BOARD OF TRUSTEES IBEW LOCAL NO 640 & ARIZONA CHAPTER NECA H&W has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND
401k plan membership statisitcs for IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND
| Measure | Date | Value |
|---|
| 2023 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-12-31 | $13,902,893 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-12-31 | $11,587,821 |
| Total income from all sources (including contributions) | 2023-12-31 | $52,569,172 |
| Total loss/gain on sale of assets | 2023-12-31 | $0 |
| Total of all expenses incurred | 2023-12-31 | $28,451,706 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-12-31 | $25,525,666 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-12-31 | $48,785,686 |
| Value of total assets at end of year | 2023-12-31 | $61,615,899 |
| Value of total assets at beginning of year | 2023-12-31 | $35,183,361 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-12-31 | $2,926,040 |
| Total interest from all sources | 2023-12-31 | $70,296 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-12-31 | $1,270,610 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2023-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2023-12-31 | $1,270,610 |
| Was this plan covered by a fidelity bond | 2023-12-31 | Yes |
| Value of fidelity bond cover | 2023-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-12-31 | No |
| Contributions received from participants | 2023-12-31 | $731,810 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-12-31 | $467,267 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-12-31 | $231,110 |
| Administrative expenses (other) incurred | 2023-12-31 | $1,794,866 |
| Liabilities. Value of operating payables at end of year | 2023-12-31 | $2,451,919 |
| Liabilities. Value of operating payables at beginning of year | 2023-12-31 | $1,227,839 |
| Total non interest bearing cash at end of year | 2023-12-31 | $10,069,073 |
| Total non interest bearing cash at beginning of year | 2023-12-31 | $713,014 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-12-31 | No |
| Value of net income/loss | 2023-12-31 | $24,117,466 |
| Value of net assets at end of year (total assets less liabilities) | 2023-12-31 | $47,713,006 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-12-31 | $23,595,540 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-12-31 | No |
| Assets. partnership/joint venture interests at end of year | 2023-12-31 | $1,000,000 |
| Investment advisory and management fees | 2023-12-31 | $50,226 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2023-12-31 | $34,364,504 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2023-12-31 | $23,863,148 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2023-12-31 | $10,503,718 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2023-12-31 | $6,523,240 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2023-12-31 | $6,523,240 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2023-12-31 | $70,296 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-12-31 | $3,027,040 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2023-12-31 | $2,442,580 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2023-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2023-12-31 | No |
| Contributions received in cash from employer | 2023-12-31 | $48,053,876 |
| Employer contributions (assets) at end of year | 2023-12-31 | $5,211,337 |
| Employer contributions (assets) at beginning of year | 2023-12-31 | $3,852,849 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-12-31 | $22,498,626 |
| Contract administrator fees | 2023-12-31 | $600,886 |
| Liabilities. Value of benefit claims payable at end of year | 2023-12-31 | $11,450,974 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-12-31 | $10,359,982 |
| Did the plan have assets held for investment | 2023-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-12-31 | Unqualified |
| Accountancy firm name | 2023-12-31 | BALDWIN MOFFITT BEHM LLP |
| Accountancy firm EIN | 2023-12-31 | 464370753 |
| 2022 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $11,587,821 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-12-31 | $11,231,678 |
| Total income from all sources (including contributions) | 2022-12-31 | $30,446,637 |
| Total loss/gain on sale of assets | 2022-12-31 | $0 |
| Total of all expenses incurred | 2022-12-31 | $20,712,598 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $19,016,130 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $33,238,831 |
| Value of total assets at end of year | 2022-12-31 | $35,183,361 |
| Value of total assets at beginning of year | 2022-12-31 | $25,093,179 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $1,696,468 |
| Total interest from all sources | 2022-12-31 | $60,124 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $681,609 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $681,609 |
| Administrative expenses professional fees incurred | 2022-12-31 | $150,342 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $757,032 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-12-31 | $231,110 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-12-31 | $261,031 |
| Administrative expenses (other) incurred | 2022-12-31 | $1,076,167 |
| Liabilities. Value of operating payables at end of year | 2022-12-31 | $1,227,839 |
| Liabilities. Value of operating payables at beginning of year | 2022-12-31 | $747,834 |
| Total non interest bearing cash at end of year | 2022-12-31 | $713,014 |
| Total non interest bearing cash at beginning of year | 2022-12-31 | $955,771 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $9,734,039 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $23,595,540 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $13,861,501 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $32,861 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $23,863,148 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $19,529,125 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $6,523,240 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $1,522,876 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $1,522,876 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $60,124 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $2,855,815 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-3,533,927 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $32,481,799 |
| Employer contributions (assets) at end of year | 2022-12-31 | $3,852,849 |
| Employer contributions (assets) at beginning of year | 2022-12-31 | $2,824,376 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $16,160,315 |
| Contract administrator fees | 2022-12-31 | $437,098 |
| Liabilities. Value of benefit claims payable at end of year | 2022-12-31 | $10,359,982 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-12-31 | $10,483,844 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | BALDWIN MOFFITT BEHM LLP |
| Accountancy firm EIN | 2022-12-31 | 464370753 |
| 2021 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $11,231,678 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $8,350,741 |
| Total income from all sources (including contributions) | 2021-12-31 | $24,635,421 |
| Total loss/gain on sale of assets | 2021-12-31 | $0 |
| Total of all expenses incurred | 2021-12-31 | $22,634,086 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $21,264,245 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $23,817,786 |
| Value of total assets at end of year | 2021-12-31 | $25,093,179 |
| Value of total assets at beginning of year | 2021-12-31 | $20,210,907 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $1,369,841 |
| Total interest from all sources | 2021-12-31 | $147 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $420,602 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $420,602 |
| Administrative expenses professional fees incurred | 2021-12-31 | $157,635 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $924,728 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-12-31 | $261,031 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-12-31 | $260,769 |
| Administrative expenses (other) incurred | 2021-12-31 | $840,712 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $747,834 |
| Liabilities. Value of operating payables at beginning of year | 2021-12-31 | $545,055 |
