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TEAMSTERS LOCAL NO. 35 HEALTH PLANS 401k Plan overview

Plan NameTEAMSTERS LOCAL NO. 35 HEALTH PLANS
Plan identification number 501

TEAMSTERS LOCAL NO. 35 HEALTH PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

TEAMSTERS LOCAL NO. 35 HEALTH PLANS has sponsored the creation of one or more 401k plans.

Company Name:TEAMSTERS LOCAL NO. 35 HEALTH PLANS
Employer identification number (EIN):221804923
NAIC Classification:488990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS LOCAL NO. 35 HEALTH PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01PHYLLIS A. LUCIDI
5012016-01-01PHYLLIS A. LUCIDI
5012015-01-01PHYLLIS A. LUCIDI
5012014-01-01PHYLLIS A. LUCIDI
5012013-01-01PHYLLIS A. LUCIDI
5012012-01-01PHYLLIS A. LUCIDI
5012011-01-01PHYLLIS A. LUCIDI
5012010-01-01FRANK LUCIDI
5012009-01-01FRANK J LUCIDI

Plan Statistics for TEAMSTERS LOCAL NO. 35 HEALTH PLANS

401k plan membership statisitcs for TEAMSTERS LOCAL NO. 35 HEALTH PLANS

Measure Date Value
2023: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2023 401k membership
Total participants, beginning-of-year2023-01-01431
Total number of active participants reported on line 7a of the Form 55002023-01-01457
Number of retired or separated participants receiving benefits2023-01-014
Number of other retired or separated participants entitled to future benefits2023-01-0110
Total of all active and inactive participants2023-01-01471
Number of employers contributing to the scheme2023-01-0117
2022: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2022 401k membership
Total participants, beginning-of-year2022-01-01418
Total number of active participants reported on line 7a of the Form 55002022-01-01419
Number of retired or separated participants receiving benefits2022-01-0112
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01431
Number of employers contributing to the scheme2022-01-0114
2021: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2021 401k membership
Total participants, beginning-of-year2021-01-01461
Total number of active participants reported on line 7a of the Form 55002021-01-01408
Number of retired or separated participants receiving benefits2021-01-019
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-01418
Number of employers contributing to the scheme2021-01-0114
2020: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2020 401k membership
Total participants, beginning-of-year2020-01-01476
Total number of active participants reported on line 7a of the Form 55002020-01-01449
Number of retired or separated participants receiving benefits2020-01-0110
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-01461
Number of employers contributing to the scheme2020-01-0118
2019: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2019 401k membership
Total participants, beginning-of-year2019-01-01421
Total number of active participants reported on line 7a of the Form 55002019-01-01460
Number of retired or separated participants receiving benefits2019-01-0114
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-01476
Number of employers contributing to the scheme2019-01-0119
2018: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2018 401k membership
Total participants, beginning-of-year2018-01-01428
Total number of active participants reported on line 7a of the Form 55002018-01-01405
Number of retired or separated participants receiving benefits2018-01-0114
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-01421
Number of employers contributing to the scheme2018-01-0120
2017: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2017 401k membership
Total participants, beginning-of-year2017-01-01449
Total number of active participants reported on line 7a of the Form 55002017-01-01409
Number of retired or separated participants receiving benefits2017-01-0117
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-01428
Total participants2017-01-01428
Number of employers contributing to the scheme2017-01-0121
2016: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2016 401k membership
Total participants, beginning-of-year2016-01-01465
Total number of active participants reported on line 7a of the Form 55002016-01-01428
Number of retired or separated participants receiving benefits2016-01-0119
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-01449
Number of employers contributing to the scheme2016-01-0122
2015: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2015 401k membership
Total participants, beginning-of-year2015-01-01485
Total number of active participants reported on line 7a of the Form 55002015-01-01443
Number of retired or separated participants receiving benefits2015-01-0120
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-01465
2014: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2014 401k membership
Total participants, beginning-of-year2014-01-01472
Total number of active participants reported on line 7a of the Form 55002014-01-01459
Number of retired or separated participants receiving benefits2014-01-0126
Total of all active and inactive participants2014-01-01485
2013: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2013 401k membership
Total participants, beginning-of-year2013-01-01476
Total number of active participants reported on line 7a of the Form 55002013-01-01446
Number of retired or separated participants receiving benefits2013-01-0126
Total of all active and inactive participants2013-01-01472
2012: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2012 401k membership
Total participants, beginning-of-year2012-01-01482
Total number of active participants reported on line 7a of the Form 55002012-01-01448
Number of retired or separated participants receiving benefits2012-01-0128
Total of all active and inactive participants2012-01-01476
2011: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2011 401k membership
Total participants, beginning-of-year2011-01-01528
Total number of active participants reported on line 7a of the Form 55002011-01-01454
Number of retired or separated participants receiving benefits2011-01-0128
Total of all active and inactive participants2011-01-01482
2010: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2010 401k membership
Total participants, beginning-of-year2010-01-01586
Total number of active participants reported on line 7a of the Form 55002010-01-01500
Number of retired or separated participants receiving benefits2010-01-0128
Total of all active and inactive participants2010-01-01528
Number of employers contributing to the scheme2010-01-0126
2009: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2009 401k membership
Total participants, beginning-of-year2009-01-01659
Total number of active participants reported on line 7a of the Form 55002009-01-01557
Number of retired or separated participants receiving benefits2009-01-0129
Total of all active and inactive participants2009-01-01586
Number of employers contributing to the scheme2009-01-0123

Financial Data on TEAMSTERS LOCAL NO. 35 HEALTH PLANS

Measure Date Value
2023 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$122,920
Total unrealized appreciation/depreciation of assets2023-12-31$122,920
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$909,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,205,019
Total income from all sources (including contributions)2023-12-31$9,733,761
Total loss/gain on sale of assets2023-12-31$-505,750
Total of all expenses incurred2023-12-31$6,751,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$5,654,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$7,519,959
Value of total assets at end of year2023-12-31$29,183,929
Value of total assets at beginning of year2023-12-31$26,497,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,096,353
Total income from rents2023-12-31$24,102
Total interest from all sources2023-12-31$632,068
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$232,479
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$232,479
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$947,382
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-12-31$3,373
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$270,700
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$229,879
Other income not declared elsewhere2023-12-31$71,451
Administrative expenses (other) incurred2023-12-31$417,275
Liabilities. Value of operating payables at end of year2023-12-31$406,963
Liabilities. Value of operating payables at beginning of year2023-12-31$397,411
Total non interest bearing cash at end of year2023-12-31$481,968
Total non interest bearing cash at beginning of year2023-12-31$588,389
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$2,982,476
Value of net assets at end of year (total assets less liabilities)2023-12-31$28,274,653
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$25,292,177
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Assets. partnership/joint venture interests at end of year2023-12-31$2,532,011
Assets. partnership/joint venture interests at beginning of year2023-12-31$2,944,574
Investment advisory and management fees2023-12-31$73,280
