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SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameSHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND
Plan identification number 501

SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND
Employer identification number (EIN):046116422
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01EDWARD OKEEFE2024-10-09 MICHAEL LAFLEUR2024-10-09
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01ELAINE LAFLEUR JOHN SCAVOTTO2018-10-11
5012016-01-01ELAINE LAFLEUR JOHN R. SCAMMON2017-10-12
5012015-01-01ELAINE LAFLEUR JOHN SCAMMON2016-10-14
5012014-01-01DANIEL KLEEBERG JOHN SCAMMON2015-10-07
5012013-01-01DANIEL KLEEBERG JOHN SCAMMON2014-09-23
5012012-01-01DANIEL KLEEBERG JOHN R. SCAMMON2013-10-01
5012011-01-01DANIEL KLEEBERG MICHAEL LAFLEUR2012-07-25
5012009-01-01DANIEL KLEEBERG MICHAEL LAFLEUR2010-10-12

Plan Statistics for SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND

401k plan membership statisitcs for SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND

Measure Date Value
2023: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2023 401k membership
Total participants, beginning-of-year2023-01-01384
Total number of active participants reported on line 7a of the Form 55002023-01-01335
Number of retired or separated participants receiving benefits2023-01-0165
Total of all active and inactive participants2023-01-01400
Number of employers contributing to the scheme2023-01-0131
2022: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01295
Total number of active participants reported on line 7a of the Form 55002022-01-01318
Number of retired or separated participants receiving benefits2022-01-0166
Total of all active and inactive participants2022-01-01384
Total participants2022-01-01384
Number of employers contributing to the scheme2022-01-0135
2021: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01314
Total number of active participants reported on line 7a of the Form 55002021-01-01241
Number of retired or separated participants receiving benefits2021-01-0154
Total of all active and inactive participants2021-01-01295
Total participants2021-01-01295
Number of employers contributing to the scheme2021-01-0132
2020: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01371
Total number of active participants reported on line 7a of the Form 55002020-01-01314
Number of retired or separated participants receiving benefits2020-01-0174
Total of all active and inactive participants2020-01-01388
Total participants2020-01-01388
Number of employers contributing to the scheme2020-01-0126
2019: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01337
Total number of active participants reported on line 7a of the Form 55002019-01-01293
Number of retired or separated participants receiving benefits2019-01-0178
Total of all active and inactive participants2019-01-01371
Total participants2019-01-01371
Number of employers contributing to the scheme2019-01-0131
2018: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01304
Total number of active participants reported on line 7a of the Form 55002018-01-01316
Number of other retired or separated participants entitled to future benefits2018-01-0121
Total of all active and inactive participants2018-01-01337
Total participants2018-01-01337
Number of employers contributing to the scheme2018-01-0130
2017: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01329
Total number of active participants reported on line 7a of the Form 55002017-01-01304
Total of all active and inactive participants2017-01-01304
Total participants2017-01-01304
Number of employers contributing to the scheme2017-01-0127
2016: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01374
Total number of active participants reported on line 7a of the Form 55002016-01-01329
Total of all active and inactive participants2016-01-01329
Total participants2016-01-01329
Number of employers contributing to the scheme2016-01-0127
2015: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01382
Total number of active participants reported on line 7a of the Form 55002015-01-01374
Total of all active and inactive participants2015-01-01374
2014: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01390
Total number of active participants reported on line 7a of the Form 55002014-01-01382
Total of all active and inactive participants2014-01-01382
2013: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01405
Total number of active participants reported on line 7a of the Form 55002013-01-01390
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01390
2012: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01413
Total number of active participants reported on line 7a of the Form 55002012-01-01405
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01405
2011: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01385
Total number of active participants reported on line 7a of the Form 55002011-01-01413
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01413
2009: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01406
Total number of active participants reported on line 7a of the Form 55002009-01-01378
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01378