| Total non interest bearing cash at end of year | 2021-12-31 | $955,771 |
| Total non interest bearing cash at beginning of year | 2021-12-31 | $1,012,513 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $2,001,335 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $13,861,501 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $11,860,166 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $20,000 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $19,529,125 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $16,264,886 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $1,522,876 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $1,046,233 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $1,046,233 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $147 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $2,455,801 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $396,886 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $22,893,058 |
| Employer contributions (assets) at end of year | 2021-12-31 | $2,824,376 |
| Employer contributions (assets) at beginning of year | 2021-12-31 | $1,626,506 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $18,808,444 |
| Contract administrator fees | 2021-12-31 | $351,494 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $10,483,844 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $7,805,686 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Aggregate proceeds on sale of assets | 2021-12-31 | $25,257,389 |
| Aggregate carrying amount (costs) on sale of assets | 2021-12-31 | $25,257,389 |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | BALDWIN MOFFITT BEHM LLP |
| Accountancy firm EIN | 2021-12-31 | 464370753 |
| 2020 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2020 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $8,350,741 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $7,393,095 |
| Total income from all sources (including contributions) | 2020-12-31 | $21,743,892 |
| Total loss/gain on sale of assets | 2020-12-31 | $0 |
| Total of all expenses incurred | 2020-12-31 | $18,943,924 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $17,437,891 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $20,146,893 |
| Value of total assets at end of year | 2020-12-31 | $20,210,907 |
| Value of total assets at beginning of year | 2020-12-31 | $16,453,293 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $1,506,033 |
| Total interest from all sources | 2020-12-31 | $3,957 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $371,807 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $371,807 |
| Administrative expenses professional fees incurred | 2020-12-31 | $228,879 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $819,349 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-12-31 | $39,586 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $260,769 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $172,711 |
| Other income not declared elsewhere | 2020-12-31 | $199 |
| Administrative expenses (other) incurred | 2020-12-31 | $900,280 |
| Liabilities. Value of operating payables at end of year | 2020-12-31 | $545,055 |
| Liabilities. Value of operating payables at beginning of year | 2020-12-31 | $564,629 |
| Total non interest bearing cash at end of year | 2020-12-31 | $1,012,513 |
| Total non interest bearing cash at beginning of year | 2020-12-31 | $682,820 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $2,799,968 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $11,860,166 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $9,060,198 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $20,000 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $16,264,886 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $11,888,162 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $1,046,233 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $1,860,588 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $1,860,588 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $3,957 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $3,098,321 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $1,221,036 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $19,327,544 |
| Employer contributions (assets) at end of year | 2020-12-31 | $1,626,506 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $1,849,012 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $14,299,984 |
| Contract administrator fees | 2020-12-31 | $356,874 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $7,805,686 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $6,828,466 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Aggregate proceeds on sale of assets | 2020-12-31 | $23,081,651 |
| Aggregate carrying amount (costs) on sale of assets | 2020-12-31 | $23,081,651 |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | BALDWIN MOFFITT BEHM LLP |
| Accountancy firm EIN | 2020-12-31 | 464370753 |
| 2019 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2019 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $7,393,095 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $7,918,491 |
| Total income from all sources (including contributions) | 2019-12-31 | $22,645,097 |
| Total loss/gain on sale of assets | 2019-12-31 | $0 |
| Total of all expenses incurred | 2019-12-31 | $17,454,721 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $16,030,838 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $21,408,374 |
| Value of total assets at end of year | 2019-12-31 | $16,453,293 |
| Value of total assets at beginning of year | 2019-12-31 | $11,788,313 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $1,423,883 |
| Total interest from all sources | 2019-12-31 | $25,677 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $337,497 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $337,497 |
| Administrative expenses professional fees incurred | 2019-12-31 | $152,597 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $847,765 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $1,790,150 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $172,711 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-12-31 | $242,459 |
| Other income not declared elsewhere | 2019-12-31 | $97 |
| Administrative expenses (other) incurred | 2019-12-31 | $908,770 |
| Liabilities. Value of operating payables at end of year | 2019-12-31 | $564,629 |
| Liabilities. Value of operating payables at beginning of year | 2019-12-31 | $501,491 |
| Total non interest bearing cash at end of year | 2019-12-31 | $682,820 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $1,164,873 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $5,190,376 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $9,060,198 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $3,869,822 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $20,000 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $11,888,162 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $7,574,714 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $1,860,588 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $1,174,495 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $1,174,495 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $25,677 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $3,119,674 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $873,452 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $20,560,609 |
| Employer contributions (assets) at end of year | 2019-12-31 | $1,849,012 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $1,631,772 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $11,121,014 |
| Contract administrator fees | 2019-12-31 | $342,516 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $6,828,466 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $7,417,000 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Aggregate proceeds on sale of assets | 2019-12-31 | $19,691,596 |
| Aggregate carrying amount (costs) on sale of assets | 2019-12-31 | $19,691,596 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | BALDWIN MOFFITT PLLC |
| Accountancy firm EIN | 2019-12-31 | 464370753 |
| 2018 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $7,918,491 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $7,346,085 |
