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IBEW LOCAL 915 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameIBEW LOCAL 915 HEALTH AND WELFARE FUND
Plan identification number 501

IBEW LOCAL 915 HEALTH AND WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

IBEW 915 HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:IBEW 915 HEALTH & WELFARE FUND
Employer identification number (EIN):596169977
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IBEW LOCAL 915 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01RANDALL KING2023-06-22 VANCE ANDERSON2023-06-22
5012021-01-01RANDALL KING2022-11-06 VANCE ANDERSON2022-11-05
5012020-01-01RANDALL KING2021-06-21 VANCE ANDERSON2021-06-21
5012019-01-01RANDALL KING2020-09-15 VANCE ANDERSON2020-09-15
5012018-01-01RANDALL KING2019-07-18 VANCE ANDERSON2019-07-18
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01FRANK CARPENTER
5012011-01-01FRANK CARPENTER
5012010-01-01FRANK CARPENTER
5012009-01-01FRANK CARPENTER
5012009-01-01FRANK CARPENTER

Plan Statistics for IBEW LOCAL 915 HEALTH AND WELFARE FUND

401k plan membership statisitcs for IBEW LOCAL 915 HEALTH AND WELFARE FUND

Measure Date Value
2022: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01922
Total number of active participants reported on line 7a of the Form 55002022-01-01938
Number of retired or separated participants receiving benefits2022-01-0111
Total of all active and inactive participants2022-01-01949
Number of employers contributing to the scheme2022-01-0145
2021: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01981
Total number of active participants reported on line 7a of the Form 55002021-01-01909
Number of retired or separated participants receiving benefits2021-01-0113
Total of all active and inactive participants2021-01-01922
Number of employers contributing to the scheme2021-01-0151
2020: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01856
Total number of active participants reported on line 7a of the Form 55002020-01-01971
Number of retired or separated participants receiving benefits2020-01-0110
Total of all active and inactive participants2020-01-01981
Number of employers contributing to the scheme2020-01-0147
2019: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01737
Total number of active participants reported on line 7a of the Form 55002019-01-01844
Number of retired or separated participants receiving benefits2019-01-0112
Total of all active and inactive participants2019-01-01856
Number of employers contributing to the scheme2019-01-0151
2018: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01761
Total number of active participants reported on line 7a of the Form 55002018-01-01729
Number of retired or separated participants receiving benefits2018-01-018
Total of all active and inactive participants2018-01-01737
Number of employers contributing to the scheme2018-01-0153
2017: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01720
Total number of active participants reported on line 7a of the Form 55002017-01-01761
Number of retired or separated participants receiving benefits2017-01-018
Total of all active and inactive participants2017-01-01769
Number of employers contributing to the scheme2017-01-0147
2016: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01684
Total number of active participants reported on line 7a of the Form 55002016-01-01720
Number of retired or separated participants receiving benefits2016-01-0111
Total of all active and inactive participants2016-01-01731
Number of employers contributing to the scheme2016-01-0143
2015: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01678
Total number of active participants reported on line 7a of the Form 55002015-01-01670
Number of retired or separated participants receiving benefits2015-01-0114
Total of all active and inactive participants2015-01-01684
Number of employers contributing to the scheme2015-01-0139
2014: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01722
Total number of active participants reported on line 7a of the Form 55002014-01-01662
Number of retired or separated participants receiving benefits2014-01-0116
Total of all active and inactive participants2014-01-01678
Number of employers contributing to the scheme2014-01-0133
2013: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01622
Total number of active participants reported on line 7a of the Form 55002013-01-01705
Number of retired or separated participants receiving benefits2013-01-0117
Total of all active and inactive participants2013-01-01722
Number of employers contributing to the scheme2013-01-0146
2012: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01684
Total number of active participants reported on line 7a of the Form 55002012-01-01622
Total of all active and inactive participants2012-01-01622
Number of employers contributing to the scheme2012-01-0142
2011: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01729
Total number of active participants reported on line 7a of the Form 55002011-01-01684
Total of all active and inactive participants2011-01-01684
Number of employers contributing to the scheme2011-01-0161
2010: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-01965
Total number of active participants reported on line 7a of the Form 55002010-01-01729
Total of all active and inactive participants2010-01-01729
Number of employers contributing to the scheme2010-01-0147
2009: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-011,002
Total number of active participants reported on line 7a of the Form 55002009-01-01965
Total of all active and inactive participants2009-01-01965
Number of employers contributing to the scheme2009-01-0152

