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IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 401k Plan overview

Plan NameIBEW LOCAL NO. 82 HEALTH & WELFARE FUND
Plan identification number 501

IBEW LOCAL NO. 82 HEALTH & WELFARE FUND Benefits

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

401k Sponsoring company profile

IBEW LOCAL NO. 82 HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:IBEW LOCAL NO. 82 HEALTH & WELFARE FUND
Employer identification number (EIN):316084151
NAIC Classification:238210
NAIC Description:Electrical Contractors and Other Wiring Installation Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL NO. 82 HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01KENDRICK TEMPLETON2024-04-12 KENDRICK TEMPLETON2024-04-12
5012021-07-01KENDRICK TEMPLETON2023-04-17 KIMBERLY A WOOD2023-04-17
5012020-07-01KENDRICK TEMPLETON2022-04-12 KIMBERLY A WOOD2022-04-12
5012019-07-01RYAN JONES2021-04-13 KIMBERLY A WOOD2021-04-13
5012018-07-01RYAN JONES2020-07-13 KIMBERLY A WOOD2020-07-13
5012017-07-01BETH RING2019-04-14 KIMBERLY A WOOD2019-04-14
5012016-07-01BETH RING KIMBERLY A WOOD2018-04-17
5012015-07-01JOHN D GALLOWAY KIMBERLY A WOOD2017-04-10
5012014-07-01JOHN D GALLOWAY KIMBERLY A WOOD2016-04-07
5012013-07-01NICHOLAS COMSTOCK - LABOR TRUSTEE JACK LOHBECK - EMPLOYER TRUSTEE2015-03-18
5012012-07-01NICHOLAS COMSTOCK - LABOR TRUSTEE JACK LOHBECK - EMPLOYER TRUSTEE2014-02-28
5012011-07-01NICHOLAS COMSTOCK - LABOR TRUSTEE JACK LOHBECK - EMPL. TRUSTEE2013-03-23
5012010-07-01NICHOLAS COMSTOCK - LABOR TRUSTEE JAMES FORTKAMP - EMPLOYER TRUSTEE2012-04-09
5012009-07-01NICHOLAS COMSTOCK - LABOR TRUSTEE DANAL NEAL - EMPLOYER TRUSTEE2011-03-17

Plan Statistics for IBEW LOCAL NO. 82 HEALTH & WELFARE FUND

401k plan membership statisitcs for IBEW LOCAL NO. 82 HEALTH & WELFARE FUND

Measure Date Value
2022: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-07-011,403
Total number of active participants reported on line 7a of the Form 55002022-07-011,105
Number of retired or separated participants receiving benefits2022-07-01292
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-011,397
Number of employers contributing to the scheme2022-07-0179
2021: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-07-011,327
Total number of active participants reported on line 7a of the Form 55002021-07-011,105
Number of retired or separated participants receiving benefits2021-07-01298
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-011,403
Number of employers contributing to the scheme2021-07-0180
2020: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-07-011,407
Total number of active participants reported on line 7a of the Form 55002020-07-011,028
Number of retired or separated participants receiving benefits2020-07-01299
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-011,327
Number of employers contributing to the scheme2020-07-0182
2019: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-07-011,397
Total number of active participants reported on line 7a of the Form 55002019-07-011,108
Number of retired or separated participants receiving benefits2019-07-01255
Number of other retired or separated participants entitled to future benefits2019-07-0144
Total of all active and inactive participants2019-07-011,407
Number of employers contributing to the scheme2019-07-0132
2018: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-07-011,480
Total number of active participants reported on line 7a of the Form 55002018-07-011,061
Number of retired or separated participants receiving benefits2018-07-01275
Total of all active and inactive participants2018-07-011,336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-0161
Number of employers contributing to the scheme2018-07-0167
2017: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-07-011,410
Total number of active participants reported on line 7a of the Form 55002017-07-011,121
Number of retired or separated participants receiving benefits2017-07-01306
Total of all active and inactive participants2017-07-011,427
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-0153
Number of employers contributing to the scheme2017-07-0181
2016: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-07-011,109
Total number of active participants reported on line 7a of the Form 55002016-07-011,101
Number of retired or separated participants receiving benefits2016-07-01309
Total of all active and inactive participants2016-07-011,410
Number of employers contributing to the scheme2016-07-0185
2015: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-07-011,026
Total number of active participants reported on line 7a of the Form 55002015-07-01728
Number of retired or separated participants receiving benefits2015-07-01261
Total of all active and inactive participants2015-07-01989
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-0151
Total participants2015-07-011,040
Number of employers contributing to the scheme2015-07-0140
2014: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-07-01968
Total number of active participants reported on line 7a of the Form 55002014-07-01650
Number of retired or separated participants receiving benefits2014-07-01344
Total of all active and inactive participants2014-07-01994
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-0132
Total participants2014-07-011,026
Number of employers contributing to the scheme2014-07-0140
2013: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01932
Total number of active participants reported on line 7a of the Form 55002013-07-01642
Number of retired or separated participants receiving benefits2013-07-01235
Total of all active and inactive participants2013-07-01877
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-0139
Number of employers contributing to the scheme2013-07-0136
2012: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-07-01976
Total number of active participants reported on line 7a of the Form 55002012-07-01658
Number of retired or separated participants receiving benefits2012-07-01274
Total of all active and inactive participants2012-07-01932
Total participants2012-07-01932
Number of employers contributing to the scheme2012-07-0129
2011: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-07-01961
Total number of active participants reported on line 7a of the Form 55002011-07-01691
Number of retired or separated participants receiving benefits2011-07-01285
Total of all active and inactive participants2011-07-01976
Number of employers contributing to the scheme2011-07-0127
2010: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-07-011,059
Total number of active participants reported on line 7a of the Form 55002010-07-01688
Number of retired or separated participants receiving benefits2010-07-01273
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-01961
Number of employers contributing to the scheme2010-07-0134
2009: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-07-011,124
Total number of active participants reported on line 7a of the Form 55002009-07-01769
Number of retired or separated participants receiving benefits2009-07-01290
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-011,059
Number of employers contributing to the scheme2009-07-0142

Financial Data on IBEW LOCAL NO. 82 HEALTH & WELFARE FUND

Measure Date Value
2023 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-06-30$1,368,978
Total unrealized appreciation/depreciation of assets2023-06-30$1,368,978