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$10,770,535
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$9,509,349
Interest earned on other investments2023-12-31$78,445
Income. Interest from US Government securities2023-12-31$301,249
Income. Interest from corporate debt instruments2023-12-31$171,338
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,857,818
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$1,182,658
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$1,182,658
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$81,036
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$5,651,559
Asset value of US Government securities at end of year2023-12-31$8,260,340
Asset value of US Government securities at beginning of year2023-12-31$7,194,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,636,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$6,572,577
Employer contributions (assets) at beginning of year2023-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$3,715,727
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$3,548,336
Liabilities. Value of benefit claims payable at end of year2023-12-31$502,313
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$807,608
Assets. Value of buildings and other operty used in plan operation at end of year2023-12-31$1,294,830
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-12-31$1,299,974
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Aggregate proceeds on sale of assets2023-12-31$39,151,859
Aggregate carrying amount (costs) on sale of assets2023-12-31$39,657,609
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31FISCHER DORWART, PC
Accountancy firm EIN2023-12-31232247478
2022 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$173,595
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-2,589,664
Total unrealized appreciation/depreciation of assets2022-12-31$-2,416,069
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,205,019
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$712,882
Total income from all sources (including contributions)2022-12-31$4,720,249
Total loss/gain on sale of assets2022-12-31$1,282,494
Total of all expenses incurred2022-12-31$7,104,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,074,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$7,093,972
Value of total assets at end of year2022-12-31$26,497,196
Value of total assets at beginning of year2022-12-31$28,389,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,029,533
Total interest from all sources2022-12-31$378,857
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$341,437
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$341,437
Administrative expenses professional fees incurred2022-12-31$196,680
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$828,298
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$1,716
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$229,879
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$260,414
Other income not declared elsewhere2022-12-31$90,649
Administrative expenses (other) incurred2022-12-31$746,392
Liabilities. Value of operating payables at end of year2022-12-31$397,411
Liabilities. Value of operating payables at beginning of year2022-12-31$386,327
Total non interest bearing cash at end of year2022-12-31$588,389
Total non interest bearing cash at beginning of year2022-12-31$717,249
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,384,008
Value of net assets at end of year (total assets less liabilities)2022-12-31$25,292,177
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$27,676,185
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
Assets. partnership/joint venture interests at end of year2022-12-31$2,944,574
Assets. partnership/joint venture interests at beginning of year2022-12-31$2,723,014
Investment advisory and management fees2022-12-31$86,461
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,509,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$11,041,660
Interest earned on other investments2022-12-31$82,083
Income. Interest from US Government securities2022-12-31$138,196
Income. Interest from corporate debt instruments2022-12-31$142,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,182,658
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$946,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$946,166
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$15,898
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$100,294
Asset value of US Government securities at end of year2022-12-31$7,194,037
Asset value of US Government securities at beginning of year2022-12-31$6,453,477
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,051,091
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$6,265,674
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$13,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,972,714
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$3,548,336
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$5,024,945
Liabilities. Value of benefit claims payable at end of year2022-12-31$807,608
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$326,555
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$1,299,974
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$1,208,800
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$48,756,943
Aggregate carrying amount (costs) on sale of assets2022-12-31$47,474,449
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2022-12-31232247478
2021 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$404,439
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-239,651
Total unrealized appreciation/depreciation of assets2021-12-31$164,788
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$712,882
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,073,336
Total income from all sources (including contributions)2021-12-31$10,137,876
Total loss/gain on sale of assets2021-12-31$-40,677
Total of all expenses incurred2021-12-31$6,587,212
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,672,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$7,347,823
Value of total assets at end of year2021-12-31$28,389,067
Value of total assets at beginning of year2021-12-31$25,198,857
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$914,765
Total interest from all sources2021-12-31$247,238
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$510,220
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$510,220
Administrative expenses professional fees incurred2021-12-31$165,473
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$897,654
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$1,841
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$260,414
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$226,185
Other income not declared elsewhere2021-12-31$171,123
Administrative expenses (other) incurred2021-12-31$673,494
Liabilities. Value of operating payables at end of year2021-12-31$386,327
Liabilities. Value of operating payables at beginning of year2021-12-31$369,675
Total non interest bearing cash at end of year2021-12-31$717,249
Total non interest bearing cash at beginning of year2021-12-31$703,028
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$3,550,664
Value of net assets at end of year (total assets less liabilities)2021-12-31$27,676,185
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$24,125,521
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
Assets. partnership/joint venture interests at end of year2021-12-31$2,723,014
Assets. partnership/joint venture interests at beginning of year2021-12-31$2,014,461
Investment advisory and management fees2021-12-31$75,798
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$11,041,660
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$9,544,870
Interest earned on other investments2021-12-31$80,747
Income. Interest from US Government securities2021-12-31$34,949
Income. Interest from corporate debt instruments2021-12-31$131,469
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$946,166
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$2,833,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$2,833,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$73
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$95,110
Asset value of US Government securities at end of year2021-12-31$6,453,477
Asset value of US Government securities at beginning of year2021-12-31$4,382,630
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,737,361
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$6,450,169
Employer contributions (assets) at end of year2021-12-31$13,342
Employer contributions (assets) at beginning of year2021-12-31$33,841
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$5,575,496
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$5,024,945
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$4,240,846
Liabilities. Value of benefit claims payable at end of year2021-12-31$326,555
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$703,661
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$1,208,800