Financial Data on IBEW LOCAL 915 HEALTH AND WELFARE FUND

Measure Date Value
2022 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,065,641
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$12,496,623
Total income from all sources (including contributions)2022-12-31$9,387,357
Total of all expenses incurred2022-12-31$10,516,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$10,127,746
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$11,469,045
Value of total assets at end of year2022-12-31$16,168,054
Value of total assets at beginning of year2022-12-31$17,727,769
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$388,344
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$347,438
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$347,438
Administrative expenses professional fees incurred2022-12-31$55,853
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$187,920
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$317,927
Administrative expenses (other) incurred2022-12-31$78,312
Liabilities. Value of operating payables at end of year2022-12-31$89,792
Liabilities. Value of operating payables at beginning of year2022-12-31$146,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,128,733
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,102,413
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,231,146
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$12,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$14,027,041
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$16,383,865
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,095,993
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$294,363
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$294,363
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$439,494
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,429,126
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$11,281,125
Employer contributions (assets) at end of year2022-12-31$1,045,020
Employer contributions (assets) at beginning of year2022-12-31$1,049,541
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$9,370,325
Contract administrator fees2022-12-31$242,179
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$11,975,849
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$12,350,568
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31STEVEN D. EISENBERG CPA, P.A.
Accountancy firm EIN2022-12-31650140643
2021 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$146,055
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$23,390
Total income from all sources (including contributions)2021-12-31$11,330,425
Total of all expenses incurred2021-12-31$12,271,309
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$11,913,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$10,360,618
Value of total assets at end of year2021-12-31$17,727,769
Value of total assets at beginning of year2021-12-31$18,545,988
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$358,076
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$425,012
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$425,012
Administrative expenses professional fees incurred2021-12-31$40,796
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$167,799
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$419,424
Administrative expenses (other) incurred2021-12-31$62,076
Liabilities. Value of operating payables at end of year2021-12-31$146,055
Liabilities. Value of operating payables at beginning of year2021-12-31$23,390
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-940,884
Value of net assets at end of year (total assets less liabilities)2021-12-31$17,581,714
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$18,522,598
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$12,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$16,383,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$16,892,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$294,363
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$704,259
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$704,259
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$393,292
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$544,795
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$10,192,819
Employer contributions (assets) at end of year2021-12-31$1,049,541
Employer contributions (assets) at beginning of year2021-12-31$949,550
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,100,517
Contract administrator fees2021-12-31$243,204
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31STEVEN D. EISENBERG CPA, P.A.
Accountancy firm EIN2021-12-31650140643
2020 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$23,390
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$82,835
Total income from all sources (including contributions)2020-12-31$12,337,804
Total of all expenses incurred2020-12-31$7,875,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$7,522,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$10,855,842
Value of total assets at end of year2020-12-31$18,545,988
Value of total assets at beginning of year2020-12-31$14,142,702
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$352,470
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$454,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$454,142
Administrative expenses professional fees incurred2020-12-31$36,775
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$148,755
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$377,030
Administrative expenses (other) incurred2020-12-31$62,429
Liabilities. Value of operating payables at end of year2020-12-31$23,390
Liabilities. Value of operating payables at beginning of year2020-12-31$82,835
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$4,462,731
Value of net assets at end of year (total assets less liabilities)2020-12-31$18,522,598
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$14,059,867
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$12,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$16,892,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,611,631
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$704,259
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,580,724
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,580,724
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$383,963
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,027,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$10,707,087
Employer contributions (assets) at end of year2020-12-31$949,550
Employer contributions (assets) at beginning of year2020-12-31$950,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$6,761,610
Contract administrator fees2020-12-31$241,266
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31STEVEN D EISENBERG CPA PA
Accountancy firm EIN2020-12-31650140643
2019 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$82,835
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$75,729
Total income from all sources (including contributions)2019-12-31$10,215,781
Total of all expenses incurred2019-12-31$7,299,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,946,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$8,907,940
Value of total assets at end of year2019-12-31$14,142,702
Value of total assets at beginning of year2019-12-31$11,219,275
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$353,450
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$325,388
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$325,388
Administrative expenses professional fees incurred2019-12-31$51,816
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$158,640
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$304,459
Administrative expenses (other) incurred2019-12-31$66,641
Liabilities. Value of operating payables at end of year2019-12-31$82,835
Liabilities. Value of operating payables at beginning of year2019-12-31$75,729
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,916,321
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,059,867
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,143,546
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$12,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,611,631
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$9,914,904
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,580,724
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$496,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$496,496
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$315,734
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$982,453
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$8,749,300
Employer contributions (assets) at end of year2019-12-31$950,347
Employer contributions (assets) at beginning of year2019-12-31$807,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,325,817
Contract administrator fees2019-12-31$222,993
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31STEVEN D. EISENBERG CPA, P.A.
Accountancy firm EIN2019-12-31650140643
2018 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$75,729
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$73,343
Total income from all sources (including contributions)2018-12-31$7,470,524
Total of all expenses incurred2018-12-31$7,954,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$7,629,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$7,420,050
Value of total assets at end of year2018-12-31$11,219,275
Value of total assets at beginning of year2018-12-31$11,700,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$325,333
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$277,498
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$277,498
Administrative expenses professional fees incurred2018-12-31$37,687
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$144,011
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$258,564
Other income not declared elsewhere2018-12-31$138,559