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$2,917,861
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$98,499
Total income from all sources (including contributions)2023-06-30$18,597,805
Total loss/gain on sale of assets2023-06-30$64,411
Total of all expenses incurred2023-06-30$17,382,037
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$16,145,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$16,392,570
Value of total assets at end of year2023-06-30$33,174,101
Value of total assets at beginning of year2023-06-30$29,138,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$1,236,876
Total interest from all sources2023-06-30$82,510
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$689,336
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-06-30$689,336
Administrative expenses professional fees incurred2023-06-30$140,042
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$584,566
Assets. Other investments not covered elsewhere at end of year2023-06-30$19,821
Assets. Other investments not covered elsewhere at beginning of year2023-06-30$19,821
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$128,619
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$75,410
Administrative expenses (other) incurred2023-06-30$101,198
Liabilities. Value of operating payables at end of year2023-06-30$135,861
Liabilities. Value of operating payables at beginning of year2023-06-30$98,499
Total non interest bearing cash at end of year2023-06-30$954,434
Total non interest bearing cash at beginning of year2023-06-30$365,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$1,215,768
Value of net assets at end of year (total assets less liabilities)2023-06-30$30,256,240
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$29,040,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Investment advisory and management fees2023-06-30$32,420
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-06-30$29,523,603
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-06-30$23,738,405
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$1,080,934
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$3,403,296
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$3,403,296
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$82,510
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$1,082,685
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30Yes
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$15,808,004
Employer contributions (assets) at end of year2023-06-30$1,466,690
Employer contributions (assets) at beginning of year2023-06-30$1,536,156
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$15,062,476
Contract administrator fees2023-06-30$963,216
Liabilities. Value of benefit claims payable at end of year2023-06-30$2,782,000
Liabilities. Value of benefit claims payable at beginning of year2023-06-30$0
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Aggregate proceeds on sale of assets2023-06-30$21,215,053
Aggregate carrying amount (costs) on sale of assets2023-06-30$21,150,642
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2023-06-30310800053
2022 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-3,833,526
Total unrealized appreciation/depreciation of assets2022-06-30$-3,833,526
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$98,499
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$132,524
Total income from all sources (including contributions)2022-06-30$11,603,348
Total loss/gain on sale of assets2022-06-30$298,011
Total of all expenses incurred2022-06-30$12,032,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$10,758,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$14,638,452
Value of total assets at end of year2022-06-30$29,138,971
Value of total assets at beginning of year2022-06-30$29,602,405
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$1,274,158
Total interest from all sources2022-06-30$5,453
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$494,958
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$494,958
Administrative expenses professional fees incurred2022-06-30$190,564
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$697,276
Assets. Other investments not covered elsewhere at end of year2022-06-30$19,821
Assets. Other investments not covered elsewhere at beginning of year2022-06-30$19,867
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$75,410
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$99,022
Administrative expenses (other) incurred2022-06-30$98,897
Liabilities. Value of operating payables at end of year2022-06-30$98,499
Liabilities. Value of operating payables at beginning of year2022-06-30$132,524
Total non interest bearing cash at end of year2022-06-30$365,883
Total non interest bearing cash at beginning of year2022-06-30$351,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-429,409
Value of net assets at end of year (total assets less liabilities)2022-06-30$29,040,472
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$29,469,881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$31,283
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$23,738,405
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$25,413,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$3,403,296
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$2,317,235
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$2,317,235
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$5,453
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,020,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$13,941,176
Employer contributions (assets) at end of year2022-06-30$1,536,156
Employer contributions (assets) at beginning of year2022-06-30$1,401,066
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$9,738,377
Contract administrator fees2022-06-30$953,414
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$11,299,414
Aggregate carrying amount (costs) on sale of assets2022-06-30$11,001,403
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2022-06-30310800053
2021 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$3,385,131
Total unrealized appreciation/depreciation of assets2021-06-30$3,385,131
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$132,524
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$174,531
Total income from all sources (including contributions)2021-06-30$18,908,907
Total loss/gain on sale of assets2021-06-30$391,788
Total of all expenses incurred2021-06-30$13,556,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$12,287,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$14,595,344
Value of total assets at end of year2021-06-30$29,602,405
Value of total assets at beginning of year2021-06-30$24,292,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$1,268,994
Total interest from all sources2021-06-30$265
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$536,379
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$536,379
Administrative expenses professional fees incurred2021-06-30$148,965
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$750,467
Assets. Other investments not covered elsewhere at end of year2021-06-30$19,867
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$99,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$72,941
Administrative expenses (other) incurred2021-06-30$96,789
Liabilities. Value of operating payables at end of year2021-06-30$132,524
Liabilities. Value of operating payables at beginning of year2021-06-30$174,531