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$1,219,502
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$15,539,213
Aggregate carrying amount (costs) on sale of assets2021-12-31$15,579,890
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FISCHER DORWART PC
Accountancy firm EIN2021-12-31232247478
2020 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$-9,275
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$108,385
Total unrealized appreciation/depreciation of assets2020-12-31$99,110
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,073,336
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,261,152
Total income from all sources (including contributions)2020-12-31$9,620,108
Total loss/gain on sale of assets2020-12-31$302,251
Total of all expenses incurred2020-12-31$6,116,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$5,228,034
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,674,826
Value of total assets at end of year2020-12-31$25,198,857
Value of total assets at beginning of year2020-12-31$21,882,567
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$887,968
Total interest from all sources2020-12-31$232,465
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$208,217
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$208,217
Administrative expenses professional fees incurred2020-12-31$159,530
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$889,865
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$1,834
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$226,185
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$248,546
Other income not declared elsewhere2020-12-31$80,938
Administrative expenses (other) incurred2020-12-31$673,661
Liabilities. Value of operating payables at end of year2020-12-31$369,675
Liabilities. Value of operating payables at beginning of year2020-12-31$356,244
Total non interest bearing cash at end of year2020-12-31$703,028
Total non interest bearing cash at beginning of year2020-12-31$723,869
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$3,504,106
Value of net assets at end of year (total assets less liabilities)2020-12-31$24,125,521
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$20,621,415
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
Assets. partnership/joint venture interests at end of year2020-12-31$2,014,461
Investment advisory and management fees2020-12-31$54,777
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$9,544,870
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,211,593
Interest earned on other investments2020-12-31$38,372
Income. Interest from US Government securities2020-12-31$41,818
Income. Interest from corporate debt instruments2020-12-31$145,409
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$2,833,494
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$940,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$940,166
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$6,866
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$90,143
Asset value of US Government securities at end of year2020-12-31$4,382,630
Asset value of US Government securities at beginning of year2020-12-31$4,654,733
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,022,301
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$6,784,961
Employer contributions (assets) at end of year2020-12-31$33,841
Employer contributions (assets) at beginning of year2020-12-31$138,489
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$5,136,057
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$4,240,846
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$5,735,500
Liabilities. Value of benefit claims payable at end of year2020-12-31$703,661
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$904,908
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$1,219,502
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$1,229,671
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$39,693,192
Aggregate carrying amount (costs) on sale of assets2020-12-31$39,390,941
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31FISCHER DORWART PC
Accountancy firm EIN2020-12-31232247478
2019 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$-5,695
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$148,214
Total unrealized appreciation/depreciation of assets2019-12-31$142,519
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,261,152
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,469,540
Total income from all sources (including contributions)2019-12-31$10,206,076
Total loss/gain on sale of assets2019-12-31$274,100
Total of all expenses incurred2019-12-31$6,728,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,819,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,877,070
Value of total assets at end of year2019-12-31$21,882,567
Value of total assets at beginning of year2019-12-31$18,613,251
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$908,982
Total interest from all sources2019-12-31$302,763
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$182,539
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$182,539
Administrative expenses professional fees incurred2019-12-31$174,933
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$1,144,320
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$1,590
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$248,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$257,058
Other income not declared elsewhere2019-12-31$78,009
Administrative expenses (other) incurred2019-12-31$690,049
Liabilities. Value of operating payables at end of year2019-12-31$356,244
Liabilities. Value of operating payables at beginning of year2019-12-31$327,037
Total non interest bearing cash at end of year2019-12-31$723,869
Total non interest bearing cash at beginning of year2019-12-31$623,106
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$3,477,704
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,621,415
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,143,711
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$44,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,211,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$6,177,645
Income. Interest from US Government securities2019-12-31$100,058
Income. Interest from corporate debt instruments2019-12-31$187,777
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$940,166
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$554,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$554,544
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$14,928
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$87,369
Asset value of US Government securities at end of year2019-12-31$4,654,733
Asset value of US Government securities at beginning of year2019-12-31$4,429,703
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,349,076
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$6,732,750
Employer contributions (assets) at end of year2019-12-31$138,489
Employer contributions (assets) at beginning of year2019-12-31$109,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,730,431
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$5,735,500
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$5,214,988
Liabilities. Value of benefit claims payable at end of year2019-12-31$904,908
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,142,503
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$1,229,671
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$1,246,282
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$30,641,392
Aggregate carrying amount (costs) on sale of assets2019-12-31$30,367,292
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2019-12-31232247478
2018 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-12-31$-41,729
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-29,612
Total unrealized appreciation/depreciation of assets2018-12-31$-71,341
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,469,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,385,307
Total income from all sources (including contributions)2018-12-31$7,017,090
Total loss/gain on sale of assets2018-12-31$-143,734
Total of all expenses incurred2018-12-31$7,054,773
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$6,172,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$7,217,361
Value of total assets at end of year2018-12-31$18,613,251
Value of total assets at beginning of year2018-12-31$18,566,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$882,605
Total interest from all sources2018-12-31$283,480
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$195,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$195,830
Administrative expenses professional fees incurred2018-12-31$167,943
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$1,062,114
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$257,058
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$215,604
Other income not declared elsewhere2018-12-31$32,095
Administrative expenses (other) incurred2018-12-31$664,941
Liabilities. Value of operating payables at end of year2018-12-31$327,037