| Total income from all sources (including contributions) | 2018-12-31 | $16,202,211 |
| Total loss/gain on sale of assets | 2018-12-31 | $313,941 |
| Total of all expenses incurred | 2018-12-31 | $17,375,704 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $16,235,159 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $16,291,346 |
| Value of total assets at end of year | 2018-12-31 | $11,788,313 |
| Value of total assets at beginning of year | 2018-12-31 | $12,389,400 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $1,140,545 |
| Total interest from all sources | 2018-12-31 | $44,569 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $245,687 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $228,127 |
| Administrative expenses professional fees incurred | 2018-12-31 | $117,976 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2018-12-31 | $738,230 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $890,479 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-12-31 | $1,929,683 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $242,459 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $296,259 |
| Other income not declared elsewhere | 2018-12-31 | $17,054 |
| Administrative expenses (other) incurred | 2018-12-31 | $732,271 |
| Liabilities. Value of operating payables at end of year | 2018-12-31 | $501,491 |
| Liabilities. Value of operating payables at beginning of year | 2018-12-31 | $239,085 |
| Total non interest bearing cash at end of year | 2018-12-31 | $1,164,873 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $1,720,830 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-1,173,493 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $3,869,822 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $5,043,315 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $19,829 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $7,574,714 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $1,094,851 |
| Income. Interest from US Government securities | 2018-12-31 | $11,189 |
| Income. Interest from corporate debt instruments | 2018-12-31 | $22,420 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $1,174,495 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $276,123 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $276,123 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $10,960 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $2,863,715 |
| Asset value of US Government securities at beginning of year | 2018-12-31 | $2,303,624 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-710,386 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $15,400,867 |
| Employer contributions (assets) at end of year | 2018-12-31 | $1,631,772 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $1,322,745 |
| Income. Dividends from preferred stock | 2018-12-31 | $623 |
| Income. Dividends from common stock | 2018-12-31 | $16,937 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $11,441,761 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2018-12-31 | $2,146,988 |
| Contract administrator fees | 2018-12-31 | $270,469 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-12-31 | $2,489,750 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $7,417,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $7,107,000 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Aggregate proceeds on sale of assets | 2018-12-31 | $32,452,687 |
| Aggregate carrying amount (costs) on sale of assets | 2018-12-31 | $32,138,746 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | BALDWIN & BALDWIN PLLC |
| Accountancy firm EIN | 2018-12-31 | 464370753 |
| 2017 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $339,465 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $339,465 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $7,346,085 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $6,034,780 |
| Total income from all sources (including contributions) | 2017-12-31 | $15,313,124 |
| Total loss/gain on sale of assets | 2017-12-31 | $69,454 |
| Total of all expenses incurred | 2017-12-31 | $17,004,723 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $15,743,528 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $14,598,699 |
| Value of total assets at end of year | 2017-12-31 | $12,389,400 |
| Value of total assets at beginning of year | 2017-12-31 | $12,769,694 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $1,261,195 |
| Total interest from all sources | 2017-12-31 | $175,912 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $123,386 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $49,768 |
| Administrative expenses professional fees incurred | 2017-12-31 | $165,749 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2017-12-31 | $738,230 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2017-12-31 | $942,108 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $960,827 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $296,259 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $574,129 |
| Administrative expenses (other) incurred | 2017-12-31 | $802,446 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $239,085 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $205,280 |
| Total non interest bearing cash at end of year | 2017-12-31 | $1,720,830 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $1,009,773 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-1,691,599 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $5,043,315 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $6,734,914 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $53,215 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $1,094,851 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $757,936 |
| Income. Interest from US Government securities | 2017-12-31 | $50,680 |
| Income. Interest from corporate debt instruments | 2017-12-31 | $122,479 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $276,123 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $774,296 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $774,296 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $2,753 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $1,498,632 |
| Asset value of US Government securities at end of year | 2017-12-31 | $2,303,624 |
| Asset value of US Government securities at beginning of year | 2017-12-31 | $2,194,639 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $6,208 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $13,637,872 |
| Employer contributions (assets) at end of year | 2017-12-31 | $1,322,745 |
| Employer contributions (assets) at beginning of year | 2017-12-31 | $1,262,588 |
| Income. Dividends from preferred stock | 2017-12-31 | $1,096 |
| Income. Dividends from common stock | 2017-12-31 | $72,522 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $14,244,896 |
| Asset. Corporate debt instrument debt (other) at end of year | 2017-12-31 | $2,146,988 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2017-12-31 | $2,551,050 |
| Contract administrator fees | 2017-12-31 | $239,785 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-12-31 | $2,489,750 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-12-31 | $2,703,175 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $7,107,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $5,829,500 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Aggregate proceeds on sale of assets | 2017-12-31 | $26,251,547 |
| Aggregate carrying amount (costs) on sale of assets | 2017-12-31 | $26,182,093 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | BALDWIN & BALDWIN PLLC |
| Accountancy firm EIN | 2017-12-31 | 464370753 |
| 2016 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $156,195 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $156,195 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $6,034,780 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $5,319,464 |
| Total income from all sources (including contributions) | 2016-12-31 | $13,294,142 |
| Total loss/gain on sale of assets | 2016-12-31 | $-47,331 |
| Total of all expenses incurred | 2016-12-31 | $12,957,374 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $11,788,707 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $12,824,810 |
