BOARD OF TRUSTEES OF TWIN CITY IRONWORKERS HEALTH & WELFARE PLAN has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan TWIN CITY IRONWORKERS HEALTH & WELFARE FUND
| Measure | Date | Value |
|---|
| 2023 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2023 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2023-12-31 | $865,782 |
| Total unrealized appreciation/depreciation of assets | 2023-12-31 | $865,782 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-12-31 | $3,554,864 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-12-31 | $2,849,886 |
| Total income from all sources (including contributions) | 2023-12-31 | $31,005,243 |
| Total loss/gain on sale of assets | 2023-12-31 | $-233,111 |
| Total of all expenses incurred | 2023-12-31 | $26,250,894 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-12-31 | $24,880,910 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-12-31 | $28,259,644 |
| Value of total assets at end of year | 2023-12-31 | $37,336,182 |
| Value of total assets at beginning of year | 2023-12-31 | $31,876,855 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-12-31 | $1,369,984 |
| Total interest from all sources | 2023-12-31 | $294,342 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-12-31 | $474,183 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-12-31 | $474,183 |
| Was this plan covered by a fidelity bond | 2023-12-31 | Yes |
| Value of fidelity bond cover | 2023-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2023-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2023-12-31 | No |
| Contributions received from participants | 2023-12-31 | $2,997,002 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-12-31 | $647,309 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-12-31 | $490,284 |
| Administrative expenses (other) incurred | 2023-12-31 | $47,594 |
| Liabilities. Value of operating payables at end of year | 2023-12-31 | $1,828,464 |
| Liabilities. Value of operating payables at beginning of year | 2023-12-31 | $845,286 |
| Total non interest bearing cash at end of year | 2023-12-31 | $5,319,456 |
| Total non interest bearing cash at beginning of year | 2023-12-31 | $2,760,373 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-12-31 | No |
| Value of net income/loss | 2023-12-31 | $4,754,349 |
| Value of net assets at end of year (total assets less liabilities) | 2023-12-31 | $33,781,318 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-12-31 | $29,026,969 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2023-12-31 | $4,470,606 |
| Assets. partnership/joint venture interests at beginning of year | 2023-12-31 | $3,324,647 |
| Investment advisory and management fees | 2023-12-31 | $28,164 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-12-31 | $16,143,223 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-12-31 | $16,029,804 |
| Income. Interest from US Government securities | 2023-12-31 | $172,161 |
| Income. Interest from corporate debt instruments | 2023-12-31 | $113,908 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-12-31 | $114,048 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-12-31 | $101,553 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-12-31 | $101,553 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-12-31 | $8,273 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-12-31 | $1,731,863 |
| Asset value of US Government securities at end of year | 2023-12-31 | $6,159,821 |
| Asset value of US Government securities at beginning of year | 2023-12-31 | $4,559,145 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-12-31 | $1,344,403 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-12-31 | No |
| Contributions received in cash from employer | 2023-12-31 | $25,262,642 |
| Employer contributions (assets) at end of year | 2023-12-31 | $2,033,056 |
| Employer contributions (assets) at beginning of year | 2023-12-31 | $1,996,929 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-12-31 | $23,149,047 |
| Asset. Corporate debt instrument debt (other) at end of year | 2023-12-31 | $2,448,663 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2023-12-31 | $2,614,120 |
| Contract administrator fees | 2023-12-31 | $1,014,022 |
| Liabilities. Value of benefit claims payable at end of year | 2023-12-31 | $1,726,400 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-12-31 | $2,004,600 |
| Did the plan have assets held for investment | 2023-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-12-31 | No |
| Aggregate proceeds on sale of assets | 2023-12-31 | $8,385,786 |
| Aggregate carrying amount (costs) on sale of assets | 2023-12-31 | $8,618,897 |
| Opinion of an independent qualified public accountant for this plan | 2023-12-31 | Unqualified |
| Accountancy firm name | 2023-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2023-12-31 | 410746749 |
| 2022 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2022 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2022-12-31 | $-1,355,822 |
| Total unrealized appreciation/depreciation of assets | 2022-12-31 | $-1,355,822 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $2,849,886 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $3,475,410 |
| Total income from all sources (including contributions) | 2022-12-31 | $23,573,099 |
| Total loss/gain on sale of assets | 2022-12-31 | $-275,275 |
| Total of all expenses incurred | 2022-12-31 | $28,785,714 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $27,433,786 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $27,076,886 |
| Value of total assets at end of year | 2022-12-31 | $31,876,855 |
| Value of total assets at beginning of year | 2022-12-31 | $37,714,994 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $1,351,928 |
| Total interest from all sources | 2022-12-31 | $249,158 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $482,478 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $482,478 |
| Administrative expenses professional fees incurred | 2022-12-31 | $200,698 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $3,260,853 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $490,284 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $1,949,893 |
| Administrative expenses (other) incurred | 2022-12-31 | $59,173 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $845,286 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $737,710 |
| Total non interest bearing cash at end of year | 2022-12-31 | $2,760,373 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $952,925 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-5,212,615 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $29,026,969 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $34,239,584 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2022-12-31 | $3,324,647 |
| Assets. partnership/joint venture interests at beginning of year | 2022-12-31 | $3,649,401 |
| Investment advisory and management fees | 2022-12-31 | $55,134 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $16,029,804 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $20,651,652 |
| Income. Interest from US Government securities | 2022-12-31 | $106,288 |
| Income. Interest from corporate debt instruments | 2022-12-31 | $140,056 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $101,553 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $90,936 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $90,936 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $2,814 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $3,389,384 |
| Asset value of US Government securities at end of year | 2022-12-31 | $4,559,145 |
| Asset value of US Government securities at beginning of year | 2022-12-31 | $3,830,336 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-2,604,326 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $23,816,033 |
| Employer contributions (assets) at end of year | 2022-12-31 | $1,996,929 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $2,165,520 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $24,044,402 |