Liabilities. Value of operating payables at beginning of year2018-12-31$330,168
Total non interest bearing cash at end of year2018-12-31$623,106
Total non interest bearing cash at beginning of year2018-12-31$832,478
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-37,683
Value of net assets at end of year (total assets less liabilities)2018-12-31$17,143,711
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$17,181,394
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$49,721
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$6,177,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$6,562,057
Income. Interest from US Government securities2018-12-31$102,948
Income. Interest from corporate debt instruments2018-12-31$165,862
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$554,544
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$502,820
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$502,820
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$14,670
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$95,088
Asset value of US Government securities at end of year2018-12-31$4,429,703
Asset value of US Government securities at beginning of year2018-12-31$4,523,562
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-496,601
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$6,155,247
Employer contributions (assets) at end of year2018-12-31$109,925
Employer contributions (assets) at beginning of year2018-12-31$13,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$6,077,080
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$5,214,988
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$4,697,420
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,142,503
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,055,139
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$1,246,282
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$1,219,702
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$31,313,280
Aggregate carrying amount (costs) on sale of assets2018-12-31$31,457,014
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2018-12-31232247478
2017 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$-55,428
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$65,640
Total unrealized appreciation/depreciation of assets2017-12-31$10,212
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,385,307
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$934,439
Total income from all sources (including contributions)2017-12-31$8,570,699
Total loss/gain on sale of assets2017-12-31$-73,844
Total of all expenses incurred2017-12-31$6,280,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,376,460
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$7,362,121
Value of total assets at end of year2017-12-31$18,566,701
Value of total assets at beginning of year2017-12-31$15,825,927
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$904,333
Total interest from all sources2017-12-31$222,092
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$173,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$173,829
Administrative expenses professional fees incurred2017-12-31$182,757
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$1,074,965
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$215,604
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$215,659
Other income not declared elsewhere2017-12-31$28,806
Administrative expenses (other) incurred2017-12-31$673,394
Liabilities. Value of operating payables at end of year2017-12-31$330,168
Liabilities. Value of operating payables at beginning of year2017-12-31$311,870
Total non interest bearing cash at end of year2017-12-31$832,478
Total non interest bearing cash at beginning of year2017-12-31$656,477
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$2,289,906
Value of net assets at end of year (total assets less liabilities)2017-12-31$17,181,394
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$14,891,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$48,182
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$6,562,057
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,350,507
Income. Interest from US Government securities2017-12-31$65,248
Income. Interest from corporate debt instruments2017-12-31$152,048
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$502,820
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$681,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$681,660
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,796
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$135,869
Asset value of US Government securities at end of year2017-12-31$4,523,562
Asset value of US Government securities at beginning of year2017-12-31$3,658,581
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$847,483
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$6,287,156
Employer contributions (assets) at end of year2017-12-31$13,058
Employer contributions (assets) at beginning of year2017-12-31$9,627
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,240,591
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$4,697,420
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$5,057,355
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,055,139
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$622,569
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$1,219,702
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$1,196,061
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$27,870,254
Aggregate carrying amount (costs) on sale of assets2017-12-31$27,944,098
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 name2017-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2017-12-31232247478
2016 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$331,454
Total unrealized appreciation/depreciation of assets2016-12-31$331,454
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$934,439
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,092,923
Total income from all sources (including contributions)2016-12-31$8,063,186
Total loss/gain on sale of assets2016-12-31$100,562
Total of all expenses incurred2016-12-31$7,161,945
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,248,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$7,289,548
Value of total assets at end of year2016-12-31$15,825,927
Value of total assets at beginning of year2016-12-31$15,083,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$913,545
Total interest from all sources2016-12-31$203,506
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$107,604
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$107,604
Administrative expenses professional fees incurred2016-12-31$142,995
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$854,221
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$215,659
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$222,587
Other income not declared elsewhere2016-12-31$30,512
Administrative expenses (other) incurred2016-12-31$726,178
Liabilities. Value of operating payables at end of year2016-12-31$311,870
Liabilities. Value of operating payables at beginning of year2016-12-31$314,609
Total non interest bearing cash at end of year2016-12-31$656,477
Total non interest bearing cash at beginning of year2016-12-31$1,433,734
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$901,241
Value of net assets at end of year (total assets less liabilities)2016-12-31$14,891,488
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$13,990,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$44,372
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$4,350,507
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,734,967
Income. Interest from US Government securities2016-12-31$58,064
Income. Interest from corporate debt instruments2016-12-31$144,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$681,660
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$409,951
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$409,951
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$500
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$157,327
Asset value of US Government securities at end of year2016-12-31$3,658,581
Asset value of US Government securities at beginning of year2016-12-31$2,770,971
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$6,435,327
Employer contributions (assets) at end of year2016-12-31$9,627
Employer contributions (assets) at beginning of year2016-12-31$19,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$6,091,073
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$5,057,355
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$5,303,140
Liabilities. Value of benefit claims payable at end of year2016-12-31$622,569
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$778,314
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$1,196,061
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$1,188,582
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$33,149,144
Aggregate carrying amount (costs) on sale of assets2016-12-31$33,048,582
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 name2016-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2016-12-31232247478