Total non interest bearing cash at end of year2021-06-30$351,417
Total non interest bearing cash at beginning of year2021-06-30$281,829
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$5,352,208
Value of net assets at end of year (total assets less liabilities)2021-06-30$29,469,881
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$24,117,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$29,081
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$25,413,798
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$22,463,290
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$2,317,235
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$403,032
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$403,032
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$265
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$1,085,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$13,844,877
Employer contributions (assets) at end of year2021-06-30$1,401,066
Employer contributions (assets) at beginning of year2021-06-30$1,071,112
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$11,202,498
Contract administrator fees2021-06-30$994,159
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$13,472,548
Aggregate carrying amount (costs) on sale of assets2021-06-30$13,080,760
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2021-06-30310800053
2020 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$423,163
Total unrealized appreciation/depreciation of assets2020-06-30$423,163
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$174,531
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$99,974
Total income from all sources (including contributions)2020-06-30$15,251,390
Total loss/gain on sale of assets2020-06-30$160,826
Total of all expenses incurred2020-06-30$14,479,321
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$13,241,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$14,157,310
Value of total assets at end of year2020-06-30$24,292,204
Value of total assets at beginning of year2020-06-30$23,445,578
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$1,237,733
Total interest from all sources2020-06-30$9,146
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$500,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$500,945
Administrative expenses professional fees incurred2020-06-30$125,745
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$680,150
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$72,941
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$91,986
Administrative expenses (other) incurred2020-06-30$104,858
Liabilities. Value of operating payables at end of year2020-06-30$174,531
Liabilities. Value of operating payables at beginning of year2020-06-30$99,974
Total non interest bearing cash at end of year2020-06-30$281,829
Total non interest bearing cash at beginning of year2020-06-30$268,247
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$772,069
Value of net assets at end of year (total assets less liabilities)2020-06-30$24,117,673
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$23,345,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$27,231
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$22,463,290
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$20,767,395
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$403,032
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$1,017,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$1,017,571
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$9,146
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,187,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$13,477,160
Employer contributions (assets) at end of year2020-06-30$1,071,112
Employer contributions (assets) at beginning of year2020-06-30$1,300,379
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$12,053,589
Contract administrator fees2020-06-30$979,899
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$13,716,208
Aggregate carrying amount (costs) on sale of assets2020-06-30$13,555,382
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2020-06-30310800053
2019 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$650,173
Total unrealized appreciation/depreciation of assets2019-06-30$650,173
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$99,974
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,206,521
Total income from all sources (including contributions)2019-06-30$16,257,854
Total loss/gain on sale of assets2019-06-30$322,057
Total of all expenses incurred2019-06-30$14,976,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$13,772,175
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$14,783,140
Value of total assets at end of year2019-06-30$23,445,578
Value of total assets at beginning of year2019-06-30$23,271,178
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$1,204,732
Total interest from all sources2019-06-30$15,127
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$495,935
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$495,935
Administrative expenses professional fees incurred2019-06-30$151,157
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$821,447
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$91,986
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$85,586
Other income not declared elsewhere2019-06-30$-8,578
Administrative expenses (other) incurred2019-06-30$95,300
Liabilities. Value of operating payables at end of year2019-06-30$99,974
Liabilities. Value of operating payables at beginning of year2019-06-30$1,206,521
Total non interest bearing cash at end of year2019-06-30$268,247
Total non interest bearing cash at beginning of year2019-06-30$808,318
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$1,280,947
Value of net assets at end of year (total assets less liabilities)2019-06-30$23,345,604
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$22,064,657
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$30,385
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$20,767,395
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$19,288,928
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$1,017,571
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$1,851,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$1,851,056
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$15,127
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$1,237,462
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$13,961,693
Employer contributions (assets) at end of year2019-06-30$1,300,379
Employer contributions (assets) at beginning of year2019-06-30$1,237,290
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$12,534,713
Contract administrator fees2019-06-30$927,890
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$7,627,167
Aggregate carrying amount (costs) on sale of assets2019-06-30$7,305,110
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2019-06-30310800053
2018 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$108,020
Total unrealized appreciation/depreciation of assets2018-06-30$108,020
Total transfer of assets to this plan2018-06-30$221,405
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$1,206,521
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$278,708
Total income from all sources (including contributions)2018-06-30$15,539,218
Total loss/gain on sale of assets2018-06-30$500,162
Total of all expenses incurred2018-06-30$12,303,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$11,151,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$14,537,669