| Asset. Corporate debt instrument debt (other) at end of year | 2022-12-31 | $2,614,120 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2022-12-31 | $4,424,331 |
| Contract administrator fees | 2022-12-31 | $1,036,923 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $2,004,600 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $2,737,700 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Aggregate proceeds on sale of assets | 2022-12-31 | $11,021,350 |
| Aggregate carrying amount (costs) on sale of assets | 2022-12-31 | $11,296,625 |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2022-12-31 | 410746749 |
| 2021 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $-107,076 |
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $-107,076 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $3,475,410 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $3,489,898 |
| Total income from all sources (including contributions) | 2021-12-31 | $27,534,036 |
| Total loss/gain on sale of assets | 2021-12-31 | $-8,885 |
| Total of all expenses incurred | 2021-12-31 | $27,382,555 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $26,084,566 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $25,340,442 |
| Value of total assets at end of year | 2021-12-31 | $37,714,994 |
| Value of total assets at beginning of year | 2021-12-31 | $37,578,001 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $1,297,989 |
| Total interest from all sources | 2021-12-31 | $267,420 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $412,869 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $412,869 |
| Administrative expenses professional fees incurred | 2021-12-31 | $146,381 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $3,460,899 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $1,949,893 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $581,350 |
| Administrative expenses (other) incurred | 2021-12-31 | $38,770 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $737,710 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $1,556,098 |
| Total non interest bearing cash at end of year | 2021-12-31 | $952,925 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $3,615,583 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $151,481 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $34,239,584 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $34,088,103 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2021-12-31 | $3,649,401 |
| Assets. partnership/joint venture interests at beginning of year | 2021-12-31 | $4,518,264 |
| Investment advisory and management fees | 2021-12-31 | $37,046 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $20,651,652 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $18,309,516 |
| Income. Interest from US Government securities | 2021-12-31 | $95,215 |
| Income. Interest from corporate debt instruments | 2021-12-31 | $171,219 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $90,936 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $93,517 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $93,517 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $986 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $2,996,777 |
| Asset value of US Government securities at end of year | 2021-12-31 | $3,830,336 |
| Asset value of US Government securities at beginning of year | 2021-12-31 | $4,066,647 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $1,629,266 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $21,879,543 |
| Employer contributions (assets) at end of year | 2021-12-31 | $2,165,520 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $1,856,973 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $23,087,789 |
| Asset. Corporate debt instrument debt (other) at end of year | 2021-12-31 | $4,424,331 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2021-12-31 | $4,536,151 |
| Contract administrator fees | 2021-12-31 | $1,075,792 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $2,737,700 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $1,933,800 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Aggregate proceeds on sale of assets | 2021-12-31 | $7,107,857 |
| Aggregate carrying amount (costs) on sale of assets | 2021-12-31 | $7,116,742 |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2021-12-31 | 410746749 |
| 2020 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $451,239 |
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $451,239 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $3,489,898 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $3,623,725 |
| Total income from all sources (including contributions) | 2020-12-31 | $26,593,761 |
| Total loss/gain on sale of assets | 2020-12-31 | $229,687 |
| Total of all expenses incurred | 2020-12-31 | $25,586,652 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $24,297,738 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $23,600,115 |
| Value of total assets at end of year | 2020-12-31 | $37,578,001 |
| Value of total assets at beginning of year | 2020-12-31 | $36,704,719 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $1,288,914 |
| Total interest from all sources | 2020-12-31 | $284,962 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $260,883 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $260,883 |
| Administrative expenses professional fees incurred | 2020-12-31 | $126,767 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $3,193,341 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $581,350 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $527,324 |
| Administrative expenses (other) incurred | 2020-12-31 | $35,673 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $1,556,098 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $875,625 |
| Total non interest bearing cash at end of year | 2020-12-31 | $3,615,583 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $2,892,893 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $1,007,109 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $34,088,103 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $33,080,994 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2020-12-31 | $4,518,264 |
| Assets. partnership/joint venture interests at beginning of year | 2020-12-31 | $4,250,895 |
| Investment advisory and management fees | 2020-12-31 | $43,816 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $18,309,516 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $18,391,758 |
| Income. Interest from US Government securities | 2020-12-31 | $117,096 |
| Income. Interest from corporate debt instruments | 2020-12-31 | $161,251 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $93,517 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $320,238 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $320,238 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $6,615 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $2,896,867 |
| Asset value of US Government securities at end of year | 2020-12-31 | $4,066,647 |
| Asset value of US Government securities at beginning of year | 2020-12-31 | $4,543,442 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $1,766,875 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $20,406,774 |
| Employer contributions (assets) at end of year | 2020-12-31 | $1,856,973 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $1,736,413 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $21,400,871 |
| Asset. Corporate debt instrument debt (other) at end of year | 2020-12-31 | $4,536,151 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2020-12-31 | $4,041,756 |
| Contract administrator fees | 2020-12-31 | $1,082,658 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $1,933,800 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $2,748,100 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Aggregate proceeds on sale of assets | 2020-12-31 | $16,991,834 |
