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THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 401k Plan overview

Plan NameTHE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN
Plan identification number 503

THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

THE VOLLRATH COMPANY LLC has sponsored the creation of one or more 401k plans.

Company Name:THE VOLLRATH COMPANY LLC
Employer identification number (EIN):391859733
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-07-01
5032021-07-01
5032020-07-01
5032019-07-01
5032018-07-01
5032017-07-01
5032016-07-01TINA KREIDLER TINA KREIDLER2018-04-10
5032015-07-01TINA KREIDLER TINA KREIDLER2017-04-11
5032014-07-01TINA KREIDLER
5032013-07-01TOM IGNATOWSKI TOM IGNATOWSKI2015-04-15
5032012-07-01TOM IGNATOWSKI TOM IGNATOWSKI2014-04-14
5032011-07-01TOM IGNATOWSKI TOM IGNATOWSKI2013-04-15
5032009-07-01 TOM IGNATOWSKI2011-04-15
5032009-07-01TOM IGNATOWSKI

Plan Statistics for THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN

401k plan membership statisitcs for THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN

Measure Date Value
2022: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01804
Total number of active participants reported on line 7a of the Form 55002022-07-01911
Total of all active and inactive participants2022-07-01911
Total participants2022-07-01911
2021: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01795
Total number of active participants reported on line 7a of the Form 55002021-07-01804
Total of all active and inactive participants2021-07-01804
Total participants2021-07-01804
2020: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01787
Total number of active participants reported on line 7a of the Form 55002020-07-01795
Total of all active and inactive participants2020-07-01795
Total participants2020-07-01795
2019: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01948
Total number of active participants reported on line 7a of the Form 55002019-07-01787
Total of all active and inactive participants2019-07-01787
Total participants2019-07-01787
2018: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01976
Total number of active participants reported on line 7a of the Form 55002018-07-01948
Total of all active and inactive participants2018-07-01948
Total participants2018-07-01948
2017: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01922
Total number of active participants reported on line 7a of the Form 55002017-07-01976
Total of all active and inactive participants2017-07-01976
Total participants2017-07-01976
2016: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01918
Total number of active participants reported on line 7a of the Form 55002016-07-01922
Total of all active and inactive participants2016-07-01922
Total participants2016-07-01922
2015: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01929
Total number of active participants reported on line 7a of the Form 55002015-07-01918
Total of all active and inactive participants2015-07-01918
Total participants2015-07-01918
2014: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-011,000
Total number of active participants reported on line 7a of the Form 55002014-07-01929
Total of all active and inactive participants2014-07-01929
Total participants2014-07-01929
2013: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-011,100
Total number of active participants reported on line 7a of the Form 55002013-07-011,000
Total of all active and inactive participants2013-07-011,000
Total participants2013-07-011,000
2012: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01672
Total number of active participants reported on line 7a of the Form 55002012-07-011,100
Total of all active and inactive participants2012-07-011,100
Total participants2012-07-011,100
2011: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01646
Total number of active participants reported on line 7a of the Form 55002011-07-01672
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01672
Total participants2011-07-01672
2009: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01970
Total number of active participants reported on line 7a of the Form 55002009-07-01675
Number of retired or separated participants receiving benefits2009-07-01216
Total of all active and inactive participants2009-07-01891
Total participants2009-07-01891