2015 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$20,575
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-73,855
Total unrealized appreciation/depreciation of assets2015-12-31$-53,280
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,092,923
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,381,312
Total income from all sources (including contributions)2015-12-31$7,121,401
Total loss/gain on sale of assets2015-12-31$-23,548
Total of all expenses incurred2015-12-31$6,356,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,406,446
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$7,018,485
Value of total assets at end of year2015-12-31$15,083,170
Value of total assets at beginning of year2015-12-31$14,606,539
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$949,935
Total interest from all sources2015-12-31$219,919
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$96,552
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$154,788
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$825,925
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$222,587
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$443,934
Other income not declared elsewhere2015-12-31$24,148
Administrative expenses (other) incurred2015-12-31$749,600
Liabilities. Value of operating payables at end of year2015-12-31$314,609
Liabilities. Value of operating payables at beginning of year2015-12-31$309,981
Total non interest bearing cash at end of year2015-12-31$1,433,734
Total non interest bearing cash at beginning of year2015-12-31$693,927
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$765,020
Value of net assets at end of year (total assets less liabilities)2015-12-31$13,990,247
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$13,225,227
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$45,547
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,734,967
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,855,880
Income. Interest from US Government securities2015-12-31$60,480
Income. Interest from corporate debt instruments2015-12-31$159,417
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$409,951
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$295,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$295,499
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$22
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$171,373
Asset value of US Government securities at end of year2015-12-31$2,770,971
Asset value of US Government securities at beginning of year2015-12-31$2,656,658
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-160,875
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$6,192,560
Employer contributions (assets) at end of year2015-12-31$19,238
Employer contributions (assets) at beginning of year2015-12-31$118,833
Income. Dividends from common stock2015-12-31$96,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,235,073
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$5,303,140
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$5,349,828
Liabilities. Value of benefit claims payable at end of year2015-12-31$778,314
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,071,331
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$1,188,582
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$1,191,980
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$27,422,684
Aggregate carrying amount (costs) on sale of assets2015-12-31$27,446,232
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 name2015-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2015-12-31232247478
2014 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-31$39,407
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$102,826
Total unrealized appreciation/depreciation of assets2014-12-31$142,233
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,381,312
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,858,121
Total income from all sources (including contributions)2014-12-31$7,085,439
Total loss/gain on sale of assets2014-12-31$-1,948
Total of all expenses incurred2014-12-31$6,129,469
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,142,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$6,349,575
Value of total assets at end of year2014-12-31$14,606,539
Value of total assets at beginning of year2014-12-31$14,127,378
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$986,496
Total income from rents2014-12-31$18,480
Total interest from all sources2014-12-31$235,921
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$106,165
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$106,165
Administrative expenses professional fees incurred2014-12-31$146,343
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$848,596
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$443,934
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$223,257
Other income not declared elsewhere2014-12-31$4,713
Administrative expenses (other) incurred2014-12-31$794,307
Liabilities. Value of operating payables at end of year2014-12-31$309,981
Liabilities. Value of operating payables at beginning of year2014-12-31$347,509
Total non interest bearing cash at end of year2014-12-31$693,927
Total non interest bearing cash at beginning of year2014-12-31$901,594
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$955,970
Value of net assets at end of year (total assets less liabilities)2014-12-31$13,225,227
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$12,269,257
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$45,846
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,855,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,569,657
Income. Interest from US Government securities2014-12-31$76,119
Income. Interest from corporate debt instruments2014-12-31$159,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$295,499
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$373,931
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$373,931
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$46
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$247,930
Asset value of US Government securities at end of year2014-12-31$2,656,658
Asset value of US Government securities at beginning of year2014-12-31$3,220,067
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$230,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$5,500,979
Employer contributions (assets) at end of year2014-12-31$118,833
Employer contributions (assets) at beginning of year2014-12-31$309,861
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,895,043
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$5,349,828
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$4,324,033
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,071,331
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,510,612
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$1,191,980
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$1,204,978
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$28,014,473
Aggregate carrying amount (costs) on sale of assets2014-12-31$28,016,421
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 name2014-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2014-12-31232247478
2013 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$97,814
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-370,826
Total unrealized appreciation/depreciation of assets2013-12-31$-273,012
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,858,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,021,484
Total income from all sources (including contributions)2013-12-31$7,575,664
Total loss/gain on sale of assets2013-12-31$49,894
Total of all expenses incurred2013-12-31$7,267,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,237,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,953,904
Value of total assets at end of year2013-12-31$14,127,378
Value of total assets at beginning of year2013-12-31$12,982,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,030,273
Total income from rents2013-12-31$18,480
Total interest from all sources2013-12-31$260,458
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$76,680
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$76,680
Administrative expenses professional fees incurred2013-12-31$160,977
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$767,560
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$6,018,581
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$223,257
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$334,879
Other income not declared elsewhere2013-12-31$5,346
Administrative expenses (other) incurred2013-12-31$819,541
Liabilities. Value of operating payables at end of year2013-12-31$347,509
Liabilities. Value of operating payables at beginning of year2013-12-31$354,484
Total non interest bearing cash at end of year2013-12-31$901,594
Total non interest bearing cash at beginning of year2013-12-31$510,107
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$307,937
Value of net assets at end of year (total assets less liabilities)2013-12-31$12,269,257