| Aggregate carrying amount (costs) on sale of assets | 2020-12-31 | $16,762,147 |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2020-12-31 | 410746749 |
| 2019 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $858,696 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $858,696 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $3,623,725 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $4,012,639 |
| Total income from all sources (including contributions) | 2019-12-31 | $30,072,928 |
| Total loss/gain on sale of assets | 2019-12-31 | $44,089 |
| Total of all expenses incurred | 2019-12-31 | $27,485,328 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $26,193,480 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $26,552,345 |
| Value of total assets at end of year | 2019-12-31 | $36,704,719 |
| Value of total assets at beginning of year | 2019-12-31 | $34,506,033 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $1,291,848 |
| Total interest from all sources | 2019-12-31 | $370,450 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $336,602 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $336,602 |
| Administrative expenses professional fees incurred | 2019-12-31 | $134,117 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $3,051,567 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $527,324 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $454,042 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-12-31 | $1,940,300 |
| Administrative expenses (other) incurred | 2019-12-31 | $38,237 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $875,625 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $1,243,558 |
| Total non interest bearing cash at end of year | 2019-12-31 | $2,892,893 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $4,091,004 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $2,587,600 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $33,080,994 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $30,493,394 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2019-12-31 | $4,250,895 |
| Assets. partnership/joint venture interests at beginning of year | 2019-12-31 | $3,730,134 |
| Investment advisory and management fees | 2019-12-31 | $52,927 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $18,391,758 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $16,257,320 |
| Income. Interest from US Government securities | 2019-12-31 | $207,240 |
| Income. Interest from corporate debt instruments | 2019-12-31 | $155,918 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $320,238 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $171,522 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $171,522 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $7,292 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $2,617,108 |
| Asset value of US Government securities at end of year | 2019-12-31 | $4,543,442 |
| Asset value of US Government securities at beginning of year | 2019-12-31 | $5,656,391 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $1,910,746 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $23,500,778 |
| Employer contributions (assets) at end of year | 2019-12-31 | $1,736,413 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $1,901,984 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $23,576,372 |
| Asset. Corporate debt instrument debt (other) at end of year | 2019-12-31 | $4,041,756 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2019-12-31 | $2,243,636 |
| Contract administrator fees | 2019-12-31 | $1,066,567 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $2,748,100 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $828,781 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Aggregate proceeds on sale of assets | 2019-12-31 | $8,977,589 |
| Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $8,933,500 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2019-12-31 | 410746749 |
| 2018 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-242,133 |
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-242,133 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $4,012,639 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $3,028,566 |
| Total income from all sources (including contributions) | 2018-12-31 | $23,565,299 |
| Total loss/gain on sale of assets | 2018-12-31 | $-131,533 |
| Total of all expenses incurred | 2018-12-31 | $24,974,522 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $23,732,296 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $24,112,450 |
| Value of total assets at end of year | 2018-12-31 | $34,506,033 |
| Value of total assets at beginning of year | 2018-12-31 | $34,931,183 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $1,242,226 |
| Total interest from all sources | 2018-12-31 | $338,747 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $358,754 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $358,754 |
| Administrative expenses professional fees incurred | 2018-12-31 | $130,194 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $3,052,903 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $454,042 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $317,426 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $1,940,300 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $1,801,700 |
| Administrative expenses (other) incurred | 2018-12-31 | $15,090 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $1,243,558 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $907,405 |
| Total non interest bearing cash at end of year | 2018-12-31 | $4,091,004 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $2,369,580 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-1,409,223 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $30,493,394 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $31,902,617 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2018-12-31 | $3,730,134 |
| Assets. partnership/joint venture interests at beginning of year | 2018-12-31 | $4,602,157 |
| Investment advisory and management fees | 2018-12-31 | $45,465 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $16,257,320 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $16,789,907 |
| Income. Interest from US Government securities | 2018-12-31 | $226,608 |
| Income. Interest from corporate debt instruments | 2018-12-31 | $108,785 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $171,522 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $216,922 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $216,922 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $3,354 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $2,444,619 |
| Asset value of US Government securities at end of year | 2018-12-31 | $5,656,391 |
| Asset value of US Government securities at beginning of year | 2018-12-31 | $6,604,222 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-870,986 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $21,059,547 |
| Employer contributions (assets) at end of year | 2018-12-31 | $1,901,984 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $1,813,322 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $21,287,677 |
| Asset. Corporate debt instrument debt (other) at end of year | 2018-12-31 | $2,243,636 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2018-12-31 | $2,217,647 |
| Contract administrator fees | 2018-12-31 | $1,051,477 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $828,781 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $319,461 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Aggregate proceeds on sale of assets | 2018-12-31 | $13,071,627 |
| Aggregate carrying amount (costs) on sale of assets | 2018-12-31 | $13,203,160 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2018-12-31 | 410746749 |
| 2017 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $318,438 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $318,438 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $3,028,566 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $3,269,328 |