Financial Data on THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN

Measure Date Value
2023 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$3,146,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$2,052,000
Total income from all sources (including contributions)2023-06-30$15,600,460
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$17,189,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$15,914,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$15,535,486
Value of total assets at end of year2023-06-30$2,869,488
Value of total assets at beginning of year2023-06-30$3,364,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$1,274,988
Total interest from all sources2023-06-30$64,974
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Administrative expenses professional fees incurred2023-06-30$1,274,988
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$500,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$1,810,133
Participant contributions at end of year2023-06-30$152,588
Participant contributions at beginning of year2023-06-30$155,357
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$8,735
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$57,561
Total non interest bearing cash at end of year2023-06-30$290,095
Total non interest bearing cash at beginning of year2023-06-30$280,965
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$-1,588,820
Value of net assets at end of year (total assets less liabilities)2023-06-30$-276,512
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$1,312,308
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$2,418,070
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$2,870,425
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$2,870,425
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$64,974
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$1,356,892
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$13,725,353
Employer contributions (assets) at end of year2023-06-30$0
Employer contributions (assets) at beginning of year2023-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$14,557,400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-06-30No
Liabilities. Value of benefit claims payable at end of year2023-06-30$3,146,000
Liabilities. Value of benefit claims payable at beginning of year2023-06-30$2,052,000
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
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-06-30410746749
2022 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$2,052,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,685,000
Total income from all sources (including contributions)2022-06-30$17,558,249
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$16,691,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$15,516,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$17,555,628
Value of total assets at end of year2022-06-30$3,364,308
Value of total assets at beginning of year2022-06-30$2,130,257
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$1,174,538
Total interest from all sources2022-06-30$2,621
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$1,174,538
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$1,810,022
Participant contributions at end of year2022-06-30$155,357
Participant contributions at beginning of year2022-06-30$159,740
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$57,561
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$13
Total non interest bearing cash at end of year2022-06-30$280,965
Total non interest bearing cash at beginning of year2022-06-30$142,442
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$867,051
Value of net assets at end of year (total assets less liabilities)2022-06-30$1,312,308
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$445,257
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$2,870,425
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$1,828,062
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$1,828,062
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$2,621
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,237,237
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$15,745,606
Employer contributions (assets) at end of year2022-06-30$0
Employer contributions (assets) at beginning of year2022-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$14,279,423
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Liabilities. Value of benefit claims payable at end of year2022-06-30$2,052,000
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$1,685,000
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
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-06-30410746749
2021 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,685,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$2,171,000
Total income from all sources (including contributions)2021-06-30$17,652,438
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$15,678,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$15,178,841
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$17,652,352
Value of total assets at end of year2021-06-30$2,130,257
Value of total assets at beginning of year2021-06-30$642,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$499,739
Total interest from all sources2021-06-30$86
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$499,739
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$1,885,691
Participant contributions at end of year2021-06-30$159,740
Participant contributions at beginning of year2021-06-30$123,272
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$13
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$4
Total non interest bearing cash at end of year2021-06-30$142,442
Total non interest bearing cash at beginning of year2021-06-30$141,003
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$1,973,858
Value of net assets at end of year (total assets less liabilities)2021-06-30$445,257
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$-1,528,601
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$1,828,062
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$378,120
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$378,120
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$86
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$1,116,120
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$15,766,661
Employer contributions (assets) at end of year2021-06-30$0
Employer contributions (assets) at beginning of year2021-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$14,062,721
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$1,685,000
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$2,171,000
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
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-06-30410746749
2020 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$2,171,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$17,791,138
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$20,616,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$20,049,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$17,780,022
Value of total assets at end of year2020-06-30$642,399
Value of total assets at beginning of year2020-06-30$1,297,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$567,450
Total interest from all sources2020-06-30$11,116
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$567,450
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$2,225,535
Participant contributions at end of year2020-06-30$123,272
Participant contributions at beginning of year2020-06-30$121,803
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$4
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$1,151
Total non interest bearing cash at end of year2020-06-30$141,003
Total non interest bearing cash at beginning of year2020-06-30$421,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-2,825,812
Value of net assets at end of year (total assets less liabilities)2020-06-30$-1,528,601
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$1,297,211
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$378,120
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$435,128
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$435,128
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$11,116
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$1,341,495
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$15,554,487
Employer contributions (assets) at end of year2020-06-30$0