Administrative expenses (other) incurred2018-12-31$53,796
Liabilities. Value of operating payables at end of year2018-12-31$75,729
Liabilities. Value of operating payables at beginning of year2018-12-31$73,343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-483,957
Value of net assets at end of year (total assets less liabilities)2018-12-31$11,143,546
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$11,627,503
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$11,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$9,914,904
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,903,785
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$496,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$220,801
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$220,801
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$284,494
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-365,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$7,276,039
Employer contributions (assets) at end of year2018-12-31$807,875
Employer contributions (assets) at beginning of year2018-12-31$576,260
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$7,086,090
Contract administrator fees2018-12-31$222,850
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31STEVEN D. EISENBERG CPA, P.A.
Accountancy firm EIN2018-12-31650140643
2017 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$73,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$43,884
Total income from all sources (including contributions)2017-12-31$7,877,051
Total of all expenses incurred2017-12-31$7,530,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,157,128
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$7,049,128
Value of total assets at end of year2017-12-31$11,700,846
Value of total assets at beginning of year2017-12-31$11,324,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$373,498
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$249,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$249,181
Administrative expenses professional fees incurred2017-12-31$41,806
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$121,712
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$243,462
Administrative expenses (other) incurred2017-12-31$100,900
Liabilities. Value of operating payables at end of year2017-12-31$73,343
Liabilities. Value of operating payables at beginning of year2017-12-31$43,884
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$346,425
Value of net assets at end of year (total assets less liabilities)2017-12-31$11,627,503
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,281,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,903,785
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,326,316
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$220,801
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$197,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$197,863
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$280,795
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$578,742
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$6,927,416
Employer contributions (assets) at end of year2017-12-31$576,260
Employer contributions (assets) at beginning of year2017-12-31$800,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$6,632,871
Contract administrator fees2017-12-31$222,792
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31STEVEN D EISENEBRG CPA, P.A.
Accountancy firm EIN2017-12-31650140643
2016 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$43,884
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$91,773
Total income from all sources (including contributions)2016-12-31$7,056,005
Total of all expenses incurred2016-12-31$6,632,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,246,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$6,507,862
Value of total assets at end of year2016-12-31$11,324,962
Value of total assets at beginning of year2016-12-31$10,949,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$385,514
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$275,428
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$275,428
Administrative expenses professional fees incurred2016-12-31$40,806
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$158,958
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$234,017
Other income not declared elsewhere2016-12-31$22,662
Administrative expenses (other) incurred2016-12-31$112,906
Liabilities. Value of operating payables at end of year2016-12-31$43,884
Liabilities. Value of operating payables at beginning of year2016-12-31$91,773
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$423,849
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,281,078
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,857,229
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$8,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,326,316
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$9,801,399
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$197,863
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$362,843
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$362,843
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$274,104
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$250,053
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$6,348,904
Employer contributions (assets) at end of year2016-12-31$800,783
Employer contributions (assets) at beginning of year2016-12-31$784,760
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$5,738,521
Contract administrator fees2016-12-31$223,802
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31STEVEN D. EISENBERG CPA, P.A
Accountancy firm EIN2016-12-31650140643
2015 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$91,773
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$68,304
Total income from all sources (including contributions)2015-12-31$5,694,996
Total of all expenses incurred2015-12-31$6,039,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,628,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,553,070
Value of total assets at end of year2015-12-31$10,949,002
Value of total assets at beginning of year2015-12-31$11,269,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$410,329
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$333,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$333,679
Administrative expenses professional fees incurred2015-12-31$47,942
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$161,170
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$208,153
Other income not declared elsewhere2015-12-31$40,986
Administrative expenses (other) incurred2015-12-31$130,472
Liabilities. Value of operating payables at end of year2015-12-31$91,773
Liabilities. Value of operating payables at beginning of year2015-12-31$68,304
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-344,238
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,857,229
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,201,467
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$9,396
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$9,801,399
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,475,596
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$362,843
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$390,792
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$390,792
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$233,720
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-232,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$5,391,900
Employer contributions (assets) at end of year2015-12-31$784,760
Employer contributions (assets) at beginning of year2015-12-31$403,383
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,187,032
Contract administrator fees2015-12-31$222,519
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31STEVEN D EISENBERG CPA, P.A
Accountancy firm EIN2015-12-31650140643
2014 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$68,304
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$60,756
Total income from all sources (including contributions)2014-12-31$5,630,681
Total of all expenses incurred2014-12-31$5,842,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,468,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,031,189
Value of total assets at end of year2014-12-31$11,269,771
Value of total assets at beginning of year2014-12-31$11,474,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$374,241
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$351,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$351,061
Administrative expenses professional fees incurred2014-12-31$105,118
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$159,092
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$243,753
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$229,321
Administrative expenses (other) incurred2014-12-31$48,540
Liabilities. Value of operating payables at end of year2014-12-31$68,304
Liabilities. Value of operating payables at beginning of year2014-12-31$60,756
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-212,137
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,201,467
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$11,413,604
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$6,280
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,475,596
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$10,627,032
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$390,792
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$280,063
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$280,063
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$267,075
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$248,431
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,872,097
Employer contributions (assets) at end of year2014-12-31$403,383
Employer contributions (assets) at beginning of year2014-12-31$323,512