| Value of total assets at end of year | 2016-12-31 | $12,769,694 |
| Value of total assets at beginning of year | 2016-12-31 | $11,717,610 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $1,168,667 |
| Total interest from all sources | 2016-12-31 | $218,010 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $140,276 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $20,332 |
| Administrative expenses professional fees incurred | 2016-12-31 | $137,924 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2016-12-31 | $942,108 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2016-12-31 | $1,283,284 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $949,221 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-12-31 | $574,129 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $99,000 |
| Administrative expenses (other) incurred | 2016-12-31 | $754,643 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $205,280 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $298,911 |
| Total non interest bearing cash at end of year | 2016-12-31 | $1,009,773 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $740,956 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $336,768 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $6,734,914 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $6,398,146 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $56,170 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $757,936 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $496,164 |
| Income. Interest from US Government securities | 2016-12-31 | $34,997 |
| Income. Interest from corporate debt instruments | 2016-12-31 | $182,793 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $774,296 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $916,082 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $916,082 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $220 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $587,912 |
| Asset value of US Government securities at end of year | 2016-12-31 | $2,194,639 |
| Asset value of US Government securities at beginning of year | 2016-12-31 | $1,607,589 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $2,182 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $11,875,589 |
| Employer contributions (assets) at end of year | 2016-12-31 | $1,262,588 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $948,762 |
| Income. Dividends from preferred stock | 2016-12-31 | $14,130 |
| Income. Dividends from common stock | 2016-12-31 | $105,814 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $11,200,795 |
| Asset. Corporate debt instrument debt (other) at end of year | 2016-12-31 | $2,551,050 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2016-12-31 | $2,940,043 |
| Contract administrator fees | 2016-12-31 | $219,930 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-12-31 | $2,703,175 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-12-31 | $2,685,730 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $5,829,500 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $5,020,553 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Aggregate proceeds on sale of assets | 2016-12-31 | $26,698,280 |
| Aggregate carrying amount (costs) on sale of assets | 2016-12-31 | $26,745,611 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | BALDWIN & BALDWIN PLLC |
| Accountancy firm EIN | 2016-12-31 | 464370753 |
| 2015 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $47,751 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $47,751 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $5,319,464 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $4,540,718 |
| Total income from all sources (including contributions) | 2015-12-31 | $9,487,321 |
| Total loss/gain on sale of assets | 2015-12-31 | $-206,763 |
| Total of all expenses incurred | 2015-12-31 | $10,827,434 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $9,728,976 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $9,349,944 |
| Value of total assets at end of year | 2015-12-31 | $11,717,610 |
| Value of total assets at beginning of year | 2015-12-31 | $12,278,977 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $1,098,458 |
| Total interest from all sources | 2015-12-31 | $157,815 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $149,917 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2015-12-31 | $13,606 |
| Administrative expenses professional fees incurred | 2015-12-31 | $241,394 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2015-12-31 | $1,283,284 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2015-12-31 | $1,177,869 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $1,132,687 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $99,000 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $436,664 |
| Administrative expenses (other) incurred | 2015-12-31 | $291,104 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $298,911 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $304,517 |
| Total non interest bearing cash at end of year | 2015-12-31 | $740,956 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-1,340,113 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $6,398,146 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $7,738,259 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $56,103 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2015-12-31 | $496,164 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2015-12-31 | $402,739 |
| Income. Interest from US Government securities | 2015-12-31 | $23,133 |
| Income. Interest from corporate debt instruments | 2015-12-31 | $134,596 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $916,082 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $1,256,618 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $1,256,618 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $86 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $491,481 |
| Asset value of US Government securities at end of year | 2015-12-31 | $1,607,589 |
| Asset value of US Government securities at beginning of year | 2015-12-31 | $2,849,601 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2015-12-31 | $-11,343 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $8,217,257 |
| Employer contributions (assets) at end of year | 2015-12-31 | $948,762 |
| Employer contributions (assets) at beginning of year | 2015-12-31 | $716,399 |
| Income. Dividends from preferred stock | 2015-12-31 | $22,660 |
| Income. Dividends from common stock | 2015-12-31 | $113,651 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $9,237,495 |
| Asset. Corporate debt instrument debt (other) at end of year | 2015-12-31 | $2,940,043 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2015-12-31 | $3,273,708 |
| Contract administrator fees | 2015-12-31 | $509,857 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-12-31 | $2,685,730 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-12-31 | $2,165,379 |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $5,020,553 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-12-31 | $4,236,201 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Aggregate proceeds on sale of assets | 2015-12-31 | $23,670,280 |
| Aggregate carrying amount (costs) on sale of assets | 2015-12-31 | $23,877,043 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | BALDWIN & BALDWIN PLLC |
| Accountancy firm EIN | 2015-12-31 | 464370753 |
| 2014 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $198,343 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $198,343 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $4,540,718 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $5,505,346 |
| Total income from all sources (including contributions) | 2014-12-31 | $11,741,408 |
| Total loss/gain on sale of assets | 2014-12-31 | $125,683 |
| Total of all expenses incurred | 2014-12-31 | $9,543,598 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $8,399,059 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $11,057,799 |
| Value of total assets at end of year | 2014-12-31 | $12,278,977 |
| Value of total assets at beginning of year | 2014-12-31 | $11,045,795 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $1,144,539 |