Financial Data on SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND

Measure Date Value
2022 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$4,719,796
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$6,669,556
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,286,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$5,310,322
Value of total assets at end of year2022-12-31$4,998,812
Value of total assets at beginning of year2022-12-31$6,948,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$382,636
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$110,247
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$110,247
Administrative expenses professional fees incurred2022-12-31$89,589
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$482,509
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$289,446
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$563,300
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$644,326
Administrative expenses (other) incurred2022-12-31$293,047
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,949,760
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,998,812
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,948,572
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$3,994,207
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,134,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$441,305
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,169,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,169,590
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$635,439
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-700,773
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,538,367
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,651,481
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
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 name2022-12-31LAPIER DILLON AND ASSOCIATES PC
Accountancy firm EIN2022-12-31320048525
2021 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$5,621,365
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$5,145,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,785,987
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,000,078
Value of total assets at end of year2021-12-31$6,948,572
Value of total assets at beginning of year2021-12-31$6,472,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$359,770
Total interest from all sources2021-12-31$4,678
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$59,260
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$59,260
Administrative expenses professional fees incurred2021-12-31$136,367
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$477,583
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$598,442
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$644,326
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$522,360
Other income not declared elsewhere2021-12-31$563,351
Administrative expenses (other) incurred2021-12-31$223,403
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$475,608
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,948,572
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,472,964
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$5,134,656
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,009,465
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,169,590
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$3,941,139
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$3,941,139
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$4,678
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$4,187,545
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-6,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,522,495
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 name2021-12-31LAPIER, DILLON & ASSOCIATES, P.C.
Accountancy firm EIN2021-12-31320048525
2020 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$120,400
Total unrealized appreciation/depreciation of assets2020-12-31$120,400
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$5,276,710
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,467,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,191,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,007,447
Value of total assets at end of year2020-12-31$6,472,964
Value of total assets at beginning of year2020-12-31$5,663,719
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$275,997
Total interest from all sources2020-12-31$84,543
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$106,062
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$449,002
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$184,909
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$522,360
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$462,831
Other income not declared elsewhere2020-12-31$64,320
Administrative expenses (other) incurred2020-12-31$169,935
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$809,245
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,472,964
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,663,719
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,009,465
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,826,752
Interest earned on other investments2020-12-31$84,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$3,941,139
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$3,374,136
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$3,374,136
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$4,006,559
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$4,558,445
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 name2020-12-31LAPIER DILLON & ASSOCIATES, P.C.
Accountancy firm EIN2020-12-31320048525
2019 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$32,208
Total unrealized appreciation/depreciation of assets2019-12-31$32,208
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,952,369
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$4,690,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,471,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,851,324
Value of total assets at end of year2019-12-31$5,663,719
Value of total assets at beginning of year2019-12-31$5,402,220
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$219,214
Total interest from all sources2019-12-31$26,972
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$62,888
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$367,606
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$333,950
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$462,831
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$481,392
Other income not declared elsewhere2019-12-31$41,865
Administrative expenses (other) incurred2019-12-31$156,326
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$261,499
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,663,719
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,402,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,826,752
Interest earned on other investments2019-12-31$26,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$3,374,136
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$4,920,828
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$4,920,828
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,137,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$4,483,718
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2019-12-31320048525
2018 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-16,713
Total unrealized appreciation/depreciation of assets2018-12-31$-16,713
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$5,684,557
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$4,523,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,309,130
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,193,509
Value of total assets at end of year2018-12-31$5,402,220
Value of total assets at beginning of year2018-12-31$4,240,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$214,070
Total interest from all sources2018-12-31$50,870
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
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$75,232
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$312,084
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$337,671
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$481,392
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$514,616
Other income not declared elsewhere2018-12-31$456,891
Administrative expenses (other) incurred2018-12-31$138,838
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$1,161,357
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,402,220
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,240,863
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 in registered invesment companies (eg mutual funds) at end of year2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,058,328
Interest earned on other investments2018-12-31$50,870
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$4,920,828
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,667,919
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,667,919
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$3,971,459
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,881,425
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2018-12-31320048525
2017 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-3,027
Total unrealized appreciation/depreciation of assets2017-12-31$-3,027
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$5,483,341
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$4,504,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,173,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$5,165,857
Value of total assets at end of year2017-12-31$4,240,863
Value of total assets at beginning of year2017-12-31$3,262,218
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$331,477
Total interest from all sources2017-12-31$18,008
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
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$136,938
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$117,431
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$294,463
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$514,616
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$530,046
Other income not declared elsewhere2017-12-31$302,503
Administrative expenses (other) incurred2017-12-31$194,539
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$978,645
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,240,863
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,262,218
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 in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,058,328
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$736,362
Interest earned on other investments2017-12-31$18,008
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,667,919
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,995,272
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,995,272
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$3,878,756
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$5,048,426
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$538
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31NICHOLAS LAPIER CPA PC
Accountancy firm EIN2017-12-31320048525
2016 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-516
Total unrealized appreciation/depreciation of assets2016-12-31$-516
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$4,601,619
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,070,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,830,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,538,445
Value of total assets at end of year2016-12-31$3,262,218
Value of total assets at beginning of year2016-12-31$2,731,433
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$240,110
Total interest from all sources2016-12-31$5,849
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$114,543
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
Contributions received from participants2016-12-31$234,559
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$287,350
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$530,046
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$484,524
Other income not declared elsewhere2016-12-31$57,841
Administrative expenses (other) incurred2016-12-31$125,567
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$530,785
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,262,218
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,731,433
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 in registered invesment companies (eg mutual funds) at end of year2016-12-31$736,362
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$727,621
Interest earned on other investments2016-12-31$5,849
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,995,272
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,517,829
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,517,829