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$4,972,181
Contract administrator fees2014-12-31$214,303
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31STEVEN D EISENBERG CPA, PA
Accountancy firm EIN2014-12-31650140643
2013 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$60,756
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$91,329
Total income from all sources (including contributions)2013-12-31$5,518,252
Total of all expenses incurred2013-12-31$5,300,287
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,980,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,940,889
Value of total assets at end of year2013-12-31$11,474,360
Value of total assets at beginning of year2013-12-31$11,286,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$319,640
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$320,789
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$320,789
Administrative expenses professional fees incurred2013-12-31$33,382
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$188,300
Assets. Other investments not covered elsewhere at end of year2013-12-31$243,753
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$222,125
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$265,321
Administrative expenses (other) incurred2013-12-31$72,480
Liabilities. Value of operating payables at end of year2013-12-31$60,756
Liabilities. Value of operating payables at beginning of year2013-12-31$91,329
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$217,965
Value of net assets at end of year (total assets less liabilities)2013-12-31$11,413,604
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$11,195,639
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$6,280
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$10,627,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$10,324,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$280,063
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$366,600
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$366,600
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$72,567
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$256,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,752,589
Employer contributions (assets) at end of year2013-12-31$323,512
Employer contributions (assets) at beginning of year2013-12-31$373,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$4,642,759
Contract administrator fees2013-12-31$207,498
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31STEVEN D EISENBERG CPA, P.A.
Accountancy firm EIN2013-12-31650140643
2012 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$91,329
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$60,348
Total income from all sources (including contributions)2012-12-31$5,690,704
Total of all expenses incurred2012-12-31$5,877,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$5,683,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,723,813
Value of total assets at end of year2012-12-31$11,286,968
Value of total assets at beginning of year2012-12-31$11,442,707
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$193,969
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$459,719
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$459,719
Administrative expenses professional fees incurred2012-12-31$21,498
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$166,007
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$461,932
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$222,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$222,125
Administrative expenses (other) incurred2012-12-31$41,475
Liabilities. Value of operating payables at end of year2012-12-31$91,329
Liabilities. Value of operating payables at beginning of year2012-12-31$60,348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-186,720
Value of net assets at end of year (total assets less liabilities)2012-12-31$11,195,639
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$11,382,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$4,680
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$10,324,669
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$10,607,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$366,600
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$203,415
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$203,415
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$77,794
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$507,172
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$4,557,806
Employer contributions (assets) at end of year2012-12-31$373,574
Employer contributions (assets) at beginning of year2012-12-31$409,389
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$5,143,729
Contract administrator fees2012-12-31$126,316
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31STEVEN D EISENBERG CPA, P.A.
Accountancy firm EIN2012-12-31650140643
2011 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$60,348
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$203,798
Total income from all sources (including contributions)2011-12-31$5,446,123
Total of all expenses incurred2011-12-31$5,195,031
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,996,419
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,068,847
Value of total assets at end of year2011-12-31$11,442,707
Value of total assets at beginning of year2011-12-31$11,335,065
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$198,612
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$424,057
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$424,057
Administrative expenses professional fees incurred2011-12-31$24,683
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$245,707
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$447,143
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$222,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$319,775
Administrative expenses (other) incurred2011-12-31$44,981
Liabilities. Value of operating payables at end of year2011-12-31$60,348
Liabilities. Value of operating payables at beginning of year2011-12-31$203,798
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$251,092
Value of net assets at end of year (total assets less liabilities)2011-12-31$11,382,359
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$11,131,267
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$3,880
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$10,607,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$10,580,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$203,415
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$96,448
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$96,448
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$75,212
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-46,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$4,823,140
Employer contributions (assets) at end of year2011-12-31$409,389
Employer contributions (assets) at beginning of year2011-12-31$338,336
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,474,064
Contract administrator fees2011-12-31$125,068
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31STEVEN D EISENBERG CPA, P.A
Accountancy firm EIN2011-12-31650140643
2010 : IBEW LOCAL 915 HEALTH AND WELFARE FUND 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$203,798
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$185,992
Total income from all sources (including contributions)2010-12-31$5,265,160
Total loss/gain on sale of assets2010-12-31$7,431
Total of all expenses incurred2010-12-31$7,233,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$7,027,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,116,212
Value of total assets at end of year2010-12-31$11,335,065
Value of total assets at beginning of year2010-12-31$13,285,412
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$205,929
Total interest from all sources2010-12-31$3,549
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$594,560
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$594,560
Administrative expenses professional fees incurred2010-12-31$39,603
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$229,625
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$521,291
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$319,775
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$1,035,318
Other income not declared elsewhere2010-12-31$165,150
Administrative expenses (other) incurred2010-12-31$41,470
Liabilities. Value of operating payables at end of year2010-12-31$203,798
Liabilities. Value of operating payables at beginning of year2010-12-31$185,992
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-1,968,153
Value of net assets at end of year (total assets less liabilities)2010-12-31$11,131,267
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$13,099,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$3,880
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$10,580,506
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$11,347,895
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$96,448
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$306,794
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$306,794
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$3,549
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$88,515
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$378,258
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$3,886,587
Employer contributions (assets) at end of year2010-12-31$338,336
Employer contributions (assets) at beginning of year2010-12-31$595,405
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$6,417,578
Contract administrator fees2010-12-31$120,976
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$3,331,451
Aggregate carrying amount (costs) on sale of assets2010-12-31$3,324,020
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31STEVEN D EISENBERG CPA, P.A.
Accountancy firm EIN2010-12-31650140643