| Total income from all sources (including contributions) | 2017-12-31 | $25,700,659 |
| Total loss/gain on sale of assets | 2017-12-31 | $-12,770 |
| Total of all expenses incurred | 2017-12-31 | $23,882,016 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $22,823,968 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $23,102,463 |
| Value of total assets at end of year | 2017-12-31 | $34,931,183 |
| Value of total assets at beginning of year | 2017-12-31 | $33,353,302 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $1,058,048 |
| Total interest from all sources | 2017-12-31 | $331,135 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $306,273 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $306,273 |
| Administrative expenses professional fees incurred | 2017-12-31 | $129,240 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $2,927,884 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $317,426 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $753,694 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $1,801,700 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $0 |
| Administrative expenses (other) incurred | 2017-12-31 | $19,284 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $907,405 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $1,176,728 |
| Total non interest bearing cash at end of year | 2017-12-31 | $2,369,580 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $3,127,651 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $1,818,643 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $31,902,617 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $30,083,974 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2017-12-31 | $4,602,157 |
| Assets. partnership/joint venture interests at beginning of year | 2017-12-31 | $4,320,691 |
| Investment advisory and management fees | 2017-12-31 | $46,363 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $16,789,907 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $14,828,544 |
| Income. Interest from US Government securities | 2017-12-31 | $225,485 |
| Income. Interest from corporate debt instruments | 2017-12-31 | $104,358 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $216,922 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $323,435 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $323,435 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $1,292 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $2,382,583 |
| Asset value of US Government securities at end of year | 2017-12-31 | $6,604,222 |
| Asset value of US Government securities at beginning of year | 2017-12-31 | $6,175,635 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $1,655,120 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $20,174,579 |
| Employer contributions (assets) at end of year | 2017-12-31 | $1,813,322 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $1,607,485 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $20,441,385 |
| Asset. Corporate debt instrument debt (other) at end of year | 2017-12-31 | $2,217,647 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2017-12-31 | $2,216,167 |
| Contract administrator fees | 2017-12-31 | $863,161 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $319,461 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $2,092,600 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Aggregate proceeds on sale of assets | 2017-12-31 | $8,167,421 |
| Aggregate carrying amount (costs) on sale of assets | 2017-12-31 | $8,180,191 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2017-12-31 | 410746749 |
| 2016 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $435,661 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $435,661 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $3,269,328 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $4,537,960 |
| Total income from all sources (including contributions) | 2016-12-31 | $24,395,474 |
| Total loss/gain on sale of assets | 2016-12-31 | $-35,535 |
| Total of all expenses incurred | 2016-12-31 | $26,517,473 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $25,083,060 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $22,524,817 |
| Value of total assets at end of year | 2016-12-31 | $33,353,302 |
| Value of total assets at beginning of year | 2016-12-31 | $36,743,933 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $1,434,413 |
| Total interest from all sources | 2016-12-31 | $326,563 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $363,528 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $363,528 |
| Administrative expenses professional fees incurred | 2016-12-31 | $127,715 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $2,773,644 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $753,694 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $457,436 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $181,000 |
| Administrative expenses (other) incurred | 2016-12-31 | $145,324 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $1,176,728 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $1,842,060 |
| Total non interest bearing cash at end of year | 2016-12-31 | $3,127,651 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $5,683,850 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-2,121,999 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $30,083,974 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $32,205,973 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2016-12-31 | $4,320,691 |
| Assets. partnership/joint venture interests at beginning of year | 2016-12-31 | $3,851,410 |
| Investment advisory and management fees | 2016-12-31 | $46,137 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $14,828,544 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $16,034,780 |
| Interest earned on other investments | 2016-12-31 | $0 |
| Income. Interest from US Government securities | 2016-12-31 | $218,315 |
| Income. Interest from corporate debt instruments | 2016-12-31 | $107,923 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $323,435 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $132,700 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $132,700 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $325 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $2,295,400 |
| Asset value of US Government securities at end of year | 2016-12-31 | $6,175,635 |
| Asset value of US Government securities at beginning of year | 2016-12-31 | $5,980,785 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $780,440 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $19,751,173 |
| Employer contributions (assets) at end of year | 2016-12-31 | $1,607,485 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $2,225,160 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $22,787,660 |
| Asset. Corporate debt instrument debt (other) at end of year | 2016-12-31 | $2,216,167 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2016-12-31 | $2,377,812 |
| Contract administrator fees | 2016-12-31 | $1,115,237 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $2,092,600 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $2,514,900 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Aggregate proceeds on sale of assets | 2016-12-31 | $9,323,319 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $9,358,854 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2016-12-31 | 410746749 |
| 2015 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-344,894 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-344,894 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $4,537,960 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $3,835,937 |
| Total income from all sources (including contributions) | 2015-12-31 | $28,832,508 |
| Total loss/gain on sale of assets | 2015-12-31 | $125 |
| Total of all expenses incurred | 2015-12-31 | $26,003,193 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $24,500,970 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $29,176,896 |