Employer contributions (assets) at beginning of year2020-06-30$317,933
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$18,708,005
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$2,171,000
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-06-30410746749
2019 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$17,012,277
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$16,999,694
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$16,419,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$16,998,518
Value of total assets at end of year2019-06-30$1,297,211
Value of total assets at beginning of year2019-06-30$1,284,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$579,725
Total interest from all sources2019-06-30$13,759
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$579,725
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$1,928,021
Participant contributions at end of year2019-06-30$121,803
Participant contributions at beginning of year2019-06-30$150,949
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$1,151
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$1,125
Total non interest bearing cash at end of year2019-06-30$421,196
Total non interest bearing cash at beginning of year2019-06-30$163,797
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$12,583
Value of net assets at end of year (total assets less liabilities)2019-06-30$1,297,211
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$1,284,628
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$435,128
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$959,362
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$959,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$13,759
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$1,485,172
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$15,070,497
Employer contributions (assets) at end of year2019-06-30$317,933
Employer contributions (assets) at beginning of year2019-06-30$9,395
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$14,934,797
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
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
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 name2019-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-06-30410746749
2018 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$16,706,807
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$16,363,808
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$15,838,295
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$16,697,051
Value of total assets at end of year2018-06-30$1,284,628
Value of total assets at beginning of year2018-06-30$941,629
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$525,513
Total interest from all sources2018-06-30$9,756
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$525,513
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$1,899,370
Participant contributions at end of year2018-06-30$150,949
Participant contributions at beginning of year2018-06-30$160,414
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$1,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$203
Total non interest bearing cash at end of year2018-06-30$163,797
Total non interest bearing cash at beginning of year2018-06-30$212,283
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$342,999
Value of net assets at end of year (total assets less liabilities)2018-06-30$1,284,628
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$941,629
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$959,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$516,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$516,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$9,756
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$1,369,056
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$14,797,681
Employer contributions (assets) at end of year2018-06-30$9,395
Employer contributions (assets) at beginning of year2018-06-30$52,224
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$14,469,239
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
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
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 name2018-06-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2018-06-30410746749
2017 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$15,006,954
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$16,436,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$15,859,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$15,006,282
Value of total assets at end of year2017-06-30$941,629
Value of total assets at beginning of year2017-06-30$2,371,233
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$577,260
Total interest from all sources2017-06-30$672
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$577,260
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$1,832,802
Participant contributions at end of year2017-06-30$160,414
Participant contributions at beginning of year2017-06-30$147,035
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$203
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$68
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-1,429,604
Value of net assets at end of year (total assets less liabilities)2017-06-30$941,629
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$2,371,233
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$728,788
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$2,219,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$2,219,964
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$672
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$1,260,315
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$13,173,480
Employer contributions (assets) at end of year2017-06-30$52,224
Employer contributions (assets) at beginning of year2017-06-30$4,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$14,598,983
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
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
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 name2017-06-30SCHENCK SC
Accountancy firm EIN2017-06-30391173131
2016 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$15,344,717
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$14,970,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$14,478,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$15,344,195
Value of total assets at end of year2016-06-30$2,371,233
Value of total assets at beginning of year2016-06-30$1,997,283
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$492,534
Total interest from all sources2016-06-30$522
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$492,534
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$1,709,279
Participant contributions at end of year2016-06-30$147,035
Participant contributions at beginning of year2016-06-30$132,667
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$68
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$14
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$373,950
Value of net assets at end of year (total assets less liabilities)2016-06-30$2,371,233
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,997,283
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$2,219,964
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$1,658,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$1,658,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$522
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$1,146,998
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$13,634,916
Employer contributions (assets) at end of year2016-06-30$4,166
Employer contributions (assets) at beginning of year2016-06-30$206,418
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$13,331,235
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
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 name2016-06-30SCHENCK SC
Accountancy firm EIN2016-06-30391173131
2015 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$17,877,998
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$16,829,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$16,358,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$17,877,898
Value of total assets at end of year2015-06-30$1,997,283
Value of total assets at beginning of year2015-06-30$948,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$470,321
Total interest from all sources2015-06-30$100
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$470,321
