenses. Other expenses not covered elsewhere2021-07-31$4,710
Other income received2021-07-31$30
Net income (gross income less expenses)2021-07-31$1,861
Net plan assets at end of year (total assets less liabilities)2021-07-31$108,698
Net plan assets at beginning of year (total assets less liabilities)2021-07-31$106,837
Total contributions received or receivable from employer(s)2021-07-31$9,763
Expenses. Administrative service providers (salaries,fees and commissions)2021-07-31$3,222
2020 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2020 401k financial data
Total income from all sources2020-07-31$13,477
Expenses. Total of all expenses incurred2020-07-31$5,976
Total plan assets at end of year2020-07-31$106,837
Total plan assets at beginning of year2020-07-31$99,336
Value of fidelity bond covering the plan2020-07-31$11,000
Expenses. Other expenses not covered elsewhere2020-07-31$1,545
Other income received2020-07-31$156
Net income (gross income less expenses)2020-07-31$7,501
Net plan assets at end of year (total assets less liabilities)2020-07-31$106,837
Net plan assets at beginning of year (total assets less liabilities)2020-07-31$99,336
Total contributions received or receivable from employer(s)2020-07-31$13,321
Expenses. Administrative service providers (salaries,fees and commissions)2020-07-31$4,431
2019 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2019 401k financial data
Total income from all sources2019-07-31$11,428
Expenses. Total of all expenses incurred2019-07-31$5,485
Total plan assets at end of year2019-07-31$99,336
Total plan assets at beginning of year2019-07-31$93,393
Value of fidelity bond covering the plan2019-07-31$10,000
Expenses. Other expenses not covered elsewhere2019-07-31$1,749
Net income (gross income less expenses)2019-07-31$5,943
Net plan assets at end of year (total assets less liabilities)2019-07-31$99,336
Net plan assets at beginning of year (total assets less liabilities)2019-07-31$93,393
Total contributions received or receivable from employer(s)2019-07-31$11,428
Expenses. Administrative service providers (salaries,fees and commissions)2019-07-31$3,736
2018 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2018 401k financial data
Total income from all sources2018-07-31$13,286
Expenses. Total of all expenses incurred2018-07-31$5,362
Benefits paid (including direct rollovers)2018-07-31$240
Total plan assets at end of year2018-07-31$93,393
Total plan assets at beginning of year2018-07-31$85,469
Value of fidelity bond covering the plan2018-07-31$10,000
Expenses. Other expenses not covered elsewhere2018-07-31$738
Net income (gross income less expenses)2018-07-31$7,924
Net plan assets at end of year (total assets less liabilities)2018-07-31$93,393
Net plan assets at beginning of year (total assets less liabilities)2018-07-31$85,469
Total contributions received or receivable from employer(s)2018-07-31$13,286
Expenses. Administrative service providers (salaries,fees and commissions)2018-07-31$4,384
2017 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2017 401k financial data
Total income from all sources2017-07-31$10,301
Expenses. Total of all expenses incurred2017-07-31$6,209
Benefits paid (including direct rollovers)2017-07-31$1,175
Total plan assets at end of year2017-07-31$85,469
Total plan assets at beginning of year2017-07-31$81,377
Value of fidelity bond covering the plan2017-07-31$10,000
Expenses. Other expenses not covered elsewhere2017-07-31$1,635
Net income (gross income less expenses)2017-07-31$4,092
Net plan assets at end of year (total assets less liabilities)2017-07-31$85,469
Net plan assets at beginning of year (total assets less liabilities)2017-07-31$81,377
Total contributions received or receivable from employer(s)2017-07-31$10,301
Expenses. Administrative service providers (salaries,fees and commissions)2017-07-31$3,399
2016 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2016 401k financial data
Total income from all sources2016-07-31$11,912
Expenses. Total of all expenses incurred2016-07-31$6,872
Benefits paid (including direct rollovers)2016-07-31$1,378
Total plan assets at end of year2016-07-31$81,377
Total plan assets at beginning of year2016-07-31$76,337
Value of fidelity bond covering the plan2016-07-31$10,000
Expenses. Other expenses not covered elsewhere2016-07-31$763
Net income (gross income less expenses)2016-07-31$5,040
Net plan assets at end of year (total assets less liabilities)2016-07-31$81,377
Net plan assets at beginning of year (total assets less liabilities)2016-07-31$76,337
Total contributions received or receivable from employer(s)2016-07-31$11,912
Expenses. Administrative service providers (salaries,fees and commissions)2016-07-31$4,731
2015 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2015 401k financial data
Total income from all sources2015-07-31$9,050
Expenses. Total of all expenses incurred2015-07-31$4,675
Total plan assets at end of year2015-07-31$76,337
Total plan assets at beginning of year2015-07-31$71,962
Value of fidelity bond covering the plan2015-07-31$10,000
Expenses. Other expenses not covered elsewhere2015-07-31$889
Net income (gross income less expenses)2015-07-31$4,375
Net plan assets at end of year (total assets less liabilities)2015-07-31$76,337
Net plan assets at beginning of year (total assets less liabilities)2015-07-31$71,962
Total contributions received or receivable from employer(s)2015-07-31$9,050
Expenses. Administrative service providers (salaries,fees and commissions)2015-07-31$3,786