| Value of total assets at end of year | 2015-12-31 | $36,743,933 |
| Value of total assets at beginning of year | 2015-12-31 | $33,212,595 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $1,502,223 |
| Total interest from all sources | 2015-12-31 | $292,780 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $221,886 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $221,886 |
| Administrative expenses professional fees incurred | 2015-12-31 | $148,610 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $2,586,876 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $457,436 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $282,456 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-12-31 | $181,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-12-31 | $166,000 |
| Other income not declared elsewhere | 2015-12-31 | $358 |
| Administrative expenses (other) incurred | 2015-12-31 | $222,854 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $1,842,060 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $2,100,537 |
| Total non interest bearing cash at end of year | 2015-12-31 | $5,683,850 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $5,251,702 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $2,829,315 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $32,205,973 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $29,376,658 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2015-12-31 | $3,851,410 |
| Assets. partnership/joint venture interests at beginning of year | 2015-12-31 | $2,781,753 |
| Investment advisory and management fees | 2015-12-31 | $43,218 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $16,034,780 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $15,602,537 |
| Income. Interest from US Government securities | 2015-12-31 | $185,858 |
| Income. Interest from corporate debt instruments | 2015-12-31 | $106,893 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $132,700 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $669,601 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $669,601 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $29 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $2,333,197 |
| Asset value of US Government securities at end of year | 2015-12-31 | $5,980,785 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $4,405,289 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-514,643 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $26,590,020 |
| Employer contributions (assets) at end of year | 2015-12-31 | $2,225,160 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $2,013,902 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $22,167,773 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-12-31 | $2,377,812 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-12-31 | $2,205,355 |
| Contract administrator fees | 2015-12-31 | $1,087,541 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $2,514,900 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $1,569,400 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $14,889,319 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $14,889,194 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2015-12-31 | 410746749 |
| 2014 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $125,509 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $125,509 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $3,835,937 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $2,733,414 |
| Total income from all sources (including contributions) | 2014-12-31 | $25,298,922 |
| Total loss/gain on sale of assets | 2014-12-31 | $99,882 |
| Total of all expenses incurred | 2014-12-31 | $21,160,718 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $19,818,041 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $24,233,576 |
| Value of total assets at end of year | 2014-12-31 | $33,212,595 |
| Value of total assets at beginning of year | 2014-12-31 | $27,971,868 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,342,677 |
| Total interest from all sources | 2014-12-31 | $232,108 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $220,369 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $220,369 |
| Administrative expenses professional fees incurred | 2014-12-31 | $171,895 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $2,659,041 |
| Assets. Other investments not covered elsewhere at end of year | 2014-12-31 | $0 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-12-31 | $1,109,099 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $282,456 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $179,791 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $166,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $50,000 |
| Other income not declared elsewhere | 2014-12-31 | $273 |
| Administrative expenses (other) incurred | 2014-12-31 | $200,182 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $2,100,537 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $1,438,114 |
| Total non interest bearing cash at end of year | 2014-12-31 | $5,251,702 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $4,138,204 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $29,376,658 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $25,238,454 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2014-12-31 | $2,781,753 |
| Assets. partnership/joint venture interests at beginning of year | 2014-12-31 | $1,232,409 |
| Investment advisory and management fees | 2014-12-31 | $38,897 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $15,602,537 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $14,383,470 |
| Income. Interest from US Government securities | 2014-12-31 | $130,276 |
| Income. Interest from corporate debt instruments | 2014-12-31 | $101,788 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $669,601 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $4,396,548 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $4,396,548 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $44 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $1,789,120 |
| Asset value of US Government securities at end of year | 2014-12-31 | $4,405,289 |
| Asset value of US Government securities at beginning of year | 2014-12-31 | $3,486,478 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2014-12-31 | $387,205 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $21,574,535 |
| Employer contributions (assets) at end of year | 2014-12-31 | $2,013,902 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $1,337,188 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $18,028,921 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-12-31 | $2,205,355 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-12-31 | $1,846,885 |
| Contract administrator fees | 2014-12-31 | $931,703 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $1,569,400 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $1,245,300 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Aggregate proceeds on sale of assets | 2014-12-31 | $9,778,543 |
| Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $9,678,661 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2014-12-31 | 410746749 |
| 2013 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-497,935 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-497,935 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $2,733,414 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $3,429,249 |
| Total income from all sources (including contributions) | 2013-12-31 | $21,063,214 |
| Total loss/gain on sale of assets | 2013-12-31 | $721,453 |
| Total of all expenses incurred | 2013-12-31 | $18,938,256 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $17,823,733 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $19,565,187 |
| Value of total assets at end of year | 2013-12-31 | $27,971,868 |
| Value of total assets at beginning of year | 2013-12-31 | $26,542,745 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $1,114,523 |