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$1,658,651
Participant contributions at end of year2015-06-30$132,667
Participant contributions at beginning of year2015-06-30$127,318
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$14
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$8
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$1,048,800
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,997,283
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$948,483
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$1,658,184
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$816,941
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$816,941
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$100
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,044,361
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$16,219,247
Employer contributions (assets) at end of year2015-06-30$206,418
Employer contributions (assets) at beginning of year2015-06-30$4,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$15,314,516
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
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 name2015-06-30SCHENCK SC
Accountancy firm EIN2015-06-30391173131
2014 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$12,578,935
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$14,089,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$13,641,313
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$12,578,790
Value of total assets at end of year2014-06-30$948,483
Value of total assets at beginning of year2014-06-30$2,459,304
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$448,443
Total interest from all sources2014-06-30$145
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$448,443
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$3,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$1,655,761
Participant contributions at end of year2014-06-30$127,318
Participant contributions at beginning of year2014-06-30$124,783
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$8
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$20
Total non interest bearing cash at end of year2014-06-30$0
Total non interest bearing cash at beginning of year2014-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-1,510,821
Value of net assets at end of year (total assets less liabilities)2014-06-30$948,483
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,459,304
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$816,941
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$2,326,663
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$2,326,663
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$145
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$1,057,787
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$10,923,029
Employer contributions (assets) at end of year2014-06-30$4,216
Employer contributions (assets) at beginning of year2014-06-30$7,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$12,583,526
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
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 name2014-06-30SCHENCK SC
Accountancy firm EIN2014-06-30391173131
2013 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$9,716,467
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$10,744,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$10,422,701
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$9,716,120
Value of total assets at end of year2013-06-30$2,459,304
Value of total assets at beginning of year2013-06-30$3,487,598
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$322,060
Total interest from all sources2013-06-30$347
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$322,060
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$3,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$1,224,987
Participant contributions at end of year2013-06-30$124,783
Participant contributions at beginning of year2013-06-30$136,125
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$20
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$31
Total non interest bearing cash at end of year2013-06-30$2,326,663
Total non interest bearing cash at beginning of year2013-06-30$3,308,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-1,028,294
Value of net assets at end of year (total assets less liabilities)2013-06-30$2,459,304
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$3,487,598
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$347
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$869,104
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$8,491,133
Employer contributions (assets) at end of year2013-06-30$7,838
Employer contributions (assets) at beginning of year2013-06-30$43,201
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$9,553,597
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
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 name2013-06-30SCHENCK SC
Accountancy firm EIN2013-06-30391173131
2012 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-06-30$9,446,815
Total of all expenses incurred2012-06-30$9,523,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$9,248,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$9,446,300
Value of total assets at end of year2012-06-30$3,487,598
Value of total assets at beginning of year2012-06-30$3,564,268
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$275,135
Total interest from all sources2012-06-30$515
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$275,135
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$3,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$718,367
Participant contributions at end of year2012-06-30$136,125
Participant contributions at beginning of year2012-06-30$25,280
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$31
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$30
Total non interest bearing cash at end of year2012-06-30$3,308,241
Total non interest bearing cash at beginning of year2012-06-30$3,534,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-76,670
Value of net assets at end of year (total assets less liabilities)2012-06-30$3,487,598
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$3,564,268
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$515
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$768,601
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$8,727,933
Employer contributions (assets) at end of year2012-06-30$43,201
Employer contributions (assets) at beginning of year2012-06-30$4,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$8,479,749
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
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 name2012-06-30SCHENCK SC
Accountancy firm EIN2012-06-30391173131
2011 : THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-06-30$8,599,179
Total of all expenses incurred2011-06-30$8,641,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$8,360,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$8,598,625
Value of total assets at end of year2011-06-30$3,564,268
Value of total assets at beginning of year2011-06-30$3,606,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$281,189
Total interest from all sources2011-06-30$554
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$281,189
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$3,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$680,911
Participant contributions at end of year2011-06-30$25,280
Participant contributions at beginning of year2011-06-30$88,699
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$30
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$26
Total non interest bearing cash at end of year2011-06-30$3,534,666
Total non interest bearing cash at beginning of year2011-06-30$3,517,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-42,376
Value of net assets at end of year (total assets less liabilities)2011-06-30$3,564,268
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$3,606,644
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$554
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$628,450
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$7,917,714
Employer contributions (assets) at end of year2011-06-30$4,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$7,731,916
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
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 name2011-06-30SCHENCK SC
Accountancy firm EIN2011-06-30391173131