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$3,543,374
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$4,303,886
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$538
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$1,459
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31NICHOLAS LAPIER, CPA, PC.
Accountancy firm EIN2016-12-31320048525
2015 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-89,513
Total unrealized appreciation/depreciation of assets2015-12-31$-89,513
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$4,510,782
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$5,253,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,065,268
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,411,688
Value of total assets at end of year2015-12-31$2,731,433
Value of total assets at beginning of year2015-12-31$3,474,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$188,199
Total interest from all sources2015-12-31$11,694
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$96,701
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
Contributions received from participants2015-12-31$393,212
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$273,664
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$484,524
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$482,024
Other income not declared elsewhere2015-12-31$86,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-742,685
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,731,433
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,474,118
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 in registered invesment companies (eg mutual funds) at end of year2015-12-31$727,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$274,572
Interest earned on other investments2015-12-31$11,694
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,517,829
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,697,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,697,915
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$4,791,604
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$90,846
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$4,018,476
Contract administrator fees2015-12-31$91,498
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$1,459
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$19,607
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31NICHOLAS LAPIER, CPA, PC
Accountancy firm EIN2015-12-31320048525
2014 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-5,274
Total unrealized appreciation/depreciation of assets2014-12-31$-5,274
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$4,106,324
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,421,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,280,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,993,118
Value of total assets at end of year2014-12-31$3,474,118
Value of total assets at beginning of year2014-12-31$4,789,011
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$140,425
Total interest from all sources2014-12-31$18,150
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$81,378
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
Contributions received from participants2014-12-31$431,187
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$342,933
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$482,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$486,024
Other income not declared elsewhere2014-12-31$80,250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-1,314,893
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,474,118
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,789,011
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 in registered invesment companies (eg mutual funds) at end of year2014-12-31$274,572
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$448,174
Interest earned on other investments2014-12-31$18,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,697,915
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,811,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,811,245
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$4,937,859
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$20,080
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,561,931
Contract administrator fees2014-12-31$59,047
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$19,607
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$43,568
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 name2014-12-31NICHOLAS LAPIER, CPA, PC
Accountancy firm EIN2014-12-31320048525
2013 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$34,551
Total unrealized appreciation/depreciation of assets2013-12-31$34,551
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$4,235,190
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,366,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,103,340
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,012,888
Value of total assets at end of year2013-12-31$4,789,011
Value of total assets at beginning of year2013-12-31$4,920,376
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$263,215
Total interest from all sources2013-12-31$29,000
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$51,472
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
Contributions received from participants2013-12-31$468,118
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$325,016
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$486,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$520,153
Other income not declared elsewhere2013-12-31$158,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-131,365
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,789,011
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,920,376
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 in registered invesment companies (eg mutual funds) at end of year2013-12-31$448,174
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$395,565
Interest earned on other investments2013-12-31$29,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,811,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$3,953,928
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$3,953,928
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,778,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$3,544,770
Contract administrator fees2013-12-31$211,743
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$43,568
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$50,730
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 name2013-12-31NICHOLAS LAPIER, CPA, PC
Accountancy firm EIN2013-12-31320048525
2012 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$35,223
Total unrealized appreciation/depreciation of assets2012-12-31$35,223
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,878,085
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$4,897,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,639,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,681,857
Value of total assets at end of year2012-12-31$4,920,376
Value of total assets at beginning of year2012-12-31$4,939,395
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$257,946
Total interest from all sources2012-12-31$17,697
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$63,904
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
Contributions received from participants2012-12-31$384,140
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$373,574
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$520,153
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$471,201
Other income not declared elsewhere2012-12-31$143,308
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-19,019
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,920,376
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,939,395
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 in registered invesment companies (eg mutual funds) at end of year2012-12-31$395,565
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$355,193
Interest earned on other investments2012-12-31$17,697
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$3,953,928
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$4,113,001
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$4,113,001
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$4,265,584
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
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$4,297,717
Contract administrator fees2012-12-31$194,042
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$50,730
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31NICHOLAS LAPIER, CPA, PC
Accountancy firm EIN2012-12-31320048525
2011 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-7,338
Total unrealized appreciation/depreciation of assets2011-12-31$-7,338
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$4,612,104
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,128,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,895,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,481,245
Value of total assets at end of year2011-12-31$4,939,395
Value of total assets at beginning of year2011-12-31$4,455,974
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$233,577
Total interest from all sources2011-12-31$13,132
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$47,206
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
Contributions received from participants2011-12-31$471,091
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$23,367
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$324,580
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$471,201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$515,995
Other income not declared elsewhere2011-12-31$125,065
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$483,421
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,939,395
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,455,974
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 in registered invesment companies (eg mutual funds) at end of year2011-12-31$355,193
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$356,857
Interest earned on other investments2011-12-31$13,132
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$4,113,001
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,925,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,925,385
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$3,570,526
Asset value of US Government securities at end of year2011-12-31$0
Asset value of US Government securities at beginning of year2011-12-31$657,737
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$3,986,787
Contract administrator fees2011-12-31$186,371
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 name2011-12-31NICHOLAS LAPIER, CPA, PC
Accountancy firm EIN2011-12-31320048525
2010 : SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$27,186
Total unrealized appreciation/depreciation of assets2010-12-31$27,186
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$4,064,746
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,764,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,520,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,870,899
Value of total assets at end of year2010-12-31$4,455,974
Value of total assets at beginning of year2010-12-31$4,156,027
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$244,752
Total interest from all sources2010-12-31$15,502
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$47,971
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
Contributions received from participants2010-12-31$473,345
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$21,027
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$348,347
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$515,995
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$470,644
Other income not declared elsewhere2010-12-31$151,159
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$299,947
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,455,974
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,156,027
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 in registered invesment companies (eg mutual funds) at end of year2010-12-31$356,857
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$325,146
Interest earned on other investments2010-12-31$15,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,925,385
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,242,609
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,242,609
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$3,171,700
Asset value of US Government securities at end of year2010-12-31$657,737
Asset value of US Government securities at beginning of year2010-12-31$2,117,628
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$3,376,527
Contract administrator fees2010-12-31$196,781
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 name2010-12-31NICHOLAS LAPIER, CPA, PC
Accountancy firm EIN2010-12-31320048525