Form 5500 Responses for IBEW LOCAL 915 HEALTH AND WELFARE FUND

2022: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: IBEW LOCAL 915 HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 5
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $317,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $83,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number59-1031071
Policy instance 2
Insurance contract or identification number59-1031071
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 5
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $419,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 5
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $376,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number59-1031071
Policy instance 2
Insurance contract or identification number59-1031071
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number59-1031071
Policy instance 2
Insurance contract or identification number59-1031071
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $238,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Number of Individuals Covered790
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $72,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number
Policy instance 5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $65,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number59-1031071
Policy instance 2
Insurance contract or identification number59-1031071
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $257,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Number of Individuals Covered702
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Number of Individuals Covered740
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $56,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number
Policy instance 2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $243,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number
Policy instance 2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $208,153
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 1
Insurance contract or identification number12328701
Number of Individuals Covered667
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44854
Policy instance 1
Insurance contract or identification number44854
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $15,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 2
Insurance contract or identification number12328701
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,125
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number
Policy instance 3
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $229,321
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number
Policy instance 1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $69,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number
Policy instance 4
Number of Individuals Covered701
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $195,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 3
Insurance contract or identification number12328701
Number of Individuals Covered711
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,554
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44854
Policy instance 2
Insurance contract or identification number44854
Number of Individuals Covered701
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $23,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number
Policy instance 1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $461,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 3
Insurance contract or identification number12328701
Number of Individuals Covered688
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44854
Policy instance 2
Insurance contract or identification number44854
Number of Individuals Covered717
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44854
Policy instance 2
Insurance contract or identification number44854
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $21,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number
Policy instance 1
Number of Individuals Covered739
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $447,143
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12328701
Policy instance 3
Insurance contract or identification number12328701
Number of Individuals Covered741
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44854
Policy instance 2
Insurance contract or identification number44854
Number of Individuals Covered689
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD & D
Welfare Benefit Premiums Paid to CarrierUSD $23,819
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 38520 )
Policy contract number
Policy instance 1
Insurance policy start date2010-11-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $521,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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