| Total interest from all sources | 2013-12-31 | $232,938 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $168,004 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $168,004 |
| Administrative expenses professional fees incurred | 2013-12-31 | $136,049 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $2,670,424 |
| Assets. Other investments not covered elsewhere at end of year | 2013-12-31 | $1,109,099 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-12-31 | $1,366,038 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $179,791 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $178,886 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $50,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $0 |
| Other income not declared elsewhere | 2013-12-31 | $125 |
| Administrative expenses (other) incurred | 2013-12-31 | $28,068 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $1,438,114 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $1,197,249 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $2,124,958 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $25,238,454 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $23,113,496 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2013-12-31 | $1,232,409 |
| Assets. partnership/joint venture interests at beginning of year | 2013-12-31 | $1,171,750 |
| Investment advisory and management fees | 2013-12-31 | $36,305 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $14,383,470 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $13,643,014 |
| Income. Interest from US Government securities | 2013-12-31 | $134,974 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $97,930 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $4,396,548 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $3,508,904 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $3,508,904 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $34 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $1,353,855 |
| Asset value of US Government securities at end of year | 2013-12-31 | $3,486,478 |
| Asset value of US Government securities at beginning of year | 2013-12-31 | $3,479,357 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $873,442 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $16,894,763 |
| Employer contributions (assets) at end of year | 2013-12-31 | $1,337,188 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $1,286,311 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $16,469,878 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-12-31 | $1,846,885 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-12-31 | $1,908,485 |
| Contract administrator fees | 2013-12-31 | $914,101 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $1,245,300 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $2,232,000 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $5,635,520 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $4,914,067 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2013-12-31 | 410746749 |
| 2012 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $-284,817 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $-284,817 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $3,429,249 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $2,627,630 |
| Total income from all sources (including contributions) | 2012-12-31 | $19,601,612 |
| Total loss/gain on sale of assets | 2012-12-31 | $395,064 |
| Total of all expenses incurred | 2012-12-31 | $20,523,052 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $19,393,755 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $18,055,161 |
| Value of total assets at end of year | 2012-12-31 | $26,542,745 |
| Value of total assets at beginning of year | 2012-12-31 | $26,662,566 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $1,129,297 |
| Total interest from all sources | 2012-12-31 | $258,202 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $243,672 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2012-12-31 | $243,672 |
| Administrative expenses professional fees incurred | 2012-12-31 | $162,505 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $2,705,663 |
| Assets. Other investments not covered elsewhere at end of year | 2012-12-31 | $1,366,038 |
| Assets. Other investments not covered elsewhere at beginning of year | 2012-12-31 | $1,365,121 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $178,886 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $242,757 |
| Other income not declared elsewhere | 2012-12-31 | $66 |
| Administrative expenses (other) incurred | 2012-12-31 | $23,759 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $1,197,249 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $202,730 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $-921,440 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $23,113,496 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $24,034,936 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2012-12-31 | $1,171,750 |
| Assets. partnership/joint venture interests at beginning of year | 2012-12-31 | $1,361,239 |
| Investment advisory and management fees | 2012-12-31 | $36,829 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $13,643,014 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $12,265,108 |
| Income. Interest from US Government securities | 2012-12-31 | $146,111 |
| Income. Interest from corporate debt instruments | 2012-12-31 | $112,045 |
| Value of interest in common/collective trusts at end of year | 2012-12-31 | $0 |
| Value of interest in common/collective trusts at beginning of year | 2012-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $3,508,904 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $3,669,188 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $3,669,188 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $46 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $1,507,099 |
| Asset value of US Government securities at end of year | 2012-12-31 | $3,479,357 |
| Asset value of US Government securities at beginning of year | 2012-12-31 | $4,028,223 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $934,264 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $15,349,498 |
| Employer contributions (assets) at end of year | 2012-12-31 | $1,286,311 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $1,365,375 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $17,886,656 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-12-31 | $1,908,485 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-12-31 | $2,365,555 |
| Contract administrator fees | 2012-12-31 | $906,204 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $2,232,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $2,424,900 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Aggregate proceeds on sale of assets | 2012-12-31 | $18,495,662 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $18,100,598 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2012-12-31 | 410746749 |
| 2011 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $-201,550 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $-201,550 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $2,627,630 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $1,770,351 |
| Total income from all sources (including contributions) | 2011-12-31 | $15,307,240 |
| Total loss/gain on sale of assets | 2011-12-31 | $827,901 |
| Total of all expenses incurred | 2011-12-31 | $13,877,866 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $13,002,405 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $14,055,249 |
| Value of total assets at end of year | 2011-12-31 | $26,662,566 |
| Value of total assets at beginning of year | 2011-12-31 | $24,375,913 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $875,461 |
| Total interest from all sources | 2011-12-31 | $470,157 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $96,780 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $96,780 |
| Administrative expenses professional fees incurred | 2011-12-31 | $214,803 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $2,211,519 |