Value of total assets at end of year2018-06-30$23,271,178
Value of total assets at beginning of year2018-06-30$18,886,081
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$1,151,399
Total interest from all sources2018-06-30$8,031
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$394,757
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$394,757
Administrative expenses professional fees incurred2018-06-30$160,758
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$783,677
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$85,586
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$43,804
Other income not declared elsewhere2018-06-30$-9,421
Administrative expenses (other) incurred2018-06-30$84,357
Liabilities. Value of operating payables at end of year2018-06-30$1,206,521
Liabilities. Value of operating payables at beginning of year2018-06-30$278,708
Total non interest bearing cash at end of year2018-06-30$808,318
Total non interest bearing cash at beginning of year2018-06-30$944,004
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$3,235,879
Value of net assets at end of year (total assets less liabilities)2018-06-30$22,064,657
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$18,607,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$21,047
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$19,288,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$15,591,758
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$1,851,056
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$1,018,487
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$1,018,487
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$8,031
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$1,147,066
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$13,753,992
Employer contributions (assets) at end of year2018-06-30$1,237,290
Employer contributions (assets) at beginning of year2018-06-30$1,288,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$10,004,874
Contract administrator fees2018-06-30$885,237
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Aggregate proceeds on sale of assets2018-06-30$3,509,054
Aggregate carrying amount (costs) on sale of assets2018-06-30$3,008,892
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2018-06-30310800053
2017 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$760,285
Total unrealized appreciation/depreciation of assets2017-06-30$760,285
Total transfer of assets to this plan2017-06-30$961,680
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$278,708
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$141,475
Total income from all sources (including contributions)2017-06-30$14,058,464
Total loss/gain on sale of assets2017-06-30$111,770
Total of all expenses incurred2017-06-30$10,733,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$9,618,520
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$12,861,568
Value of total assets at end of year2017-06-30$18,886,081
Value of total assets at beginning of year2017-06-30$14,462,032
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,114,808
Total interest from all sources2017-06-30$49,302
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$259,488
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$259,488
Administrative expenses professional fees incurred2017-06-30$146,167
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$839,407
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$43,804
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$35,474
Other income not declared elsewhere2017-06-30$16,051
Administrative expenses (other) incurred2017-06-30$91,730
Liabilities. Value of operating payables at end of year2017-06-30$278,708
Liabilities. Value of operating payables at beginning of year2017-06-30$141,475
Total non interest bearing cash at end of year2017-06-30$944,004
Total non interest bearing cash at beginning of year2017-06-30$386,861
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$3,325,136
Value of net assets at end of year (total assets less liabilities)2017-06-30$18,607,373
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$14,320,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$19,804
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$15,591,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$12,711,322
Income. Interest from corporate debt instruments2017-06-30$46,137
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$1,018,487
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$542,719
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$542,719
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$3,165
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$1,282,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$12,022,161
Employer contributions (assets) at end of year2017-06-30$1,288,028
Employer contributions (assets) at beginning of year2017-06-30$785,656
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$8,335,801
Contract administrator fees2017-06-30$857,107
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Aggregate proceeds on sale of assets2017-06-30$3,239,217
Aggregate carrying amount (costs) on sale of assets2017-06-30$3,127,447
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2017-06-30310800053
2016 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$249,729
Total unrealized appreciation/depreciation of assets2016-06-30$249,729
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$141,475
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$31,567
Total income from all sources (including contributions)2016-06-30$9,992,684
Total loss/gain on sale of assets2016-06-30$-10,399
Total of all expenses incurred2016-06-30$9,418,297
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$8,541,063
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$9,448,654
Value of total assets at end of year2016-06-30$14,462,032
Value of total assets at beginning of year2016-06-30$13,777,737
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$877,234
Total interest from all sources2016-06-30$9,652
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$274,821
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$274,821
Administrative expenses professional fees incurred2016-06-30$171,119
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$831,339
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$35,474
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$217,697
Other income not declared elsewhere2016-06-30$20,227
Administrative expenses (other) incurred2016-06-30$62,448
Liabilities. Value of operating payables at end of year2016-06-30$141,475
Liabilities. Value of operating payables at beginning of year2016-06-30$31,567
Total non interest bearing cash at end of year2016-06-30$386,861
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$574,387
Value of net assets at end of year (total assets less liabilities)2016-06-30$14,320,557
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$13,746,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$19,923
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$12,711,322
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$11,078,458
Income. Interest from corporate debt instruments2016-06-30$8,172
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$542,719
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$1,409,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$1,409,330
