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ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 401k Plan overview

Plan NameASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN
Plan identification number 501

ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

BD OF TRUSTEES ASBESTOS WORKERS LU NO. 800 SUPPLEMENTAL MEDICAL PLAN has sponsored the creation of one or more 401k plans.

Company Name:BD OF TRUSTEES ASBESTOS WORKERS LU NO. 800 SUPPLEMENTAL MEDICAL PLAN
Employer identification number (EIN):521863210
NAIC Classification:525990
NAIC Description:Other Financial Vehicles

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012011-07-01STEVE KELLER
5012010-07-01STEVE KELLER
5012009-07-01STEVE KELLER

Plan Statistics for ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN

401k plan membership statisitcs for ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN

Measure Date Value
2011: ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01419
Total number of active participants reported on line 7a of the Form 55002011-07-01223
Number of retired or separated participants receiving benefits2011-07-01184
Total of all active and inactive participants2011-07-01407
Number of employers contributing to the scheme2011-07-0121
2010: ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01400
Total number of active participants reported on line 7a of the Form 55002010-07-01232
Number of retired or separated participants receiving benefits2010-07-01187
Total of all active and inactive participants2010-07-01419
Number of employers contributing to the scheme2010-07-0124
2009: ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01486
Total number of active participants reported on line 7a of the Form 55002009-07-01253
Number of retired or separated participants receiving benefits2009-07-01147
Total of all active and inactive participants2009-07-01400
Number of employers contributing to the scheme2009-07-0130

Financial Data on ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN

Measure Date Value
2012 : ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$355,674
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$25,802
Total income from all sources (including contributions)2012-06-30$1,214,674
Total of all expenses incurred2012-06-30$1,492,974
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,432,242
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$1,215,084
Value of total assets at end of year2012-06-30$7,192,656
Value of total assets at beginning of year2012-06-30$7,141,084
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$60,732
Total interest from all sources2012-06-30$64
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$147,021
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$147,021
Administrative expenses professional fees incurred2012-06-30$9,187
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$911
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$350,747
Administrative expenses (other) incurred2012-06-30$4,787
Liabilities. Value of operating payables at end of year2012-06-30$2,100
Liabilities. Value of operating payables at beginning of year2012-06-30$4,338
Total non interest bearing cash at end of year2012-06-30$154,953
Total non interest bearing cash at beginning of year2012-06-30$17,350
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-278,300
Value of net assets at end of year (total assets less liabilities)2012-06-30$6,836,982
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$7,115,282
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$22,308
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$6,662,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$6,827,697
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$301,430
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$202,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$202,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$64
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-147,495
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$1,215,084
Employer contributions (assets) at end of year2012-06-30$72,541
Employer contributions (assets) at beginning of year2012-06-30$93,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$1,432,242
Contract administrator fees2012-06-30$24,450
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$2,827
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$21,464
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30SALTER & COMPANY LLC
Accountancy firm EIN2012-06-30208078757
2011 : ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$25,802
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$9,759
Total income from all sources (including contributions)2011-06-30$2,725,281
Total loss/gain on sale of assets2011-06-30$245,262
Total of all expenses incurred2011-06-30$1,357,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$1,282,776
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,469,206
Value of total assets at end of year2011-06-30$7,141,084
Value of total assets at beginning of year2011-06-30$5,756,808
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$74,272
Total interest from all sources2011-06-30$46
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$150,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$150,299
Administrative expenses professional fees incurred2011-06-30$16,257
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Other income not declared elsewhere2011-06-30$51,278
Administrative expenses (other) incurred2011-06-30$9,934
Liabilities. Value of operating payables at end of year2011-06-30$4,338
Liabilities. Value of operating payables at beginning of year2011-06-30$3,704
Total non interest bearing cash at end of year2011-06-30$17,350
Total non interest bearing cash at beginning of year2011-06-30$6,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$1,368,233
Value of net assets at end of year (total assets less liabilities)2011-06-30$7,115,282
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$5,747,049
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$22,131
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$6,827,697
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$5,513,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$202,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$116,202
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$116,202
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$46
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$809,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,469,206
Employer contributions (assets) at end of year2011-06-30$93,684
Employer contributions (assets) at beginning of year2011-06-30$120,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$1,282,776
Contract administrator fees2011-06-30$25,950
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$21,464
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$6,055
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$1,900,627
Aggregate carrying amount (costs) on sale of assets2011-06-30$1,655,365
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30SALTER & COMPANY LLC
Accountancy firm EIN2011-06-30208078757

Form 5500 Responses for ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN

2011: ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement - TrustYes
2010: ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2010 form 5500 responses
2010-07-01Type of plan entityMulti-employer plan
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement - TrustYes
2009: ASBESTOS WORKERS LOCAL UNION NO. 80 SUPPLEMENTAL MEDICAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

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