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$11,961,320
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
Investment advisory and management fees2013-12-31$49,755
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,569,657
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,449,239
Income. Interest from US Government securities2013-12-31$71,186
Income. Interest from corporate debt instruments2013-12-31$189,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$373,931
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$486,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$486,542
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$83
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$218,873
Asset value of US Government securities at end of year2013-12-31$3,220,067
Asset value of US Government securities at beginning of year2013-12-31$4,290,485
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$483,914
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$6,186,344
Employer contributions (assets) at end of year2013-12-31$309,861
Employer contributions (assets) at beginning of year2013-12-31$155,681
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$4,324,033
Asset. Corporate debt instrument preferred debt at beginning of year2013-12-31$4,621,993
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,510,612
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$667,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$1,204,978
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$1,133,878
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$50,236,098
Aggregate carrying amount (costs) on sale of assets2013-12-31$50,186,204
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 name2013-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2013-12-31232247478
2012 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$52,255
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$140,354
Total unrealized appreciation/depreciation of assets2012-12-31$192,609
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,021,484
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$797,466
Total income from all sources (including contributions)2012-12-31$7,689,101
Total loss/gain on sale of assets2012-12-31$145,269
Total of all expenses incurred2012-12-31$7,913,499
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,777,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,652,736
Value of total assets at end of year2012-12-31$12,982,804
Value of total assets at beginning of year2012-12-31$12,983,184
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,136,173
Total income from rents2012-12-31$18,480
Total interest from all sources2012-12-31$468,084
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$31,524
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$31,524
Administrative expenses professional fees incurred2012-12-31$159,791
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$689,593
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$334,879
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$379,262
Other income not declared elsewhere2012-12-31$8,331
Administrative expenses (other) incurred2012-12-31$914,161
Liabilities. Value of operating payables at end of year2012-12-31$354,484
Liabilities. Value of operating payables at beginning of year2012-12-31$307,466
Total non interest bearing cash at end of year2012-12-31$510,107
Total non interest bearing cash at beginning of year2012-12-31$383,089
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-224,398
Value of net assets at end of year (total assets less liabilities)2012-12-31$11,961,320
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$12,185,718
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
Investment advisory and management fees2012-12-31$62,221
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,449,239
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,277,171
Income. Interest from US Government securities2012-12-31$209,384
Income. Interest from corporate debt instruments2012-12-31$247,024
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$486,542
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$499,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$499,533
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$11,676
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$6,494,855
Asset value of US Government securities at end of year2012-12-31$4,290,485
Asset value of US Government securities at beginning of year2012-12-31$3,927,823
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$172,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$5,963,143
Employer contributions (assets) at end of year2012-12-31$155,681
Employer contributions (assets) at beginning of year2012-12-31$157,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$282,471
Asset. Corporate debt instrument preferred debt at end of year2012-12-31$4,621,993
Asset. Corporate debt instrument preferred debt at beginning of year2012-12-31$5,218,616
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$667,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$490,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$1,133,878
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$1,140,102
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$6,125,144
Aggregate carrying amount (costs) on sale of assets2012-12-31$5,979,875
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2012-12-31232247478
2011 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$-1,046,952
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$33,328
Total unrealized appreciation/depreciation of assets2011-12-31$-1,013,624
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$797,466
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$891,512
Total income from all sources (including contributions)2011-12-31$6,729,438
Total loss/gain on sale of assets2011-12-31$192,498
Total of all expenses incurred2011-12-31$7,527,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,414,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$7,101,411
Value of total assets at end of year2011-12-31$12,983,184
Value of total assets at beginning of year2011-12-31$13,874,843
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,113,038
Total income from rents2011-12-31$18,480
Total interest from all sources2011-12-31$359,418
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$44,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$44,238
Administrative expenses professional fees incurred2011-12-31$159,732
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$728,679
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$4,001
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$379,262
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$541,816
Other income not declared elsewhere2011-12-31$7,952
Administrative expenses (other) incurred2011-12-31$919,202
Liabilities. Value of operating payables at end of year2011-12-31$307,466
Liabilities. Value of operating payables at beginning of year2011-12-31$351,512
Total non interest bearing cash at end of year2011-12-31$383,089
Total non interest bearing cash at beginning of year2011-12-31$387,572
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-797,613
Value of net assets at end of year (total assets less liabilities)2011-12-31$12,185,718
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$12,983,331
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
Investment advisory and management fees2011-12-31$34,104
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,277,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,239,856
Income. Interest from US Government securities2011-12-31$167,676
Income. Interest from corporate debt instruments2011-12-31$169,879
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$499,533
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$192,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$192,268
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$21,863
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$6,106,747
Asset value of US Government securities at end of year2011-12-31$3,927,823
Asset value of US Government securities at beginning of year2011-12-31$5,221,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$19,065
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$6,368,731
Employer contributions (assets) at end of year2011-12-31$157,588
Employer contributions (assets) at beginning of year2011-12-31$100,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$307,266
Asset. Corporate debt instrument preferred debt at end of year2011-12-31$5,218,616
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$3,955,874
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$121,219
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$490,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$540,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$1,140,102
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$2,114,457
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$19,407,501