| Total interest from all sources | 2014-12-31 | $152,951 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $206,632 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2014-12-31 | $7,424 |
| Administrative expenses professional fees incurred | 2014-12-31 | $211,394 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2014-12-31 | $1,177,869 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2014-12-31 | $1,272,676 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $1,019,381 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $436,664 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $233,347 |
| Administrative expenses (other) incurred | 2014-12-31 | $539,697 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $304,517 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $396,423 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $2,197,810 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $7,738,259 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $5,540,449 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $56,036 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-12-31 | $402,739 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-12-31 | $3,509 |
| Income. Interest from US Government securities | 2014-12-31 | $32,411 |
| Income. Interest from corporate debt instruments | 2014-12-31 | $120,441 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $1,256,618 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $750,892 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $750,892 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $99 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $580,375 |
| Asset value of US Government securities at end of year | 2014-12-31 | $2,849,601 |
| Asset value of US Government securities at beginning of year | 2014-12-31 | $3,317,606 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $10,038,418 |
| Employer contributions (assets) at end of year | 2014-12-31 | $716,399 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $1,033,491 |
| Income. Dividends from preferred stock | 2014-12-31 | $87,149 |
| Income. Dividends from common stock | 2014-12-31 | $112,059 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $7,818,684 |
| Asset. Corporate debt instrument debt (other) at end of year | 2014-12-31 | $3,273,708 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2014-12-31 | $2,832,614 |
| Contract administrator fees | 2014-12-31 | $337,412 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-12-31 | $2,165,379 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-12-31 | $1,601,660 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $4,236,201 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $5,108,923 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Aggregate proceeds on sale of assets | 2014-12-31 | $30,079,494 |
| Aggregate carrying amount (costs) on sale of assets | 2014-12-31 | $29,953,811 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | BALDWIN & BALDWIN, PLLC |
| Accountancy firm EIN | 2014-12-31 | 464370753 |
| 2013 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-25,224 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-25,224 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $5,505,346 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $5,230,616 |
| Total income from all sources (including contributions) | 2013-12-31 | $11,192,839 |
| Total loss/gain on sale of assets | 2013-12-31 | $-76,882 |
| Total of all expenses incurred | 2013-12-31 | $10,788,115 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $9,893,278 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $11,015,178 |
| Value of total assets at end of year | 2013-12-31 | $11,045,795 |
| Value of total assets at beginning of year | 2013-12-31 | $10,366,341 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $894,837 |
| Total interest from all sources | 2013-12-31 | $158,527 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $109,721 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $45 |
| Administrative expenses professional fees incurred | 2013-12-31 | $161,467 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2013-12-31 | $1,272,676 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2013-12-31 | $799,906 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $950,384 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $233,347 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $181,836 |
| Other income not declared elsewhere | 2013-12-31 | $11,519 |
| Administrative expenses (other) incurred | 2013-12-31 | $357,365 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $396,423 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $255,863 |
| Total non interest bearing cash at end of year | 2013-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $192,200 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $404,724 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $5,540,449 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $5,135,725 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $48,860 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $3,509 |
| Income. Interest from US Government securities | 2013-12-31 | $17,216 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $141,198 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $750,892 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $2,977,414 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $2,977,414 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $113 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $604,043 |
| Asset value of US Government securities at end of year | 2013-12-31 | $3,317,606 |
| Asset value of US Government securities at beginning of year | 2013-12-31 | $2,539,516 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $0 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $10,064,794 |
| Employer contributions (assets) at end of year | 2013-12-31 | $1,033,491 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $854,190 |
| Income. Dividends from preferred stock | 2013-12-31 | $65,460 |
| Income. Dividends from common stock | 2013-12-31 | $44,216 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $9,289,235 |
| Asset. Corporate debt instrument debt (other) at end of year | 2013-12-31 | $2,832,614 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2013-12-31 | $2,821,279 |
| Contract administrator fees | 2013-12-31 | $327,145 |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-12-31 | $1,601,660 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $5,108,923 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $4,974,753 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $31,590,674 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $31,667,556 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | BALDWIN & BALDWIN, PLLC |
| Accountancy firm EIN | 2013-12-31 | 464370753 |
| 2012 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $277,657 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $277,657 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $5,230,616 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $5,248,370 |
| Total income from all sources (including contributions) | 2012-12-31 | $11,493,988 |
| Total loss/gain on sale of assets | 2012-12-31 | $30,116 |
| Total of all expenses incurred | 2012-12-31 | $9,459,130 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $8,486,742 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $11,008,827 |
| Value of total assets at end of year | 2012-12-31 | $10,366,341 |
| Value of total assets at beginning of year | 2012-12-31 | $8,349,237 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $972,388 |
| Total interest from all sources | 2012-12-31 | $175,414 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $32,364 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $177,837 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2012-12-31 | $799,906 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2012-12-31 | $335,121 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $1,015,999 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $181,836 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $310,569 |
| Other income not declared elsewhere | 2012-12-31 | $11,409 |
| Administrative expenses (other) incurred | 2012-12-31 | $420,671 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $255,863 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $125,109 |