Form 5500 Responses for SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND

2023: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
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
2017-01-01Plan benefit arrangement - TrustYes
2016: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
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
2016-01-01Plan benefit arrangement - TrustYes
2015: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
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
2015-01-01Plan benefit arrangement - TrustYes
2014: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 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
2014-01-01Plan benefit arrangement - TrustYes
2013: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 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
2013-01-01Plan benefit arrangement - TrustYes
2012: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 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
2012-01-01Plan benefit arrangement - TrustYes
2011: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 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
2011-01-01Plan benefit arrangement - TrustYes
2009: SHEET METAL WORKERS LOCAL NO. 63 HEALTH AND WELFARE FUND 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
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

RXBENEFITS (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 1
Number of Individuals Covered324
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $4,046
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RXBENEFITS (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number
Policy instance 1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract numberBXMA
Policy instance 1
Insurance contract or identification numberBXMA
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedRETIREE PRESCRIPTION DRUG PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract numberBXMA
Policy instance 1
Insurance contract or identification numberBXMA
Number of Individuals Covered742
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedRETIREE PRESCRIPTION DRUG PROGRAM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004008
Policy instance 2
Insurance contract or identification number004008
Number of Individuals Covered798
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number686527G
Policy instance 3
Insurance contract or identification number686527G
Number of Individuals Covered689
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedLIFE AND ACCIDENT
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 $38,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004008
Policy instance 2
Insurance contract or identification number004008
Number of Individuals Covered855
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract numberBXMA
Policy instance 1
Insurance contract or identification numberBXMA
Number of Individuals Covered90
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedRETIREE PRESCRIPTION DRUG PROGRAM
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 $186,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,620
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number686527G
Policy instance 3
Insurance contract or identification number686527G
Number of Individuals Covered700
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedLIFE AND ACCIDENT
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 $39,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameGAUDREAU GROUP INC INSURANCE CO
DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )
Policy contract number004008
Policy instance 2
Insurance contract or identification number004008
Number of Individuals Covered856
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXPRESS SCRIPTS, INC. (National Association of Insurance Commissioners NAIC id number: 60025 )
Policy contract numberBXMA
Policy instance 1
Insurance contract or identification numberBXMA
Number of Individuals Covered93
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedRETIREE PRESCRIPTION DRUG PROGRAM
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 $187,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,555
Insurance broker organization code?3
Insurance broker nameTHE GAUDREAU GROUP INS AGENCY

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