Aggregate carrying amount (costs) on sale of assets2011-12-31$19,215,003
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 name2011-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2011-12-31232247478
2010 : TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$62,135
Total unrealized appreciation/depreciation of assets2010-12-31$62,135
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$891,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$898,946
Total income from all sources (including contributions)2010-12-31$7,923,071
Total loss/gain on sale of assets2010-12-31$32,177
Total of all expenses incurred2010-12-31$7,523,317
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,445,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$7,186,488
Value of total assets at end of year2010-12-31$13,874,843
Value of total assets at beginning of year2010-12-31$13,482,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,077,320
Total income from rents2010-12-31$18,473
Total interest from all sources2010-12-31$436,937
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$11,590
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$11,590
Administrative expenses professional fees incurred2010-12-31$171,520
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$729,456
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$56,257
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$541,816
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$587,067
Other income not declared elsewhere2010-12-31$7,005
Administrative expenses (other) incurred2010-12-31$859,815
Liabilities. Value of operating payables at end of year2010-12-31$351,512
Liabilities. Value of operating payables at beginning of year2010-12-31$303,946
Total non interest bearing cash at end of year2010-12-31$387,572
Total non interest bearing cash at beginning of year2010-12-31$564,761
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$399,754
Value of net assets at end of year (total assets less liabilities)2010-12-31$12,983,331
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$12,583,577
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
Investment advisory and management fees2010-12-31$45,985
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,239,856
Interest earned on other investments2010-12-31$5,927
Income. Interest from US Government securities2010-12-31$232,442
Income. Interest from corporate debt instruments2010-12-31$197,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$192,268
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$991,626
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$991,626
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$1,200
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$6,136,046
Asset value of US Government securities at end of year2010-12-31$5,221,761
Asset value of US Government securities at beginning of year2010-12-31$5,533,925
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$168,266
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$6,400,775
Employer contributions (assets) at end of year2010-12-31$100,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$309,951
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$3,955,874
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$3,499,967
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$121,219
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$190,393
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$540,000
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$595,000
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$2,114,457
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$2,114,784
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$16,097,624
Aggregate carrying amount (costs) on sale of assets2010-12-31$16,065,447
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 name2010-12-31FISCHER DORWART, P.C.
Accountancy firm EIN2010-12-31232247478

Form 5500 Responses for TEAMSTERS LOCAL NO. 35 HEALTH PLANS

2023: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 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
2010: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS LOCAL NO. 35 HEALTH PLANS 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0048-VU
Policy instance 2
Insurance contract or identification numberGL-0048-VU
Number of Individuals Covered461
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $5,193
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $86,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009991
Policy instance 1
Insurance contract or identification number009991
Number of Individuals Covered221
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $2,418
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $24,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0048-VU
Policy instance 1
Insurance contract or identification numberGL-0048-VU
Number of Individuals Covered419
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,514
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $75,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,514
Insurance broker organization code?3
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009991
Policy instance 2
Insurance contract or identification number009991
Number of Individuals Covered229
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,057
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $25,067
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,057
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0048-VU
Policy instance 3
Insurance contract or identification numberGL-0048-VU
Number of Individuals Covered408
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,238
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $70,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,238
Insurance broker organization code?3
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009991
Policy instance 1
Insurance contract or identification number009991
Number of Individuals Covered232
Insurance policy start date2021-05-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,696
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,961
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,696
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50030107
Policy instance 2
Insurance contract or identification number50030107
Number of Individuals Covered246
Insurance policy start date2021-01-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $1,245
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,245
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50030107
Policy instance 1
Insurance contract or identification number50030107
Number of Individuals Covered232
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,256
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $23,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,256
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0048-VU
Policy instance 2
Insurance contract or identification numberGL-0048-VU
Number of Individuals Covered449
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,991
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $66,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,991
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0048-VU
Policy instance 1
Insurance contract or identification numberGL-0048-VU
Number of Individuals Covered460
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,738
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $62,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,738
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50030107
Policy instance 2
Insurance contract or identification number50030107
Number of Individuals Covered268
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,541
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $25,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,541
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0048-VU
Policy instance 2
Insurance contract or identification numberGL-0048-VU
Number of Individuals Covered405
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,141
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $69,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,141
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50030107
Policy instance 1
Insurance contract or identification number50030107
Number of Individuals Covered252
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,754
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $24,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,754
Insurance broker organization code?3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract numberM5Q017
Policy instance 2
Insurance contract or identification numberM5Q017
Number of Individuals Covered253
Insurance policy start date2017-01-01
Insurance policy end date2017-05-31
Total amount of commissions paid to insurance brokerUSD $1,079
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT, DEATH & DISMEMBERMENT
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 $10,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,715
Insurance broker organization code?3
Insurance broker nameHORIZON INSURANCE CO.