| Total non interest bearing cash at end of year | 2012-12-31 | $192,200 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $234,540 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $2,034,858 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $5,135,725 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $3,100,867 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $21,294 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $1,521,185 |
| Interest earned on other investments | 2012-12-31 | $4,054 |
| Income. Interest from US Government securities | 2012-12-31 | $26,745 |
| Income. Interest from corporate debt instruments | 2012-12-31 | $144,338 |
| Value of interest in common/collective trusts at end of year | 2012-12-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $2,977,414 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $635,926 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $635,926 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $277 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $670,119 |
| Asset value of US Government securities at end of year | 2012-12-31 | $2,539,516 |
| Asset value of US Government securities at beginning of year | 2012-12-31 | $661,207 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $-41,799 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $9,992,828 |
| Employer contributions (assets) at end of year | 2012-12-31 | $854,190 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $795,342 |
| Income. Dividends from preferred stock | 2012-12-31 | $32,364 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $7,816,623 |
| Asset. Corporate debt instrument debt (other) at end of year | 2012-12-31 | $2,821,279 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2012-12-31 | $3,855,347 |
| Contract administrator fees | 2012-12-31 | $352,586 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $4,974,753 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $5,123,261 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Aggregate proceeds on sale of assets | 2012-12-31 | $19,304,509 |
| Aggregate carrying amount (costs) on sale of assets | 2012-12-31 | $19,274,393 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | CLEVELAND ESTES AVELLONE, PLLC |
| Accountancy firm EIN | 2012-12-31 | 205717151 |
| 2011 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $29,615 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $29,615 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $5,248,370 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $5,746,403 |
| Total income from all sources (including contributions) | 2011-12-31 | $9,147,947 |
| Total loss/gain on sale of assets | 2011-12-31 | $-19,213 |
| Total of all expenses incurred | 2011-12-31 | $10,478,881 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $9,456,908 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $9,044,519 |
| Value of total assets at end of year | 2011-12-31 | $8,349,237 |
| Value of total assets at beginning of year | 2011-12-31 | $10,178,204 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $1,021,973 |
| Total interest from all sources | 2011-12-31 | $236,361 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $35,315 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2011-12-31 | $16,966 |
| Administrative expenses professional fees incurred | 2011-12-31 | $172,483 |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2011-12-31 | $335,121 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $1,119,231 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $310,569 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $164,625 |
| Administrative expenses (other) incurred | 2011-12-31 | $454,302 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $125,109 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $162,086 |
| Total non interest bearing cash at end of year | 2011-12-31 | $234,540 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $228,288 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-1,330,934 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $3,100,867 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $4,431,801 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $24,024 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $1,521,185 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $1,682,870 |
| Income. Interest from US Government securities | 2011-12-31 | $34,284 |
| Income. Interest from corporate debt instruments | 2011-12-31 | $201,981 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $635,926 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $891,642 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $891,642 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $96 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $626,129 |
| Asset value of US Government securities at end of year | 2011-12-31 | $661,207 |
| Asset value of US Government securities at beginning of year | 2011-12-31 | $1,854,886 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2011-12-31 | $-178,650 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $7,925,288 |
| Employer contributions (assets) at end of year | 2011-12-31 | $795,342 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $995,916 |
| Income. Dividends from preferred stock | 2011-12-31 | $18,349 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-12-31 | $8,830,779 |
| Asset. Corporate debt instrument debt (other) at end of year | 2011-12-31 | $3,855,347 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2011-12-31 | $4,359,977 |
| Contract administrator fees | 2011-12-31 | $371,164 |
| Liabilities. Value of benefit claims payable at end of year | 2011-12-31 | $5,123,261 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-12-31 | $5,584,317 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Aggregate proceeds on sale of assets | 2011-12-31 | $18,706,097 |
| Aggregate carrying amount (costs) on sale of assets | 2011-12-31 | $18,725,310 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | CLEVELAND ESTES AVELLONE, PLLC |
| Accountancy firm EIN | 2011-12-31 | 205717151 |
| 2010 : IBEW LOCAL NO 640 & AZ CHAPTER NECA H&W TRUST FUND 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $140,185 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $140,185 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $5,746,403 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $4,898,205 |
| Total income from all sources (including contributions) | 2010-12-31 | $9,275,234 |
| Total loss/gain on sale of assets | 2010-12-31 | $20,114 |
| Total of all expenses incurred | 2010-12-31 | $9,429,328 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $8,552,035 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $8,531,899 |
| Value of total assets at end of year | 2010-12-31 | $10,178,204 |
| Value of total assets at beginning of year | 2010-12-31 | $9,484,100 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $877,293 |
| Total interest from all sources | 2010-12-31 | $275,096 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $29,263 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2010-12-31 | $29,263 |
| Administrative expenses professional fees incurred | 2010-12-31 | $175,674 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $1,372,594 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $164,625 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $273,456 |
| Administrative expenses (other) incurred | 2010-12-31 | $363,761 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $162,086 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $74,127 |
| Total non interest bearing cash at end of year | 2010-12-31 | $228,288 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $280,263 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $-154,094 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $4,431,801 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $4,585,895 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $24,479 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $1,682,870 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $1,671,650 |
| Income. Interest from US Government securities | 2010-12-31 | $52,193 |