| Assets. Other investments not covered elsewhere at end of year | 2011-12-31 | $1,365,121 |
| Assets. Other investments not covered elsewhere at beginning of year | 2011-12-31 | $1,549,213 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2011-12-31 | $440,000 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $242,757 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $348,433 |
| Other income not declared elsewhere | 2011-12-31 | $80 |
| Administrative expenses (other) incurred | 2011-12-31 | $15,712 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $202,730 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $118,951 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Income. Non cash contributions | 2011-12-31 | $0 |
| Value of net income/loss | 2011-12-31 | $1,429,374 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $24,034,936 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $22,605,562 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2011-12-31 | $1,361,239 |
| Assets. partnership/joint venture interests at beginning of year | 2011-12-31 | $1,506,243 |
| Investment advisory and management fees | 2011-12-31 | $38,695 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $12,265,108 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $13,242,343 |
| Income. Interest from US Government securities | 2011-12-31 | $349,331 |
| Income. Interest from corporate debt instruments | 2011-12-31 | $120,729 |
| Value of interest in common/collective trusts at end of year | 2011-12-31 | $0 |
| Value of interest in common/collective trusts at beginning of year | 2011-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $3,669,188 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $1,041,638 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $1,041,638 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $97 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2011-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $963,801 |
| Asset value of US Government securities at end of year | 2011-12-31 | $4,028,223 |
| Asset value of US Government securities at beginning of year | 2011-12-31 | $3,930,324 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $58,623 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $11,403,730 |
| Employer contributions (assets) at end of year | 2011-12-31 | $1,365,375 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $702,539 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $12,038,604 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-12-31 | $2,365,555 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-12-31 | $2,055,180 |
| Contract administrator fees | 2011-12-31 | $606,251 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $2,424,900 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $1,651,400 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Aggregate proceeds on sale of assets | 2011-12-31 | $8,078,103 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $7,250,202 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | CLIFTONLARSONALLEN LLP |
| Accountancy firm EIN | 2011-12-31 | 410746749 |
| 2010 : TWIN CITY IRONWORKERS HEALTH & WELFARE FUND 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $255,241 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $255,241 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $1,770,351 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $1,346,517 |
| Total income from all sources (including contributions) | 2010-12-31 | $12,346,620 |
| Total loss/gain on sale of assets | 2010-12-31 | $84,792 |
| Total of all expenses incurred | 2010-12-31 | $12,428,522 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $11,594,061 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $10,318,971 |
| Value of total assets at end of year | 2010-12-31 | $24,375,913 |
| Value of total assets at beginning of year | 2010-12-31 | $24,033,981 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $834,461 |
| Total interest from all sources | 2010-12-31 | $352,596 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $92,003 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $92,003 |
| Administrative expenses professional fees incurred | 2010-12-31 | $164,106 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $2,146,732 |
| Assets. Other investments not covered elsewhere at end of year | 2010-12-31 | $1,549,213 |
| Assets. Other investments not covered elsewhere at beginning of year | 2010-12-31 | $1,665,059 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $348,433 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $497,443 |
| Other income not declared elsewhere | 2010-12-31 | $10,770 |
| Administrative expenses (other) incurred | 2010-12-31 | $22,407 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $118,951 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $143,617 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-81,902 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $22,605,562 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $22,687,464 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2010-12-31 | $1,506,243 |
| Assets. partnership/joint venture interests at beginning of year | 2010-12-31 | $1,598,540 |
| Investment advisory and management fees | 2010-12-31 | $50,863 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $13,242,343 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $1,422,137 |
| Income. Interest from US Government securities | 2010-12-31 | $225,242 |
| Income. Interest from corporate debt instruments | 2010-12-31 | $127,175 |
| Value of interest in common/collective trusts at end of year | 2010-12-31 | $0 |
| Value of interest in common/collective trusts at beginning of year | 2010-12-31 | $10,139,409 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $1,041,638 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $1,170,759 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $1,170,759 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $179 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2010-12-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2010-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $740,215 |
| Asset value of US Government securities at end of year | 2010-12-31 | $3,930,324 |
| Asset value of US Government securities at beginning of year | 2010-12-31 | $4,517,757 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $380,193 |
| Net investment gain or loss from common/collective trusts | 2010-12-31 | $852,054 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $8,172,239 |
| Employer contributions (assets) at end of year | 2010-12-31 | $702,539 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $780,271 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $10,853,846 |
| Asset. Corporate debt instrument debt (other) at end of year | 2010-12-31 | $2,055,180 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2010-12-31 | $2,242,606 |
| Contract administrator fees | 2010-12-31 | $597,085 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $1,651,400 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $1,202,900 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | Yes |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Aggregate proceeds on sale of assets | 2010-12-31 | $26,484,225 |
| Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $26,399,433 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | LARSONALLEN LLP |
| Accountancy firm EIN | 2010-12-31 | 410746749 |
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | 211849 |
| Policy instance | 3 |
| Insurance contract or identification number | 211849 | | Number of Individuals Covered | 1510 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $295,067 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 2 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1223 | | Insurance policy start date | 2022-07-01 | | Insurance policy end date | 2023-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $160,949 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SIERRA HEALTH & LIFE (National Association of Insurance Commissioners NAIC id number: 71420 ) |