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$1,480
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$1,205,448
Asset value of US Government securities at beginning of year2016-06-30$105,946
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$8,617,315
Employer contributions (assets) at end of year2016-06-30$785,656
Employer contributions (assets) at beginning of year2016-06-30$623,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$7,335,615
Asset. Corporate debt instrument debt (other) at beginning of year2016-06-30$343,052
Contract administrator fees2016-06-30$623,744
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$6,989,955
Aggregate carrying amount (costs) on sale of assets2016-06-30$7,000,354
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30LUBLIN SUSSMAN GROUP, LLP
Accountancy firm EIN2016-06-30341087273
2015 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$13,146
Total unrealized appreciation/depreciation of assets2015-06-30$13,146
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$31,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$89,961
Total income from all sources (including contributions)2015-06-30$8,893,961
Total loss/gain on sale of assets2015-06-30$113,513
Total of all expenses incurred2015-06-30$8,639,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$7,865,404
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$8,467,068
Value of total assets at end of year2015-06-30$13,777,737
Value of total assets at beginning of year2015-06-30$13,581,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$774,394
Total interest from all sources2015-06-30$67,355
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$232,879
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$232,879
Administrative expenses professional fees incurred2015-06-30$120,899
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$909,602
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$56,042
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$217,697
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$108,407
Administrative expenses (other) incurred2015-06-30$54,803
Liabilities. Value of operating payables at end of year2015-06-30$31,567
Liabilities. Value of operating payables at beginning of year2015-06-30$89,961
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$254,163
Value of net assets at end of year (total assets less liabilities)2015-06-30$13,746,170
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$13,492,007
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$20,669
Income. Interest from US Government securities2015-06-30$15,294
Income. Interest from corporate debt instruments2015-06-30$51,781
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$1,409,330
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$1,577,617
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$1,577,617
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$280
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$11,078,458
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$10,575,309
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,097,464
Asset value of US Government securities at end of year2015-06-30$105,946
Asset value of US Government securities at beginning of year2015-06-30$161,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$7,501,424
Employer contributions (assets) at end of year2015-06-30$623,254
Employer contributions (assets) at beginning of year2015-06-30$699,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$6,767,940
Asset. Corporate debt instrument debt (other) at end of year2015-06-30$343,052
Asset. Corporate debt instrument debt (other) at beginning of year2015-06-30$460,339
Contract administrator fees2015-06-30$578,023
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$2,739,014
Aggregate carrying amount (costs) on sale of assets2015-06-30$2,625,501
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30LUBLIN SUSSMAN GROUP, LLP
Accountancy firm EIN2015-06-30341087273
2014 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$-415,303
Total unrealized appreciation/depreciation of assets2014-06-30$-415,303
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$89,961
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$23,301
Total income from all sources (including contributions)2014-06-30$9,497,191
Total loss/gain on sale of assets2014-06-30$555,578
Total of all expenses incurred2014-06-30$8,478,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$7,752,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$8,076,432
Value of total assets at end of year2014-06-30$13,581,968
Value of total assets at beginning of year2014-06-30$12,496,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$725,702
Total interest from all sources2014-06-30$36,651
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$266,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$266,385
Administrative expenses professional fees incurred2014-06-30$114,775
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$985,325
Assets. Other investments not covered elsewhere at beginning of year2014-06-30$0
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$120,195
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$108,407
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$188,092
Administrative expenses (other) incurred2014-06-30$54,027
Liabilities. Value of operating payables at end of year2014-06-30$89,961
Liabilities. Value of operating payables at beginning of year2014-06-30$23,301
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$1,018,840
Value of net assets at end of year (total assets less liabilities)2014-06-30$13,492,007
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$12,473,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$21,072
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$10,575,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$6,756,821
Income. Interest from US Government securities2014-06-30$10,254
Income. Interest from corporate debt instruments2014-06-30$26,172
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$1,577,617
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$1,430,715
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$1,430,715
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$225
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$1,011,140
Asset value of US Government securities at end of year2014-06-30$161,064
Asset value of US Government securities at beginning of year2014-06-30$269,233
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$977,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$6,970,912
Employer contributions (assets) at end of year2014-06-30$699,232
Employer contributions (assets) at beginning of year2014-06-30$665,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$6,741,509
Asset. Corporate debt instrument debt (other) at end of year2014-06-30$460,339
Asset. Corporate debt instrument debt (other) at beginning of year2014-06-30$573,082
Contract administrator fees2014-06-30$535,828
Assets. Corporate common stocks other than exployer securities at end of year2014-06-30$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-06-30$2,613,025
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$2,974,212
Aggregate carrying amount (costs) on sale of assets2014-06-30$2,418,634
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30CLARK, SCAEFER, HACKETT & CO
Accountancy firm EIN2014-06-30310800053
2013 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$263,414