| Income. Interest from corporate debt instruments | 2010-12-31 | $222,758 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $891,642 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $355,942 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $355,942 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $145 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $473,431 |
| Asset value of US Government securities at end of year | 2010-12-31 | $1,854,886 |
| Asset value of US Government securities at beginning of year | 2010-12-31 | $1,524,160 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2010-12-31 | $278,677 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $7,159,305 |
| Employer contributions (assets) at end of year | 2010-12-31 | $995,916 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $455,132 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $8,078,604 |
| Asset. Corporate debt instrument debt (other) at end of year | 2010-12-31 | $4,359,977 |
| Asset. Corporate debt instrument debt (other) at beginning of year | 2010-12-31 | $4,923,497 |
| Contract administrator fees | 2010-12-31 | $313,379 |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $5,584,317 |
| Liabilities. Value of benefit claims payable at beginning of year | 2010-12-31 | $4,824,078 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Aggregate proceeds on sale of assets | 2010-12-31 | $15,180,955 |
| Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $15,160,841 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | CLEVELAND ESTES AVELLONE, PLLC |
| Accountancy firm EIN | 2010-12-31 | 205717151 |
| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) |
| Policy contract number | 4957 |
| Policy instance | 1 |
| Insurance contract or identification number | 4957 | | Number of Individuals Covered | 3365 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,431,189 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30110467 |
| Policy instance | 5 |
| Insurance contract or identification number | 30110467 | | Number of Individuals Covered | 3140 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $48,529 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911 C4202 |
| Policy instance | 4 |
| Insurance contract or identification number | G2911 C4202 | | Number of Individuals Covered | 1997 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $85,563 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306705 |
| Policy instance | 3 |
| Insurance contract or identification number | 306705 | | Number of Individuals Covered | 2145 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,028,071 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 ) |
| Policy contract number | 038941 |
| Policy instance | 2 |
| Insurance contract or identification number | 038941 | | Number of Individuals Covered | 6393 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $441,670 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| COMPSYCH (National Association of Insurance Commissioners NAIC id number: 0000 ) |
| Policy contract number | |
| Policy instance | 6 |
| Number of Individuals Covered | 2180 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $40,548 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306705 306707 |
| Policy instance | 2 |
| Insurance contract or identification number | 306705 306707 | | Number of Individuals Covered | 1729 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,024,550 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 28000 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911C4202 |
| Policy instance | 3 |
| Insurance contract or identification number | G2911C4202 | | Number of Individuals Covered | 1729 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $64,163 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 1601031400 |
| Policy instance | 5 |
| Insurance contract or identification number | 1601031400 | | Number of Individuals Covered | 1729 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $664,235 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 ) |
| Policy contract number | |
| Policy instance | 4 |
| Number of Individuals Covered | 1729 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $61,675 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) |
| Policy contract number | 4957 |
| Policy instance | 1 |
| Insurance contract or identification number | 4957 | | Number of Individuals Covered | 1729 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,041,192 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911C4202 |
| Policy instance | 1 |
| Insurance contract or identification number | G2911C4202 | | Number of Individuals Covered | 1376 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $61,426 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1348 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
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| VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 ) |
| Policy contract number | |
| Policy instance | 4 |
| Number of Individuals Covered | 1898 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $51,499 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) |
| Policy contract number | 4957 |
| Policy instance | 2 |
| Insurance contract or identification number | 4957 | | Number of Individuals Covered | 2059 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $828,123 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306705 306707 |
| Policy instance | 3 |
| Insurance contract or identification number | 306705 306707 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $897,172 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
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| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 1601031400 |
| Policy instance | 5 |
| Insurance contract or identification number | 1601031400 | | Number of Individuals Covered | 1898 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $617,905 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 ) |
| Policy contract number | |
| Policy instance | 5 |
| Number of Individuals Covered | 1871 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $59,208 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) |
| Policy contract number | 4957 |
| Policy instance | 3 |
| Insurance contract or identification number | 4957 | | Number of Individuals Covered | 1664 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306705 306707 |
| Policy instance | 4 |
| Insurance contract or identification number | 306705 306707 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $29,700 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,072,657 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,700 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
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| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911C4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G2911C4202 | | Number of Individuals Covered | 1300 | | Insurance policy start date | 2019-07-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $1,102 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $61,586 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,102 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
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| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 1601031400 |
| Policy instance | 1 |
| Insurance contract or identification number | 1601031400 | | Number of Individuals Covered | 1679 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $9,888 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $922,331 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,888 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
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| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 1601031400 |
| Policy instance | 1 |
| Insurance contract or identification number | 1601031400 | | Number of Individuals Covered | 1875 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $979,445 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| VALUEOPTIONS, INC. (National Association of Insurance Commissioners NAIC id number: 62199 ) |
| Policy contract number | |
| Policy instance | 5 |