| Policy contract number | H2001 |
| Policy instance | 1 |
| Insurance contract or identification number | H2001 | | Number of Individuals Covered | 657 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,271,049 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 629 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,806,423 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 624 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $963,166 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1188 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $162,841 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1520 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $445,792 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1514 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $404,369 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1241 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $164,314 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 605 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $803,293 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 609 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,641,170 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 596 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,508,338 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 595 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $910,336 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1380 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $182,694 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1538 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $373,270 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 583 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,391,231 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 582 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,009,657 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1384 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $176,032 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1686 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $34,466 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $338,360 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,466 | | Insurance broker organization code? | 3 |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 555 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,297,992 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 554 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $494,346 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1482 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $168,870 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1657 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $34,748 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $312,931 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34,748 | | Insurance broker organization code? | 3 |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1800 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $37,791 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $340,337 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $37,791 | | Insurance broker organization code? | 3 | | Insurance broker name | BLUE CROSS AND BLUE SHIELD OF MN |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1411 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $6 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $175,744 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6 | | Insurance broker organization code? | 0 | | Insurance broker name | RUSSELL CLOUSING |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 526 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $535,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 525 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,246,624 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $534,332 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1693 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $169,914 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 2044 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2015-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $393,212 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | SEGAL |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 488 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,080,872 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 479 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $374,434 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 479 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $1,046,203 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1315 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $143,152 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1644 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $32,258 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $291,528 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,258 | | Insurance broker organization code? | 3 | | Insurance broker name | SEGAL |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 454 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $989,496 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 454 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $325,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1232 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $139,421 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | SL115 |
| Policy instance | 4 |
| Insurance contract or identification number | SL115 | | Number of Individuals Covered | 1600 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $22,355 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $217,214 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $22,355 | | Insurance broker organization code? | 3 | | Insurance broker name | SEGAL |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 1210 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $114,833 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 424 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $871,521 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 424 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $501,371 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0147670 |
| Policy instance | 3 |
| Insurance contract or identification number | 0147670 | | Number of Individuals Covered | 948 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | 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 Carrier | USD $48,858 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | YM041000 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $267,963 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 101369901 |
| Policy instance | 4 |
| Insurance contract or identification number | 101369901 | | Number of Individuals Covered | 839 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $61,739 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 238 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $452,122 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 ) |
| Policy contract number | 3699 |
| Policy instance | 3 |
| Insurance contract or identification number | 3699 | | Number of Individuals Covered | 886 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $121,666 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | 0YM041000 |
| Policy instance | 2 |
| Insurance contract or identification number | 0YM041000 | | Number of Individuals Covered | 189 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $230,580 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 ) |
| Policy contract number | YM041 |
| Policy instance | 1 |
| Insurance contract or identification number | YM041 | | Number of Individuals Covered | 191 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $387,969 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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