Total unrealized appreciation/depreciation of assets2013-06-30$263,414
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$23,301
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$45,609
Total income from all sources (including contributions)2013-06-30$9,359,478
Total loss/gain on sale of assets2013-06-30$49,500
Total of all expenses incurred2013-06-30$7,984,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$7,217,181
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$8,466,259
Value of total assets at end of year2013-06-30$12,496,468
Value of total assets at beginning of year2013-06-30$11,143,834
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$767,355
Total interest from all sources2013-06-30$90,636
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$275,835
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$275,835
Administrative expenses professional fees incurred2013-06-30$138,572
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$1,113,302
Assets. Other investments not covered elsewhere at end of year2013-06-30$0
Assets. Other investments not covered elsewhere at beginning of year2013-06-30$51,016
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$131,487
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$188,092
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$89,763
Administrative expenses (other) incurred2013-06-30$48,419
Liabilities. Value of operating payables at end of year2013-06-30$23,301
Liabilities. Value of operating payables at beginning of year2013-06-30$45,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$1,374,942
Value of net assets at end of year (total assets less liabilities)2013-06-30$12,473,167
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$11,098,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$23,339
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$6,756,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$5,200,527
Income. Interest from US Government securities2013-06-30$11,125
Income. Interest from corporate debt instruments2013-06-30$79,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$1,430,715
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$1,399,628
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$1,399,628
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$362
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$1,017,504
Asset value of US Government securities at end of year2013-06-30$269,233
Asset value of US Government securities at beginning of year2013-06-30$278,744
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$213,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$7,221,470
Employer contributions (assets) at end of year2013-06-30$665,500
Employer contributions (assets) at beginning of year2013-06-30$594,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$6,199,677
Asset. Corporate debt instrument debt (other) at end of year2013-06-30$573,082
Asset. Corporate debt instrument debt (other) at beginning of year2013-06-30$847,446
Contract administrator fees2013-06-30$557,025
Assets. Corporate common stocks other than exployer securities at end of year2013-06-30$2,613,025
Assets. Corporate common stocks other than exployer securities at beginning of year2013-06-30$2,682,283
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$992,909
Aggregate carrying amount (costs) on sale of assets2013-06-30$943,409
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2013-06-30310800053
2012 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$98,236
Total unrealized appreciation/depreciation of assets2012-06-30$98,236
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$45,609
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$67,074
Total income from all sources (including contributions)2012-06-30$9,132,460
Total loss/gain on sale of assets2012-06-30$-280
Total of all expenses incurred2012-06-30$8,167,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$7,435,418
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$8,952,406
Value of total assets at end of year2012-06-30$11,143,834
Value of total assets at beginning of year2012-06-30$10,200,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$731,865
Total interest from all sources2012-06-30$53,508
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$281,466
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$281,466
Administrative expenses professional fees incurred2012-06-30$123,507
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$1,172,051
Assets. Other investments not covered elsewhere at end of year2012-06-30$51,016
Assets. Other investments not covered elsewhere at beginning of year2012-06-30$47,843
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$184,276
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$89,763
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$137,022
Administrative expenses (other) incurred2012-06-30$59,485
Liabilities. Value of operating payables at end of year2012-06-30$45,609
Liabilities. Value of operating payables at beginning of year2012-06-30$67,074
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$965,177
Value of net assets at end of year (total assets less liabilities)2012-06-30$11,098,225
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$10,133,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$22,124
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$5,200,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$7,048,879
Income. Interest from US Government securities2012-06-30$11,125
Income. Interest from corporate debt instruments2012-06-30$42,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$1,399,628
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,103,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,103,286
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$174
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$962,946
Asset value of US Government securities at end of year2012-06-30$278,744
Asset value of US Government securities at beginning of year2012-06-30$277,888
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-252,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$7,596,079
Employer contributions (assets) at end of year2012-06-30$594,427
Employer contributions (assets) at beginning of year2012-06-30$684,182
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$6,472,472
Asset. Corporate debt instrument debt (other) at end of year2012-06-30$847,446
Asset. Corporate debt instrument debt (other) at beginning of year2012-06-30$901,022
Contract administrator fees2012-06-30$526,749
Assets. Corporate common stocks other than exployer securities at end of year2012-06-30$2,682,283
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$4,941,950
Aggregate carrying amount (costs) on sale of assets2012-06-30$4,942,230
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30CLARK SCHAEFER HACKETT
Accountancy firm EIN2012-06-30310800053
2011 : IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$-46,196
Total unrealized appreciation/depreciation of assets2011-06-30$-46,196
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$67,074
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$39,974
Total income from all sources (including contributions)2011-06-30$10,433,010
Total loss/gain on sale of assets2011-06-30$41,173
Total of all expenses incurred2011-06-30$9,628,542
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$8,836,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$9,073,994