Form 5500 Responses for THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN

2022: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: THE VOLLRATH COMPANY LLC HEALTH CARE BENEFIT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle 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 funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered239
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $124,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number29051
Policy instance 1
Insurance contract or identification number29051
Number of Individuals Covered1178
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 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 $971,342
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered248
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $120,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number29051
Policy instance 1
Insurance contract or identification number29051
Number of Individuals Covered529
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 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 $1,127,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered398
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $126,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number29051
Policy instance 1
Insurance contract or identification number29051
Number of Individuals Covered565
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 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 $975,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered409
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $130,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number29051
Policy instance 1
Insurance contract or identification number29051
Number of Individuals Covered916
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 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 $1,193,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered456
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $122,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number29051
Policy instance 1
Insurance contract or identification number29051
Number of Individuals Covered1014
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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 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 $1,374,346
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered449
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $121,417
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number29051
Policy instance 1
Insurance contract or identification number29051
Number of Individuals Covered1042
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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 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 $1,281,240
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number029051
Policy instance 1
Insurance contract or identification number029051
Number of Individuals Covered961
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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 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 $1,015,265
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 2
Insurance contract or identification number09107691
Number of Individuals Covered404
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $115,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberVOLL2013
Policy instance 3
Insurance contract or identification numberVOLL2013
Number of Individuals Covered53
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE CONSULTING
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $39,257
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number09107691
Policy instance 1
Insurance contract or identification number09107691
Number of Individuals Covered663
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 $117,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number029051
Policy instance 2
Insurance contract or identification number029051
Number of Individuals Covered1106
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 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 $886,682
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberVOLL2013
Policy instance 3
Insurance contract or identification numberVOLL2013
Number of Individuals Covered88
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE CONSULTING
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 $40,099
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54682 )
Policy contract number09107693
Policy instance 2
Insurance contract or identification number09107693
Number of Individuals Covered700
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $117,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberVOLL2013
Policy instance 1
Insurance contract or identification numberVOLL2013
Number of Individuals Covered800
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE CONSULTING
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 $42,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number209051
Policy instance 3
Insurance contract or identification number209051
Number of Individuals Covered1100
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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 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 $898,141
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54682 )
Policy contract number09107693
Policy instance 1
Insurance contract or identification number09107693
Number of Individuals Covered700
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $98,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number209051
Policy instance 3
Insurance contract or identification number209051
Number of Individuals Covered1100
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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 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 $732,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberVOLL2012
Policy instance 2
Insurance contract or identification numberVOLL2012
Number of Individuals Covered800
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE CONSULTING
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $38,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number209051
Policy instance 3
Insurance contract or identification number209051
Number of Individuals Covered700
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Welfare Benefit Premiums Paid to CarrierUSD $644,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberVOLL2011
Policy instance 2
Insurance contract or identification numberVOLL2011
Number of Individuals Covered700
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Other welfare benefits providedEMPLOYEE ASSISTANCE CONSULTING
Welfare Benefit Premiums Paid to CarrierUSD $37,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54682 )
Policy contract number09107693
Policy instance 1
Insurance contract or identification number09107693
Number of Individuals Covered400
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number209051
Policy instance 3
Insurance contract or identification number209051
Number of Individuals Covered700
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Welfare Benefit Premiums Paid to CarrierUSD $513,519
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberVOLL2010
Policy instance 2
Insurance contract or identification numberVOLL2010
Number of Individuals Covered700
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Other welfare benefits providedEMPLOYEE ASSISTANCE CONSULTING
Welfare Benefit Premiums Paid to CarrierUSD $31,313
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54682 )
Policy contract number09107693
Policy instance 1
Insurance contract or identification number09107693
Number of Individuals Covered400
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,923

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