| Number of Individuals Covered | 2045 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | EAP PROGRAM | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $47,826 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306705 306707 |
| Policy instance | 4 |
| Insurance contract or identification number | 306705 306707 | | Number of Individuals Covered | 289 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $31,400 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,054,890 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,400 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
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| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) |
| Policy contract number | 4957 |
| Policy instance | 3 |
| Insurance contract or identification number | 4957 | | Number of Individuals Covered | 1795 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911C4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G2911C4202 | | Number of Individuals Covered | 1346 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $1,405 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $58,275 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,450 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSIONS | | Insurance broker organization code? | 3 |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 16-010314-00 | | Number of Individuals Covered | 1300 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $758,375 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 ) |
| Policy contract number | 4957 |
| Policy instance | 3 |
| Insurance contract or identification number | 4957 | | Number of Individuals Covered | 1694 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 ) |
| Policy contract number | 306705 |
| Policy instance | 4 |
| Insurance contract or identification number | 306705 | | Number of Individuals Covered | 300 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,200 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,187,895 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,200 | | Insurance broker organization code? | 3 |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911 C4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G2911 C4202 | | Number of Individuals Covered | 1500 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $51,767 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 16-010314-00 | | Number of Individuals Covered | 1372 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $683,475 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911 C4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G2911 C4202 | | Number of Individuals Covered | 800 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $48,074 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DELTA DENTAL PLAN OF ARKANSAS (National Association of Insurance Commissioners NAIC id number: 81396 ) |
| Policy contract number | 4128 |
| Policy instance | 3 |
| Insurance contract or identification number | 4128 | | Number of Individuals Covered | 1359 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $737,616 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 16-010314-000 | | Number of Individuals Covered | 953 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $397,227 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911 C4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G2911 C4202 | | Number of Individuals Covered | 722 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $1,140 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $43,477 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,140 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSION AGREEMENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE SEGAL COMPANY |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 16-010314-000 | | Number of Individuals Covered | 1036 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $430,799 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G2911 C4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G2911 C4202 | | Number of Individuals Covered | 1048 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $1,272 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $50,998 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,272 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSION AGREEMENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE SEGAL COMPANY |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-000 |
| Policy instance | 1 |
| Insurance contract or identification number | 16-010314-000 | | Number of Individuals Covered | 1093 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $453,209 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G-2911 C-4202 |
| Policy instance | 2 |
| Insurance contract or identification number | G-2911 C-4202 | | Number of Individuals Covered | 975 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $1,274 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $51,141 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,274 | | Additional information about fees paid to insurance broker | FULFILLMENT OF COMMISSION AGREEMENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE SEGAL COMPANY |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-000 |
| Policy instance | 2 |
| Insurance contract or identification number | 16-010314-000 | | Number of Individuals Covered | 1245 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $457,344 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G-2911 C-4202 |
| Policy instance | 3 |
| Insurance contract or identification number | G-2911 C-4202 | | Number of Individuals Covered | 1063 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $48,606 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 ) |
| Policy contract number | OTBMT-28985 |
| Policy instance | 1 |
| Insurance contract or identification number | OTBMT-28985 | | Number of Individuals Covered | 1127 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Other welfare benefits provided | ORGAN & BONE MARROW TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $76,055 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 ) |
| Policy contract number | OTBMT-28985 |
| Policy instance | 1 |
| Insurance contract or identification number | OTBMT-28985 | | Number of Individuals Covered | 1030 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Other welfare benefits provided | ORGAN & BONE MARROW TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $66,020 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G-2911 C-4202 |
| Policy instance | 3 |
| Insurance contract or identification number | G-2911 C-4202 | | Number of Individuals Covered | 982 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $1,242 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $48,986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-000 |
| Policy instance | 2 |
| Insurance contract or identification number | 16-010314-000 | | Number of Individuals Covered | 1037 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $422,401 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 ) |
| Policy contract number | OTBMT-28985 |
| Policy instance | 1 |
| Insurance contract or identification number | OTBMT-28985 | | Number of Individuals Covered | 1118 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Other welfare benefits provided | ORGAN & BONE MARROW TRANSPLANT | | Welfare Benefit Premiums Paid to Carrier | USD $46,592 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16-010314-000 |
| Policy instance | 2 |
| Insurance contract or identification number | 16-010314-000 | | Number of Individuals Covered | 1141 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Welfare Benefit Premiums Paid to Carrier | USD $353,926 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 ) |
| Policy contract number | G-2911 C-4202 |
| Policy instance | 3 |
| Insurance contract or identification number | G-2911 C-4202 | | Number of Individuals Covered | 741 | | Insurance policy start date | 2009-07-01 | | Insurance policy end date | 2010-06-30 | | Total amount of fees paid to insurance company | USD $1,162 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $44,683 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1162 | | Additional information about fees paid to insurance broker | FULLFILLMENT OF COMMISSION AGREEMENT | | Insurance broker organization code? | 3 | | Insurance broker name | THE SEGAL COMPANY |
|