Value of total assets at end of year2011-06-30$10,200,122
Value of total assets at beginning of year2011-06-30$9,368,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$792,059
Total interest from all sources2011-06-30$61,847
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$199,357
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$199,357
Administrative expenses professional fees incurred2011-06-30$171,819
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$1,298,557
Assets. Other investments not covered elsewhere at end of year2011-06-30$47,843
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$166,104
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$137,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$105,748
Administrative expenses (other) incurred2011-06-30$59,860
Liabilities. Value of operating payables at end of year2011-06-30$67,074
Liabilities. Value of operating payables at beginning of year2011-06-30$39,974
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$804,468
Value of net assets at end of year (total assets less liabilities)2011-06-30$10,133,048
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$9,328,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$19,691
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$7,048,879
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$6,280,377
Income. Interest from US Government securities2011-06-30$12,066
Income. Interest from corporate debt instruments2011-06-30$48,956
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,103,286
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$539,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$539,020
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$825
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$930,734
Asset value of US Government securities at end of year2011-06-30$277,888
Asset value of US Government securities at beginning of year2011-06-30$464,516
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$1,102,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$7,609,333
Employer contributions (assets) at end of year2011-06-30$684,182
Employer contributions (assets) at beginning of year2011-06-30$576,694
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$7,905,749
Asset. Corporate debt instrument debt (other) at end of year2011-06-30$901,022
Asset. Corporate debt instrument debt (other) at beginning of year2011-06-30$1,402,199
Contract administrator fees2011-06-30$540,689
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$3,298,807
Aggregate carrying amount (costs) on sale of assets2011-06-30$3,257,634
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2011-06-30310800053

Form 5500 Responses for IBEW LOCAL NO. 82 HEALTH & WELFARE FUND

2022: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2022 form 5500 responses
2022-07-01Type of plan entityMulti-employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2010 form 5500 responses
2010-07-01Type of plan entityMulti-employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: IBEW LOCAL NO. 82 HEALTH & WELFARE FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 4
Insurance contract or identification numberS5820
Number of Individuals Covered140
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $189,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 3
Insurance contract or identification number43804
Number of Individuals Covered1101
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
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 $68,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0135930
Policy instance 2
Insurance contract or identification number0135930
Number of Individuals Covered1022
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $101,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number320776
Policy instance 1
Insurance contract or identification number320776
Number of Individuals Covered123
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
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 BenefitYes
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 $212,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 5
Insurance contract or identification numberSL10189
Number of Individuals Covered1135
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $510,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0135930
Policy instance 1
Insurance contract or identification number0135930
Number of Individuals Covered977
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $99,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 2
Insurance contract or identification numberS5820
Number of Individuals Covered150
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $175,015
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 3
Insurance contract or identification numberSL10189
Number of Individuals Covered1079
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $465,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered994
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 providedAD&D
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 $69,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 3
Insurance contract or identification numberS5820
Number of Individuals Covered157
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $220,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 4
Insurance contract or identification numberSL10189
Number of Individuals Covered1064
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $455,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3657
Policy instance 5
Insurance contract or identification number3657
Number of Individuals Covered155
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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 BenefitYes
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 $181,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0135930
Policy instance 1
Insurance contract or identification number0135930
Number of Individuals Covered953
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $106,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0135930
Policy instance 1
Insurance contract or identification number0135930
Number of Individuals Covered1023
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $111,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered1073
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 providedAD&D
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 $74,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 3
Insurance contract or identification numberS5820
Number of Individuals Covered169
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $209,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 4
Insurance contract or identification numberSL10189
Number of Individuals Covered1137
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $450,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3657
Policy instance 5
Insurance contract or identification number3657
Number of Individuals Covered157
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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 $365,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered1073
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 providedAD&D
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 $72,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0135930
Policy instance 1
Insurance contract or identification number0135930
Number of Individuals Covered1054