2014 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2014 401k financial data
Total income from all sources2014-07-31$8,729
Expenses. Total of all expenses incurred2014-07-31$5,538
Total plan assets at end of year2014-07-31$71,962
Total plan assets at beginning of year2014-07-31$68,771
Value of fidelity bond covering the plan2014-07-31$10,000
Expenses. Other expenses not covered elsewhere2014-07-31$1,689
Net income (gross income less expenses)2014-07-31$3,191
Net plan assets at end of year (total assets less liabilities)2014-07-31$71,962
Net plan assets at beginning of year (total assets less liabilities)2014-07-31$68,771
Total contributions received or receivable from employer(s)2014-07-31$8,729
Expenses. Administrative service providers (salaries,fees and commissions)2014-07-31$3,849
2013 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2013 401k financial data
Total income from all sources2013-07-31$7,642
Expenses. Total of all expenses incurred2013-07-31$4,239
Total plan assets at end of year2013-07-31$68,771
Total plan assets at beginning of year2013-07-31$65,368
Value of fidelity bond covering the plan2013-07-31$10,000
Expenses. Other expenses not covered elsewhere2013-07-31$407
Net income (gross income less expenses)2013-07-31$3,403
Net plan assets at end of year (total assets less liabilities)2013-07-31$68,771
Net plan assets at beginning of year (total assets less liabilities)2013-07-31$65,368
Total contributions received or receivable from employer(s)2013-07-31$7,642
Expenses. Administrative service providers (salaries,fees and commissions)2013-07-31$3,832
2012 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2012 401k financial data
Total income from all sources2012-07-31$22,141
Expenses. Total of all expenses incurred2012-07-31$9,824
Benefits paid (including direct rollovers)2012-07-31$2,323
Total plan assets at end of year2012-07-31$65,368
Total plan assets at beginning of year2012-07-31$53,051
Value of fidelity bond covering the plan2012-07-31$10,000
Expenses. Other expenses not covered elsewhere2012-07-31$657
Net income (gross income less expenses)2012-07-31$12,317
Net plan assets at end of year (total assets less liabilities)2012-07-31$65,368
Net plan assets at beginning of year (total assets less liabilities)2012-07-31$53,051
Total contributions received or receivable from employer(s)2012-07-31$22,141
Expenses. Administrative service providers (salaries,fees and commissions)2012-07-31$6,844
2011 : HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2011 401k financial data
Total income from all sources2011-07-31$34,929
Expenses. Total of all expenses incurred2011-07-31$17,033
Benefits paid (including direct rollovers)2011-07-31$4,292
Total plan assets at end of year2011-07-31$53,051
Total plan assets at beginning of year2011-07-31$35,155
Value of fidelity bond covering the plan2011-07-31$10,000
Expenses. Other expenses not covered elsewhere2011-07-31$1,171
Net income (gross income less expenses)2011-07-31$17,896
Net plan assets at end of year (total assets less liabilities)2011-07-31$53,051
Net plan assets at beginning of year (total assets less liabilities)2011-07-31$35,155
Total contributions received or receivable from employer(s)2011-07-31$34,929
Expenses. Administrative service providers (salaries,fees and commissions)2011-07-31$11,570

Form 5500 Responses for HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC.

2022: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Plan funding arrangement – TrustYes
2022-08-01Plan benefit arrangement - TrustYes
2021: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – TrustYes
2021-08-01Plan benefit arrangement - TrustYes
2020: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement - TrustYes
2019: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement - TrustYes
2018: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – TrustYes
2018-08-01Plan benefit arrangement - TrustYes
2017: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – TrustYes
2017-08-01Plan benefit arrangement - TrustYes
2016: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement - TrustYes
2015: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – TrustYes
2015-08-01Plan benefit arrangement - TrustYes
2014: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement - TrustYes
2013: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – TrustYes
2013-08-01Plan benefit arrangement - TrustYes
2012: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – TrustYes
2012-08-01Plan benefit arrangement - TrustYes
2011: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – TrustYes
2011-08-01Plan benefit arrangement - TrustYes
2010: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – TrustYes
2010-08-01Plan benefit arrangement - TrustYes
2009: HEALTH & WELFARE BENEFIT PLAN FOR GOODWILL CONTRACT SERVICES HAWAII, INC. 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement - TrustYes
2009-01-01Type of plan entitySingle 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 planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number00556-12-12
Policy instance 1
Insurance contract or identification number00556-12-12
Number of Individuals Covered391
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,520,524
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 number1158
Policy instance 2
Insurance contract or identification number1158
Number of Individuals Covered357
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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