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10135
Policy instance 1
Insurance contract or identification numberSL10135
Number of Individuals Covered409
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,760
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
Welfare Benefit Premiums Paid to CarrierUSD $95,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,760
Insurance broker organization code?3
Insurance broker nameSIROWICH & ASSOCIATES (PBIRX, INC.)
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10135
Policy instance 3
Insurance contract or identification numberSL10135
Number of Individuals Covered443
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,211
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $113,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,211
Insurance broker organization code?3
Insurance broker nameSIROWICH & ASSOCIATES (PBIRX, INC.)
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964063
Policy instance 1
Insurance contract or identification numberOK 964063
Number of Individuals Covered283
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $335
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $335
Insurance broker organization code?4
Insurance broker nameRICHARD GABRIEL ASSOCIATES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962438
Policy instance 2
Insurance contract or identification numberFLX962438
Number of Individuals Covered283
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,231
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $23,584
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,231
Insurance broker organization code?4
Insurance broker nameRICHARD GABRIEL ASSOCIATE
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10135
Policy instance 3
Insurance contract or identification numberSL10135
Number of Individuals Covered459
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $35,586
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $237,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,586
Insurance broker organization code?3
Insurance broker nameSIROWICH & ASSOCIATES (PBIRX, INC.)
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962438
Policy instance 2
Insurance contract or identification numberFLX962438
Number of Individuals Covered330
Insurance policy start date2013-09-01
Insurance policy end date2014-09-01
Total amount of commissions paid to insurance brokerUSD $1,865
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $19,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,865
Insurance broker organization code?4
Insurance broker nameRICHARD GABRIEL ASSOCIATE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964063
Policy instance 1
Insurance contract or identification numberOK 964063
Number of Individuals Covered330
Insurance policy start date2013-09-01
Insurance policy end date2014-09-01
Total amount of commissions paid to insurance brokerUSD $277
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $277
Insurance broker organization code?4
Insurance broker nameRICHARD GABRIEL ASSOCIATES
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10135
Policy instance 2
Insurance contract or identification numberSL10135
Number of Individuals Covered443
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $32,103
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $214,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,856
Insurance broker organization code?3
Insurance broker nameLAKESHORE BENEFIT GROUP INS. BROKER
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964063
Policy instance 3
Insurance contract or identification numberOK 964063
Number of Individuals Covered337
Insurance policy start date2012-09-01
Insurance policy end date2013-09-01
Total amount of commissions paid to insurance brokerUSD $260
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $260
Insurance broker organization code?4
Insurance broker nameRICHARD GABRIEL ASSOCIATES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962438
Policy instance 1
Insurance contract or identification numberFLX962438
Number of Individuals Covered337
Insurance policy start date2012-09-01
Insurance policy end date2013-09-01
Total amount of commissions paid to insurance brokerUSD $1,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,784
Insurance broker organization code?4
Insurance broker nameRICHARD GABRIEL ASSOCIATE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964063
Policy instance 1
Insurance contract or identification numberOK 964063
Number of Individuals Covered330
Insurance policy start date2011-09-01
Insurance policy end date2012-09-01
Total amount of commissions paid to insurance brokerUSD $270
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $270
Insurance broker organization code?3
Insurance broker nameRICHARD GABRIEL ASSOCIATES
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number2809893
Policy instance 3
Insurance contract or identification number2809893
Number of Individuals Covered439
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $34,076
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $227,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,076
Insurance broker organization code?3
Insurance broker namePBIRX, INC.
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962438
Policy instance 2
Insurance contract or identification numberFLX962438
Number of Individuals Covered330
Insurance policy start date2011-09-01
Insurance policy end date2012-09-01
Total amount of commissions paid to insurance brokerUSD $1,840
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $19,001
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,840
Insurance broker organization code?3
Insurance broker nameRICHARD GABRIEL ASSOCIATE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964063
Policy instance 3
Insurance contract or identification numberOK 964063
Number of Individuals Covered339
Insurance policy start date2010-09-01
Insurance policy end date2011-09-01
Total amount of commissions paid to insurance brokerUSD $289
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number280-9893
Policy instance 1
Insurance contract or identification number280-9893
Number of Individuals Covered449
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $34,484
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $195,410
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962438
Policy instance 2
Insurance contract or identification numberFLX962438
Number of Individuals Covered339
Insurance policy start date2010-09-01
Insurance policy end date2011-09-01
Total amount of commissions paid to insurance brokerUSD $1,925
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $20,352
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 964063
Policy instance 3
Insurance contract or identification numberOK 964063
Number of Individuals Covered329
Insurance policy start date2009-09-01
Insurance policy end date2010-09-01
Total amount of commissions paid to insurance brokerUSD $259
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $259
Insurance broker organization code?3
Insurance broker nameRICHARD GABRIEL ASSOCIATE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962438
Policy instance 2
Insurance contract or identification numberFLX962438
Number of Individuals Covered314
Insurance policy start date2009-09-01
Insurance policy end date2010-09-01
Total amount of commissions paid to insurance brokerUSD $1,776
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,776
Insurance broker organization code?3
Insurance broker nameRICHARD GABRIEL ASSOCIATE
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number280-9611
Policy instance 1
Insurance contract or identification number280-9611
Number of Individuals Covered492
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $24,996
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $166,437
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,996
Insurance broker organization code?3
Insurance broker namePHARMACY BENEFIT INTERMEDIARY

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