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $100,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 4
Insurance contract or identification numberSL10189
Number of Individuals Covered1168
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $448,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 3
Insurance contract or identification numberS5820
Number of Individuals Covered182
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $232,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3657
Policy instance 5
Insurance contract or identification number3657
Number of Individuals Covered346
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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 $384,864
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED AMERICAN INSURANCE (National Association of Insurance Commissioners NAIC id number: 92916 )
Policy contract number3657
Policy instance 5
Insurance contract or identification number3657
Number of Individuals Covered183
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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 $390,804
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 4
Insurance contract or identification numberSL10189
Number of Individuals Covered1125
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $435,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 3
Insurance contract or identification numberS5820
Number of Individuals Covered198
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $239,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered1036
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 providedAD&D
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 $136,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0135930
Policy instance 1
Insurance contract or identification number0135930
Number of Individuals Covered998
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $102,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number46014113
Policy instance 1
Insurance contract or identification number46014113
Number of Individuals Covered210
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $504,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered632
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $43,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number01359030
Policy instance 3
Insurance contract or identification number01359030
Number of Individuals Covered616
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 4
Insurance contract or identification numberSL10189
Number of Individuals Covered730
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $292,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered632
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $80,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number01359030
Policy instance 3
Insurance contract or identification number01359030
Number of Individuals Covered616
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $73,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberSL10189
Policy instance 4
Insurance contract or identification numberSL10189
Number of Individuals Covered730
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $274,991
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number46014113
Policy instance 1
Insurance contract or identification number46014113
Number of Individuals Covered210
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $519,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number46014113
Policy instance 1
Insurance contract or identification number46014113
Number of Individuals Covered218
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $522,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number01359030
Policy instance 3
Insurance contract or identification number01359030
Number of Individuals Covered581
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $77,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE3E50082
Policy instance 4
Insurance contract or identification numberSE3E50082
Number of Individuals Covered688
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $258,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered650
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedAD&D
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 $40,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE3E50082
Policy instance 4
Insurance contract or identification numberSE3E50082
Number of Individuals Covered748
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $273,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number01359030
Policy instance 3
Insurance contract or identification number01359030
Number of Individuals Covered623
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $64,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered643
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedAD&D
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 $43,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number46014113
Policy instance 1
Insurance contract or identification number46014113
Number of Individuals Covered234
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $176
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $569,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees176
Additional information about fees paid to insurance brokerAARP MEMBERSHIP FEES
Insurance broker organization code?4
Insurance broker nameAARP
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE3E50082
Policy instance 4
Insurance contract or identification numberSE3E50082
Number of Individuals Covered976
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $288,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number01359030
Policy instance 3
Insurance contract or identification number01359030
Number of Individuals Covered691
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $44,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered691
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedAD&D
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 $41,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number46014113
Policy instance 1
Insurance contract or identification number46014113
Number of Individuals Covered285
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $272
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $593,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE3E50082
Policy instance 4
Insurance contract or identification numberSE3E50082
Number of Individuals Covered853
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 $269,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number46014113
Policy instance 1
Insurance contract or identification number46014113
Number of Individuals Covered265
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $272
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $560,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number43804
Policy instance 2
Insurance contract or identification number43804
Number of Individuals Covered685
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare 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 providedAD&D
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 $46,163
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number01359030
Policy instance 3
Insurance contract or identification number01359030
Number of Individuals Covered703
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $46,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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